The Trauma Pro
SEPTEMBER 10, 2024
Field amputation is not thought of very often, and for good reason. It is unpleasant, uncommon, and not very safe for trauma professionals due to the austere environment. I will dedicate the next several posts to the topic, starting with some of the facts. First, let’s start with definitions. Two distinct procedures are discussed here. The first and most commonly described is field amputation.
Science Based Medicine
SEPTEMBER 8, 2024
Bhattacharya, Atlas, and Makary are also set to speak at Stanford next month The post Hopkins Business School to Platform COVID-19 Contrarians at Health Policy Symposium first appeared on Science-Based Medicine.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Dr. Smith's ECG Blog
SEPTEMBER 7, 2024
A 70-something y.o. male presents to triage with shortness of breath. He reports significant chest pain at the base of his scapula on the right side along with new shortness of breath. ECG 1 at time zero EARLY REPOLARIZATION ABNORMAL ECG ED final official overread: "early repol vs hyperacute T, minimal changes from previous (previous shown below)" What do YOU think?
Sensible Medicine
SEPTEMBER 9, 2024
In his post yesterday, Adam discussed the STRONG-HF trial. I will expand on it because it is a great example of a positive trial that does not add knowledge to the treatment of patients with heart failure. The larger question is: what are trials for? When I think about science classes in high school, I remember experiments as a way to explain nature.
The Trauma Pro
SEPTEMBER 13, 2024
There are basically four indications, two absolute and two relative : Absolute #1 : entrapped extremity with a lengthy extrication and a physiologically impaired patient who does not respond to fluids. In this case, there is occult blood loss in other areas that is killing your patient, and they need to get out quickly for definitive management. Absolute #2 : entrapped extremity with a lengthy extrication and an unstable physical environment.
American Medical Compliance
SEPTEMBER 9, 2024
In assisted living, one of the most critical aspects of resident care is the prevention and management of skin issues. For instance, one of the most common risk factors associated with the development of pressure ulcers is being 70 years of age or older. Skin health is not only a matter of comfort and well-being but also a key indicator of a resident’s overall health status.
Dr. Smith's ECG Blog
SEPTEMBER 11, 2024
A former resident texted me this case: "Hey Dr. Smith. Hope you’re doing well! How excited would you have been about this case?" Here is the case: Report from EMS was witnessed syncope, his son did CPR, but the patient had pulses when EMS arrived. When the patient arrived in the ED, he was still hypotensive in 70s, slowly improving with EMS fluids. No Chest Pain, but somnolent.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
Life in the Fast Lane
SEPTEMBER 11, 2024
James Miers and John Mackenzie Procedure: Pericardiocentesis Emergency Procedure: Pericardiocentesis. one of the most difficult and risky emergency procedures, but one you already have the ultrasound and line skills to perform well.
Science Based Medicine
SEPTEMBER 13, 2024
As RSV approaches, some "real world" data out of France provides even more support for the RSV antibody shot for babies. The post More Evidence Supports Infant RSV Shot Safety and Effectiveness first appeared on Science-Based Medicine.
Dr. Smith's ECG Blog
SEPTEMBER 12, 2024
Written by Pendell Meyers A man in his 40s called EMS for acute chest pain that awoke him from sleep, along with nausea and shortness of breath. His history included known heart failure with prior EF 18%, insulin dependent diabetes, and polysubstance abuse. Vitals were within normal limits except for tachypnea. Here are his EMS ECGs along with the Queen of Hearts interpretations below each one: EMS1 0650 EMS2 0707 Click here to sign up for Queen of Hearts Access The ECGs show RBBB and LAFB, with
Core Medical Group
SEPTEMBER 12, 2024
At CoreMedical Group , our QA team is the backbone of your job placement journey. From finding travel nursing and therapy opportunities to getting you started in new locations, our QA experts, alongside your recruiter, ensure everything is top-notch. Whether it’s your first or fifteenth assignment , we’ve got your back with personalized service, helping with applications, licensing, housing, and even some local tips for your new destination.
Taming the SRU
SEPTEMBER 12, 2024
Weakness is a common, though sometimes vague, presenting symptom in the ED. Neuromuscular (NM) weakness can have various causes, ranging from common and relatively easy to diagnose conditions (such as strokes and trauma) to less common and more difficult to diagnose ones (such as vascular pathologies, infections, autoimmune diseases, and neoplasms).
