Pediatric EM Morsels
MAY 10, 2024
Children like to pretend to be grown-ups. Unfortunately, sometimes they develop grown-up problems ( Cholelithiasis , Kidney Stones , and Hypertension ). Additionally, often kids will complain of symptoms that warrant great concern in adults, but often engender apathy when considered in children. Chest Pain in Children is a great example of one of these complaints.
The Trauma Pro
MAY 10, 2024
In my last post, I reviewed using the Cribari grid to evaluate over- and under-triage at your trauma center. This technique has been a mainstay for nearly two decades but has shortcomings. The most important one is that it relies only on the Injury Severity Score (ISS) to judge whether some type of mistriage occurred. The ISS is usually calculated after discharge, so it can only be applied after the fact.
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Dr. Smith's ECG Blog
MAY 7, 2024
A 30-something presented with chest pain, palpitations, and SOB. He has had similar symptoms for 4 years, but has never been evaluated. Here is his presenting ECG, which was sent to me real time, along with the 2nd ECG below: Regular Narrow Fast without P-waves. PSVT. It is very difficult to tell if this is: 1) AVNRT or 2) orthodromic AVRT (Orthodromic AVRT = WPW with orthograde conduction down the AV node and retrograde up an accessory pathway) See Ken Grauer's discussion below in differentiati
Life in the Fast Lane
MAY 7, 2024
Sheralyn Guilleminot and Mike Cadogan What Are the Best AI Detectors? We investigated to see which tools are the best detectors of artificial intelligence in medical writing. One tool was the clear winner, while others clearly struggled with accuracy!
Science Based Medicine
MAY 6, 2024
A poorly framed article on people who believe that COVID-19 vaccines injured them is being trumpeted by antivaxxerst. Where the New York Times and its reporter Apoorva Mandavilli go wrong? The post A poorly framed article on COVID-19 vaccine injury in the New York Times first appeared on Science-Based Medicine.
The Trauma Pro
MAY 7, 2024
Any trauma performance improvement professional understands the importance of undertriage and overtriage. Overtriage occurs when a patient who does not meet trauma activation criteria gets one anyway. And undertriage is the converse, where no activation is called despite criteria being met. As you may expect, the latter is much more dangerous for the patient.
Dr. Smith's ECG Blog
MAY 5, 2024
An undergraduate (not yet in medical school) who works as an ED technician (records all EKGs, helps with procedures, takes vital signs) and who reads this blog regularly arrived at work and happened to glance down and see this previously recorded ECG on a table in the ED. It was recorded at 0530: What do you think? The young ED tech immediately suspected LAD OMI.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
Science Based Medicine
MAY 8, 2024
Remember back in 1997, the Pokemon seizure episode? Hundreds of children reported symptoms, including seizures, after watching a specific episode of the Pokemon cartoon that includes a sequence of flashing alternating red and blue lights. The press reported the episode at face value, attributing the reaction to a known phenomenon of photosensitive epilepsy.
PulmCCM
MAY 10, 2024
Acute cholecystitis on ultrasound. Image by James Heilman, MD - Own work, CC BY-SA 3.0, [link] The diagnosis of cholecystitis can be made quickly and accurately in the emergency department using point-of-care ultrasound, according to a new meta-analysis. The authors analyzed 7 studies (n=1772) that tested point-of-care ultrasound performed by emergency physicians against the reference standard of final diagnosis (by discharge diagnosis, formal abdominal ultrasound by radiology, or surgical patho
ACEP Now
MAY 10, 2024
Few shifts go by without ordering at least one urinalysis. While they are ubiquitously used, urine testing is often unneeded and frequently misleading. How often do you feel frustrated about a urine sample that takes too long to obtain? You may not need the sample in the first place. To understand why, we need to go back to the basics and think carefully about the indications for obtaining a urinalysis.
Emergency Live
MAY 10, 2024
An in-depth analysis on adenomas and their management in the European healthcare context What are adenomas? Adenomas are small non-cancerous growths that form in the gland cells. These benign tumors can appear in various parts of the body, such as the colon, thyroid, pituitary gland, and adrenal glands. While not cancerous, many adenomas require careful […] The post Adenomas: what they are and how they can evolve appeared first on Emergency Live.
