Emergency Live
DECEMBER 5, 2023
The benefits and challenges in the digital age: the telemedicine revolution in emergency care Telemedicine is playing an increasingly significant role in emergency care, revolutionizing the way care is delivered. The ability to conduct remote medical consultations has opened up new opportunities for faster and more efficient response to medical emergencies.
The Trauma Pro
DECEMBER 5, 2023
Blunt cardiac injury can be an enigma. Significant injuries are uncommon, and the literature on it consists of case reports and small series. The group at Scripps La Jolla has an excellent review article on the topic that is currently in press. This post will relate some of the key points in this nicely prepared article. Use the correct nomenclature.
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Ken Grauer, MD
DECEMBER 8, 2023
== CLICK HERE — for a V ideo presentation of this case! (22:3 0 min. ) Below are slides used in my video presentation. For full discussion of this case — See ECG Blog #292 — == The 2 ECGs shown in Figure-1 were obtained from a man in his 30s — who presented to the ED ( E mergency D epartment ) with chest pain that began several hours earlier. ECG #2 was recorded 1 hour after ECG #1.
Science Based Medicine
DECEMBER 4, 2023
On Thursday, Steve Kirsch gave his long-hyped talk about "record-level data" from New Zealand that supposedly demonstrates that COVID-19 vaccines have killed more than 10 million people worldwide. His "analysis" of illegally obtained data from a "whistleblower" was so ridden with false assumptions and rookie errors that even some antivaxxers couldn't accept it.
PEMBlog
DECEMBER 7, 2023
The Case A middle-school aged boy presents with a slightly pruritic rash that started along the side of his chest, but then soon spread to encompass several dozen similar lesions across his torso, especially his back. he has had no other symptoms, including fever or upper respiratory complaints. There are no new food, personal care product, or animal exposures.
St. Emlyn
DECEMBER 7, 2023
St.Emlyn's - Emergency Medicine #FOAMed Here at St Emlyn’s we have often talked about decisions and decision complexity. Our belief is that one of the key attributes of the clinician who works in emergency care … JC: Prehospital transfusion decision making. St Emlyn’s Read More » The post JC: Prehospital transfusion decision making.
The Skeptics' Guide to EM
DECEMBER 2, 2023
Reference: Shaikh N, et al. Identifying children likely to benefit from antibiotics for acute sinusitis: a randomized clinical trial. JAMA July 2023 Date: October 17, 2023 Guest Skeptic: Dr. Alasdair Munro is a clinical research fellow specializing in pediatric infectious disease at the University of Southampton. He is currently involved with clinical trials of vaccines […] The post SGEM#422: And It was all Yellow-Nasal Discharge and Antibiotics in Pediatric Sinusitis first appeared on The Skep
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Dr. Smith's ECG Blog
DECEMBER 5, 2023
Acute coronary syndrome in a pediatric patient? Written by Kirsten Morrissey, MD with edits by Bracey, Grauer, Meyers, and Smith An older teen was transferred from an outside hospital with elevated serum troponin and and ECG demonstrating ST elevations. The patient was obese and had a medical history of only recurrent tonsillitis status post tonsillectomy and adenoidectomy but was otherwise healthy and fully vaccinated.
Sensible Medicine
DECEMBER 8, 2023
My father was an avid reader of obituaries. Once, when I was a teenager, I told him that his habit of reading them every morning with his cappuccino was weird. At the time, I considered anything I didn’t understand weird, and the word “morbid” wasn’t part of my lexicon. My father, never one to take the bait from his occasionally irksome son, explained that reading obituaries was an excellent way to learn recent history.
Emergency Live
DECEMBER 7, 2023
Effective Strategies to Alleviate a Common Global Ailment Understanding Back Pain Back pain is a leading cause of disability worldwide and one of the most common reasons people seek medical help or miss work. This type of pain can range from a mild muscle annoyance to a sharp or burning pain, and it can even […] The post Back Pain Management: Understanding, Treatment, and Prevention appeared first on Emergency Live.
EMCrit
DECEMBER 8, 2023
A loading dose may be used to rapidly achieve steady-state pharmacokinetics. For drugs with a long half-life, this accelerates the attainment of therapeutic levels: For most drugs with single-compartment pharmacokinetics, a loading dose may be calculated using the following formula: (discussed further here) The graph below illustrates how this equation works: If (dosing interval)/(half life) […] EMCrit Project by Josh Farkas.
Dr. Smith's ECG Blog
DECEMBER 5, 2023
Beyond STEMI: Diagnosing Acute Coronary Occlusion on the ECG. The Queen of Hearts AI app can do it for you. With explainability too.
