The Trauma Pro
NOVEMBER 12, 2024
The Pediatric Readiness Score (PRS) is a new(er) metric that is now required for all US trauma centers verified by the American College Surgeons. There is no specific threshold that must be met, but the value must be reported for review at the time of the site visit. What is the PRS? It is a measure introduced by the National Pediatric Readiness Project.
Don't Forget the Bubbles
NOVEMBER 11, 2024
One-liner… Traumatic brain injury (TBI) is a leading cause of mortality and morbidity in paediatric populations, and fever is associated with worse outcomes. Should we aim to prevent fever, or should we cool patients? A 12-year-old boy presents with a significant head injury following a road traffic accident. At the scene, his lowest GCS was 5 (E1V2M2).
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EMDocs
NOVEMBER 13, 2024
Today on the emDOCs cast with Brit Long, MD ( @long_brit) , we cover the literature on evaluation and management of primary SBP. Episode 110: Primary Spontaneous Bacterial Peritonitis Background: End-stage liver disease with cirrhosis and ascites is a major cause of death worldwide. Primary spontaneous bacterial peritonitis (SBP) is one of the most common infections in those with cirrhosis and ascites.
American Medical Compliance
NOVEMBER 14, 2024
Defined by the World Health Organization as the reluctance or refusal to vaccinate despite the availability of vaccines, vaccine hesitancy is influenced by complex factors including misinformation, cultural beliefs, and fear of adverse effects. To help address this growing concern, pediatric immunization training equips healthcare providers with the skills, knowledge, and empathy necessary to effectively address vaccine hesitancy.
Speaker: Simran Kaur, Co-founder & CEO at Tattva.Health
AI is transforming clinical trials—accelerating drug discovery, optimizing patient recruitment, and improving data analysis. But its impact goes far beyond research. As AI-driven innovation reshapes the clinical trial process, it’s also influencing broader healthcare trends, from personalized medicine to patient outcomes. Join this new webinar featuring Simran Kaur for an insightful discussion on what all of this means for the future of healthcare!
EM Ottawa
NOVEMBER 14, 2024
Urine drug (or toxicologic) screens are a fairly standard tool used in addictions, psychiatry and the Emergency Department (ED), often employed to detect substance use in patients presenting with altered mental status, trauma, psychiatric or abnormal behaviour. Yet, the reliance on these screens is fraught with inaccuracies, clinical irrelevance, and significant ethical concerns, particularly from […] The post Blurred Lines: The Ethical Pitfalls of Urine Drug Screens appeared first on EMOt
The Skeptics' Guide to EM
NOVEMBER 9, 2024
Date: October 28, 2024 Reference: Woelfle T et al. Benchmarking Human–AI collaboration for common evidence appraisal tools. J Clin Epi Sept 2024. Guest Skeptic: Dr. Laura Walker is an Associate Professor of Emergency Medicine and the vice chair for digital emergency medicine at the Mayo Clinic. In addition to finding ways to use technology in emergency department (ED) care, she is interested in how health systems work and how patients move through the healthcare system.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
EMCrit
NOVEMBER 15, 2024
Medtwitter was great. We met amazing people and exchanged ideas. There were endless arguments about electrolytes and intubation. But the strength of Medtwitter was never the platform – it was the people. Twitter has been deteriorating for years. For example, the algorithm is horrific, the blocking feature has been largely removed, posts from paid users […] EMCrit Project by Josh Farkas.
ECG Guru
NOVEMBER 11, 2024
Sometimes you see an ECG and feel overwhelmed at first. This ECG rhythm strip is challenging at first glance. However, if you take a systematic approach to the analysis, it is usually possible to decipher the case.
Sensible Medicine
NOVEMBER 13, 2024
4 mistakes people make in systematic reviews
Board Bombs
NOVEMBER 15, 2024
We're seeing a lot of "bespoke" things lately. but there's only one true bespoke cure for Torsades. Let's cover this HARD board-style question. Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind at here. Cite this podcast as: Briggs, Blake; Husain, Iltifat. 239. Torsades & Charcuterie.
