Science Based Medicine
JANUARY 4, 2024
Trends come and go but the popularity of detoxification and cleansing in January is eternal. The post 2024 Detox Trends To Watch (Out) For first appeared on Science-Based Medicine.
Ken Grauer, MD
JANUARY 5, 2024
How would YOU interpret the tracing in Figure-1 — that was sent to me without additional information? QUESTIONS: What is the rhythm? Is there AV dissociation? If so — WHY? Clinically — HOW would you approach interpretation of this tracing in optimal time -efficient fashion? Figure-1: The initial ECG in today's case. KEY Clinical Point: If I was the medical provider charged with the care of the patient whose ECG is shown in Figure-1 — I would approach this tracing in the following sequential stag
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The Trauma Pro
JANUARY 2, 2024
The use of elevated mean arterial pressure (MAP) to help manage spinal cord injury has been a mainstay of treatment for years. The concept is similar to that used for management of severe traumatic brain injury. The theory is that there may be areas of the brain that are damaged, but not irretrievably so. Increasing MAP should improve perfusion and may protect areas in jeopardy from secondary injury.
Sensible Medicine
JANUARY 2, 2024
I am pleased to introduce Dr. Howard Luks. Howard is an Orthopedic Surgeon in Dobbs Ferry, NY. He authored Longevity Simplified , and works with athletes of all ages—with a focus on metabolic fitness and its role in musculoskeletal health. I’ve never met Howard in real life, but I feel like I know him. He was one of the early adopters of public writing—back in the “blogging” days.
EMCrit
JANUARY 1, 2024
background and general concept My research project in fellowship was the construction of a mathematical model to convert VBG values into ABG values. The fundamental concept for the model was pretty simple: we can approximate the respiratory quotient (RQ) of tissue in the hand as being constant. This indicates that changes in oxygen content and […] EMCrit Project by Josh Farkas.
St. Emlyn
DECEMBER 30, 2023
St.Emlyn's - Emergency Medicine #FOAMed We generally try and review studies that are close to use in practice. but occasionally we spot something that is just interesting and which might give us a clue as … JC: Selective aortic arch perfusion. St Emlyn’s Read More » The post JC: Selective aortic arch perfusion. St Emlyn’s appeared first on St.Emlyn's.
The Trauma Pro
JANUARY 4, 2024
Venous thromboembolism (VTE) after trauma in adults has generated a considerable body of literature for guidance. However, there is much less information available regarding pediatric trauma. High-risk criteria for pediatric VTE after trauma have recently been released. These criteria have not yet been evaluated prospectively or coupled with the administration of chemoprophylaxis.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
Sensible Medicine
DECEMBER 30, 2023
I started it all by claiming on Twitter that the FDA was a rubber stamp. From boosters for 6 month old babies (no data), to postpartum depression drugs that are basically Xanax , to bad cancer drug approvals, in my mind, the FDA is failing the American people. In a recent post, John Mandrola reviewed 5 cardiology devices approved by the FDA with questionable data.
Dr. Smith's ECG Blog
JANUARY 5, 2024
Written by Willy Frick A 46 year old man with a history of type 2 diabetes mellitus presented to urgent care with complaint of "chest burning." The documentation does not describe any additional details of the history. The following ECG was obtained. ECG 1 What do you think? The ECG shows sinus bradycardia but is otherwise normal. There is TWI in lead III, but this can be seen in normal ECGs.
The Trauma Pro
JANUARY 5, 2024
One of the potential complications of chest trauma causing hemothorax is the retained hemothorax. In most patients, retained blood slowly lyses and is reabsorbed. But a few do not, and scarring can occur that entraps the lung and interferes with pulmonary function. This can ultimately require a VATS or thoracotomy to resolve. Several protocols have been developed to try to prevent a retained hemothorax.
Emergency Live
JANUARY 2, 2024
The latest news on the earthquake that struck Japan A devastating earthquake Dramatic start to the year in Japan, where a series of quakes struck much of the western part of the country, with the strongest quake reaching a magnitude of 7.6 on the Richter scale. These seismic events caused significant damage in several areas, […] The post Japan earthquake: overview of the situation appeared first on Emergency Live.
St. Emlyn
JANUARY 3, 2024
St.Emlyn's - Emergency Medicine #FOAMed Just before midnight at the NYE dinner party I was hosting the guests started to ask around the table “what are your New Year’s resolutions?”. Many people disclosed that they … Resolutions or Habits? St Emlyn’s Read More » The post Resolutions or Habits? St Emlyn’s appeared first on St.Emlyn's.
Emergency Medicine Cases
JANUARY 2, 2024
Based on a blend of number of listens, feedback from listeners, website visits and personal faves, EM Cases Best of 2023 Top 10. The post EM Cases Best of 2023 Top 10 appeared first on Emergency Medicine Cases.