St. Emlyn
MAY 4, 2024
St.Emlyn's - Emergency Medicine #FOAMed Our rapid round up of the RCEM CPD conference in Newport 2024. Talks on trauma, paediatrics, policy, education and more @rcollem @stemlyns #FOAMEd The post RCEM CPD conference 2024 review. St Emlyn’s first appeared on St.Emlyn's. The post RCEM CPD conference 2024 review. St Emlyn’s appeared first on St.Emlyn's.
First 10 EM
MAY 9, 2024
I gave 2 talks at the North York General Emergency Medicine Update this year. These are the resources for these talks. Usually, these resources are only for conference attendees, but this year I recorded versions of both talks, so you can watch them even if you didn’t make it to Canada’s premier emergency medicine conference […] The post NYGH Emergency Medicine Update 2024 appeared first on First10EM.
ACEP Now
MAY 10, 2024
Chronic knee pain is common and debilitating. Patients often seek care in the emergency department (ED) setting when flares of pain affect their ability to ambulate, climb stairs, or even stand up from sitting. 1 In many cases, these patients have been dealing with pain for years and have already exhausted the standard analgesic cocktail of acetaminophen, NSAIDs, and/or topical agents.
Emergency Live
MAY 9, 2024
From oncological treatments to inflammatory diseases, the ongoing evolution of monoclonal antibodies: Impact and Current Trends Monoclonal antibodies (mAbs) have become a powerful tool for combating various diseases such as cancer and inflammatory conditions. By 2024, drugs like Keytruda, Opdivo, and Darzalex will lead the market, especially in treating tumors like melanoma and non-small cell […] The post Monoclonal antibodies: what they are and how they are used appeared first on Emergenc
St. Emlyn
MAY 9, 2024
St.Emlyn's - Emergency Medicine #FOAMed Our regular round up of the best of the blog with @docib and @emmanchester. Decompensated liver disease, mechanical CPR, frailty, global health and more. #FOAMed @stemlyns The post Feb/March Podcast 2024. St Emlyn’s appeared first on St.Emlyn's.
Sensible Medicine
MAY 6, 2024
A treatment to reduce stroke is tested in a clinical trial. In the treatment group, 2.3% of patients had a stroke vs 2.9% in the control arm. The question that everyone wants to know is whether this -0.6% difference is signal or noise. For this, we look to the 95% confidence intervals. In the PROTECTED TAVR trial, the confidence intervals went from -1.7% (a lower stroke rate) to 0.5% (a higher rate of stroke).
First 10 EM
MAY 6, 2024
Years ago, this started as the “articles of the month” and was truly a monthly undertaking. In order to become more regular with the BroomeDocs podcast, I am going to try once again to make this a monthly endeavor, although that might mean fewer articles in each edition. For the people who skip right to […] The post Research Roundup and BroomeDocs Podcast (May 2024) appeared first on First10EM.
Emergency Live
MAY 9, 2024
Revolutionary Discoveries and Therapeutic Advances for More Effective Diagnosis and Treatment of Astrocytoma Advancements in Brain Tumor Research and Treatment Experts in brain tumors have made new and exciting discoveries. They have created a test that can detect brain tumors like astrocytomas without surgery. This test searches for tumor cells in the blood.
EMDocs
MAY 9, 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.
Science Based Medicine
MAY 9, 2024
Non-medicinal products in your medicine are there for a reason. The post Binders, fillers and more? What’s all that other stuff in my medicine? first appeared on Science-Based Medicine.
ALiEM
MAY 6, 2024
It has been 3 years since the 8-week, self-guided Bridge to Emergency Medicine (EM) curriculum was launched to help graduating medical students prepare for EM residency. The curriculum has been viewed over 43,000 times and we have awarded over 5,000 ALiEMU course certificates. It is now a part of many residency programs’ intern boot camp. Launching the 2nd edition of Bridge to EM (2024) We are thrilled to announce that we launching the second edition of the curriculum.
Emergency Live
MAY 9, 2024
From Genomic Sequences to Personalized Medicine: How Bioinformatics is Transforming Biomedical Research What is Bioinformatics? Bioinformatics is a field that merges science and technology. It brings together biology, computer science, mathematics, and statistics to study living organisms. This field uses computer programs like Python to analyze genomes.
EMDocs
MAY 4, 2024
We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: Emergent Cath Lab Activations with “Normal” Computer ECG Interpretations Spoon Feed A significant minority of code STEMI patients have an initial normal computer ECG interpretation.
