Science Based Medicine
APRIL 28, 2024
Is potential death worse than real death? The post Once a Doctor Has Minimized Literal Death for Young People, Should We Value Their Opinion on Any Topic Less Consequential Than Literal Death? first appeared on Science-Based Medicine.
Dr. Smith's ECG Blog
MAY 3, 2024
A 60-something woman complained of sudden severe abd pain. She was found by medics agitated, hypotensive, diaphoretic, and in shock. There were 2 prehospital ECGs: What do you think? Smith : Uncertain supraventricular rhythm with PVCs. (See Ken Grauer's analysis below). There is "shark fin" in I and aVL, which is due to a combination of a large R-wave due to left anterior fascicular block plus downsloping ST elevation due to OMI.
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First 10 EM
APRIL 29, 2024
Although it made a bit of a splash when published, this article really didn’t interest me. Obviously, GCS 8 doesn’t mean intubate. I didn’t think anyone was simplistic enough to practice medicine based on a jingle. Clearly trajectory matters. If a patient’s GCS hit 8 and they are on a clinical course where you expect […] The post GCS 8 obviously doesn’t mean intubate (in tox or otherwise) appeared first on First10EM.
Sensible Medicine
APRIL 30, 2024
Gosh was this a great conversation about her recent paper on specification curve analysis of nutritional observational studies. Here is Dr. Zeraatkar’s bio: Dena Zeraatkar, PhD is an Assistant Professor in the Departments of Anesthesia and Health Research Methods, Evidence, and Impact (HEI) at McMaster University. She earned her doctoral degree at McMaster University in the Health Research Methodology graduate program.
St. Emlyn
APRIL 27, 2024
St.Emlyn's - Emergency Medicine #FOAMed What you don’t do, determines what you can do Tim Ferris One of the most powerful personal lessons I have learned in recent years is every time I say YES […] The post Choosing with Intention. Liz Crowe appeared first on St.Emlyn's.
The Trauma Pro
MAY 3, 2024
In the previous post in this series, I described an early review article summarizing several older studies comparing these two hemorrhage control techniques for pelvic fractures. Today, I’ll review another paper fresh off the press, published just this month. This paper comes from the orthopedics and neurosurgical groups at the University of Texas-San Antonio.
Science Based Medicine
MAY 3, 2024
Genuine concern is consistent concern. The post Woke Washing the Pandemic: If You Really Were Progressive, You’d Want Them Infected 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.
RebelEM
APRIL 29, 2024
Critically ill patients requiring resuscitation often present with many challenges including the ability to secure safe, sterile, fast, and reliable intravenous (IV) access. Over the years emergency and critical care physicians have tried many ways to establish IV access in emergencies including the “crash” or “dirty” central line. If you are not familiar with this term, it’s the act of rapidly trying to place a central line (usually femoral), placing the needle for access over strict sterile pr
The Trauma Pro
APRIL 30, 2024
In my last post, I reviewed an early paper on preperitoneal packing (PPP). Today, I’ll look at an earlier review article summarizing some smaller studies comparing it to angioembolization. In the next post, I’ll look at a brand new paper that includes a cost analysis as well. Interestingly, the use of AE and PPP vary geographically. Angioembolization has been a mainstay in the US for some time, and PPP has been more commonly used in Europe.
Emergency Live
MAY 2, 2024
An innovation in the medical field that transforms emergency response and healthcare When we think of ambulances, the classic van-shaped vehicle typically comes to mind. However, there’s one much larger, the size of a bus. It’s the world’s largest ambulance, a groundbreaking project in the field of emergency healthcare, developed and deployed by the Dubai […] The post In Dubai, one of the world's largest ambulances appeared first on Emergency Live.
Emergency Medicine News
APRIL 30, 2024
An abstract is unavailable.
Dr. Smith's ECG Blog
APRIL 30, 2024
A patient was found down approximately 30 minutes after taking methamphetamine. Bystander CPR. Medics found patient in PEA arrest. He was resuscitated into a perfusing rhythm. He went in and out of arrest until arrival at the ED. Here is the only prehospital 12-lead: Sinus tachycardia, somewhat wide QRS, Ischemia Here is the first ED ECG: What is the rhythm here?