Science Based Medicine
SEPTEMBER 11, 2024
It seems there is an endless stream of artificial intelligence (AI) news coming out, and this includes the field of medicine. There also continues to be a debate about the true impact of AI – how much is hype, and how much is a genuine advance that can transform our technology? As with many technological advances, it’s both. New tech, perhaps especially […] The post Update on AI in the Clinic first appeared on Science-Based Medicine.
EMDocs
SEPTEMBER 8, 2024
Welcome to the emDOCs Videocast – please subscribe to our YouTube channel. These videos will cover post summaries, take homes on clinical condition, and EBM/guideline literature updates. Today we focus on IV blood pressure medications in patients with neurovascular emergencies. EBM Update: IV BP Meds in NV Emergencies Background: There is no one agent that is recommended over others for reducing elevated BP in those with neurovascular emergencies.
First 10 EM
SEPTEMBER 9, 2024
Welcome back to another research roundup. This edition doesn’t have any immediate practice changers, but I think there are some very important topics. Enjoy. The BroomeDocs podcast: [link] The BroomeDocs podcast on YouTube: (I am on vacation, so this will probably be inserted later.) In a surprise to no one who reads First10EM, clinical judgment […] The post The September 2024 Research Roundup appeared first on First10EM.
EB Medicine
SEPTEMBER 13, 2024
In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the September 2024 Emergency Medicine Practice article, Elder Abuse and Neglect: Making the Diagnosis and Devising a Treatment Plan in the Emergency Department Introduction and Announcements Elder Abuse and Neglect: An Overview Risk Factors and Reporting Pre-Hospital and Emergency Department Considerations Screening Tools and Physical Examination Documentation and Disposition Cultural Considerations and Future Directions Conclusion an
Science Based Medicine
SEPTEMBER 12, 2024
New research suggests that cannabis use may be harmful and could be causing cardiovascular disease. The post Cannabis use and cardiovascular disease first appeared on Science-Based Medicine.
EMDocs
SEPTEMBER 7, 2024
Author: Iosif Davidov, MD (EM/IM/CC/Ethics Fellow at North Shore/LIJ Northwell Health System) // Reviewed by: Sophia Görgens, MD (EM Physician, BIDMC, MA); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Alex Koyfman, MD (@EMHighAK) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providing an expedited review of clinical basics.
ALiEM
SEPTEMBER 13, 2024
A 32-year-old male with no significant past medical history presented to the emergency department (ED) from an outside hospital for further management of right eye pain and vision loss sustained after he was struck by a metal wire while at work. The patient presented to an outside “eye doctor” and was told to go to the nearest hospital for evaluation.
Dr. Smith's ECG Blog
SEPTEMBER 9, 2024
Written by Willy Frick A 40 year old woman was at home cooking when she developed chest pain. She took an oxycodone and called EMS. Her presenting ECG is shown below: ECG 1 What do you think? I sent this to Drs. Meyers and Smith and the response was: "I’m quite confident that this is OMI." Here is the Queen's verdict with explainability: She sees OMI with low confidence.
Sensible Medicine
SEPTEMBER 10, 2024
I am a proud American and an avowed capitalist. I am sure that Adam Smith’s “invisible hand of the free market” maximizes social benefits. Capitalism has its flaws – the concentration of wealth and environmental degradation among others -- but no other system is as good at organizing societies and improving standards of living.
ACEP Now
SEPTEMBER 10, 2024
Imagine a 9-week pregnant patient who comes to the emergency department with vaginal bleeding and abdominal cramping. Like nearly a quarter of pregnancies, she is experiencing early pregnancy loss, also referred to as spontaneous abortion or miscarriage. As she continues to bleed, she becomes progressively tachycardic and hypotensive, entering hemorrhagic shock, requiring an emergent procedure in order to preserve her health and save her life.
ALiEM
SEPTEMBER 9, 2024
A 61-year-old female with a past medical history of hypertension, hyperlipidemia, type 2 diabetes, and normal pressure hydrocephalus s/p VP shunt (last revision nine months ago) presented to the Emergency Department (ED) for evaluation after noticing a “string” coming out of her anus today. Associated symptoms included nausea and a mild headache for one day, and one episode of vomiting prior to arrival.
Emergency Live
SEPTEMBER 13, 2024
Substances that promote tissue growth and repair are produced during sleep In recent years, scientific research has increasingly highlighted the importance of night rest for our health, especially heart. Why is sleep so important for the heart? During sleep, our body is engaged in a number of fundamental repair processes. The heart slows down, blood […] The post Why is sleeping more on the weekend good for the heart?
