Emergency Live

JANUARY 18, 2024

Innovations and Developments in Global Emergency Management Training Innovations in Emergency Training Training in the field of emergency management is continuously evolving to address health threats in an increasingly globalized and interconnected world. The American Red Cross has conducted highly specialized training for emergency responders, replicating field experiences during international missions, with a particular focus […] The post Cutting-edge emergency training appeared first on

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Ken Grauer, MD

JANUARY 13, 2024

The ECG in Figure-1 was obtained from a middle-aged man with known hypertension — who presented to the ED ( E mergency D epartment ) for CP ( C hest P ain ) over the preceding 2-3 days. QUESTIONS: How would YOU interpret the ECG in Figure-1 ? Should you activate the cath lab? If not — What next? Figure-1: The initial ECG in today's case — obtained from a middle-aged man with CP for the past 2-3 days.

EKG/ECG 400

EKG/ECG Hospitals 400

Pediatric EM Morsels

JANUARY 19, 2024

If you have ever talked with a pediatric emergency medicine physician about some basic tenets of their practice, one of them will inevitably be, “ Never trust a neonate. ” The first few months of life outside the womb can elucidate a myriad of problems that were previously hidden during the prenatal state. We have previously touched on congenital issues like Congenital Adrenal Hyperplasia , Congenital Pulmonary Airway Malformation , Neonatal Leukemia , and of course there is always the Inconso

Infectious Diseases 269

Infectious Diseases CDC Pediatrics Fractures 269

First 10 EM

JANUARY 15, 2024

We are once again buried in a wave of viral respiratory illnesses, and much of the burden of illness is still COVID. I did a pretty thorough review of all COVID antiviral therapies in 2022, both on First10EM and on the EMCases Journal Jam, but that was 2 years ago. I think most of us […] The post Paxlovid evidence: still very little reason to prescribe appeared first on First10EM.

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Sensible Medicine

JANUARY 16, 2024

Peter Marks, the director of the Center for Biologics Evaluation and Research at the FDA, and Robert Califf, the commissioner of the FDA published a “Viewpoint” article in JAMA on January 5th: Is Vaccination Approaching a Dangerous Tipping Point. The Viewpoint is short and certainly worth a read – probably before getting further in this essay.

Research 136

Research Outcomes Wellness 136

RebelEM

JANUARY 18, 2024

Background: Sepsis remains one of the leading causes of morbidity and mortality. It is well-established that earlier recognition and treatment can lead to better outcome for these patients . Time to antibiotic therapy (from triage, not from onset of infection) has become a quality metric to improve the time to administration of these medications. In an effort to administer antibiotics earlier, many studies have attempted to give antibiotics in the prehospital setting but the benefit of this int

Sepsis 132

Sepsis Hospitals Administration Outcomes 132

Science Based Medicine

JANUARY 14, 2024

The latest report from the American Academy of Pediatrics is filled with misinformation and missing key articles that support the well-researched conclusion that there is no legitimate evidence of negative health effects of glyphosate. The post A good journal breaks bad: AAP spreads misinformation about glyphosate first appeared on Science-Based Medicine.

Pediatrics 131

Pediatrics Research Wellness 131

Stop and Think

JANUARY 14, 2024

Since Andrew Foy and I wrote our Case Against Coronary Artery Scans in an academic journal, the test has only increased in popularity. Grin. The imaging test measures the amount of calcium in the coronary arteries. It’s not covered by health insurers, but smart businesspeople have placed the cost at a manageable $100—which is only a fraction of what you’d be billed for a medical grade CT scan.

Academics 122

Academics Outcomes Wellness 122

St. Emlyn

JANUARY 13, 2024

St.Emlyn's - Emergency Medicine #FOAMed Virchester (the home of St Emlyn’s) is a large conurbation that suffers from many of the issues that affect large urban populations in the western world. One part of that […] The post JC: Intubation for the low GCS tox patient. St Emlyn’s appeared first on St.Emlyn's.