Life in the Fast Lane
NOVEMBER 15, 2024
James Miers and Daniel Gaetani Procedure: Radial Arterial Line Emergency Procedure: Radial Arterial Line, with a guide made in partnership with a recent publication in Emergency medicine Australasia
ECG Guru
NOVEMBER 14, 2024
This ECG comes from Germany, where unfortunately recording is still often done at 50 mm/s. Nevertheless, I believe that you can easily recognize the important changes in this ECG, even if you are not familiar with this recording format. The first two beats are the limb leads, the other beats are the precordial leads.
Greater Sydney Area HEMS
NOVEMBER 13, 2024
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Board Bombs
NOVEMBER 14, 2024
We're seeing a lot of "bespoke" things lately. but there's only one true bespoke cure for Torsades. Let's cover this HARD board-style question. Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind at here. Cite this podcast as: Briggs, Blake; Husain, Iltifat. 239. Torsades & Charcuterie.
EMergucate
NOVEMBER 12, 2024
The ankle images are from a patient who has sustained a twisting injury to their ankle. What can be seen?
ECG Guru
NOVEMBER 14, 2024
It is not uncommon for several different abnormal changes to occur simultaneously in an ECG, as in this Holter ECG strip.
Clinical Correlations
NOVEMBER 12, 2024
By Enoch Jiang Peer Reviewed “Counseled patient on diet and lifestyle.” Over the past few weeks on my Ambulatory Care rotation, this phrase has rapidly shot to the top of my internal gestalt of a prototypical.
Total Medical ComplianceHIPAA
NOVEMBER 11, 2024
HIPAA: How does ransomware spread? Ransomware commonly spreads through phishing emails, malicious attachments, or compromised websites. Once a user clicks on a link or downloads infected content, the ransomware installs itself on the device, often spreading across the network to other systems.
EMergucate
NOVEMBER 10, 2024
This week our patient is a 34yr old gentleman who presents to the ED with a 1 week history of chest pain and palpitations, his initial ECG is: His potassium and magnesium are borderline low so you …
NRC Health
NOVEMBER 12, 2024
Cooper University Health Care has selected NRC Health to be its partner in building Human Understanding across its network through humanized healthcare solutions and data-driven insights inline with Cooper’s mission: “To serve, to heal, to educate.” The post Cooper University Health Care selects NRC Health as new patient experience partner appeared first on NRC Health.
PHARM
NOVEMBER 12, 2024
The potential emerging role of UAVs in prehospital care
Sensible Medicine
NOVEMBER 14, 2024
What does our philosophy have to do with RFK Jr and MAHA?
RebelEM
NOVEMBER 11, 2024
Background: Patients with sepsis are routinely treated with empiric broad-spectrum antibiotics while awaiting source identification, as recommended by the surviving sepsis campaign.2 Vancomycin, in combination with either piperacillin-tazobactam or cefepime, is commonly used for empiric treatment in these cases. Literature comparing the two regimens has largely focused on the adverse effects of each medication, rather than on overall efficacy.
Taming the SRU
NOVEMBER 13, 2024
sports medicine grand rounds - Rabies Phophylaxis - R2 qi/kt: Acetaminophen overdose - Landmark studies of emergency medicine - R4 Discharge/Transfer/Treat - Pediatric Lecture sports medicine grand rounds WITH dr. gawron Team physicians deal with a variety of medical complaints, including sports-related injuries as well as non-traumatic concerns Case 1: Clavicular Osteomyelitis 18-year-old female athele presented with a soccer injury but developed fevers, erythema, and warmth of the medial clavi
PHARM
NOVEMBER 12, 2024
Protection of the cervical spine is recommended following multisystem injury. In 2021, Ambulance Victoria changed clinical practice guidelines to apply soft collars instead of semi‐rigid collars for suspected cervical spine injury. The aim of this … — Read on pmc.ncbi.nlm.nih.
Ken Grauer, MD
NOVEMBER 15, 2024
Today's case was contributed by Dr. Magnus Nossen ( from Fredrikstad, Norway ). Dr. Nossen was at his computer — reviewing ECGs from patients recently admitted to his group's hospital service. He came across the ECG shown in Figure-1 — obtained from a woman in her 70s who was admitted to the hospital for new CP ( C hest P ain ). QUESTION: How would YOU interpret the ECG in Figure-1 ?
