Science Based Medicine
NOVEMBER 22, 2024
Had laptop class doctors been willing to listen to doctors who worked on COVID units, they wouldn't have said so many absurd things. The post Laptop Class Doctors Think Doctors Who Treat Patients Are Lazy, Dumb, Cowardly, Sheep first appeared on Science-Based Medicine.
St. Emlyn
NOVEMBER 19, 2024
St.Emlyn's - Emergency Medicine #FOAMed Traditionally, large-bore chest tubes have been standard for managing hemothorax, but smaller tubes are now proving just as effective in stable patients, with added benefits like reduced pain and fewer tube days. This review explores outcomes in drainage efficacy, complication rates, and patient comfort, showing that small-bore thoracostomy may be a reliable alternative for non-emergent cases.
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The Bottom Line
NOVEMBER 16, 2024
What’s new in the Critical Care literature – monthly updates
EMDocs
NOVEMBER 19, 2024
Authors: Bricey Bayonnet, MD ( EM Resident Physician, Atrium Health’s Carolinas Medical Center, Charlotte, NC); Christine Murphy, MD (EM Attending Physician; Medical Toxicologist, Atrium Health’s Carolinas Medical Center, Charlotte, NC) // Reviewed by: James Dazhe Cao, MD (@JamesCaoMD, Associate Professor of EM, Medical Toxicology, UT Southwestern Medical Center, Dallas, TX); Anthony Spadaro MD, (@TSpadaro91, Fellow in Medical Toxicology, Rutgers NJMS); Alex Koyfman, MD (@EMHighAK); Brit Long, M
Science Based Medicine
NOVEMBER 16, 2024
It means pertussis and measles outbreaks will be happening under your watch and you'll be held responsible while your boss is an anti-vaxx crank. Enjoy! The post What Does it Mean to Own the Next 4 Years? first appeared on Science-Based Medicine.
St. Emlyn
NOVEMBER 22, 2024
St.Emlyn's - Emergency Medicine #FOAMed This retrospective study explores the link between intra-arrest arterial blood pressure (IBP) and return of spontaneous circulation (ROSC) in out-of-hospital cardiac arrest (OHCA). Analysing data from 80 patients attended by the East Anglian Air Ambulance, it found that higher diastolic blood pressure (DBP) during CPR significantly increased the likelihood of ROSC.
Emergency Medicine Journal
NOVEMBER 21, 2024
Background The WHO recognises patient safety as a serious public health problem. The COVID-19 pandemic affected adult EDs (AEDs) and paediatric EDs (PEDs) differently. We compared the culture of safety in the adult AED and PED before and after the COVID-19 pandemic. Methods A quasi-experimental study was performed. In 2019, we conducted a survey using the Spanish-adapted Hospital Survey on Patient Safety Culture open to all staff (doctors, nurses and paediatric residents) in AED and PED.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
Science Based Medicine
NOVEMBER 19, 2024
Perhaps the neck manipulation was a bit too aggressive. The post A New DC Degree. What the World Needs Now. first appeared on Science-Based Medicine.
RebelEM
NOVEMBER 18, 2024
View Course Dates This 2-day course provides an in-depth look at effective surgical airway management techniques that you will actually use in your next emergency airway. There is a unique focus on airway anatomy and imaging combined with one-of-a-kind opportunity to practice the techniques on a large variety of non-embalmed, specially prepared cadavers.
EMDocs
NOVEMBER 22, 2024
Here’s another case from Medical Malpractice Insights – Learning from Lawsuits , a monthly email newsletter for ED physicians. The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. To opt in to the free subscriber list, click here. Stories of med mal lawsuits can save lives.
The Skeptics' Guide to EM
NOVEMBER 16, 2024
Date: October 28, 2024 Reference: Verma et al. Clinical evaluation of a machine learning–based early warning system for patient deterioration. CMAJ September 2024 Guest Skeptic: Michael Page is currently the Director of Artificial Intelligence (AI) Commercialization at Unity Health Toronto. He leads an AI team intending to improve patient outcomes and healthcare system efficiency.
St. Emlyn
NOVEMBER 19, 2024
St.Emlyn's - Emergency Medicine #FOAMed Traditionally, large-bore chest tubes have been standard for managing hemothorax, but smaller tubes are now proving just as effective in stable patients. Dive in to explore the latest evidence in trauma management and see if small-bore thoracostomy is suitable for your practice’s patient population. The post Small Bore vs Large Bore Thoracostomy for Traumatic Haemothorax. appeared first on St.Emlyn's.