The Trauma Pro
JANUARY 3, 2024
Coagulopathy is the bane of every trauma professional. Trauma patients are bleeding to death until proven otherwise, and once they start bleeding, it only gets worse. A key component of this issue is the presence of fibrinolysis, which commonly occurs after severe trauma. Although the prime objective in managing these patients is definitive control of bleeding, antifibrinolytic therapy such as tranexamic acid (TXA) may be beneficial during the time before that can happen.
Emergency Live
JANUARY 4, 2024
From Egyptian Papyri to Modern Oncology Early References to Cancer The earliest known descriptions of cancer appear in seven papyri discovered and deciphered in the late 19th century, providing the first direct knowledge of Egyptian medical practice. Among these, the Edwin Smith and George Ebers Papyri contain descriptions of cancer dating back to around 1600 […] The post The History of Cancer Diagnosis appeared first on Emergency Live.
EM Ottawa
JANUARY 2, 2024
Methodology: 4/5 Usefulness: 2/5 Liu L, et al. BMJ. 2023 Oct 9;383:e076448. Question: Do early vs delayed blood pressure management in patients with mild-moderate acute ischemic strokes decrease death or dependency at 90 days? Methods: Randomization to early (24 hrs) vs delayed treatment (after 7 days) of blood pressure. They monitored BP at baseline, during […] The post Early versus delayed antihypertensive treatment in patients with acute ischaemic stroke: multicentre, open label, rando
Don't Forget the Bubbles
JANUARY 1, 2024
Can’t get enough of Bubble Wrap? The Bubble Wrap Plus is a monthly paediatric Journal Club reading list from Professor Jaan Toelen (University Hospitals Leuven) and Dr Anke Raaijmakers (Sydney Children’s Hospital). This comprehensive list is developed from 34 journals, including major and subspecialty paediatric journals. We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research.
Stop and Think
JANUARY 1, 2024
My friend Dr. Andrew Foy had this idea: during rounds in the hospital with learners, Foy noticed that many things get done (drugs prescribed, tests ordered) as a matter of culture or history. As in…we do this because that is what we do. It’s what everyone does. Well, that can be a problem. Established patterns of practice don’t just come from thin air.
Emergency Live
JANUARY 4, 2024
A Look Inside: Understanding Endoscopy and Its Use in Medicine The Essence of Endoscopy Endoscopy is a revolutionary medical technique that has transformed the way doctors examine and treat internal conditions. Using an endoscope, a flexible probe equipped with a camera and light source, doctors can visually access internal organs such as the stomach, esophagus, […] The post Exploring the Invisible: The Crucial Role of Endoscopy appeared first on Emergency Live.
Dr. Smith's ECG Blog
JANUARY 1, 2024
This was contributed by Co-editor Emre Aslanger, an interventional cardiologist in Turkey. @AslangerE A 65-year-old gentleman presented to the emergency department after experiencing two recent ICD shocks in the preceding hours. His medical history includes hypertension, a decade-long battle with diabetes, ischemic heart disease, a coronary bypass graft surgery ten years ago, a diagnosis of congestive heart failure for the last five years, and a prior ICD implantation five years ago.
Taming the SRU
JANUARY 1, 2024
Establishing reliable vascular access is absolutely critical for ED patients requiring resuscitation, airway management, or medication administration. However, in at least 10% of patients, blind insertion of a peripheral IV may be unsuccessful for a variety of reasons including obesity, edema, IV drug use, surgical scars, dialysis, burns, and others (1,2).
Canadian EM
JANUARY 2, 2024
In our 2023 year in review, CanadiEM celebrates its 8th birthday! Does CanadiEM continue to serve an important role in the medical education community? This year is an opportunity for those who value this virtual community of practice to get involved, especially for those who are interested in a leadership role. If that interests you, please reach out at CanadiEMblog@gmail.com. 2023 was another busy year for CanadiEM!
Emergency Live
JANUARY 3, 2024
A Journey through Medical History from Ancient Europe to the Modern World The Role of Barbers in the Middle Ages In the Middle Ages, barber-surgeons were central figures in the European medical landscape. Emerging around 1000 AD, these individuals were renowned for their dual expertise in grooming and medical procedures, often being the sole source […] The post The Rise and Decline of Barber-Surgeons appeared first on Emergency Live.
Dr. Smith's ECG Blog
JANUARY 3, 2024
Written by Pendell Meyers A woman in her 70s had acute chest pain and called EMS. On arrival, EMS recorded relatively normal vital signs and this EMS ECG: What do you think? Interpretation : diagnostic of acute anterior OMI with STE less than STEMI criteria in V1-V4, hyperacute T waves in V2-V4, and suspiciously flat isoelectric ST segments in III and aVF suspicious for reciprocal findings.
