Sun.Jun 09, 2024

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When residents call out "fake sick"

Sensible Medicine

Recently I heard the story about a residency program where it is a cultural norm to call out “fake sick.” In other words, if a resident has a particularly long or rough day, if they feel they need some rest— even in the absence of fever, chills, drenching night-sweats and propulsive vomiting— they will call out “sick” Covering residents remark how interesting it is that fake sick days are usually on weekends or adjacent to weekends (Mon-Fri), and that this is

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Ten Tips for Better Presentations – Part 1

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed Presentation skills - what are they and why do we need to have them? This post covers the things to consider before you even open any presentation software. The post Ten Tips for Better Presentations – Part 1 appeared first on St.Emlyn's.

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“This Thing Has Killed Less Than Or About As Many As Flu Would Kill In A Normal Year In Kids, I Say Hardly Any” & “80-Year-Olds, Their Time To Death In General Is Not That Long.”

Science Based Medicine

If were are supposed to be indifferent to the deaths of young people because "hardly any" died, and we are supposed to be indifferent to the deaths of older people because "their time to death in general is not that long," which of the 1.1 million COVID deaths should we care about? The post “This Thing Has Killed Less Than Or About As Many As Flu Would Kill In A Normal Year In Kids, I Say Hardly Any” & “80-Year-Olds, Their Time To Death In General Is Not That Long.” first appeared on Science

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Prehospital "Altered mental status and hypotension due to probable DKA" (everyone must know this ECG diagnosis)

Dr. Smith's ECG Blog

A patient presented with hypotension and altered mental status and presumption of DKA. As the medics arrived, they handed me this ECG: What medication did I call for IMMEDIATELY when I saw this? This is obviously severe hyperkalemia and the patient is near cardiac arrest. The medics had no idea. I called for 2 grams of Calcium Chloride. There was no IV access, so we obtained intraosseous (IO) access, but she arrested before we could give her all the calcium.

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The New York Times promotes “lab leak” conspiracy theories

Science Based Medicine

Last week, the New York Times ran an op-ed by Alina Chan, Queen of lab leak conspiracy theories and then gave it a prominent place in its Sunday Magazine this weekend. How is it wrong? Let me count the ways. The post The New York Times promotes “lab leak” conspiracy theories first appeared on Science-Based Medicine.

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What are Causes of Ovarian Torsion?

Pediatric Education

Patient Presentation An 18-year-old female came to the emergency department with an 18 hour history of sudden onset of right lower quadrant pain. She had a sharp pain that was now fairly constant. She said she felt like it was in her lower abdomen and into her right pelvis. She said she hadn’t felt well for a couple hours before that and had had some nausea and emesis before the pain.