Ken Grauer, MD

JULY 4, 2024

I was sent the ECG in Figure-1 — but without the benefit of any history. QUESTIONS: How would YOU interpret this tracing? WHY do I say there is, "A 2-Part Answer?" Figure-1: The initial ECG in today's case. ( To improve visualization — I've digitized the original ECG using PMcardio ). MY Thoughts on Today's CASE: As important as providing a brief, relevant history is for optimal clinical ECG interpretation — Cases like the one today often prove even more educational, because we are not given any

EKG/ECG 389

EKG/ECG Wellness 389

Pediatric EM Morsels

JULY 5, 2024

It seems like just yesterday ( or maybe ~ a month ago ) when we served up a tasty morsel on the PECARN decision rule for intra-abdominal traumatic injuries in children. Our friends at the PECARN injury group have remained busy this spring with generating more externally validated clinical decision rules. In addition to the recently published low risk intra-abdominal injury validation, we have another new tool to use this summer as school breaks, underdeveloped frontal lobes, and high speeds leav

Pediatrics 161

Pediatrics Head Injuries Dislocations Research 161

RebelEM

JULY 1, 2024

Background: Non-invasive positive pressure ventilation (NIPPV) is an effective treatment modality for patients with both hypoxemic or hypercapnic respiratory failure and has been shown to decrease the need for intubation [2]. Continuous positive airway pressure (CPAP) provides a constant positive pressure support throughout the breathing cycle, while bilevel positive airway pressure (BPAP) provides different levels of positive airway pressure during inspiration and expiration.

COPD 133

COPD Emergency Department Outcomes EMS 133

Science Based Medicine

JULY 1, 2024

Everything old is new once again, as COVID-19 quacks rehash old cancer quack claims that chemotherapy doesn't work in order to sell their preferred cancer quackery. The post Paul Marik: Disparaging chemotherapy in order to sell cancer quackery first appeared on Science-Based Medicine.

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The Trauma Pro

JULY 5, 2024

#7. Inappropriate prescribing Most trauma professionals worry about over-prescribing pain medication. But under-prescribing can create problems as well. Uncontrolled pain is a huge patient dissatisfier, and can lead to unwelcome complications as well (think pneumonia after rib fractures). Always do the math and make sure you are sending the right drug in the right amount home with your patient.

Documentation/Coding 113

Documentation/Coding Fractures Emergency Department Wellness 113

Dr. Smith's ECG Blog

JULY 5, 2024

An older patient with no previous medical history arrived at triage complaining of SOB. Her heart rate was very fast, so we obtained an ECG immediately: ECG: What do you think? There is a regular wide complex tachycardia. The QRS morphology is RBBB with LAFB (tiny r-waves in inferior leads followed by deep S-waves; tiny q-wave in aVL followed by large R-wave; Left axis deviation).

EKG/ECG 104

EKG/ECG Stroke Administration Wellness 104

Emergency Live

JULY 4, 2024

Every rescue worker knows how critical it is to keep the mind and body in shape to best deal with emergencies Causes and Symptomatology of Burnout Burnout, or “job burnout syndrome,” is a condition of chronic work-related stress characterized by a progressive depletion of mental and physical resources, with symptoms that may include: Chronic fatigue […] The post Burnout, Stress and Anxiety: how to protect one's psychological well-being appeared first on Emergency Live.

Wellness 98

Wellness 98

The Trauma Pro

JULY 2, 2024

#3. You are responsible for the conduct of your staff If the people who work for you treat patients poorly, you may be responsible. It is important that your staff have bedside manner at least as good as yours. #4. Avoiding your patients Some of your patients may need to contact you, either while in the hospital or while at home. Don’t appear to be inaccessible.

Emergency Department 113

Emergency Department Hospitals 113

St. Emlyn

JULY 2, 2024

St.Emlyn's - Emergency Medicine #FOAMed Learn about how to look after patients with eating disorders in the Emergency Department. Listen to this podcast recorded live at the Premier Conference 2024. The post Podcast – Eating Disorders in the Emergency Department appeared first on St.Emlyn's.