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Science Based Medicine

JANUARY 17, 2024

A new study finds that hospital measures to limit the spread of COVID-19 worked, and we probably should keep them. The post Hospital Measures Prevented COVID Transmission first appeared on Science-Based Medicine.

Hospitals 128

Hospitals 128

Sensible Medicine

JANUARY 15, 2024

Let’s go back in time and look at the evidence behind one of cardiology’s most accepted practices. You might be surprised. I surely was. The practice is the use of beta-blockers after myocardial infarction (MI). I can’t recall seeing a recent post-MI patient who was not on a beta-blocker. It’s a quality measure now. Doctors and hospitals incur penalties if a patient with an MI is not on a beta-blocker—unless there is a darn good reason put down in the chart.

Hospitals 115

Hospitals Wellness 115

Don't Forget the Bubbles

JANUARY 17, 2024

Orbeez, those colourful, water-absorbent polymer beads, have become increasingly popular among children for play and craft activities. However, their small size and appealing appearance can pose significant health risks to young children. What are Orbeez made of? Orbeez are made from a superabsorbent polymer (SAP), primarily composed of cross-linked polyacrylate.

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

Life in the Fast Lane

JANUARY 14, 2024

Oliver Flower Paediatric stroke Stuart Browne is a Neuro Rehabilitation specialist from Sydney. He discusses what “severe disability” really means.

Stroke 111

Stroke Pediatrics Resuscitation 111

Science Based Medicine

JANUARY 15, 2024

An antivaxxer by the 'nym "A Midwestern Doctor" makes an argument that COVID-19 vaccine "shedding" is not impossible despite the basic science that concludes it is. Sound familiar? The post Why antivax arguments for COVID-19 vaccine “shedding” remind me of homeopathy first appeared on Science-Based Medicine.

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Sensible Medicine

JANUARY 17, 2024

This week Freakonomics has an interesting podcast about science. The theme of the episode is why is there so much fraud in our field? The episode details examples of academic papers with fraud — the data were fabricated, and there were many tell tale signatures of fraud along the way. It explores how and why this happens. It centers on the recent scandal of Francesca Gino and Dan Arieli.

Academics 109

Academics Outcomes Wellness 109

St. Emlyn

JANUARY 17, 2024

St.Emlyn's - Emergency Medicine #FOAMed This week we look at a paper from the EMJ that explores what are that main factors influencing retention, working conditions and opportunties in UK emergency medicine. This is timely […] The post JC: Retention, working conditions and opportunities in EM. St Emlyn’s appeared first on St.Emlyn's.

EMS 108

EMS Teamwork 108

Dr. Smith's ECG Blog

JANUARY 13, 2024

Written by Willy Frick A man in his 70s with a history of HFrEF and sick sinus syndrome s/p dual chamber pacemaker placement was admitted for overnight observation following outpatient placement of a mitral valve clip. The procedure note indicates uncomplicated clip placement. The next morning, the following ECG was obtained. What do you think? The tracing shows sinus rhythm with PVCs and non-specific ST&T wave abnormality.

EKG/ECG 109

EKG/ECG Hospitals Fractures Emergency Department 109

Science Based Medicine

JANUARY 16, 2024

Captain, the immune system is boosted, and I donno what to do.Mr. Scott. Starship Enterprise. I think he said boosted. Might be one of those bacon/beer can examples. It is flu and cold season and there are no end of suggestions that one should boost their immune system. Two million hits on the googles for the phrase ‘Boost Immune System’ Everyone from […] The post Boosting.

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Emergency Live

JANUARY 19, 2024

The Commemoration of the Tragic Event that Shook Italy The Remembrance of the Tragedy and its Unfolding On January 18, 2017, a devastating avalanche struck the Rigopiano Hotel, located in the municipality of Farindola, at the foot of the Gran Sasso mountain. It was 4:49 PM when the enormous mass of snow, detached from the […] The post Seven years since the Rigopiano tragedy: remembrance and reflection appeared first on Emergency Live.

