Sat.Oct 26, 2024 - Fri.Nov 01, 2024

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The Role Of Postop CT Scan In Penetrating Trauma

The Trauma Pro

CT scans are commonly used to aid the workup of patients with blunt trauma. They are occasionally useful in penetrating trauma, specifically when penetration into a body cavity is uncertain, and the patient has no hard signs that would send him or her immediately to the operating room. Is there any role for CT in operative penetrating trauma, after the patient has already been to the OR?

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Training Healthcare Personnel to Better Serve Seniors and Disabled Patients

American Medical Compliance

A survey reveals that falls are the most frequent health issue affecting seniors in long-term care facilities. Interestingly, while 90% of caregivers feel confident in implementing fall prevention measures, only 60% have adequate knowledge to do so effectively. As the aging population grows, so does the demand for specialized healthcare tailored to the unique needs of seniors and individuals with disabilities, posing new challenges and responsibilities for healthcare providers.

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Delirium revisited

EM Ottawa

Delirium is a medical emergency. It is characterized by acute disturbance of consciousness, with changes in perceptual disturbances and fluctuation of symptoms. Delirium is often the initial manifestation of an underlying acute illness and can be present before fever, tachypnea, tachycardia, or hypoxia. There is an ED prevalence ranging from 7-24%, with increased mortality rates […] The post Delirium revisited appeared first on EMOttawa Blog.

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Lifestyle, Statins, or Both?

Sensible Medicine

The study of the week will take a short break. I head to Curitiba Brazil tomorrow for the Brazilian EP society meeting. I have five lectures. I will be back next week. And there will be plenty of studies to choose from because we are entering the fall season of medical meetings. This week, Sensible Medicine features a guest column from Zachary R. Caverley, a Cardiology Physician Assistant working in the Northwest coast of Oregon.

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Bridging Innovation & Patient Care: The Growing Role of AI

Speaker: Simran Kaur, Co-founder & CEO at Tattva.Health

AI is transforming clinical trials—accelerating drug discovery, optimizing patient recruitment, and improving data analysis. But its impact goes far beyond research. As AI-driven innovation reshapes the clinical trial process, it’s also influencing broader healthcare trends, from personalized medicine to patient outcomes. Join this new webinar featuring Simran Kaur for an insightful discussion on what all of this means for the future of healthcare!

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The PECARN c-spine rule could cause a lot of harm

First 10 EM

As with everything that comes out of the PECARN group, this is a huge study, and is therefore one that everyone needs to know about. That being said, despite working in two very busy community hospitals with a high percentage of pediatrics visits, c-spine injuries are just not an issue I struggle with. I have […] The post The PECARN c-spine rule could cause a lot of harm appeared first on First10EM.

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August 2024 Round-Up – Goldilocks Moments, Nasal Analgesia, and Public Health in the ED

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed All the best from the blog from August 2024, in our easy to digest podcast. The post August 2024 Round-Up – Goldilocks Moments, Nasal Analgesia, and Public Health in the ED appeared first on St.Emlyn's.

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Chemical Burns

Mind The Bleep

Chemical burns are a unique subset of burns that require specialised management due to the nature of the substances involved. Proper initial management is critical to prevent further tissue damage and systemic complications. The majority of acid burns cause coagulative necrosis and cytotoxicity leading to skin and mucosal changes that limit deeper injury.

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Video versus Direct Laryngoscopy for Urgent Intubation of Newborn Infants

EM Ottawa

Methodology: 4/5 Usefulness: 4/5 Geraghty LE, et al. N Engl J Med. 2024 May 30;390(20):1885-1894. doi: 10.1056/NEJMoa2402785. Question and Methods: Study aimed to determine if video laryngoscopy improves first-attempt intubation success in neonates compared to direct laryngoscopy through a randomized controlled trial. Findings: 74% first pass success with video laryngoscopy and 45% with direct laryngoscopy […] The post Video versus Direct Laryngoscopy for Urgent Intubation of Newborn Infa

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The green revolution in operating rooms: reducing water use

Emergency Live

Changing the way surgeons prepare for surgery can reduce water consumption in hospitals A recent study by the Campus Bio-Medico in Rome has revealed an astonishing truth: changing the way surgeons prepare for surgery can drastically reduce water consumption in hospitals. The study For two years, researchers have closely monitored water consumption during thousands of […] The post The green revolution in operating rooms: reducing water use appeared first on Emergency Live.

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Does preventing fevers after strokes protect the brain?

PulmCCM

A majority of patients with significant strokes experience fever within the first week after their vascular injury. The presence, intensity, and persistence of fevers are associated with worse outcomes after strokes of any type. For example: Patients with ischemic strokes who develop fever within the first 24 hours have more than double the risk of death, compared to patients without fevers.

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Ultrasound Case 112

Life in the Fast Lane

Casey Parker and James Rippey Ultrasound Case 112 A 30 year old woman who is currently 30 weeks gestation presents to the ED with abrupt, severe right loin pain.

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How much epinephrine is sufficient?

Emergency Medicine Education

Epinephrine and cardiac arrest: what’s the question? How much epinephrine is enough? Garcia et al. published a retrospective study in AJEM discussing cumulative epinephrine dosage in cardiac arrest. Although the study includes a variety of patient settings, such as CT surgery and cath lab patients, which may not be directly applicable to ED patients, it’s certainly worth a read.

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Smartphone: a new alarm bell for the heart?

Emergency Live

People who spend long hours on their cell phones are more likely to develop heart problems, according to a study In the digital age, our smartphone has become an extension of ourselves, an inseparable companion that accompanies us at every moment of the day. But this intimate relationship could hide risks for our health, especially […] The post Smartphone: a new alarm bell for the heart?

