The Trauma Pro
MARCH 21, 2024
In the last two posts, I discussed the size of your trauma bay and how to measure it. This can obviously be helpful if you are updating or building new resuscitation rooms. But what about all the stuff that goes into it? Where is the best place to put it? If you are in the enviable position of being able to stock a brand-new room, here are some tips.
Sensible Medicine
MARCH 18, 2024
Dear Readers, I publish the following opinion piece regarding the use of statin drugs in low-risk individuals without heart disease even though I disagree with most of the authors’ arguments. Since this is a rebuttal to an editorial I wrote, it would be helpful to first read the linked article in the lead sentence. I do like the authors’ conclusions.
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First 10 EM
MARCH 18, 2024
Looking back, I am somewhat surprised I never published a First10 approach to sympathetic crashing pulmonary edema. I guess it never felt necessary, as it was the first ever EMCrit post, and therefore felt well covered in the FOAMed community. However, a full 15 years after that first EMCrit podcast (congrats on the decade and […] The post High dose nitroglycerin is correct dose nitroglycerin appeared first on First10EM.
ALiEM
MARCH 18, 2024
A 30-year-old female with a past medical history of Crohn’s Disease presented to the ED for evaluation of an acutely bruised right 4th finger. She stated she was typing on a computer keyboard approximately 10 minutes prior to presentation and she noticed a sudden popping sensation at the base of her right ring finger. After the popping sensation, she noticed a cool sensation of the finger and numbness to the entire finger.
The Trauma Pro
MARCH 18, 2024
In my last post, I detailed some standard info on trauma bay size. Today, I’ll describe what I found when I brought in my trusty tape measure a few years ago to check out the old trauma bays at Regions Hospital. I came up with several helpful measurements to help gauge the relative utility of the rooms. Here are the indices that I came up with: TBTA: Trauma Bay Total Area.
Sensible Medicine
MARCH 19, 2024
One of the aspects of editing Sensible Medicine that I have truly enjoyed is receiving excellent, unsolicited manuscripts. 1 We published one of these a couple of weeks ago by Aleksi Raudasoja titled From Guideline Recommendations to Articulated Harms and Benefits. Even better is when one unsolicited manuscript leads to another. What follows is one of those written by Mariana Barosa.
EMCrit
MARCH 20, 2024
Eyelid opening apraxia refers to a specific inability to open the eyelids. This may result from non-dominant hemispheric strokes. On superficial examination it will mimic unconsciousness, but upon further examination the patient is awake and able to respond to stimuli with their extremities. I've seen a similar phenomena of eyelid opening apraxia a few times […] EMCrit Project by Josh Farkas.
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Dr. Smith's ECG Blog
MARCH 22, 2024
Written by Willy Frick A man in his 50s with history of hypertension, hyperlipidemia, and a 30 pack-year smoking history presented to the ER with 1 hour of acute onset, severe chest pain and diaphoresis. His ECG is shown: What do you think? The history thus far is highly suggestive of OMI, so we must study the ECG very closely to see if we can confirm this.
Emergency Medicine Cases
MARCH 19, 2024
In this part 1 of our 2-part podcast series on Asthma Management we explore a systematic approach to managing patients presenting to the ED with asthma exacerbations. Our discussion will emphasize the critical role of a thorough history and physical examination in effectively stratifying patient risk and guiding treatment/disposition decisions. Additionally, we'll examine the importance of providing comprehensive discharge medications and instructions to mitigate both mortality and morbidity ass
Emergency Live
MARCH 22, 2024
Barium in Medicine: An Overview Barium, a chemical element with multiple applications in the industrial field, also plays a crucial role in medicine, thanks to its ability to enhance the visualization of soft tissues in radiographic images. Barium sulfate, one of its stable forms, is commonly used in diagnostic tests as a contrast agent for […] The post Barium: An Invisible Ally in Medical Diagnostics appeared first on Emergency Live.
Science Based Medicine
MARCH 22, 2024
The campaign against boosters was just a small part of a pathetic, pandemic-long pattern where doctors expressed grave concern about the mildest harms of measures to limit COVID, even purely theoretical ones, while being totally indifferent to literally anything the virus could do, including the deaths of children and young adults. The post Some Doctors Cared Much More About Sore Arms Than Cold Bodies first appeared on Science-Based Medicine.
