The Trauma Pro
OCTOBER 23, 2023
Look out, radiologists! The computers are coming for you! Radiologists use their extensive understanding of human anatomy and combine it with subtle findings they see on x-ray shadow pictures. In doing this, they can identify a wide variety of diseases, anomalies, and injuries. But as we have seen with vision systems and game playing (think chess), computers are getting pretty good at doing this as well.
First 10 EM
OCTOBER 23, 2023
Case Your patient is bleeding. A lot. Their vital signs are abnormal. They look very sick. (I am being intentionally vague, because the post is going to look at massive hemorrhage in general, rather than getting into the specifics of any one condition.) This post is a condensed clinical summary of appropriate actions in the […] The post Massive hemorrhage: The clinical approach appeared first on First10EM.
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Dr. Smith's ECG Blog
OCTOBER 23, 2023
Written by Michael Doyle DO and Timothy Palmieri MD. Edited by Bracey, Meyers, Grauer, and Smith A 50-something-year-old female with a history of an unknown personality disorder and alcohol use disorder arrived via EMS following cardiac arrest with return of spontaneous circulation. The described rhythm was an irregular, wide complex rhythm. By EMS report, open pill bottles were found nearby at the scene, including quetiapine, fluoxetine, hydroxyzine, and gabapentin.
Science Based Medicine
OCTOBER 23, 2023
Tech bro turned antivax influencer Steve Kirsch is claiming that Michigan State University economist Mark Skidmore has been "exonerated" after having had a paper retracted claiming 278K deaths from COVID-19 vaccines in 2021 alone. In reality, Skidmore just republished a revised version of his retracted paper in an antivax journal after the MSU IRB failed miserably in its oversight duties.
The Bottom Line
OCTOBER 23, 2023
In trauma patients with exsanguinating haemorrhage, does the use of the REBOA (resuscitative endovascular balloon occlusion of the aorta) device with standard care in the emergency department, compared with standard care alone, impact 90-day-mortality?
ALiEM
OCTOBER 23, 2023
A 32-year-old man with a history of traumatic globe rupture from a stab wound two months ago, status post repair, presented to the emergency department for worsening right eye pain and green malodorous drainage for the past three days. These symptoms started when he got a fleck of sawdust in the right eye about four days prior to presentation, which he was able to brush out with his finger.
Taming the SRU
OCTOBER 23, 2023
THE CASE A female in her early 20s, G4P2012, presents to the emergency department (ED) with a 5 day history of left lower quadrant abdominal pain which has been worsening since onset. She states her pain is similar to pain that she felt during a prior ectopic pregnancy. She reports that her previous ectopic pregnancy was treated medically. She has taken a home pregnancy test which was positive, and her last menstrual period was over one month ago.
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Don't Forget the Bubbles
OCTOBER 23, 2023
A 5-month-old infant presents to the Paediatric ED. His parents have noticed that he has been making funny movements’ over the last few weeks. He has also seemed a bit more withdrawn and miserable. “Could it be colic? Or reflux?” they ask. This is a fairly common presentation with small babies. Determining what parents mean by ‘funny movements’ can be hard.
Medagadget
OCTOBER 23, 2023
Researchers at MIT have developed an enhanced mRNA vaccine system that can elicit a greater immune response at lower doses. The vaccine technology is so potent that it may be useful for intranasal COVID-19 vaccines. This would have the benefit of localized immunity in the nasal mucus membranes that could kill the SARS-CoV-2 virus before it enters the body.
Sensible Medicine
OCTOBER 23, 2023
The study in question is a randomized clinical trial looking at the Million Hearts Model. This model paid health care organizations to assess and reduce CV risk. Obviously, this is an important goal. Heart disease, specifically, atherosclerotic vascular disease, is a leading killer of humans. Any reduction of heart disease should have a benefit on both a person and a population.
RebelEM
OCTOBER 23, 2023
A 5-year-old boy is brought in by his parent for a dental injury. The patient was walking his dog when it ran after a squirrel. The patient was pulled forward, causing him to hit his tooth on the asphalt. His parent noticed a dental problem and immediately brought the patient to the ED. The physical exam is shown below. Which of the following is the best next recommendation?
Sensible Medicine
OCTOBER 23, 2023
The study in question is a randomized clinical trial looking at the Million Hearts Model. This model paid health care organizations to assess and reduce CV risk. Obviously, this is an important goal. Heart disease, specifically, atherosclerotic vascular disease, is a leading killer of humans. Any reduction of heart disease should have a benefit on both a person and a population.
Ultrasound Gel
OCTOBER 23, 2023
Mike flies solo and ventures into the wily world of artificial intelligence in clinical ultrasound. How well does the machine measure up to the expert when it comes to hemodynamic measurements with echo? [link] [link] Mike flies solo and ventures into the wily world of artificial intelligence in clinical ultrasound. How well does the machine measure up to the expert when it comes to hemodynamic measurements with echo?
Ziqitza HealthCare Ltd
OCTOBER 23, 2023
Navratri is a significant Hindu festival celebrated with enthusiasm and devotion throughout India. This nine-night festival, dedicated to the worship of the divine feminine, brings joy, spirituality, and a sense of unity to people’s lives. However, the busy nature of Navratri celebrations can also lead to increased stress levels for many individuals.
The Evolution & Medicine Review
OCTOBER 23, 2023
Volume 11, Issue 1, 2023 (In Progress). Read the current issue Original researchBiomarkers or biotargets?
PHARM
OCTOBER 23, 2023
Dr Sonia Henry / General Practitioner / Rural & Remote Australia Dr Sonia Henry is a General Practitioner who had been working in Sydney until a … Put your feet in the dirt, Girl
The Evolution & Medicine Review
OCTOBER 23, 2023
A Frontiers Forum video with superb production quality and commentaries from leaders in the field, including Prof Barbara Natterson Horowitz | Department of Human Evolutionary Biology, Harvard University, and School of Medicine, UCLA Division of Cardiology, USA • Prof Randolph Nesse | Departments of Psychiatry and Psychology, University of Michigan, USA • Prof Daniel Blumstein […]
PHARM
OCTOBER 23, 2023
Overcrowding contributes to people dying young in Yarrabah. Residents hoped a Voice to Parliament would help – ABC News — Read on amp.abc.net.
PulmCCM
OCTOBER 23, 2023
Piperacillin-Tazobactam vs. Cefepime for Kidney Injury and Neurologic Dysfunction (ACORN Trial) Piperacillin-tazobactam, marketed as Zosyn, has been one of the most-prescribed broad spectrum antibiotics for many years, used for its bactericidal activity against most gram-negative and anaerobic bacteria, including Pseudomonas. Cefepime has similar antibacterial activity, and both are widely used in the ICU as empiric coverage in patients with potentially serious gram-negative infections.
PHARM
OCTOBER 23, 2023
Have you read the letter? Not one of the many articles summarising it, or analysing which bits were taken out in the drafting process, interesting as this information may be. — Read on www.themonthly.com.
EMDocs
OCTOBER 23, 2023
Author: Kristine Jeffers, MD ( EM Physician , San Antonio Uniformed Services Health Education Consortium) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University in St. Louis); Marina Boushra (EM-CCM Physician, Cleveland Clinic Foundation); Brit Long, MD (@long_brit) Case A 45-year-old female presents to the ED with a chief complaint of vaginal and abdominal pain.
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