Pediatric EM Morsels
NOVEMBER 15, 2024
Seizures are super scary for a parent to witness, but not all seizures mean danger. There is actually a diagnosis of seizures that has “ BENIGN” in the name! Have you ever had that feeling of falling that rapidly wakes you from sleep? While it’s unlikely that you were having Benign Epilepsy with CentroTemporal Spikes (BECTS) seizures or a benign Rolandic seizure, that tenuous state between sleeping and waking is a time when some odd neurologic things can happen, including BECTS.
First 10 EM
NOVEMBER 11, 2024
In the most recent BroomeDocs podcast, we talk about an attempt to use the IM route to give cardiac arrest victims epinephrine faster. (The podcast and Research Roundups blog post might actually come out next week.) I was skeptical about the outcomes, partly because the evidence that epinephrine helps at all in cardiac arrest is […] The post IV versus IO for cardiac arrest (PARAMEDIC3 and IVIO) appeared first on First10EM.
Dr. Smith's ECG Blog
NOVEMBER 14, 2024
This was texted to me by a paramedic while I was out running one day: "54 yo male chest pain started at 1pm. History of diabetes type II and stent placement in 2018. I’m seeing hyperacute T waves III, aVF, down sloping depression I and aVL. Thoughts?" What do you think? I responded: "Definite inferior OMI. And Right Ventricular. Activated the Cath Lab.
Ken Grauer, MD
NOVEMBER 9, 2024
I was asked to interpret the ECG in Figure-1 — told only that this 30-ish year old man had a history of having undergone a number of operations for CHD ( C ongenital H eart D isease ) as a child. QUESTIONS: In Figure-1 — Is the rhythm VT — or — SVT with aberrant conduction — or — potentially neither of these possibilities? IF told that this patient was hypotensive in association with the rhythm in Figure-1 — Does It Matter what the specific etiology of this rhythm is?
Sensible Medicine
NOVEMBER 12, 2024
On Tuesday, September 24th, 2024, Lars Fruergaard Jørgensen, 1 CEO of the Danish pharmaceutical company, Novo Nordisk A/S, was grilled in the United States Senate over the pricing of the type II diabetes and weight loss drugs, Ozempic and Wegovy. A Danish CEO being questioned in this manner was headline news in Denmark. Sensible Medicine is a reader-supported publication.
Emergency Medicine Cases
NOVEMBER 12, 2024
In this EM Cases main episode podcast, we tackle the complexities of trauma airway management, including direct trauma to the airway. We discuss indications and timing of intubation, penetrating neck trauma, the head injured patient, the agitated patients and the soiled airway. The critical question is: when should we deviate from, delay or modify RSI, and how do we navigate the unique challenges presented by trauma airways and airway trauma?
PulmCCM
NOVEMBER 14, 2024
Critically ill patients receiving mechanical ventilation are highly prone to developing severe weakness and long-term disability. Although early mobilization and physical therapy for vented patients would intuitively seem to have indisputable benefits, early mobility programs have failed to consistently show improvements in meaningful patient-centered outcomes (e.g, increased functional independence or exercise ability after ICU discharge).
EMDocs
NOVEMBER 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.
Sensible Medicine
NOVEMBER 11, 2024
We learn in high school that the purpose of science is to ask and answer questions about nature--through experiments. Scientists don’t know the results of an experiment beforehand, so, any result, negative or positive, adds knowledge. Medical science should work the same way. Medical scientists would design and conduct experiments to answer important questions, say, whether a drug or surgery, improves an outcome.
RebelEM
NOVEMBER 13, 2024
Take Home points : Always suspect an open joint if there is a laceration, regardless of size, the lies over joint CT scan of the affected joint is widely considered to be the standard approach to evaluation but the saline load test may be useful in certain circumstances. Obtain emergency orthopedics consultation for all open joints and administer antibiotics and update tetanus in all patients REBEL Core Cast 131.0 – Traumatic Arthrotomy Click here for Direct Download of the Podcast.
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