Science Based Medicine
JANUARY 3, 2024
What medical breakthrough are likely in the near future? The post Medical Science in 2024 first appeared on Science-Based Medicine.
First 10 EM
DECEMBER 31, 2023
This is the first edition of a new, recurrent post format. The First10EM monthly wrap up is a place for me to share updates about the website, about my academic life, and also interesting content, such as books, podcasts, and other FOAMed, that I have encountered in the prior month. It is sort of my […] The post The First10EM monthly wrap-up for December 2023 appeared first on First10EM.
Emergency Live
JANUARY 3, 2024
Exploring Innovations in Rescue Vehicles and Technologies Technological Advancements in Rescue Vehicles Recent international exhibitions have highlighted significant technological advancements in the field of rescue vehicles. Particular attention has been given to the integration of advanced electronic controls, such as touchscreens and digital control panels.
EMDocs
DECEMBER 31, 2023
Authors: Brit Long, MD ( @long_brit – EM Attending Physician, San Antonio, TX); Manpreet Singh, MD ( @MPrizzleER – Assistant Professor of Emergency Medicine / Department of Emergency Medicine – Harbor-UCLA Medical Center); and Alex Koyfman, MD ( @EMHighAK – EM Attending Physician, UT Southwestern Medical Center / Parkland Memorial Hospital) Thank you for everything you do and the great year!
Science Based Medicine
JANUARY 5, 2024
Based on a recently published study using improved criteria for determining long term COVID-related health problems, it looks like kids are less likely to be negatively impacted than previously thought. The post A Bit of Good News: Kids Appear to Have Lower Risk of Post-COVID Conditions Than Previously Thought first appeared on Science-Based Medicine.
ALiEM
JANUARY 5, 2024
Dr. Sara Krzyzaniak (podcast host and Stanford University PD) and Dr. Michelle Lin (ALiEM Founder/UCSF) are joined by Dr. Aaron Kraut (University of Wisconsin PD) in this insightful, rapid-fire, practical episode through the lens of experienced residency program directors. What does the Electronic Residency Application Service (ERAS) preliminary data show just far for the 2024 residency application season?
Emergency Live
JANUARY 2, 2024
The growing threat of alcohol-related liver cancer The link between alcohol and liver cancer Alcohol consumption is closely linked to the development of liver cancer, one of the many forms of cancer caused by alcohol. Recent studies have highlighted how excessive alcohol consumption can lead to severe liver conditions, including cirrhosis, which significantly increases the […] The post Silent enemy: alcohol and liver cancer appeared first on Emergency Live.
EM Ottawa
JANUARY 4, 2024
What exactly is an EPA, really? EPAs, or Entrustable Professional Activities, are the basic building blocks of assessment within many models of Competency-Based Medical Education, such as Competency By Design. In theory, EPA assessments are supposed to serve as a collection of observations that put together a cohesive high-resolution picture from many little data […] The post Factors Affecting the EPA Experience appeared first on EMOttawa Blog.
Science Based Medicine
JANUARY 1, 2024
Evidence-based medicine (EBM) has been a very useful paradigm for assessing evidence in medicine. However, like any other framework, it can be misused, particularly when fundamentalist EBM methodolatry leads to its inappropriate application to questions for which it is ill-suited, a misuse that has been weaponized against public health during the pandemic.
Emergency Medicine News
DECEMBER 31, 2023
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Emergency Live
JANUARY 3, 2024
Updates on the Earthquake in Japan The Catastrophe That Shook Japan Japan was struck at the beginning of the year by a devastating earthquake with a magnitude of 7.5, which had profound repercussions throughout the country. The powerful tremor, occurring at 4:10 PM local time, caused severe damage in various areas, including Ishikawa Prefecture, the […] The post Japan: the number of victims caused by the earthquake rises appeared first on Emergency Live.
Sensible Medicine
JANUARY 5, 2024
I don’t think it is possible to care for people with chronic diseases and not appreciate the waxing and waning of symptoms and the effect of placebo interventions of all kinds. The last year, once again, showed me examples of placebo use in medicine. Sometimes their use was in the patient’s best interest. At other times, their used seemed mostly for the financial gain of a practitioner.
Science Based Medicine
DECEMBER 30, 2023
There were at least a dozen tents devoted to the Cholera. There was a small tent occupied by a single woman who sat at a desk with several piles of brochures. Looking closely, I could see the brochures were advertising for the Medical Societies, one stack for each of the five Societies. “Hello,” said the woman at the table. “How are you […] The post Skeptics in the Pub.
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