The Trauma Pro
MAY 21, 2024
Trauma professionals, both prehospital and in trauma centers, make a big deal about “closing velocity” when describing motor vehicle crashes. How important is this? So let me give you a little quiz to illustrate the concept: Two cars, of the same make and model, are both traveling on a two lane highway at 60 mph in opposite directions.
Pediatric EM Morsels
MAY 24, 2024
Evaluation of unintentional injury and trauma is one of the hallmarks of the EM and PEM physician. One of the most difficult and most satisfying parts of pediatric emergency medicine is using one’s history, exam and clinical tools to make an informed decision and spare children from unnecessary pain , uncomfortable exams, painful procedures and medical imaging.
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Life in the Fast Lane
MAY 18, 2024
Kane Guthrie Cardiac Arrest – the 5 C’s Cardiac Arrest - the 5 C's with Cliff Reid. Causes Of Cardiac Arrest You NEVER Thought Of?! Meet The Hs & Ts & Cs!
St. Emlyn
MAY 18, 2024
St.Emlyn's - Emergency Medicine #FOAMed The practice of coordinating, consulting and managing an entire acute clinical service in real-time is fairly unique to emergency medicine. Central to this is the EPiC (or emergency physician in charge) role #FOAMed @stemlyns with @codingbrown The post An EPiC mental model. St Emlyn’s appeared first on St.Emlyn's.
The Trauma Pro
MAY 24, 2024
Here’s an operative tip for trauma professionals who find themselves in the OR. Heard of “lunchothorax?” I’m sure most of you haven’t. The term originated in a 1993 paper on the history of thoracoscopic surgery. It really hasn’t been written about in the context of trauma surgery, though. Lunchothorax is an empyema caused by pleural contamination in patients with concomitant diaphragm and hollow viscus injury.
Dr. Smith's ECG Blog
MAY 20, 2024
This was sent by an undergraduate (not yet in medical school, but applying now) who works as an ED technician (records all EKGs, helps with procedures, takes vital signs) and who reads this blog regularly. Edited by Smith He also sent me this great case. A 63 year old man with a history of hypertension, hyperlipidemia, prediabetes, and a family history of CAD developed chest pain, shortness of breath, and diaphoresis after consuming a large meal at noon.
ECG Guru
MAY 24, 2024
The Patient: A 78-year-old woman called emergency responders because she had palpitations. She was alert and oriented. Her BP was reported as being “stable”. We do not have information about her past medical history. We will update this post if we receive information about her outcome. ECG Number 1, 11:57 a.m.: There is a wide-complex tachycardia at a rate of about 230 bpm.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
Emergency Live
MAY 23, 2024
Experts on Alert: Seismic Phenomenon Continues, Requires Constant Monitoring and Safety Measures The current seismic swarm in the Campi Flegrei has drawn the attention of experts. The sequence of tremors has persisted, albeit with some slowing down. But the situation is not yet resolved. Ground deformation suggests potential future seismic events. For now, it is […] The post The situation in the Campi Flegrei appeared first on Emergency Live.
Dr. Smith's ECG Blog
MAY 22, 2024
Written by Sean Trostel MD I returned to my desk after seeing a patient and saw this screening ECG sitting on my desk to be read. The patient was a man in his 80s with chief complaint listed as: "hyperglycemia, weakness, ground level fall." ECG #1 @ 15:30 What do you think? Slow, irregular rhythm - likely slow atrial fibrillation Very wide QRS measuring ~180 ms in some leads, not fitting LBBB morphology and wider than vast majority of LBBB No signs of OMI, no modified Sgarbossa criteria Peaked T
Sensible Medicine
MAY 20, 2024
The story of reversal agents for anticoagulants exposes many of the complexities of treating human beings. I like the story and I think you will too. Some background, then to the ANNEXA-I study. The new anticoagulants are called direct acting oral anticoagulants or DOACs. Rivaroxaban (Xarelto) and apixaban (Eliquis) are the two most popular. These drugs surpassed the old one, warfarin, because of convenience, efficacy and safety.
Science Based Medicine
MAY 22, 2024
Imagine if we could save over 8 million lives per year globally through public policy. Many of these preventable deaths are in younger people and fall disproportionately on the poor and disadvantaged. This is the estimate of a recent observational and modelling study on the effects of air pollution (fine particulate and ozone pollution). Of these death, over 5 million could be […] The post The Health Costs of Fossil Fuel first appeared on Science-Based Medicine.
Emergency Live
MAY 23, 2024
Alpine Volunteers Engaged for 72 Hours in Emergency Simulation: A Real Test for ANA Civil Protection Around 200 volunteers, with specialized teams from various Lombard Alpine sections, gathered in the mountain area of Camaggiore for an unprecedented exercise: “Unitas 2024.” The relentless commitment of 72 hours saw the ANA Civil Protection of Lecco, led by […] The post Exercise “Unitas 2024”: 200 to participate appeared first on Emergency Live.
