The Bottom Line
OCTOBER 18, 2023
In patients with trauma and critical bleeding who require activation of a major haemorrhage protocol, does the empiric administration of 3 pools of cryoprecipitate (6g fibrinogen) within 90 minutes of randomisation (and no more than 3 hours after injury) improve survival, compared to standard care?
Sensible Medicine
OCTOBER 19, 2023
A few months ago, a sensational letter came out in JAMA Pediatrics. The authors took California school children out of the classroom, and had them line up in the school yard. Then a dog sniffed them to see if they had COVID19. Students were told not to look backwards at the dog, but inevitably some students must have snuck a peak. The dog sat down next to suspected COVID19 kids, indicating they might have COVID19 (towards their peers).
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Science Based Medicine
OCTOBER 16, 2023
A recent study reaffirms the high degree of correlation among physicians between antivax views and an embrace of quackery. This is an old finding that needs to be documented periodically and shows why the acceptance of non-science-based treatments by physicians endangers vaccination efforts. The post Alternative medicine and antivax: Two crappy tastes that taste crappy together—particularly when among physicians first appeared on Science-Based Medicine.
Dr. Smith's ECG Blog
OCTOBER 18, 2023
Written by Jesse McLaren Four patients presented with chest pain. All initial ECGs were labeled ‘normal’ or ‘otherwise normal’ by the computer interpretation, and below are the ECGs with the final cardiology interpretation. If you were working in a busy emergency department, would you like to be interrupted to interpret these ECGs or can these patients safely wait to be seen because of the normal computer interpretation?
St. Emlyn
OCTOBER 18, 2023
St.Emlyn's - Emergency Medicine #FOAMed Big news for the UK this week, with the release of 2 publications in JAMA reflecting novel approaches to the management of the major trauma patient with active haemorrhage. (1,2) … CRYOSTAT-2 @ St Emlyns Read More » The post CRYOSTAT-2 @ St Emlyns appeared first on St.Emlyn's.
The Bottom Line
OCTOBER 19, 2023
What’s new in the Critical Care literature – monthly updates
Emergency Live
OCTOBER 18, 2023
Fiat Iveco 55 AF 10: the armoured ambulance that hides a secret A Rare Wonder of Italian Engineering The world of emergency vehicles is fascinating and vast, but few are as rare as the Fiat Iveco 55 AF 10, a unique ambulance produced in 1982 by Carrozzeria Boneschi. This car, based on their armoured Iveco […] The post The Secret Ambulance: The Innovative Fiat Iveco 55 AF 10 appeared first on Emergency Live.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
Science Based Medicine
OCTOBER 18, 2023
IgG testing for food sensitivity has not been validated by scientific evidence - that does not stop CAM practitioners. The post IgG Food Sensitivity Tests Not Valid first appeared on Science-Based Medicine.
PDC Healthcare
OCTOBER 19, 2023
When a patient checks in to a hospital or a non-acute care facility, their personal and medical data needs to be recorded. Each patient has an EMR (Electronic Medical Record), which needs to be updated each time a patient needs care. Implementing a scannable barcode system enables caregivers the ability to quickly scan a ID […] The post 4 Ways To Improve Barcode Scanning in Healthcare appeared first on connectID - PDC Healthcare Blog.
Emergency Live
OCTOBER 16, 2023
The Crucial Response of Rescue Units in Western Afghanistan in the Face of the Earthquake Emergency The province of Herat, located in the west of Afghanistan, was recently shaken by a powerful 6.3 magnitude earthquake. This tremor is part of a seismic swarm that began its destructive cycle just over a week ago, causing the […] The post Afghanistan: The Courageous Commitment of the Rescue Teams appeared first on Emergency Live.
Dr. Smith's ECG Blog
OCTOBER 15, 2023
Submitted by anonymous, written by Pendell Meyers I was at triage when this ECG was presented to me. What do you think? Here's what the Queen of Hearts thinks: Note that the Queen has "HIGH" confidence that this is OMI. As noticed by the AI, if the patient presented with chest pain , then even this subtle ECG is diagnostic of OMI. Specifically , this ECG is diagnostic of acute LAD OMI, with hyperacute T waves likely in V3 and V4, very small but abnormal STE in V2-V4 (because of its there is a lo
Science Based Medicine
OCTOBER 20, 2023
It's interesting to ponder an alternate reality where doctors who said the pandemic ended long ago took their own advice. The post Prediction: Dr. Jay Bhattacharya Will Never Treat COVID as “One of 200 Diseases That Affect People”. first appeared on Science-Based Medicine.
First 10 EM
OCTOBER 15, 2023
In the massive hemorrhage deep dive, I mentioned that there were a number of large trials in the works that would further define practice. One of those trials – CRYOSTAT-2 – was just published, and adds important information about the role of empiric fibrinogen administration (in the form of cryoprecipitate) in trauma patients. The paper […] The post CRYOSTAT-2: Empiric cryoprecipitate in traumatic massive hemorrhage appeared first on First10EM.
