Science Based Medicine

JULY 6, 2024

"There is an ongoing, competitive process of writing the history of the pandemic." The post Pandemic Revisionism: Doctors Who Defend Dr. Scott Atlas Are Afraid to Accurately Quote Dr. Scott Atlas. I’m Not. first appeared on Science-Based Medicine.

124

124

The Skeptics' Guide to EM

JULY 6, 2024

Reference: Tjan et al. Conflict in emergency medicine: A systematic review. AEM June 2024 Date: July 5, 2024 Guest Skeptic: Dr. Lauren Westafer an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School – Baystate. She co-founded FOAMcast and is a pulmonary embolism and implementation science researcher.

Teamwork 79

Teamwork Leadership Research Patient Safety 79

PulmCCM

JULY 6, 2024

Intensive early mobility in the ICU is still waiting for its breakthrough moment. Guidelines recommend physical therapy and rehabilitation as soon and as often as feasible in critically ill patients, but that’s based more on biological plausibility than evidence. It seems intuitively obvious that exercise would reduce debilitation and improve outcomes.

Outcomes 52

Outcomes 52

JournalFeed

JULY 6, 2024

The JournalFeed podcast for the week of July 1-5th , 2024. Monday Spoon Feed : The only strong recommendation for corticosteroid use was in patients needing to be hospitalized with severe community acquired pneumonia. The panel recommended against high-dose/short duration corticosteroids in patients with septic shock. Tuesday Spoon Feed : In pediatric patients who have an Alvarado score 6 and below, the absence of free fluid or periappendiceal fat inflammation, when the appendix was not visualiz

Shock 52

Shock Ultrasounds Pediatrics Hospitals 52

Pediatric Education

JULY 6, 2024

Patient Presentation A 30-month-old female came to clinic for her health supervision visit. She was well and her mother had no concerns. When the pediatrician was updating the family history the mother became teary. She said that approximately 6 week prior she had had a fetus who had had intrauterine fetal demise due to hydrops fetalis. The family history was negative for any additional genetic problems or pregnancy problems in the known family members.

Pediatrics 40

Pediatrics Ultrasounds Wellness Outcomes 40

PulmCCM

JULY 6, 2024

After decades of uncertainty, the REVISE trial ( Cook et al NEJM 2024 ) established that proton pump inhibitors as stress ulcer prophylaxis (SUP) reduce significant gastrointestinal bleeding in mechanically ventilated patients compared to placebo (1% vs. 3.5%, highly significant).

40

40