American Medical Compliance
MARCH 18, 2024
The following Missouri Violence in the Workplace for Healthcare Employees course is designed to educate healthcare providers (HCP) on how to protect themselves and others from violence that occurs in the workplace. Workplace violence is defined as any act or threat of physical violence, harassment, intimidation, or other potentially disruptive behavior that occurs on the job site.
EMDocs
MARCH 19, 2024
Today on the emDOCs cast with Jess Pelletier and Brit Long, we discuss the challenging diagnosis of spontaneous cervical artery dissection (sCAD). Episode 97: Spontaneous Cervical Artery Dissection Definition/pathophysiology: sCAD refers to a tear or separation of arterial wall layers involving either the carotid or vertebral arteries. Creates a false lumen where blood may enter the vessel wall between the intima and the media or between the media and the adventitia.
Emergency Live
MARCH 22, 2024
What is an Amartoma? An amartoma represents a benign and abnormal growth consisting of the same tissue from which it originates, but with a disorganized cellular structure compared to surrounding cells. These tumors can arise in any part of the body, including the brain, heart, kidneys, skin, and eyes, and are often associated with genetic […] The post Demystifying Hamartoma: A Comprehensive Overview appeared first on Emergency Live.
Science Based Medicine
MARCH 20, 2024
The world is experiencing increasing outbreaks of a completely preventable disease. What's going wrong? The post Measles Outbreaks on the Rise first appeared on Science-Based Medicine.
Dr. Smith's ECG Blog
MARCH 19, 2024
This case was sent by Amandeep (Deep) Singh at Highland Hospital, part of Alameda Health System. The patient presented to an outside hospital An 80yo female per triage “patient presents with chest pain, also hurts to breathe” PMH: CAD, s/p stent placement, CHF, atrial fibrillation, pacemaker (placed 1 month earlier), LBBB. HPI: Abrupt onset of substernal chest pain associated with nausea/vomiting 30 min PTA.
EMDocs
MARCH 20, 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.
Emergency Live
MARCH 22, 2024
Innovative Strategies to Improve Cardiomyopathy Care In Italy, cardiomyopathies affect over 350,000 people, posing a significant challenge to the national healthcare system. The first Italian Report on Cardiomyopathies marks a turning point, proposing ambitious goals to revolutionize the treatment and care of patients affected by these complex diseases of the heart muscle.
Emergency Medicine Cases
MARCH 19, 2024
In this Waiting to Be Seen blog Dr. Howard Ovens outlines 4 key learnings from his extensive career in EM leadership: Be a good clinician, get substantial real-world experience, take a long-term view of benefits and risks and get along with your counterparts in the leadership dyad. The post WTBS 29 Four Key Learnings from a Career in Emergency Medicine Leadership appeared first on Emergency Medicine Cases.
American Medical Compliance
MARCH 19, 2024
The following New York Violence in the Workplace for Healthcare Employees course is designed to educate healthcare providers on how to protect themselves and others from violence that occurs in the workplace. Workplace violence is defined as any act or threat of physical violence, harassment, intimidation, or other potentially disruptive behavior that occurs on the job site.
Science Based Medicine
MARCH 18, 2024
It's hard to believe that in the 21st century there are still those who deny that viruses exist. However, virus denial and antivax go together and always have. Denis Rancourt, while far from the first or more vociferous virus denier, is an excellent example. The post Denis Rancourt and “no virus”: COVID-19 symptoms were due psychological stress from the pandemic response!
Emergency Live
MARCH 20, 2024
A Day to Remember to Be Happy International Day of Happiness, celebrated every year on March 20th, is a unique opportunity to recognize the importance of happiness in people’s lives around the world. Established by the United Nations General Assembly in 2012, this observance aims to promote happiness as a fundamental right for every individual. […] The post Happiness and health, a perfect combination appeared first on Emergency Live.
Core Medical Group
MARCH 21, 2024
In the healthcare industry, facilities are continuously striving to find the best talent to join their teams. During the hiring process for healthcare professionals , many organizations place a high value on certain qualities that go beyond functional skills. Among these qualities, flexibility, open communication, and dedication stand out as important characteristics for potential candidates.
American Medical Compliance
MARCH 19, 2024
The following West Virginia Violence in the Workplace for Healthcare Employees course is designed to educate healthcare providers (HCP) on how to protect themselves and others from violence that occurs in the workplace. Workplace violence is defined as any act or threat of physical violence, harassment, intimidation, or other potentially disruptive behavior that occurs on the job site.