Emergency Live
OCTOBER 16, 2023
Awareness-raising on natural risks: the importance of education and initiatives in the squares between Piacenza and Rimini The weekend of 14 and 15 October saw the ‘Io Non Rischio‘ (I Do Not Risk) campaign return to Emilia-Romagna, and throughout Italy. This national initiative, promoted by the National Civil Protection Department together with various institutions and […] The post Io Non Rischio: Prevention in Emilia-Romagna and Italy appeared first on Emergency Live.
Sensible Medicine
OCTOBER 16, 2023
Listen now (55 mins) | SM band is back together to discuss these topics
Science Based Medicine
OCTOBER 17, 2023
So close to the eradication of polio. But never quite there. The post Eradication Isn’t Extinction. Too Bad. first appeared on Science-Based Medicine.
Kings County Downstate EM
OCTOBER 20, 2023
Co-Authors: Camilo Galeano Londono, Esteban Davila This is part 1 of a 2-part series focusing on BRASH Syndrome The little black phone in the Cardiac Care Unit (CCU) room rings. The cardiology fellow is on the other end of the line informing you of a new admission. The patient is […] The post BRASH appeared first on County EM.
Emergency Live
OCTOBER 19, 2023
Drones and Photogrammetry: Technology in the Service of Missing Persons Searches Australia, with its vast expanses of land and dense bushlands, has often presented imposing challenges in searches for missing persons. In the case of Corey O’Connell, a young Australian who went missing in 2021, it was drone technology that provided the decisive breakthrough in […] The post Drones and Photogrammetry: help in the Search for Missing Persons appeared first on Emergency Live.
PDC Healthcare
OCTOBER 19, 2023
When a patient checks in to a hospital or a non-acute care facility, their personal and medical data needs to be recorded. Each patient has an EMR (Electronic Medical Record), which needs to be updated each time a patient needs care. Implementing a scannable barcode system enables caregivers the ability to quickly scan a ID […] The post Preventing Barcode Errors in Healthcare appeared first on connectID - PDC Healthcare Blog.
Sensible Medicine
OCTOBER 18, 2023
Sudden cardiac death due to ventricular rhythm disturbances are rare but highly public. It’s strange and curious because you don’t expect healthy athletes to suffer serious cardiac issues. Recently three prominent athletes have survived sudden cardiac death. Christian Erikson, a Danish soccer player, Damar Hamlin, an American football player and Bronny James, son of Lebron James.
Emergency Medicine Cases
OCTOBER 17, 2023
In this month's EM Quick Hits podcast: Sarah Reid on an approach to Infant Vomiting, Brit Long on Orbital Cellulitis essentials, Justin Morgenstern on the PATCH trial - Prehospital TXA in Trauma, Christina Shenvi on Prevention and Treatment of Delirium, Jason Hines on Procedural Skills Decay, Aaron Billin on Altitude Sickness. The post EM Quick Hits 52 Infant Vomiting, Orbital Cellulitis, Prehospital TXA in Trauma, Prevention and Treatment of Delirium, Procedural Skills Decay, Altitude Sickness
Emergency Live
OCTOBER 18, 2023
The Final Day of the ‘Civil Protection Week’: A Memorable Experience for the Citizens of Ancona (Italy) Ancona has always had a strong connection with civil protection. This connection was further strengthened thanks to the ‘Civil Protection Week’, which culminated in a well-attended event at the various fire brigade headquarters throughout the province.
Taming the SRU
OCTOBER 20, 2023
Guiraud, K. et al. Higher sensitivity with the lever sign test for diagnosis of anterior cruciate ligament rupture in the emergency department. Arch. Orthop. Trauma Surg. 142, 1979–1983 (2022). Clinical Question: Does the lever sign provide improved sensitivity to the diagnosis of acute ACL tear in the ED? Background The anterior cruciate ligament (ACL) is one of the most commonly injured knee ligaments, with nearly 200,000 injuries annually in the US, with ~100,000 requiring reconstruction.
Medagadget
OCTOBER 19, 2023
Researchers at Northwestern University have developed a sensor that can monitor transplanted organs for signs of rejection. Patients who receive transplants require immunosuppressive medication to ensure that their body does not reject the transplanted tissue, but this can still happen, sometimes years after the initial transplant. Current methods to monitor for immune rejection involve taking biopsies or monitoring blood markers, but these techniques are invasive and blood markers may not show
Emergency Medicine Cases
OCTOBER 17, 2023
In this ECG Cases blog Dr. Jesse McLaren guides us through 10 cases, driving home the points that sepsis is a common cause of rapid Afib and diffuse ST depression with reciprocal ST elevation in aVR, myo/pericarditis is a diagnosis of exclusion, endocarditis or lyme carditis can cause AV block, PE can cause low grade fever and ECG signs of acute RV strain and that fever can unmask Brugada syndrome.
