Sensible Medicine

SEPTEMBER 9, 2024

In his post yesterday, Adam discussed the STRONG-HF trial. I will expand on it because it is a great example of a positive trial that does not add knowledge to the treatment of patients with heart failure. The larger question is: what are trials for? When I think about science classes in high school, I remember experiments as a way to explain nature.

Hospitals 103

Hospitals Outcomes Research 103

American Medical Compliance

SEPTEMBER 9, 2024

In assisted living, one of the most critical aspects of resident care is the prevention and management of skin issues. For instance, one of the most common risk factors associated with the development of pressure ulcers is being 70 years of age or older. Skin health is not only a matter of comfort and well-being but also a key indicator of a resident’s overall health status.

Teamwork 101

Teamwork Best Practices Outcomes Wellness 101

First 10 EM

SEPTEMBER 9, 2024

Welcome back to another research roundup. This edition doesn’t have any immediate practice changers, but I think there are some very important topics. Enjoy. The BroomeDocs podcast: [link] The BroomeDocs podcast on YouTube: (I am on vacation, so this will probably be inserted later.) In a surprise to no one who reads First10EM, clinical judgment […] The post The September 2024 Research Roundup appeared first on First10EM.

Research 80

Research Sepsis EMS 80

Dr. Smith's ECG Blog

SEPTEMBER 9, 2024

Written by Willy Frick A 40 year old woman was at home cooking when she developed chest pain. She took an oxycodone and called EMS. Her presenting ECG is shown below: ECG 1 What do you think? I sent this to Drs. Meyers and Smith and the response was: "I’m quite confident that this is OMI." Here is the Queen's verdict with explainability: She sees OMI with low confidence.

EKG/ECG 70

EKG/ECG Operations Wellness Ultrasounds 70

ALiEM

SEPTEMBER 9, 2024

A 61-year-old female with a past medical history of hypertension, hyperlipidemia, type 2 diabetes, and normal pressure hydrocephalus s/p VP shunt (last revision nine months ago) presented to the Emergency Department (ED) for evaluation after noticing a “string” coming out of her anus today. Associated symptoms included nausea and a mild headache for one day, and one episode of vomiting prior to arrival.

Sepsis 60

Sepsis Academics Wellness Emergency Department 60

RebelEM

SEPTEMBER 9, 2024

A newborn boy presents to the emergency department shortly after a home delivery. The mother had routine prenatal care and reports that he was due in 2 days. The patient appears term and vigorous but is in respiratory distress and gasping for air. His heart rate is 80 bpm. What percent of oxygen should you initially use while providing positive pressure ventilation to this patient?

Resuscitation 55

Resuscitation Emergency Department Pediatrics EMS 55

PEMBlog

SEPTEMBER 9, 2024

Dewdrops on a rose petal describes the classic appearance of the lesions in varicella infections. Chicken pox is preventable by vaccines you know… Lyrics [Chorus] Dewdrops on a rose petal Vaccines test your mettle it’s chicken pox you silly fox! [Verse] prodrome fever, body hurts then the rash arrives in spurts Varicella’s itchy lesions most on trunk for some reason scabbing over, different stages once all crusted, not contagious [Chorus] Dewdrops on a rose petal Vaccines test

Infectious Diseases 52

Infectious Diseases 52