Science Based Medicine
MARCH 19, 2024
Science: Figuring things out is better than making things up. A tee shirt I recently saw. Except… In a recent post Mayo Clinic Promotes Reiki, Steve seemed surprised that the Mayo was offering Reiki. I don’t know. Maybe he was channeling Louie. I know the Mayo is a top hospital, but I trained in Minneapolis at Hennepin County and we would have […] The post Best Hospital Eye Roll first appeared on Science-Based Medicine.
Emergency Live
MARCH 21, 2024
Origins of a Fundamental Day March 21st marks the International Day for the Elimination of Racial Discrimination, a date chosen in memory of the Sharpeville massacre of 1960. On that tragic day, amidst apartheid, the South African police fired upon a crowd of peaceful demonstrators, killing 69 people and injuring 180. This shocking event led […] The post International Day Against Racial Discrimination appeared first on Emergency Live.
Dr. Smith's ECG Blog
MARCH 17, 2024
Written by Willy Frick A man in his 50s with a 15 pack-year smoking history presented to his primary care physician's office complaining of intermittent headache. He also complained of intermittent mild chest pain radiating into into both shoulders and his back, as well as occasional unexplained sweating. (Although radiation into the left arm is most classic for coronary ischemia, radiation into both arms is actually modestly more predictive ).
American Medical Compliance
MARCH 19, 2024
The following New Hampshire Violence in the Workplace for Healthcare Employees course is designed to educate healthcare providers on how to protect themselves and others from violence that occurs in the workplace. Workplace violence is defined as any act or threat of physical violence, harassment, intimidation, or other potentially disruptive behavior that occurs on the job site.
The Bottom Line
MARCH 22, 2024
What’s new in the Critical Care literature – monthly updates
Emergency Live
MARCH 19, 2024
On the day of the autumn equinox for the Southern Hemisphere, record temperatures continue to be recorded, especially in Brazil Sunday morning, around 10 a.m., perceived temperatures in Rio de Janeiro reached the record figure of 62.3 degrees, a figure not seen since 2014. This increasingly extreme and widespread heat is directly linked to climate […] The post Record heat in Brazil and health increasingly at risk appeared first on Emergency Live.
ALiEM
MARCH 22, 2024
A 53-year-old woman with no significant past medical history presented to the emergency department with a 3-day history of double vision on leftward gaze. She initially presented to urgent care with a chief complaint of chest heaviness and concern that her blood pressure was too high, but was sent to the emergency department for further cardiac and neurological evaluation after her urgent care provider noticed abnormal eye movement.
American Medical Compliance
MARCH 18, 2024
The following Nevada Violence in the Workplace for Healthcare Employees course is designed to educate healthcare providers on how to protect themselves and others from violence that occurs in the workplace. Workplace violence is defined as any act or threat of physical violence, harassment, intimidation, or other potentially disruptive behavior that occurs on the job site.
The Bottom Line
MARCH 22, 2024
What’s new in the Critical Care literature – monthly updates
Emergency Live
MARCH 18, 2024
A fatal accident that should have been avoided A tragic incident with incredible implications occurred in Termini Imerese, in the province of Palermo. The victim, an 87-year-old woman named Vincenza Gurgiolo, had been hospitalized at Cimino Hospital on February 28th for renal insufficiency. Once she had improved, she was transferred to the Medicine ward in […] The post Tragedy in Termini Imerese: elderly woman falls from stretcher and dies appeared first on Emergency Live.
Thinking Critical Care
MARCH 18, 2024
June 15, 2024, 10-4 EST – Online Webinar Only Due to the tremendous amount of work required to put together a large live event, we’ve decided to skip 2024 in terms of a full-fledged H&R, but HR23’s Inpatient Medicine section, put together by none else than Katie Wiskar, was a real firecracker, and we felt that the spark to bring high level bedside physiology to the clinician on the wards should not be allowed to fizzle.
American Medical Compliance
MARCH 18, 2024
Workplace violence is defined as any act or threat of physical violence, harassment, intimidation, or other potentially disruptive behavior that occurs on the job site. Threats and verbal abuse can lead to physical assaults and even homicide. It can have an impact on employees, clients, customers, and visitors. What you will learn: Introduction to violence in the workplace What is workplace violence?
The Bottom Line
MARCH 22, 2024
In patient with out-of-hospital cardiac arrest, how does the MIRACLE2 score compare with previously reporting scoring systems, for predicting poor neurological outcome at hospital discharge?
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