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Don't Forget the Bubbles

JANUARY 15, 2024

Melanie Thompson is a paediatrician working in the Kimberley, WA. She is interested in indigenous health and dares you to listen to her talk without itching. Scabies is one of the world’s top 50 infectious diseases , and we thought it deserved the chance to shine. Say hello to our little friend… The Global and Local Impact of Scabies Scabies affects around 100 million people globally at any given time, placing it in the top 50 infectious diseases in terms of disability-adjusted life

Infectious Diseases 101

Infectious Diseases Pediatrics Telemedicine Leadership 101

Stop and Think

JANUARY 17, 2024

Vinay Prasad has an excellent post on Sensible Medicine about scientific fraud. He wrote about a recent Freakonomics podcast about bad science. Outright fraud always gets big attention. Whether it’s scientists making up data or doctors putting in too many stents. And, yes, of course, these are terrible events. VInay is right, though. Outright fraud is not the main problem—neither with science nor healthcare.

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Core Medical Group

JANUARY 19, 2024

Meet Aram, the CEO/President of CoreMedical Group. This series is a spin-off from our Friday's Finest, which initially highlighted our talented recruiters. Now, we're turning the spotlight on our executive team. This provides an opportunity to get to know them personally and understand the factors that contributed to their success!

Leadership 96

Leadership 96

Emergency Live

JANUARY 19, 2024

From Horses to Engines: The Evolution of Emergency Medical Transport The Origins of an Innovation The ambulance, as we know it today, has a long and complex history dating back to the 15th century in Spain, where carts were used to transport the injured. However, the first real step towards modernization occurred in the late […] The post At the dawn of mobile care: birth of the motorized ambulance appeared first on Emergency Live.

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Science Based Medicine

JANUARY 19, 2024

Another year is here, and that means more measles outbreaks here and around the world as far too many children (and some parents) lack protection from the safe and effective vaccine. The post Another Year, Another Measles Outbreak first appeared on Science-Based Medicine.

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PulmCCM

JANUARY 16, 2024

Note: PulmCCM has no affiliation with ATS, ESICU, SCCM or any other professional society. Back in 2017, the American Thoracic Society, the European Society of Intensive Care Medicine, and the Society of Critical Care Medicine together issued a clinical practice guideline for the management of acute respiratory distress syndrome (ARDS). That consensus seems to have frayed over the intervening 7 years.

Research 87

Research Documentation/Coding Outcomes Fractures 87

The Skeptics' Guide to EM

JANUARY 13, 2024

Reference: Snyder BD, Van Dyke MR, Walker RG, et al. Association of small adult ventilation bags with return of spontaneous circulation in out of hospital cardiac arrest. Resuscitation 2023. Date: January 11, 2024 Guest Skeptic: Dr. Chris Root is an EMS fellow in the Department of Emergency Medicine at the University of New Mexico Health […] The post SGEM#426: All the Small Things – Small Bag Ventilation Masks in Out of Hospital Cardiac Arrest first appeared on The Skeptics Guide to Emergency Me

Hospitals 87

Hospitals CPR Resuscitation Airway Management 87

Emergency Live

JANUARY 19, 2024

A Step Forward in the European Union for Health Emergency Preparedness and Response The Creation and Importance of HERA With the establishment of the Health Emergency Preparedness and Response Authority (HERA), the European Union has shown a determined commitment to strengthening its capacity for responding to health emergencies. This initiative, launched by the President of […] The post HERA: Europe's response to health emergencies appeared first on Emergency Live.

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EMDocs

JANUARY 16, 2024

Authors: Christian Gerhart, MD (EM Resident Physician, Washington University in St. Louis); Dr. Jessica Pelletier, DO (EM Attending Physician, Washington University in St. Louis) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case You are working in the trauma/critical care pod of your emergency department (ED). You receive a page for a cardiac arrest and take report from emergency medical services (EMS).