Sensible Medicine
SEPTEMBER 12, 2024
Sensible Medicine is excited to publish this rejected letter to the editor of the journal JACC-HF. Our excitement comes from a) the specific lessons about the design of clinical trials, and b) we love being a place where strongly argued but contrary viewpoints can be read. The specifics concern Chagas cardiomyopathy, which is caused by Trypanosoma cruzi infection.
Life in the Fast Lane
SEPTEMBER 12, 2024
Mark Corden Funtabulously Frivolous Friday Five 360 Funtabulously Frivolous Friday Five 360 - Just when you thought your brain could unwind, enter the medical trivia of FFFF.
RebelEM
SEPTEMBER 9, 2024
A newborn boy presents to the emergency department shortly after a home delivery. The mother had routine prenatal care and reports that he was due in 2 days. The patient appears term and vigorous but is in respiratory distress and gasping for air. His heart rate is 80 bpm. What percent of oxygen should you initially use while providing positive pressure ventilation to this patient?
Emergency Live
SEPTEMBER 13, 2024
Recent research suggests that intermittent fasting may hide unexpected risks Intermittent fasting, a diet that involves periods of abstinence from food alternating with food windows, has become increasingly popular in recent years, promising a range of health benefits, from weight loss to improved metabolic health. However, recent research from the Massachusetts Institute of Technology (MIT) […] The post Intermittent fasting: new research raises concern appeared first on Emergency Live.
Sensible Medicine
SEPTEMBER 11, 2024
Last week, Vinay and Adam made arguments regarding which presidential candidate was more anti-science. If you haven’t read it, go first to the link above. (I moderated the debate and limited each to ≤ 500 words.) This week, they offer equally short rebuttals to each other’s arguments. We will offer these to paid subscribers. Thank you to those who support us.
RCEM Learning
SEPTEMBER 12, 2024
The NIHR supported Emergency Care Incubator invites healthcare professionals working in urgent and emergency care to join us for our 3rd interactive symposium
PEMBlog
SEPTEMBER 9, 2024
Dewdrops on a rose petal describes the classic appearance of the lesions in varicella infections. Chicken pox is preventable by vaccines you know… Lyrics [Chorus] Dewdrops on a rose petal Vaccines test your mettle it’s chicken pox you silly fox! [Verse] prodrome fever, body hurts then the rash arrives in spurts Varicella’s itchy lesions most on trunk for some reason scabbing over, different stages once all crusted, not contagious [Chorus] Dewdrops on a rose petal Vaccines test
Emergency Live
SEPTEMBER 12, 2024
Australian researchers have used 3D printing to combine multiple drugs into a “poly-pill” 3D printing technology, traditionally used for rapid prototyping and complex object production, is also revolutionizing the pharmaceutical industry. Some Australian researchers have used this technology to combine multiple drugs into one “poly-pill”, and thus relieve the burden of those who must take […] The post Pharmaceutical revolution: personalised printed pills for each pa
Sensible Medicine
SEPTEMBER 13, 2024
PJ is a 53-year-old woman referred for a consultative visit. For the last 12-18 months she has been suffering from fatigue, headache, joint pain, and rashes. She has been seeing a primary care internist and has had consultations with a neurologist, a dermatologist, and a rheumatologist. She presents with a folder of records and codes for outside EMRs.
PulmCCM
SEPTEMBER 8, 2024
From the 2018 SCCM clinical practice guidelines for prevention and management of pain, agitation/sedation, and delirium: Question: Does the level of arousal influence delirium assessments with a validated screening tool? Ungraded Statement : Level of arousal may influence delirium assessments with a validated screening tool.
JournalFeed
SEPTEMBER 7, 2024
The JournalFeed podcast for the week of Sept 2-6, 2024. JournalFeed wants your feedback!! Tap here for a brief survey!! (<2 minutes) 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 a retrospective study of 142 patients with an initial shockable rhythm and 4 to 5 episodes of recurrent/refractory ventricular fibrillation (VF) or pulseless ventricular tachycardia
Emergency Live
SEPTEMBER 12, 2024
Italy invests 115 million euros in a project to unravel the mysteries of our most complex organ Italy is investing €115 million in an ambitious brain research project called Mnesys. This “Italian Neuroscience Cern” brings together over 500 scientists from all over Italy with the aim of uncovering the mysteries of our most complex organ […] The post Mnesys project: a journey into the human brain in search of new cures appeared first on Emergency Live.
EMergucate
SEPTEMBER 13, 2024
The hand x-ray shows punched out lesions with overhanging margins in the distal IP joints of index & middle fingers.
Expert insights. Personalized for you.
208 
Let's personalize your content