St. Emlyn
MAY 22, 2024
St.Emlyn's - Emergency Medicine #FOAMed Paediatric Stroke, Bronchiolitis, and tips and tricks for paediatric procedures The post Paediatric Emergencies Update – Noosa Day 1 appeared first on St.Emlyn's.
Sensible Medicine
MAY 24, 2024
The definition of evidence-based medicine that I carry with me is “the process of integrating clinical experience and expertise with the best available evidence from systematic research.” Mariana Barosa recently offered a nuanced update of this definition on Sensible Medicine that looked like this: Sensible Medicine is a reader-supported publication.
Science Based Medicine
MAY 24, 2024
With more pregnancy women being diagnosed with syphilis, there has been a steady rise in potentially deadly congenital infections. The post More Newborns are Being Diagnosed With Syphilis as Adult Cases Continue a Dramatic Rise first appeared on Science-Based Medicine.
Emergency Live
MAY 23, 2024
Innovative Apple Technology to Enhance Comfort During Car Travel The Discomfort of Motion Sickness and Apple’s Technological Solution Motion sickness is a major nuisance for many travelers during car journeys, as well as on ships or planes, as it entails unpleasant symptoms such as nausea and dizziness, making trips a real ordeal, especially when affecting […] The post Apple Introduces New Feature to Combat Motion Sickness appeared first on Emergency Live.
The Evolution & Medicine Review
MAY 22, 2024
Call for Writing-Up Fellows in Evolutionary Medicine The Konrad Lorenz Institute for Evolution and Cognition Research (KLI) in Klosterneuburg, Austria, is an international center for advanced studies in the life sciences, with a focus on conceptual, philosophical, historical, and mathematical approaches in evolutionary biology and biomedicine.
Sensible Medicine
MAY 21, 2024
Two of my favorite pieces of writing are my children’s essays in response to the famous University of Chicago supplemental essay questions that are part of the application for undergraduate admission. 1 My son answered: “So where is Waldo, really?” My daughter answered: “In 2015, the city of Melbourne, Australia created a "tree-mail" service, in which all of the trees in the city received an email address so that residents could report any tree-related issues.
American Medical Compliance
MAY 22, 2024
Workplace violence is a significant concern across various industries, affecting employee safety, productivity, and overall organizational morale. Moreover, it encompasses a range of harmful behaviors, including physical assaults, threats, harassment, and verbal abuse, occurring within a work setting. As stated in OSHA’s fact sheet , each year, 2 million American workers fall victim to workplace violence.
Emergency Live
MAY 23, 2024
A Guide to Managing a Common but Benign Breast Condition Fibrocystic breast disease is non-cancerous. However, it is a common condition of the breast that causes nodules and cysts. This condition typically affects women between the ages of 30 and 50. It does not increase the risk of breast cancer. However, symptoms such as pain […] The post Understanding Fibrocystic breast disease: Symptoms and Treatments appeared first on Emergency Live.
Science Based Medicine
MAY 20, 2024
Perusing the hellscape that is what Twitter has degenerated into as X, I found an alternative cancer cure testimonial, which led me into "functional health" nonsense that I hadn't encountered before. Introducing FitScript. The post FitScript™: Functional health quackery and a misleading alternative cancer cure testimonial first appeared on Science-Based Medicine.
EMDocs
MAY 23, 2024
Authors: Travis Mok, MD (@tkcm01 on Threads, Emergency Medicine Resident, Rutgers New Jersey Medical School); Cynthia Santos, MD (Emergency Medicine Attending, Medical Toxicologist, Rutgers New Jersey Medical School) // Reviewed by: Anthony Spadaro, MD (@TSpadaro91, Medical Toxicology Fellow, Rutgers New Jersey Medical School, Newark, NJ); James Dazhe Cao, MD (@JamesCaoMD, Associate Professor of EM, Medical Toxicology, UT Southwestern Medical Center, Dallas, TX); Alex Koyfman, MD (@EMHighAK); Br
NRC Health
MAY 21, 2024
Matt Hollenkamp, Vice President of Marketing and Public Relations for St. Elizabeth Healthcare shares his insights on strategy and metrics and how NRC Health’s Market Insights tool can measure four key marketing elements identified in a recent Harvard Business Review article about brand building and performance marketing. The post Q&A: How to balance brand building and performance marketing in healthcare appeared first on NRC Health.
Emergency Live
MAY 23, 2024
Discover How Daily Choices Can Reduce Prostate Cancer Risk and Improve Men’s Health A Growing Men’s Health Issue Prostate cancer is a significant health problem for men. Doctors anticipate over 40,000 new cases in Italy this year. The number of cases continues to rise annually. In 2020, it was the most common cancer among Italian […] The post Prostate cancer: prevention and health appeared first on Emergency Live.
Science Based Medicine
MAY 23, 2024
Standards in place for generic drugs should give consumers confidence that these products are just as effective as their brand-name equivalent. The post Generic Drugs: Are they different? first appeared on Science-Based Medicine.