Life in the Fast Lane
DECEMBER 8, 2023
Pramod Chandru Network Five: Emergency Medicine Conversations Network Five Emergency Medicine Conversations Episode 28 - an insightful interview with Dr Indika De Lanerolle on Sri Lankan emergency medical services, training, challenges and much more!
Emergency Live
DECEMBER 7, 2023
Celebrating the revolutionary contribution of the first female nurse of the Red Cross A historical figure in nursing care Clara Barton, known as the “angel of the battlefield,” is a fundamental historical figure in the field of nursing care and the International Red Cross. Born in 1821 in Oxford, Massachusetts, Barton dedicated her life to […] The post Clara Barton: pioneer in the history of the international red cross appeared first on Emergency Live.
Kings County Downstate EM
DECEMBER 5, 2023
Co-authors: Taylor Murtaugh MD, Esteban Davila MD The Case A 59-year-old male with a past medical history of hypertension, hyperlipidemia, and gastroesophageal reflux disease was brought in by EMS to the ED with severe chest pain. EMS administered 324 mg of aspirin. The patient endorsed left-sided chest pain while ambulating […] The post Hypertrophic Cardiomyopathy Part 1: Chest Pain appeared first on County EM.
Dr. Smith's ECG Blog
DECEMBER 7, 2023
Written by Willy Frick The OMI paradigm has taught me that any diagnosis of NSTEMI is cause for immediate evaluation. "A patient just arrived as a transfer for NSTEMI." I quickly reviewed the patient’s records and saw that she was a 53 year old woman with a history of BMI 40, but no other identifiable risk factors for coronary artery disease. Her first hsTnI at the referring facility was undetectable.
First 10 EM
DECEMBER 4, 2023
First10EM is wrapping up its 9th year in existence. There have been 453 blog posts to date, and I am getting very close to having written 1 million words in total, or the equivalent of 20 average length nonfiction books. (Actually, the stats don’t include static pages like the catalog of research bias, so I […] The post First10EM updates and audience survey appeared first on First10EM.
Emergency Live
DECEMBER 5, 2023
A Resilient and Technological Approach for the Cities of the Future Urban crisis management requires an innovative approach, combining resilience with new technologies to improve security in large cities. Urban Resilience Urban resilience is critical for adapting to crisis situations, such as pandemics, climate change, droughts, heat waves, and floods.
Sensible Medicine
DECEMBER 4, 2023
Today I will tell you about a trial that delivered a positive result but will add little benefit to patients. The teaching lesson surrounds the choice of endpoint to measure. First some brief background. When I started cardiology, much research focused on improving the care of people who had myocardial infarction (MI). Post-MI care was a target because injury to the heart from an occluded coronary led to bad things—like heart failure and arrhythmias.
Taming the SRU
DECEMBER 8, 2023
R1 diagnostics & Therapeutics: ear emergencies - r4 case follow-up - r2 CPC R1 diagnostics & Therapeutics: ear emergencies WITH DR. lewis Otologic complaints make up millions of ED visits per year. The feared complications of most external ear complaints are dangerous infections or permanent deformities known as “cauliflower ear." Auricular hematomas should be drained and compressed when patients present with less than 7 days of symptoms.
First 10 EM
DECEMBER 6, 2023
If you haven’t yet discovered the Foohey’s Figures section of First10EM, now is the time. Foohey’s Figures is run by the brilliant educator Dr. Sarah Foohey, and is dedicated to graphics that distill emergency medicine topics down to their basics. They are amazing for quick reference on shift and are easy to save to your […] The post Foohey’s Figures Updates appeared first on First10EM.
Emergency Live
DECEMBER 6, 2023
Dedication and expertise serving the community at critical times The indispensability of Volunteers Volunteers play a crucial role in emergency and disaster situations. Taking on responsibilities without expectation of material reward, more than 13 million volunteers work with the Red Cross and Red Crescent Movement, demonstrating the growing importance of volunteerism in modern society.
Science Based Medicine
DECEMBER 6, 2023
The claims of Neurocytonix are extraordinary and dubious. The post Cytotron – Magical Device Pseudoscience first appeared on Science-Based Medicine.
Core Medical Group
DECEMBER 8, 2023
Staying ahead of the curve is crucial for staffing and recruiting agencies. Technology has emerged as a game-changer, reshaping traditional methods and offering innovative solutions to meet the evolving demands of the healthcare industry. This blog explores the ways in which technology is transforming healthcare staffing, backed by actual facts and research.
Thinking Critical Care
DECEMBER 7, 2023
The H&R Advanced Airway Workshop Santa Cabrini Hospital, Feb 9th, 2024, 1200pm-4pm Airway/Intubation Advanced airway skills are a key element of the resuscitationist’s arsenal. In this workshop, participants will be able to tailor their experience and spend as much or as little time as they want in each station to maximize their learning. We will cover basic direct and video laryngoscopy and intubation with and without the use of the bougie as well as bronchoscopic assistance.
