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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Science Based Medicine
NOVEMBER 15, 2024
When RFK Jr. does to the U.S. what he did to Samoa, doctors will say they are horrified, that they love vaccines, blah blah blah. But it will be too late. The post If You Sanewashed RFK Jr., Or If You Sanewashed Doctors Who Did, You Own the Next 4 Years first appeared on Science-Based Medicine.
Sensible Medicine
NOVEMBER 14, 2024
What does our philosophy have to do with RFK Jr and MAHA?
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?
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.
Science Based Medicine
NOVEMBER 10, 2024
Mass purges and prosecutions of scientists have happened before. We shouldn't pretend they can't happen here. The post Dr. Vinay Prasad: “I Don’t Believe in Forgiveness Because in My Opinion These Pieces of S**t Are Still Lying.” first appeared on Science-Based Medicine.
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.
Sensible Medicine
NOVEMBER 9, 2024
I am huge of fan of the The Skeptical Cardiologist, who I will refer to as TSC. His opinions are often ones I hope I would have come to if I was thinking about the same topic. His substack and twitter feed are totally worth following. I read his post last week on Sensible Medicine and agreed with pretty much everything he said. I also was left with a different conclusion.
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.
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.
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.
PulmCCM
NOVEMBER 11, 2024
The DanGer-Shock randomized trial allowed interventional cardiologists to breathe a bit easier, knowing that the Impella device resulted in improved survival 6 months after ST-elevation myocardial infarction with cardiogenic shock: The trial also underscored the high risks associated with the Impella device: Many more patients with Impellas required renal replacement therapy (41.9% vs 26.7%).
Dr. Smith's ECG Blog
NOVEMBER 11, 2024
Written by Willy Frick A middle aged man presented for elective outpatient surgery. The following ECG was obtained in the preoperative area. What do you think? The ECG shows sinus rhythm with a rate of about 78 and 2:1 AV conduction along with right bundle branch block and left anterior fascicular block. The PR interval on the conducted beats is prolonged, about 220 ms.
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.
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.
St. Emlyn
NOVEMBER 14, 2024
St.Emlyn's - Emergency Medicine #FOAMed Emergency medicine is shaped by our ability to respond effectively to both routine cases and extreme, high-stakes incidents. While civilian incidents dominate prehospital care, the intersection of civilian and military […] The post Podcast – Care in the Hot Zone with Claire Park at Tactical Trauma 2024 appeared first on St.Emlyn's.
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
Sensible Medicine
NOVEMBER 13, 2024
4 mistakes people make in systematic reviews
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.
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 Medicine Cases
NOVEMBER 12, 2024
Dr. Sara Alavian describes some of the challenges of providing palliative care in low-income/low resource settings and offers some simple solutions in this Global EM column. The post Global EM 6 Palliative Care in Low-Resource Settings: Challenges and Solutions appeared first on Emergency Medicine Cases.
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
It is not uncommon for several different abnormal changes to occur simultaneously in an ECG, as in this Holter ECG strip.
Greater Sydney Area HEMS
NOVEMBER 13, 2024
Visit the post for more.
EMergucate
NOVEMBER 12, 2024
The ankle images are from a patient who has sustained a twisting injury to their ankle. What can be seen?
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.
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.
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 …
PHARM
NOVEMBER 12, 2024
The potential emerging role of UAVs in prehospital care
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
NRC Health
NOVEMBER 13, 2024
This episode of the Becker's Healthcare Podcast explores the challenges and solutions with Shelby Chapman, Director of Patient-Family Experience at Children's Hospital Colorado and Toya Gorley, Improvement Advisor at NRC Health. They discuss a human-centered framework and successful strategies to create a safer and more respectful environment for everyone.
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.
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 ?
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