The Skeptics' Guide to EM
MAY 18, 2024
Date: May 13, 2024 Guest Skeptics: Dr. Rebecca Szabo is an obstetrician/gynecologist and medical educator specializing in simulation from Melbourne, Australia working at The Royal Women’s Hospital and The University of Melbourne. This is her first time as a guest skeptic on the SGEM, she has created FOAMed content through various media, including the MedEd Stuff N Nonsense Podcast.
NRC Health
MAY 23, 2024
Today, nurse leaders and executives must develop new strategies that center on patients, improve their experiences, and enable better care delivery. One of these successful strategies is nurse leader rounding. While not new, proper patient rounding is crucial to improving the patient experience and closing the gap between experience and quality. The post Nurse leader rounding elevates the employee experience too appeared first on NRC Health.
Emergency Live
MAY 23, 2024
In-Depth Look at Genetic Diseases and Their Impact on Human Health What are genetic diseases? Genetic diseases are health issues caused by abnormalities or changes in genes. These mutations can be inherited from parents or occur spontaneously and primarily affect our DNA. Genetic diseases impact individuals physically, mentally, or behaviorally in various ways.
RebelEM
MAY 20, 2024
A 67-year-old woman with a history of atrial fibrillation on apixaban presents to the ED for epistaxis that began 30 minutes ago. Her bleeding is difficult to control with direct nasal pressure and topical agents but resolves with silver nitrate cauterization. Her vital signs are within normal limits. How should this patient’s apixaban be managed? Administer a one-time dose of intravenous vitamin K Administer andexanet alfa Bolus 1 unit of prothrombin complex concentrate Give intravenous tranexa
PulmCCM
MAY 18, 2024
A randomized trial shows that andexanet can stem the progression of intracranial hemorrhage better than 4-factor prothrombin complex concentrate in patients taking factor Xa inhibitors. The clinical relevance is unclear, though, as patient-centered outcomes were not improved, and andexanet resulted in more serious thrombotic events than PCC. Factor Xa inhibitors (apixaban, rivaroxaban, and edoxaban in the U.S.) are anticoagulants that have largely displaced warfarin for the prevention of stroke
NRC Health
MAY 22, 2024
When 70% of your patients are younger than ten years old, and 75% percent of them experience preoperative anxiety, you need to get creative about personalizing patient experiences to ease fears—especially for children with special needs. So that’s just what Dayton Children’s Hospital leaders accomplished in their perioperative environments, by developing sensory-friendly environments to aid in individualizing their patient experience for children.
Emergency Live
MAY 23, 2024
Sexually transmitted diseases are spreading more widely worldwide A Global Spread The World Health Organization (WHO) states that new cases of syphilis in people aged 15 to 49 increased by almost 1 million in 2022, reaching 8 million. There were 230,000 deaths related to syphilis. Most of the increases occurred in the Americas and Africa. […] The post WHO: increasingly prevalent sexually transmitted diseases appeared first on Emergency Live.
RCEM Learning
MAY 20, 2024
The post Explore the Frontiers of Pre-Hospital Care Research appeared first on RCEMLearning.
EM Ottawa
MAY 20, 2024
Methodology: 3/5 Usefulness: 2/5 Fischer U, et al. N Engl J Med. 2023 Jun 29;388(26):2411-2421. Question and Methods: RCT at 103 sites to compare outcomes at 30 days for early versus late DOAC initiation among patients with ischemic stroke and atrial fibrillation. Findings: Primary outcome (ischemic stroke, systemic embolism, major bleeding, vascular death) occurred in […] The post Early versus Later Anticoagulation for Stroke with Atrial Fibrillation appeared first on EMOttawa Blog.
AED Leader
MAY 24, 2024
Regarding AED (Automated External Defibrillator) maintenance, one crucial aspect often overlooked is battery maintenance. AED batteries ensure the device is ready during a sudden cardiac arrest (SCA) emergency. However, many individuals make common mistakes in AED battery maintenance, which can lead to device failure or inefficiency when it matters most.
Ziqitza HealthCare Ltd
MAY 24, 2024
Natural disasters are inevitable and can occur at any time. The aftermath of most natural disasters is devastating. Disasters cause upheaval, destruction, and catastrophe that bring distress to those affected by them. When disasters strike at any time, a lack of preparedness can make it much more difficult for communities to bounce back. Though the impact of natural disasters is unpredictable and comes with fewer warning signs sometimes, their severity can be reduced to a great extent.
PulmCCM
MAY 24, 2024
Actuarially speaking, outcomes after severe intracerebral hemorrhage (ICH) occurring deep in the brain range from very bad to terrible. Although the SWITCH trial was arguably ‘97% positive’, its results further emphasize this hard reality. In ICH, Hematoma Expansion is the Problem Hematoma expansion, causing injury directly and by secondary effects (inflammation and edema), is the primary mechanism by which ICH results in brain damage, disability, and death.
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