Tue.Nov 19, 2024

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Electrophysiology is on the brink of a possible disaster

Stop and Think

The OPTION trial compared two strategies to reduce stroke and bleeding after catheter ablation of atrial fibrillation. The current strategy is to continue an anticoagulant medication. The alternative tested in OPTION is to implant a left atrial appendage device—abbreviated as LAAC (left atrial appendage closure). AF ablation is one of the most common procedures in my field.

Stroke 126
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JC: Small versus Large-Bore Thoracostomy for Traumatic Hemothorax.

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed Traditionally, large-bore chest tubes have been standard for managing hemothorax, but smaller tubes are now proving just as effective in stable patients, with added benefits like reduced pain and fewer tube days. This review explores outcomes in drainage efficacy, complication rates, and patient comfort, showing that small-bore thoracostomy may be a reliable alternative for non-emergent cases.

Outcomes 100
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ToxCard: Second Generation Antipsychotic Overdose

EMDocs

Authors: Bricey Bayonnet, MD ( EM Resident Physician, Atrium Health’s Carolinas Medical Center, Charlotte, NC); Christine Murphy, MD (EM Attending Physician; Medical Toxicologist, Atrium Health’s Carolinas Medical Center, Charlotte, NC) // Reviewed by: James Dazhe Cao, MD (@JamesCaoMD, Associate Professor of EM, Medical Toxicology, UT Southwestern Medical Center, Dallas, TX); Anthony Spadaro MD, (@TSpadaro91, Fellow in Medical Toxicology, Rutgers NJMS); Alex Koyfman, MD (@EMHighAK); Brit Long, M

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Subgroups, Specialties, and Prior Hypotheses

Sensible Medicine

Posting this article was a no brainer. It is a critical appraisal deep dive by “friend of the stack” David Rind that combines the “letter to the editor” feel that we like so much as well some nice EBM history. Enjoy. Adam Cifu Sensible Medicine is a reader-supported publication. If you appreciate our work, consider becoming a free or paid subscriber.

Burns 68
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September 2024 Round-Up – Patient Experience in the ED, Dirty Adrenaline, and More!

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed All the best from the blog from August 2024, in our easy to digest podcast. The post September 2024 Round-Up – Patient Experience in the ED, Dirty Adrenaline, and More! appeared first on St.Emlyn's.

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Is this OMI reperfused or active?

Dr. Smith's ECG Blog

These ECGs were texted to me by one of our previous ultrasound fellows, Will Smoot An elderly male arrived via EMS for acute substernal chest pain with radiation to left shoulder and arm that awakened him from sleep at 0030. He took two full strength aspirin prior to EMS arrival. The pain was relieved by one prehospital NTG spray. He arrived at the ED just shy of two hours after onset, pain free.

EKG/ECG 64
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A New DC Degree. What the World Needs Now.

Science Based Medicine

Perhaps the neck manipulation was a bit too aggressive. The post A New DC Degree. What the World Needs Now. first appeared on Science-Based Medicine.

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A deep genetic link between diabetes and periodontitis

Emergency Live

New research has shown that the two diseases share a common genetic basis A recent scientific discovery has revealed an unexpectedly strong genetic link between two apparently distinct diseases: type 2 diabetes and periodontitis. A study conducted by the University of Hong Kong and published in the prestigious journal Endocrine has identified 62 genes that […] The post A deep genetic link between diabetes and periodontitis appeared first on Emergency Live.

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Imaging Case of the Week 610

EMergucate

The chest x-ray is from an adult with chest pain post MVA. What can be seen?

EMS 52
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Weight Loss Drugs: Serious side effects

Emergency Live

Serious side effects raise safety questions for new weight-loss drugs In recent years, glucagon-like peptide-1 receptor agonists (GLP-1), such as semaglutide and liraglutide (marketed respectively as Wegovy and Ozempic), have revolutionized the treatment of obesity and type 2 diabetes. However, Despite the many benefits, cases of serious side effects have emerged, raising questions about the […] The post Weight Loss Drugs: Serious side effects appeared first on Emergency Live.