Science Based Medicine

JANUARY 6, 2025

A proponent of the Great Barrington Declaration is comparing rejection of its "natural herd immunity" approach to the pandemic to the rejection of Ignaz Semmelweis and his findings. It's a deceptive comparison beloved of all manner of scientific cranks. The post The Semmelweis gambit: A red flag for defending bad science and quackery first appeared on Science-Based Medicine.

105

105

St. Emlyn

JANUARY 6, 2025

St.Emlyn's - Emergency Medicine #FOAMed How does pre-hospital emergency anaesthesia (PHEA) delivered by Helicopter Emergency Medical Services (HEMS) impacts trauma care timelines compared to emergency department RSI (EDRSI). This retrospective study explores time efficiency, injury severity, and patient outcomes, highlighting the role of HEMS in delivering critical care to severely injured patients in remote locations.

Emergency Department 73

Emergency Department Outcomes Hospitals 73

Sensible Medicine

JANUARY 6, 2025

When I was at Indiana back in the 1990s, we called an ICD by a company’s brand name. At IU, all ICDs were “PCDs” PCD was Medtronic’s brand name. I didn’t realize it at the time, but this was pro-level marketing. A similar thing has happened with coronary stents—at least in my neighborhood. Now it is Xience, a brand of drug-eluting stent (DES) from Abbott.

Outcomes 79

Outcomes Academics 79

PulmCCM

JANUARY 6, 2025

In the past decade, so-called “sepsis alerts” came out of nowhere to become a ubiquitous and resource-intensive component of inpatient medical care. The trouble is, no one checked first to see if they work. “Sepsis alerts” are automated notifications that flag patients who meet certain criteria compatible with severe infection discernible from the electronic medical record.

Sepsis 45

Sepsis Documentation/Coding Hospitals Outcomes 45

ALiEM

JANUARY 6, 2025

A 32 year-old male with PMH significant for opioid use disorder, a prior admission in 2021 for left-sided empyema s/p thoracotomy and decortication, gas bacteremia, and tricuspid endocarditis presented for a left leg wound. The patient reported a wound to his left leg that had become larger over the past 5 months. The pain worsened today, prompting him to come to the emergency department for evaluation.

Academics 56

Academics Emergency Department Hospitals 56

St. Emlyn

JANUARY 6, 2025

St.Emlyn's - Emergency Medicine #FOAMed How does pre-hospital emergency anaesthesia (PHEA) delivered by Helicopter Emergency Medical Services (HEMS) impacts trauma care timelines compared to emergency department RSI (EDRSI). The post Prehospital Emergency Anaesthesia (PHEA) vs. Emergency Department RSI: A Comparative Study on Trauma Care Timelines and Outcomes appeared first on St.Emlyn's.

Emergency Department 52

Emergency Department Outcomes Hospitals 52

EMDocs

JANUARY 6, 2025

Authors: Paul Omagor, MD (EM Resident Physician, Makerere University, Uganda); Tracy Walczynski, MD (EM Attending Physician, SEED Global Health, Mbarara University of Science and Technology, Uganda ); Jessica Pelletier, DO, MHPE (APD, EM Attending Physician, University of Missouri-Columbia, USA) // Reviewed by: Marina Boushra, MD (EM-CCM Attending, Cleveland Clinic, USA); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case A 16-year-old female with no remarkable past medical history is

Infectious Diseases 57

Infectious Diseases CDC PPE Rapid Diagnostic Testing 57

PEMBlog

JANUARY 6, 2025

Sexually transmitted infections are extremely popular. This is a bad thing. We should test for them in patients with and without symptoms and have a treatment plan as well. Also ska is fine. Not great. Fine… Lyrics Drippy, drip, and painful pee Are you thinking STD? Chlamydia and GC Trichomonas certainly Dont forget syphilis the great pretender Remember this!

Wellness 52

Wellness Infectious Diseases 52

Don't Forget the Bubbles

JANUARY 6, 2025

A very Happy New Year- 2025! With millions of journal articles published yearly, it is impossible to keep up. The Bubble wrap team scoured the literature for the first of 2025- so you don’t have to. With a wide variety of topics, take a few minutes out of your New New Year routine and look at what’s new in paediatrics. Happy Reading If you or your team want to submit a review, please get in touch with Dr Vicki Currie at @DrVickiCurrie1 or vickijanecurrie@gmail.com.

CPR 59

CPR Dislocations Ultrasounds Resuscitation 59