Hyperthermia / Hypothermia 85

Hyperthermia / Hypothermia Resuscitation CPR EMS 85

EB Medicine

JANUARY 18, 2024

In this episode, Sam Ashoo, MD, interviews Vasisht Srinivasan, MD, FACEP one of the authors of the December 2023 Emergency Medicine Practice EXTRA article, Emergency Department Management of Stroke in Pregnant and Postpartum Patients  Epidemiology Evidence Causes Risk Factors Differential Diagnosis Prehospital Care ED History and Physical Exam Labs Imaging ED BP Management Specific Ischemic Stroke Therapies Specific Hemorrhagic Stroke Therapies In this episode, Sam Ashoo, MD, interviews Vasi

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Stroke Emergency Department 83

Science Based Medicine

JANUARY 18, 2024

With the disintegration of Xitter, I’ve turned my social-media attention to what appears to be far more useful waste of time: Reddit. Reddit is amazing in that there’s a subreddit for every possible topic you can think of. The content is human- and not bot-generated, and the best comments rise to the top – based on reader votes. One of the subreddits […] The post Black mold is the new Candida first appeared on Science-Based Medicine.

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Emergency Live

JANUARY 17, 2024

From Early Pioneers to Modern Professionals: A Journey into the History and Current Challenges of Women Firefighters in Europe Pioneers and Historical Paths Women have played active roles in firefighting services long before commonly believed. In Europe, the first example of an all-female firefighting brigade dates back to 1879 at Girton College in the United […] The post Challenges and successes: the journey of women Firefighters in Europe appeared first on Emergency Live.

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Sensible Medicine

JANUARY 18, 2024

Ben Recht is a professor at UC Berkeley. You know, the place that has all those parking spaces for the Nobel laureates. He understands the innards of math. And that is exactly why he explained that doctors who use evidence don’t have to get bogged down in technicalities. I reached out to Ben to discuss a complicated but provocative statistical paper in NEJM evidence.

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ECG Guru

JANUARY 16, 2024

For a better overview, the leads aVF and V2-V4 are not shown in this ECG. The basic rhythm is atrial fibrillation (no P waves or flutter waves visible, but fibrillation waves). When the conduction rate drops, the QRS complexes are narrow. Faster conduction results in wide QRS complexes with LBBB morphology. This is an example of phase 3 (acceleration dependant) LBBB.

EKG/ECG 75

EKG/ECG 75

EM Ottawa

JANUARY 18, 2024

When working up your patient, how often do you think of problems related to the hepatic venous system? Have you suppressed those memories of time spent over your cadaver in medical school learning the anatomy? By the end of this, you will all be newly discovered masters of anatomy and have a framework for how […] The post Liver Let Die? Approach to Splanchnic Vein Thrombosis & Shock Liver appeared first on EMOttawa Blog.

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Shock 74

Emergency Live

JANUARY 17, 2024

Why Every Company Should Invest in First Aid Training The Importance of BLS in the Workplace In the workplace context, employee safety is a fundamental priority. A crucial aspect of this safety is Basic Life Support (BLS) training. These courses not only equip employees with the necessary skills to handle a medical emergency but can […] The post The importance of BLS in the workplace appeared first on Emergency Live.

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Basic Life Support 98

EMCrit

JANUARY 15, 2024

Who gets an ICU bed? EMCrit Project by Scott Weingart, MD FCCM.

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EMDocs

JANUARY 17, 2024

Authors: Sheila Goertemoeller, PharmD, DABAT (Clinical Toxicologist, Cincinnati Drug and Poison Information Center, Cincinnati, OH); Shan Yin, MD, MPH (Medical Director, Cincinnati Drug and Poison Information Center, Cincinnati, OH) // 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

Poisoning 67

Poisoning Seizures Pediatrics EMS 67