EMDocs
APRIL 27, 2024
Authors: Russ Burgin (MS4, Bethesda, MD); Rachel Bridwell, MD (EM Attending Physician, WA) // Reviewed by: Sophia Görgens, MD (EM Physician, Northwell, NY); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Brit Long, MD (@long_brit) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providing an expedited review of clinical basics.
Emergency Live
MAY 2, 2024
From time-saving innovation to safety risk, the evolution of the fire pole in Fire Departments Origins and Function of the Fire Pole The firefighter’s pole, technically termed the “fire pole“, is a tool associated with the profession and was invented in 1878 by David Kenyon in Chicago to help Firefighters reach emergencies more quickly.
Science Based Medicine
APRIL 29, 2024
At SBM, we've long argued that chelation therapy for heart disease is quackery. An abstract presented recently finally confirmed that. Why did it take so long? The post We finally learn from TACT2 what we should have known two decades ago: Chelation therapy doesn’t work for heart disease first appeared on Science-Based Medicine.
EM Ottawa
MAY 2, 2024
In the pursuit of holistic health and wellness, individuals often turn to naturopathy as a beacon of alternative medicine, seeking relief and healing outside the realm of conventional treatments. Yet, amidst the allure of natural remedies and lifestyle adjustments, there is a concerning degree of possible iatrogenic harm. This post seeks to address the use […] The post Tonics, Tinctures and Toxicology: Naturopathy appeared first on EMOttawa Blog.
First 10 EM
APRIL 30, 2024
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. Obviously the format means the focus is mostly on content I have found, but I hope […] The post The First10EM monthly wrap-up for April 2024 appeared first on First10EM.
Emergency Live
MAY 2, 2024
Exploring the Importance of ESR in Diagnosing Inflammatory Conditions What is ESR? The erythrocyte sedimentation rate (ESR) test is a blood test. It detects inflammation in the body. It checks the rate at which red blood cells fall in a tube filled with blood over an hour. The test is nonspecific, but it tells us […] The post Erythrocyte sedimentation rate (ESR): A fundamental test appeared first on Emergency Live.
EMCrit
MAY 2, 2024
An AMAX4 shadowboxing case EMCrit Project by Scott Weingart, MD FCCM.
Emergency Medicine Ireland
APRIL 29, 2024
Welcome back to the tasty morsels of critical care podcast. Last time i was butchering my way through a diagnostic approach to hyponatraemia, particularly the forms likely to end up in the critical care end of the hospital. This time we’ll take a punt at how you might approach management. In an ideal world of course you would have all of the diagnostic tests back and you’ve been able to make a very solid diagnosis of the cause of hyponatraemia and you would institute a bespoke treatm
Emergency Medicine News
APRIL 30, 2024
An abstract is unavailable.
Emergency Live
MAY 2, 2024
Italian Red Cross, Tanzania emergency: 10,000 families affected. Valastro: “The emergency is spreading. CRI team on the ground. Fundraising campaign open” The incessant rains of the past weeks and the resulting floods have caused the death of 58 people in Tanzania. Seven regions are currently submerged in an emergency that affects 10,000 families, totaling around […] The post Italian Red Cross: open fundraiser for Tanzania appeared first on Emergency Live.
The Skeptics' Guide to EM
APRIL 27, 2024
Reference: Tanner et al, A retrospective comparison of upper and lower extremity intraosseous access during out-of-hospital cardiac arrest resuscitation. Prehospital Emergency Care. February 2024. Date: April 25, 2024 Guest Skeptic: Missy Carter is a PA working in an ICU in the Tacoma area and an adjunct faculty member with the Tacoma Community College paramedic program.
Sensible Medicine
MAY 1, 2024
If RCTs are the most useful study design, and articles about case control studies are my favorite to read, the use and interpretation of diagnostic tests and the articles that define test characteristics are my favorite to think about, talk about, and teach. I think this is because diagnosis is so core to what a general internist brings to health care.