EM Literature of Note
NOVEMBER 20, 2024
This article regarding the cost of upgrading emergency departments to be “ready” for sick children has been bouncing around in the background since its publication, with some initial lay press coverage. The general concept here is obviously laudable and the culmination of at least a decade of hard work from these authors and the team involved – with the ultimate goal of ensuring each emergency department in the country is capable of caring for critically unwell children.
Sensible Medicine
NOVEMBER 22, 2024
OK, the title is click bait. Sensible Medicine is a reader-supported publication. I you appreciate our work, consider becoming a free or paid subscriber. I am a great believer in the healthy lifestyle. If Americans lived healthier lives, we would all be in a better place. There would be less obesity, diabetes, and heart disease. We would probably be treating fewer patients for depression, cancer, and addictions.
Science Based Medicine
NOVEMBER 21, 2024
The FDA is proposing to order the removal of phenylephrine from oral cough and cold remedies. The post FDA poised to reshape the cold remedy aisle first appeared on Science-Based Medicine.
The Bottom Line
NOVEMBER 22, 2024
Quetiapine Versus Haloperidol in the Management of Hyperactive Delirium: Randomized Controlled Trial Zakhary et al. Neurocritical Care; Oct;41(2):550-557. doi:10.1007/s12028-024-01948-w Clinical Question In critically ill patients with delirium, does quetiapine in comparison to haloperidol, reduce the severity of delirium?
Broome Docs
NOVEMBER 17, 2024
Palatinus HN, Johnson MA, Wang HE, Hoareau GL, Youngquist ST. Early intramuscular adrenaline administration is associated with improved survival from out-of-hospital cardiac arrest. Resuscitation. 2024 Aug;201:110266. doi: 10.1016/j.resuscitation.2024.110266. Epub 2024 Jun 9. PMID: 38857847 Bottom line: This before and after study demonstrates an association between early IM epinephrine and survival from cardiac arrest.
ALiEM
NOVEMBER 22, 2024
A 13-month-old, full-term male presented due to intermittent emesis over a 3-week period. He and his parents had COVID one week prior to presentation. He had multiple episodes of non-bloody, non-bilious vomit the day before and the day of presentation. Parents noted he had been listless and unable to tolerate food. The mother was also concerned that he was straining to have bowel movements and that a mass was coming out of his bottom on the ride to the hospital.
St. Emlyn
NOVEMBER 19, 2024
St.Emlyn's - Emergency Medicine #FOAMed All the best from the blog from August 2024, in our easy to digest podcast. The post September 2024 Round-Up – Patient Experience in the ED, Dirty Adrenaline, and More! appeared first on St.Emlyn's.
The Bottom Line
NOVEMBER 16, 2024
What’s new in the Critical Care literature – monthly updates
American Medical Compliance
NOVEMBER 22, 2024
According to a review by the Center for Bioethics and Health Law , patients who received early palliative care not only experienced significant improvements in their quality of life and mood but also lived 25% longer. This underscores the profound impact that compassionate and proactive care can have. End-of-life care discussions rank among the most sensitive and challenging conversations healthcare providers engage in with patients and their families.
ALiEM
NOVEMBER 18, 2024
A 48-year-old male with no significant past medical history presented to the Emergency Department with a left-sided facial rash and associated burning left eye pain that started four days prior. He was seen at an ophthalmology clinic when his symptoms started and given oral valacyclovir which he took for three days without improvement. He also endorsed left-sided facial weakness and diplopia for the last eight days.
Don't Forget the Bubbles
NOVEMBER 18, 2024
As you roll into your night shift, getting briefed and handed the urgent pager, you exit the briefing room and go into the hum of the neonatal intensive care unit. The familiar beeps of monitors and the soft cries of a premature infant fill the air, but then—a sharp, unusual beep cuts through. Moments later, a nurse calls, “Doctor, could you check this blood pressure?
Emergency Medicine Journal
NOVEMBER 21, 2024
This month’s update is by the Emergency Medicine team in South East Scotland. We used a multimodal search strategy, drawing on free open-access medical education resources and literature searches. We identified the five most interesting and relevant papers (decided by consensus) and highlight the main findings, key limitations and clinical bottom line for each paper.
