Sensible Medicine

OCTOBER 14, 2024

Last Monday I wrote about one of the most positive drug trials in all of cardiology. In the RALES trial, the mineralocorticoid receptor antagonist (MRA) spironolactone substantially reduced death rates in patients with heart failure due to a weak heart. There were two big limitations to the RALES story. One was that the most common kind of heart failure now is heart failure with preserved heart function.

Outcomes 69

Outcomes Hospitals Wellness 69

First 10 EM

OCTOBER 14, 2024

Another month, another set of articles. Some clinically relevant. Some just thought provoking. One is more than 100 years old. Yes, I look everywhere for these papers. The BroomeDocs podcast version can be found here: [link] Clinically but not statistically significant: what do you do? Turgeon AF, Fergusson DA, Clayton L,et al. Liberal or Restrictive […] The post The October 2024 Research Roundup appeared first on First10EM.

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Research EMS 64

EMDocs

OCTOBER 14, 2024

Authors: Lloyd Tannenbaum, MD (EM Attending Physician, Geisinger Wyoming Valley, PA); Mai Saber, DO (EM Attending Physician, Hackensack University Medical Center, NJ); Rachel Bridwell, MD (EM Attending Physician, Charlotte, NC) // Reviewer: Brit Long, MD (@long_brit) Hello and welcome back to ECG Pointers, a series designed to make you more confident in your ECG interpretations.

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EKG/ECG EMS Resuscitation Emergency Department 62

American Medical Compliance

OCTOBER 14, 2024

Assisted living facilities are a lifeline for elderly and vulnerable individuals who need care and support in a safe, nurturing environment. Yet, even in these compassionate settings, caregivers often face the challenge of managing aggressive behaviors among residents. Imagine the case of Mrs. Stevens, a once gentle and kind woman who, after the onset of dementia, began exhibiting sudden outbursts of anger.

Wellness 60

Wellness Operations Outcomes 60

Don't Forget the Bubbles

OCTOBER 14, 2024

Some definitions Asylum seeker: A person who has fled their country and applied to another country to be recognised as a refugee but has not yet been granted this status. Refugee: Someone whose asylum application has been successful. The government recognizes they cannot return to their country of origin owing to a well-founded fear of being persecuted for the reasons provided for in the United Nations Refugee Convention or European Convention on Human Rights (such as persecution due to race, se

Documentation/Coding 59

Documentation/Coding Hospitals Wellness Operations 59

Board Bombs

OCTOBER 14, 2024

These 5 high yield pearls all share a common thread: helping you ACE the upcoming boards! If you are premium member you get access to the next 5. Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind at [link] Cite this podcast as: Briggs, Blake; Husain, Iltifat. 236. Potpourri Board Blitz October 14th, 2024.

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Life in the Fast Lane

OCTOBER 14, 2024

Pramod Chandru Network Five: Practice Changes In Paediatric Wheeze Management Network Five Emergency Medicine Journal Club Episode 30 reviewing updates on paediatric wheeze management with paediatric respiratory and sleep specialist Dr Chetan Pandit!

Pediatrics 52

Pediatrics 52

Taming the SRU

OCTOBER 14, 2024

THE CASE A female in her 60’s with a remote history of bilateral cataract surgery presented to the emergency department (ED) with a two-week history of right eye swelling. Six days prior, the patient was evaluated at an urgent care and prescribed doxycycline and prednisone. She was re-evaluated over the following days and was transitioned from doxycycline to cephalexin.

Ultrasounds 52

Ultrasounds Urgent Care Emergency Department Documentation/Coding 52

PulmCCM

OCTOBER 14, 2024

Albumin is a protein produced by the liver whose molecular weight and negative charge attract sodium cations, and with them water molecules. In this way albumin produces most of the vascular system’s oncotic pressure—the force tending to retain fluid in blood vessels without its leaking into the extravascular space. This increases mean arterial pressure.

Resuscitation 52

Resuscitation Shock Wellness 52

PEMBlog

OCTOBER 14, 2024

Did you know that pancreatitis is mostly caused by viruses in kids? They don’t drink alcohol or get gallstones like grown ups. Also, scorpion bites apparently cause it. But that’s silly and only something you see in board review books. Anyway, this would be a better Broadway musical than most retreads of 1980s & 90s movies. Lyrics [Verse] Pancreatitis calls out my name The pain the intensity, I cannot explain My mom said I ate too many wings My dad told me to focus on more pleasa

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Science Based Medicine

OCTOBER 14, 2024

Hangovers: a problem with only one solution. The post Hungover first appeared on Science-Based Medicine.

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EM Literature of Note

OCTOBER 14, 2024

Clearing the backlog of mildly interesting articles that will never get a full write-up – here’s a quick hit of the most interesting lucky 13! “Lactated Ringer vs Normal Saline Solution During Sickle Cell Vaso-Occlusive Episodes” A “target trial emulation” providing observational evidence supporting the superiority of lactated ringers solution over normal saline for the resuscitation of patients being admitted with sickle cell crises.

Stroke 65

Stroke Emergency Department Resuscitation Best Practices 65

Science Based Medicine

OCTOBER 14, 2024

Robert F. Kennedy, Jr. has been antivax for two decades. His fellow travelers are not happy about his leaving out vaccines in his "Make America Healthy Again." To them it's an obvious misdirection, and they are turning on him. The post Antivaxxers easily see through the misdirection of RFK Jr.’s MAHA first appeared on Science-Based Medicine.

Wellness 70

Wellness 70