Science Based Medicine

JULY 21, 2024

Actual death is worse than theoretical death. This didn't used to be controversial in medicine. The post Dr. John Ioannidis: Yet Another Doctor Who Treats Theoretical Death From The Vaccine With More Gravity Than Actual Death From COVID first appeared on Science-Based Medicine.

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Dr. Smith's ECG Blog

JULY 21, 2024

Written By Magnus Nossen — with edits by Ken Grauer and Smith. The patient in today’s case is a previously healthy 40-something male who contacted EMS due to acute onset crushing chest pain. The pain was 10/10 in intensity radiating bilaterally to the shoulders and also to the left arm and neck. The below ECG was recorded. The ECG shows obvious STEMI(+) OMI due to probable proximal LAD occlusion.

EKG/ECG 113

EKG/ECG Shock Hospitals Sepsis 113

Critical Care Now

JULY 21, 2024

Reading Time: 3 minutes Article Herman R, Meyers HP, Smith SW, et al. International evaluation of an artificial intelligence-powered electrocardiogram model detecting acute coronary occlusion myocardial infarction. Eur Heart J Digit Health. 2023;5(2):123-133. Published 2023 Nov 28. PMID: 38505483 Cath lab activation based on ST-elevation myocardial infarction (STEMI) criteria relies on outdated data and needs modernization.

EKG/ECG 75

EKG/ECG Emergency Department EMS Wellness 75

Life in the Fast Lane

JULY 21, 2024

Danny McGurgan and Mike Cadogan Riccardo Galeazzi Riccardo Galeazzi (1866-1952) was a pioneering Italian orthopaedic surgeon. The eponymous Galeazzi fracture is named after him.

Fractures 52

Fractures 52

PulmCCM

JULY 21, 2024

Do we perform chest compressions in the wrong spot on half our patients during CPR? How would we even know? Resuscitative transesophageal echocardiography means using point-of-care TEE in emergency or critical care settings to guide treatments of crashing patients based on observed cardiovascular physiology in real-time.

CPR 52

CPR Resuscitation 52

Life in the Fast Lane

JULY 21, 2024

Mike Cadogan José Luis Bado José Luis Bado (1903 – 1977) was a Uruguayan surgeon. Eponymously linked to the Bado classification of Monteggia fractures.

Fractures 52

Fractures 52

Pediatric Education

JULY 21, 2024

Patient Presentation A 9-month-old female came to clinic with her parents for her health supervision visit. They were concerned about chronic infections she had over the past 6 months, particularly a cough. “It just doesn’t seem to go away. She has it and it goes on for a few weeks, then it seems to be getting better, and she seems to get sick again and we start all over,” her mother complained. “Yeah, then she has diarrhea once in a while and she had an ear infection.

Pediatrics 40

Pediatrics Wellness 40