Emergency Department 95

Emergency Department 95

Emergency Live

JULY 3, 2024

Hurricanes pose a real threat to those in affected areas. Knowing what to do and taking the right precautions can mean the difference between life and death Updates from the Caribbean These days people are talking about the powerful Hurricane Beryl, the first recorded Category 4 hurricane at the beginning of the season. It is […] The post How to survive a Hurricane: guidelines and useful tips appeared first on Emergency Live.

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97

Emergency Medicine News

JUNE 30, 2024

An abstract is unavailable.

EMS 94

EMS 94

Taming the SRU

JULY 2, 2024

Fouche PF, Stein C, Nichols M, et al. Tranexamic Acid for Traumatic Injury in the Emergency Setting: A Systematic Review and Bias-Adjusted Meta-Analysis of Randomized Controlled Trials. Ann Emerg Med 2024;83(5):435–45. This metanalysis published in May 2024 investigated the use of TXA in severely injured trauma patients. They ultimately included a total of 7 randomized control trials that evaluated TXA use for patients with traumatic injures: 3 of these studies looked at general polytrauma and t

Stroke 93

Stroke Outcomes 93

Science Based Medicine

JULY 5, 2024

Those silly Australian chiropractors are at it again, what with all their high jinks and shenanigans and what not. This time they have reinstated a ban on treating babies that they had just gotten rid of. The post The Saga Continues: Australian Chiropractors Banned from Manipulating Infants…Again? first appeared on Science-Based Medicine.

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Emergency Live

JULY 4, 2024

With the hot season and the arrival of increasingly higher temperatures, the threat of forest fires returns; vegetation and wildlife at serious risk as well as the civilian population As rescue workers, we know how forest fires pose a dire threat to our environment, the civilian community, and our own safety. With the arrival of […] The post Forest fires: preventing them and fighting them appeared first on Emergency Live.

Wellness 96

Wellness 96

Emergency Medicine News

JUNE 30, 2024

An abstract is unavailable.

89

89

Taming the SRU

JULY 3, 2024

global health journal club - R2 CPC - r1 diagnostics: Pacing - r3 taming the SRu: methemoglobinemia Global health journal club WITH dr. bryant Organophosphate toxicity is much more common in low- and medium-income countries and carries high mortality Abedin et. al performed an RCT in Bangladesh and investigated standard bolus dosing of atropine compared to frequent push-doses of atropine followed by a drip Incremental boluses plus an infusion of atropine was found to have significantly reduced m

Hospitals 81

Hospitals 81

Science Based Medicine

JULY 3, 2024

What is a science-based medicine approach to potential public health risks? We write a lot about such risks here, trying to put them into perspective and cut through the hype and sensational headlines. We all have more than enough to worry about without adding unnecessarily to this burden. At the same time, humans have transformed our environment with industry, potentially introducing new […] The post Microplastics and Global Health first appeared on Science-Based Medicine.

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Emergency Live

JULY 3, 2024

The goal: to enable a faster, more coordinated and effective European response to disasters, whether natural or man-made The European Civil Protection Pool (ECPP) is a European Union response to emergencies. Established in 2013, this tool brings together and coordinates the resources of 27 member and participating states, providing rapid and effective assistance in the […] The post European Civil Protection Pool: member states united in emergency appeared first on Emergency Live.

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96

Emergency Medicine News

JUNE 30, 2024

An abstract is unavailable.

81

81

Sensible Medicine

JULY 1, 2024

In days of old, we placed implantable cardioverter–defibrillators (ICD) in patients who survived cardiac arrest. The problem was that survival of out-of-hospital cardiac arrest was terrible. Smart people then designed studies to place ICDs in patients before they had cardiac arrest. We call this primary prevention. You can’t place ICDs in everyone because the device comes with downsides (infection, inappropriate shocks, anxiety and costs, for instance.

Shock 77

Shock Hospitals 77

St. Emlyn

JULY 3, 2024

St.Emlyn's - Emergency Medicine #FOAMed Journal Club on the impact of the MACS score in emergency medicine (systematic review). Learn how this tool improves diagnosis and patient outcomes while optimising hospital resources."FOAMed The post JC: Systematic review of the Manchester Acute Coronary Scores. appeared first on St.Emlyn's.

Outcomes 74

Outcomes Hospitals 74

EMCrit

JULY 4, 2024

We have a tendency to rate control and then send them somewhere else EMCrit Project by Scott Weingart, MD FCCM.