Science Based Medicine
MAY 10, 2024
Does the repeated stress on your immune system from getting tattoo after tattoo make you better able to fight off infections? No, no it does not. The post Tattoos Still Won’t Boost Your Immune System first appeared on Science-Based Medicine.
Don't Forget the Bubbles
MAY 6, 2024
With millions of journal articles published yearly, it is impossible to keep up. Our team has scoured the literature, so you don’t have to—or it might spark an interest in reading the full article. This time, the PEM MSc team from QMUL, in association with DFTB, are taking over…. If you or your team are interested in an individual or joint review, please contact Dr.
Emergency Live
MAY 9, 2024
On Tuesday, May 7th, Rescue Drones Network OdV carried out a particularly delicate operation involving the city of Viterbo. Following the discovery of a World War II explosive device weighing nearly 2000 kg, local authorities immediately took action. In this context, our Association was called upon to conduct surveillance and ensure territorial security using our […] The post New intervention for Rescue Drones Network OdV appeared first on Emergency Live.
Sensible Medicine
MAY 9, 2024
We think a lot about considering the importance of funding when we read trials and editorials. There is no question that this is appropriate. Conflict of interest abounds in study design, their, and the creation of clinical guidelines. But, can consideration of funding source blind us to important research and opinions? Sally Satel always gets me thinking.
Science Based Medicine
MAY 7, 2024
Perhaps if sheltered doctors cared more about health inequities, they wouldn't have treated a dangerous virus as nothing more than topic for an abstract, salon-style debate. The post Dr. Jeffrey Flier: Those Who Express Different Views on Health Equity Should Be Demonized, Not Heard first appeared on Science-Based Medicine.
Don't Forget the Bubbles
MAY 8, 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.
Emergency Live
MAY 8, 2024
The importance of a life-saving tool An Automatic External Defibrillator is a life-saving device that can deliver an electric shock in the event of a cardiac arrest. With a shock from a defibrillator, the normal heart rhythm can be restored. Using a defibrillator in combination with quality CPR can significantly increase the victim’s survival chances, […] The post Keeping your defibrillator in top condition appeared first on Emergency Live.
EM Ottawa
MAY 9, 2024
Please refer to Dr. Mark McKinney’s Grand Round Summary from March 2020 (Parts 1 and 2) for a comprehensive literature review on the topic of resuscitating hypothermic patients. In this blog post, I’ll go into a more in-depth review of the staging of hypothermia and how to manage this problem in the field. Furthermore, I’ll […] The post Hypothermia & Non-Freezing Cold Injury appeared first on EMOttawa Blog.
NRC Health
MAY 8, 2024
Discover how clinical access impacts patient experience from the team at Children’s Mercy Kansas City. The post Exploring the partnership between clinical access and patient experience appeared first on NRC Health.
ACEP Now
MAY 10, 2024
The best questions often stem from the inquisitive learner. As educators, we love—and are always humbled—by those moments when we get to say “I don’t know.” For some of these questions, you may already know the answers. For others, you may never have thought to ask the question. For all, questions, comments, concerns, and critiques are encouraged. Welcome to the Kids Korner.
Emergency Live
MAY 7, 2024
Another Work Tragedy That Could and Should Have Been Avoided The Italian population is still reeling from the tragedy in Suviana, which claimed seven lives in an incident at a hydroelectric plant. But another sad event has struck the community of Casteldaccia, in Sicily (Italy). Five workers lost their lives yesterday during sewer maintenance. A […] The post Tragedy at work: 5 workers die in Casteldaccia appeared first on Emergency Live.
EM Ottawa
MAY 6, 2024
Methodology: 4/5 Usefulness: 3/5 Zi W, et al. N Engl J Med. 2023 Jun 1;388(22):2025-2036. Editorial: Expanding Treatment for Acute Ischemic Stroke beyond Revascularization. Question and Methods: This multi-centre, triple-blind, double dummy RCT in China aimed to evaluate the functional outcomes and safety of intravenous tirofiban as compared to aspirin in moderate to severe strokes […] The post Tirofiban for Stroke without Large or Medium-Sized Vessel Occlusion appeared first on EMOttawa
AED Leader
MAY 9, 2024
If you’re in the market for an AED (Automated External Defibrillator), you’ve come across the Lifepak 100. This portable defibrillator is known for its exceptional features and reliability. This blog post will explore the seven key features that make the Lifepak 100 stand out from other AEDs in the market. Compact and Lightweight Design One of the standout features of the Lifepak 100 is its compact and lightweight design.
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