Emergency Live
OCTOBER 16, 2023
World Cardiopulmonary Resuscitation Day: The Italian Red Cross Commitment Every year on 16 October, the world comes together to celebrate ‘World Restart a Heart Day’, or World Cardiopulmonary Resuscitation Day. This date aims to raise awareness about the importance of life-saving manoeuvres and how each of us can actually make a difference.
Core Medical Group
OCTOBER 20, 2023
For this week's Recruiter Spotlight series, we're excited to introduce Derek, a seasoned healthcare recruiter in the Travel Nursing Division here at Core with nearly 11 years of experience. With an impressive track record of being a 3-time Club CoreMed recipient and previous team leadership roles, Derek's unique insights extend beyond his professional life, as he has a deep passion for the outdoors and a love for travel, golf, beach days, and quality time with family and friends.
Medagadget
OCTOBER 19, 2023
Scientists at Purdue University have developed a microRNA therapy designed to slow tumor growth. The technology takes advantage of the tendency of several cancer types to express an excess of surface receptors that bind folate (vitamin B9) and draw it into the cell interior. By attaching the microRNA strand to a folate molecule, the researchers could target it to cancer cells.
The Bottom Line
OCTOBER 19, 2023
What’s new in the Critical Care literature – monthly updates
Emergency Live
OCTOBER 19, 2023
Public Competition at the National Fire Service: An Opportunity for Logistics-Management Inspectors The National Fire Department is one of the most fundamental bodies for the safety and well-being of our country. In addition to firefighters who intervene in emergencies, the corps needs skilled professionals to ensure that everything runs like clockwork.
The Skeptics' Guide to EM
OCTOBER 14, 2023
Reference: Brennan L et al. Time to change the reference ranges of children’s physiological observations in emergency care? A prospective study. J Paediatr Child Health. March 2023 Date: July 12th, 2023 Guest Skeptic: Dr. Vicki Currie is a paediatric emergency medicine registrar in the West Midlands in the United Kingdom. She is also a member […] The post SGEM #417: Everybody’s Changing…the Reference Ranges for Pediatric Vital Signs first appeared on The Skeptics Guide to Emergency Medicine.
Medagadget
OCTOBER 19, 2023
Researchers at the University of Cincinnati have developed a lateral flow assay that can detect bacterial toxins from Porphyromonas gingivalis , the causative bacteria for gingivitis. The technology could make it easier and faster to identify early-stage gingivitis, which can lead to periodontitis and eventual tooth loss, as well as contributing to a variety of other diseases such as stroke and heart disease.
Don't Forget the Bubbles
OCTOBER 19, 2023
Dani gave this talk at the Irish Association of Emergency Medicine Annual Scientific Conference in October 2023 Once upon a time, there were two beautiful people, Barbie and Ken. Through the play and make-believe of many children, they enjoyed a romance spanning many decades. Sure, they had their ups and downs (what couple doesn’t?), but after more than 40 years of courtship, Ken proposed to Barbie.
Emergency Live
OCTOBER 17, 2023
Thermal Imaging: A Life-Saving Tool in Every Firefighter’s Toolkit In the latest podcast episode, “Unlocking the Power of Thermal Imaging in Firefighting with Andy Starnes”, we delve into the fascinating world of thermal imaging and its indispensable role in modern firefighting. This conversation with Andy Starnes, the founder of Insight Training LLC, promises to be […] The post Unlocking the Power of Thermal Imaging in Firefighting with Andy Starnes appeared first on Eme
Sensible Medicine
OCTOBER 20, 2023
LT was an 80-year-old woman admitted to our inpatient medical team with gram-negative bacteremia. She came to the hospital with three days of weakness, fever, chills, and anorexia. After briefly interviewing and examining the patient with my team in room 23 of the emergency room, I excused myself while they finished their assessment. Sensible Medicine is a reader-supported publication.
Medagadget
OCTOBER 19, 2023
Researchers at the University of Bath in the United Kingdom have developed a shape-shifting ball that can inflate and deflate in response to someone’s breath. The idea is an advancement of many techniques designed to help people de-stress and manage their mental health, which all focus on awareness of the breath. For instance, mindfulness meditation often requires people to focus on their own breath, which can help to reduce anxiety and stress, but maintaining this focus is difficult.
ACEP Now
OCTOBER 15, 2023
The treatment of diabetic ketoacidosis (DKA) is, in many ways, unchanged: intravenous fluids, electrolyte repletion, insulin, and treatment of any precipitating factors. However, as with many treatments, there has been substantial de-escalation in intensity of therapy over time. Historically, patients were given a bolus of intravenous insulin followed by an insulin infusion.
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