Emergency Live
MAY 2, 2024
Let’s discover what viruses are and how they impact life on Earth What is a Virus? A virus is a small infectious agent. It can only grow inside living cells of organisms like animals, plants, and bacteria. Although they are small, viruses are everywhere on our planet. They are the most abundant biological entities. Viruses […] The post The Mysterious World of Viruses appeared first on Emergency Live.
Broome Docs
APRIL 30, 2024
Another month and another batch of fascinating papers from the Morgenstern vaults. This month is heavy on dermatology for some reason… but still plenty of EBM, Crit care and laughs. Join Justin and I for a sold 80 minutes of nerdy evidence-based ED care. As always, the free PDF version of each of the papers discussed is linked below – so you can check it out for yourself.
Science Based Medicine
MAY 1, 2024
Kava is an herbal supplement used mainly for its calming psychoactive effects. It is a traditional drink in Oceania that has been used for centuries. It has also been linked to liver toxicity and cases of liver failure and even death. However, the liver toxicity of kava is extremely controversial – this controversy, however, reflects the various narratives that we see surrounding […] The post Kava and Liver Damage first appeared on Science-Based Medicine.
Emergency Medicine News
APRIL 30, 2024
An abstract is unavailable.
Emergency Live
MAY 2, 2024
An in-depth look at sarcomas, rare tumors that arise from connective tissues What is Sarcoma? Sarcoma is a highly dangerous type of tumor. It originates from the body’s connective tissues such as muscles, bones, nerves, fatty tissues, blood vessels, and fibrous tissue can be starting points. There are over 70 variants of sarcomas. They are […] The post Sarcomas: Rare and Complex Cancer appeared first on Emergency Live.
NRC Health
MAY 1, 2024
As the healthcare industry engages more with AI and technological solutions, measuring whether it advances Human Understanding, the gold standard for patient experience care, is imperative. The post Exploring AI and tech to enhance the patient experience appeared first on NRC Health.
Don't Forget the Bubbles
APRIL 29, 2024
Carly is a 9-month-old who was brought in by her parents because she had been unsettled and not feeding well for a day. At triage, she has a pulse of 277 and is brought straight to resus. What happens in a normal heart? The sino-atrial ( SA ) node is the pacemaker of the heart. It is situated in the right atrium and generates an electrical impulse that conducts through the whole heart and causes it to contract.
Emergency Medicine News
APRIL 30, 2024
An abstract is unavailable.
Emergency Live
MAY 3, 2024
Baden-Württemberg State Firefighters School Acquires Atego with Allison Fully Automatic Transmission for Training Fleet The Landesfeuerwehrschule Baden-Württemberg, the state firefighter training center, has procured six new rescue firefighting vehicles on a Mercedes Atego chassis for fire department manager driver training. All six vehicles, equipped with Allison 3000 Series™ fully automatic transmissions, entered service in October […] The post Allison for Firefighter Training in Germany
Thinking Critical Care
MAY 3, 2024
Had the honour of being invited to give grand rounds by Dr. Paul Mayo and share some thoughts on fluid tolerance and venous congestion. Starts around the 17min mark – sorry I have no editing capabilities!
AED Leader
MAY 3, 2024
In today’s fast-paced world, travel has become integral to our lives. Whether for business or leisure, more people are constantly on the move, exploring new destinations and experiencing different cultures. However, amidst the excitement and adventure, it’s crucial to prioritize safety, especially in medical emergencies. That’s where Travel AEDs (Automated External Defibrillators) come into play.
PulmCCM
MAY 3, 2024
Bougies (flexible tracheal tube introducers) are commonly used to facilitate endotracheal intubation, especially when the vocal cords and glottis are poorly seen. Their effectiveness and benefits may seem obvious to airway experts, but there has been limited evidence to support their use or best define the situations in which bougies are most helpful. von Hellmann et al conducted a meta-analysis of 18 studies, including 12 randomized trials testing the use of bougies in emergent (9 studies, 8,07
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