St. Emlyn
NOVEMBER 22, 2024
St.Emlyn's - Emergency Medicine #FOAMed This retrospective study explores the link between intra-arrest arterial blood pressure (IBP) and return of spontaneous circulation (ROSC) in out-of-hospital cardiac arrest (OHCA). The post Intra-Arrest Arterial Blood Pressure and Return of Spontaneous Circulation in Out-of-Hospital Cardiac Arrest. appeared first on St.Emlyn's.
NRC Health
NOVEMBER 21, 2024
Consumers expect always-on connectivity, transparency, and personalization; so, to drive loyalty, the Wexner Medical Center has focused on delivering individualized, high-quality patient experiences while enhancing its digital front door. The post Unleashing innovative marketing insights to connect the dots for patient experience initiatives appeared first on NRC Health.
AED Leader
NOVEMBER 20, 2024
This content is password protected. To view it please enter your password below: Password: The post Protected: Are AEDs Eligible for FSA/HSA Funds? appeared first on AEDs for Sale | Buy Defibrillators and Accessories.
Emergency Medicine Journal
NOVEMBER 21, 2024
Background Despite pronounced increases in homelessness and mental health problems in the USA over the past decade, further exacerbated during the pandemic, and the higher prevalence of mental health conditions among individuals experiencing homelessness, no study has examined trends in self-injury-related ED visits by individuals experiencing homelessness using up-to-date nationwide data.
EMergucate
NOVEMBER 19, 2024
The chest x-ray is from an adult with chest pain post MVA. What can be seen?
PEMBlog
NOVEMBER 21, 2024
I am excited to share the recording of the AAP Section on Emergency Medicine Fall Virtual Education Session , originally held on Tuesday, November 19, 2024 focused on delivering timely and actionable feedback, along with strategies to develop and implement sustainable feedback programs. PEM educators shared their experiences and provided practical strategies to strengthen evaluation processes and initiatives in this multidisciplinary, interactive session.
RebelEM
NOVEMBER 21, 2024
A parent presents to the ED with their 6-week-old infant for evaluation of a fever. The infant was born full term and has no other symptoms. Physical exam is normal and vital signs are HR is 150 bpm, SpO2 is 99%, and a rectal T is 101.4°F (38.6°C). Blood cultures are sent and lab results from a CBC, procalcitonin, and urinalysis are as follows: WBC: 5,300/µL Hemoglobin: 12.2 g/dL Platelets: 205,000/µL Absolute neutrophil count: 2,600/µL Procalcitonin: 0.14 ng/mL Urinalysis WBC: 50–100/hpf RBC: 0
Emergency Medicine Journal
NOVEMBER 21, 2024
A short-cut systematic review was conducted using a described protocol. The three-part question addressed was: In adult patients presenting to the ED with diabetes-related visual symptoms, how effective is using a portable handheld fundus camera in diagnosing diabetic retinopathy? MEDLINE, Embase and Cochrane databases were searched for relevant evidence.
EMergucate
NOVEMBER 17, 2024
A 60yr old female presents to ED with 3hrs of pleuritic chest pain radiating to the back associated with diaphoresis.
Emergency Live
NOVEMBER 17, 2024
Prolonged exposure to fine dust significantly increases the risk of developing type 2 diabetes A recent study has revealed a worrying link between air pollution and type 2 diabetes. Researchers have found that prolonged exposure to fine dust, those tiny invisible particles that pollute the air we breathe, Significantly increases the risk of developing this […] The post Air pollution: a silent enemy for our health appeared first on Emergency Live.
JournalFeed
NOVEMBER 16, 2024
The JournalFeed podcast for the week of Nov 11-15, 2024. These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member. Tuesday Spoon Feed: In this randomized control trial of left versus right ultrasound-guided infraclavicular subclavian central venous access, the left-sided approach was associated with a lower catheter malposition rate.
Emergency Medicine Journal
NOVEMBER 21, 2024
I read with interest the frailty practice review by Van Oppen et al in which they suggest that existing emergency department (ED) guidelines and protocols poorly represent older people living with frailty. They recommend that clinicians caring for these patients should not only appraise the available evidence in the context of an individual’s situation and values but also consider the person’s personal preferences to truly deliver person-centred care. 1 They highlight the fact that e
NRC Health
NOVEMBER 20, 2024
Signature Healthcare has selected NRC Health to enhance its network through human-centered healthcare solutions and next-generation, data-driven insights that deliver Human Understanding to its patients, employees, and communities. The post Signature Healthcare elevates patient experience and workforce engagement through strategic partnership with NRC Health appeared first on NRC Health.
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