71

71

Emergency Medicine News

JUNE 30, 2024

An abstract is unavailable.

81

81

Sensible Medicine

JULY 5, 2024

I am not sure what to call this post. It is an honest and courageous reflection whose life was almost sacrificed, then saved and then damaged by medical care. It is also an account by someone who has taken their life’s experience and used them in caring for others. Adam Cifu Sensible Medicine is a reader-supported publication. If you appreciate our work, consider becoming a free or paid subscriber.

Hospitals 72

Hospitals Wellness 72

EMDocs

JUNE 29, 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: Re-DOSE VF… DSED for Shock-Refractory VF? Spoon Feed This secondary analysis of the DOSE VF trial found that DSED (dual sequence external defibrillation) was the superior strategy for obtaining ROSC and functional n

Shock 70

Shock Emergency Department Administration Resuscitation 70

EMCrit

JUNE 29, 2024

Necrotizing Fasciitis and NSTI EMCrit Project by Scott Weingart, MD FCCM.

70

70

Emergency Medicine News

JUNE 30, 2024

An abstract is unavailable.

75

75

The Skeptics' Guide to EM

JUNE 29, 2024

Date: June 29, 2024 Reference: Herbert L. Fred M.D. (1998) Old-Fashioned Doctors, Hospital Practice. This is an SGEM Xtra episode. I was honoured to be invited by Dr. Fernada Bellolio to the Mayo Clinic and present to the Department of Emergency Medicine. They were kind enough to allow me to speak about any topic. I decided to talk about an article Dr.

Hospitals 69

Hospitals 69

American Medical Compliance

JULY 2, 2024

The Behavioral Education Training for Healthcare Providers (HCP) aims to fully educate healthcare providers on professional behavior in healthcare settings. Furthermore, training on proper and appropriate behavior within healthcare settings is necessary for a safe and positive work environment. This course offers valuable insight and practical strategies aimed towards achieving the best and safest workplace setting through education on behavioral training for healthcare providers.

Patient Safety 67

Patient Safety Documentation/Coding Outcomes Wellness 67

EM Ottawa

JULY 4, 2024

We all know medications can help us feel better and stay healthy but as we are all familiar, sometimes drug interactions can be overlooked and cause significant adverse health outcomes. Drug interactions are common clinical problems that can occur in several different ways and in various settings. The estimated rate of drug interactions occurring in […] The post Drugs: the problem, the solution, the interactions!

Outcomes 66

Outcomes Emergency Department EMS 66

Emergency Medicine News

JUNE 30, 2024

An abstract is unavailable.

75

75

First 10 EM

JULY 1, 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 June 2024 appeared first on First10EM.

Academics 60

Academics 60

Sensible Medicine

JULY 2, 2024

I’ve taken a little break from the “Improving Your Critical Appraisal Skills” series but I’m returning with a few more. These articles are a little treat for our paid subscribers. The first five are here. I must admit, I rarely read decision analyses. That said, I should appreciate them a whole lot more. First, the whole point of a decision analysis is to determine the best course of action when faced with two or more alternatives.

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59

NRC Health

JULY 2, 2024

Ryan Donohue, a thought leader in healthcare consumerism, will speak at Human Understanding Beyond | HUB 24 in San Diego, August 21–23, about the impact of Human Understanding on the healthcare industry. The post Framing Human Understanding for the healthcare experience appeared first on NRC Health.

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59

Emergency Medicine News

JUNE 30, 2024

An abstract is unavailable.

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58

American Medical Compliance

JULY 2, 2024

The Maryland Infection Control Training for Dental Healthcare Providers aims to fully educate dental healthcare providers (DHCP) on how to protect themselves and others and mitigate community transmission of infectious diseases. Furthermore, understanding state regulations and proper procedures can prevent the transmission of infections among patients and DHCP.

Infectious Diseases 57

Infectious Diseases PPE Outcomes Hospitals 57

Stop and Think

JULY 3, 2024

During my medicine clinic as a resident at Indiana University in the 1990s, I prescribed hormone replacement therapy to post-menopausal women. The goal was not to alleviate post-menopausal symptoms; instead, the goal was prevention of future cardiac events. (I have now developed an allergy to preventive—anything.). Two reasons drove the enthusiasm behind preventive HRT.

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