Emergency Live
DECEMBER 6, 2023
A crucial approach to managing the unpredictable Mass evacuation management is an essential component of preparedness for emergency situations. Planning an effective response to natural disasters, major accidents or other crises is critical to public safety. This article will examine some key strategies for planning for mass evacuations. Risk identification and preparation The first step […] The post Planning for mass evacuation strategies appeared first on Emergency Live.
Science Based Medicine
DECEMBER 3, 2023
Doctors who prioritized politics over being a "neutral judge" failed to provide the best information. The post The People Can Decide the Best Policy, Only If They Have the Best Information first appeared on Science-Based Medicine.
RebelEM
DECEMBER 5, 2023
How Long Should We Monitor After Giving IM Epinephrine for Anaphylaxis? Bottom Line Up Top: After prompt recognition and appropriate treatment with IM epinephrine, the risk of biphasic reactions are exceedingly low. There is no set observation time to monitor patients as long as their symptoms have resolved. At the time of discharge, appropriate patient education and prescriptions for IM epinephrine are essential.
EMCrit
DECEMBER 2, 2023
Retrograde, in 2023 is basically a backwards way of doing things. EMCrit Project by Scott Weingart, MD FCCM.
Emergency Live
DECEMBER 5, 2023
Effective organization and priority criteria in medical rescue The organizational model of global triage Global triage is a professional patient assessment methodology based on a holistic approach. This organizational model involves a series of steps aimed at comprehensive patient management, beginning with the assessment at the door. This initial phase aims to immediately identify emergency […] The post Global triage: a comprehensive assessment for timely response appeared first on Emerge
University of Maryland Department of Emergency Med
DECEMBER 2, 2023
A retrospective study of 2 years of data from 24 trauma centers looking at end tidal CO2 as a predictor of mortality in trauma patients found: Click to view the rest
EMDocs
DECEMBER 4, 2023
Author: Braeden D. Johnson, MD ( Community EM, Salina Regional Health Center) // Reviewed by: Joshua Lowe, MD (EM Attending Physician, USAF); Marina Boushra, MD (Cleveland Clinic Foundation, EM-CCM); Brit Long, MD (@long_brit) Case A 40-year-old woman presents to a rural emergency department (ED) with left leg pain and swelling for the past 5 days.
Science Based Medicine
DECEMBER 8, 2023
RSV season is here. So far it's better than last year, which was the absolute worst, but it should have been much better. The roll out of a safe and effective drug that dramatically reduces risk of severe disease was botched, and we still don't know why it happened. The post RSV Seasons is Here, so Where is Our Beyfortus? first appeared on Science-Based Medicine.
Emergency Live
DECEMBER 5, 2023
From artificial intelligence to 3D printing, a revolutionary landscape Artificial intelligence in the service of diagnosis Advanced medical technologies are redefining the way we address health challenges. Artificial Intelligence (AI) stands out for its ability to analyze medical records, formulate treatment plans, and even develop new drugs. Companies such as Atomwise and DeepMind are already […] The post The future of medicine: innovative technologies in the service of health care appear
PulmCCM
DECEMBER 3, 2023
Induced sighs in mechanically ventilated patients (SiVent trial) In the 1960s, anesthesiologists noticed that if they gave a large breath (a “sigh”) to anesthetized patients every so often, their oxygenation improved. More seemed better, and soon all ventilated patients were getting lung-straining tidal volumes of 10-15 ml/kg. Those with persistent hypoxemia could be further topped off with recruitment maneuvers: delivering sustained PEEP of >50 cm H2O (60-70 cm H2O in obese pati
EMDocs
DECEMBER 6, 2023
Authors: Rachel Bridwell, MD (EM Attending Physician; Tacoma, WA); Alec Pawlukiewicz, MD (EM Attending Physician; Killeen, TX) // Reviewed by: Brit Long, MD (EM Attending Physician, San Antonio, TX) Even prior to COVID-19’s strain on emergency departments (ED), boarding has been a longstanding issue. Especially for clinicians working in EDs with limited resources and consultants, the ED workup may not provide comprehensive care, and thoughtful evaluation can improve inpatient care and aid consul
ALiEM
DECEMBER 8, 2023
A 45-year-old male status-post right nephrectomy secondary to a renal mass presented to the emergency department with right-sided flank pain. He endorsed low-grade intermittent right-sided flank pain since the nephrectomy one year prior, associated with an increasingly enlarging mass extending laterally from his right abdomen. Over the course of the past several days, the mass had become larger and more painful.
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