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TRAIN – Transfusion Strategies in Acute Brain Injured Patients

The Bottom Line

Restrictive vs Liberal Transfusion Strategy in Patients With Acute Brain Injury @fabio_taccone. JAMA. 2024. PMID: 39382241 Clinical Question In patients with acute brain injury, does a liberal, compared to a restrictive strategy of blood transfusion, improve neurological outcomes at 180 days?

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How CMOs can combat workplace violence

NRC Health

Addressing workplace violence is an important element of the CMO role at health systems and hospitals, this associate CMO says. The post How CMOs can combat workplace violence appeared first on NRC Health.

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2g or 1+1g TXA in traumatic brain injury?

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed This article reviews a recent study on the use of Tranexamic Acid (TXA) in traumatic brain injury (TBI) patients with intracranial hemorrhage (ICH), focusing on prehospital care. The study, a subgroup analysis from the Prehospital TXA for TBI Trial, compared different TXA dosing regimens and found that a 2-g TXA bolus significantly reduced 28-day mortality compared to placebo.

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Schiena a rischio: una nuova epidemia

Emergency Live

By 2050, back pain could outnumber Alzheimer’s as the leading cause of disability globally Back pain, a nuisance that accompanies many of us in our daily lives, is taking on ever more alarming proportions. According to recent scientific studies, by 2050 it could outnumber Alzheimer’s as the leading cause of disability globally. This should make […] The post Schiena a rischio: una nuova epidemia appeared first on Emergency Live.

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Timothy C. Peck, MD – Full Interview

ACEP Now

ACEP Now : Boarding What obstacles exist in Congress to address hospital boarding? What would be your recommendations on how to address them? ACEP MEMBER TIMOTHY C. PECK, MD (D-IN-9) is running against incumbent Erin Houchin (R-IN-9) and Libertarian Russell Brooksbank (L-IN-9) in southeastern Indiana, a district that includes Bloomington and Indiana’s Louisville suburbs.

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How CMOs can combat workplace violence

NRC Health

Addressing workplace violence is an important element of the CMO role at health systems and hospitals, this associate CMO says. The post How CMOs can combat workplace violence appeared first on NRC Health.

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Ask me anything

Sensible Medicine

Part 3 -- It gets heated

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Life-saving surgical innovation: robotics takes the heart

Emergency Live

Cutting-edge robotic technique for removal of thymus tumours introduced The Molinette hospital in Turin has marked a new milestone in thoracic surgery, introducing a cutting-edge robotic technique for the removal of large-scale thymus tumors. This innovative procedure, never before applied in Italy, represents a decisive breakthrough in the treatment of these pathologies, offering patients a […] The post Life-saving surgical innovation: robotics takes the heart appeared first on Emergency

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Rual Garcia, DO, FACEP – Full Interview

ACEP Now

ACEP Now: What obstacles exist in Congress to address hospital boarding? What would be your recommendations on how to address them? U.S. SENATE CANDIDATE RAUL GARCIA, DO, FACEP (R-WA) is challenging incumbent Maria Cantwell (D-WA) in Washington State. Dr. Garcia has been a successful small business owner of his own medical practice, one of the founding Deans of two medical schools, and the Medical Director of two hospitals.

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HR2025 – Pre- and Post-Courses #HR25

Thinking Critical Care

These are without a doubt some of the hidden gems of any boutique conference. At H&R we’ve always had a great time with these, time for instructors to pass on some really actionable, hands-on skills to a small group of really motivated clinicians. BJJ or Self-Defense for Humans & Health Care Workers – we feel that BJJ is a natural companion to medicine.

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EMCrit 387 – Emergency Department Charting for Legal Protection and Patient Safety

EMCrit

Chart to protect yourself and your patients! EMCrit Project by Scott Weingart, MD FCCM.

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New hope against lung cancer: the revolution of the Veronesi Foundation

Emergency Live

The Umberto Veronesi Foundation has launched a research project dedicated to lung cancer Lung cancer, a formidable opponent, is finally meeting stronger resistance thanks to the relentless work of the scientific community. The Umberto Veronesi Foundation, at the forefront of the fight against cancer, has launched an ambitious five-year research project specifically dedicated to lung […] The post New hope against lung cancer: the revolution of the Veronesi Foundation appeared first on Emerg

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Is There a Role for Vitamins in the Management of Alcohol Use Disorder?

Clinical Correlations

By Chloe Fong Peer Reviewed The correlation between vitamin deficiency and alcohol use disorder (AUD) has been well documented in the literature, with a study from 1963 finding that 70% of patients admitted to the hospital.

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Technology in Health Care: Virtual Evening Rounds at Santa Cabrini ICU. #FOAMed, #FOAMcc

Thinking Critical Care

( version francaise ci-dessous ) At our hospital, typical of community hospital intensive care units that do not have an extensive structure of junior and senior trainees who generally staff the university hospitals after hours, medical coverage depends on collaboration between nurses and intensive care doctors as well as their emergency room colleagues.

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Education Day – Wednesday, 6th November 2024

Greater Sydney Area HEMS

Visit the post for more.

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Grand Rounds Recap 10.23.24

Taming the SRU

morbidity and mortality - r2 cpc - r3 taming the sru: methemoglobinemia - r4 capstone: rural em Morbidity and mortality WITH dr. Gobble Case #1: Abdominal Pain Hypertriglyceride induced pancreatitis is the 3rd most common cause for acute pancreatitis​ Hypertriglyceridemia is defined as fasting triglyceride levels >150, but pancreatitis does not typically occur until levels >1000​ Triglycerides are not inherently toxic to the pancreatic acinar cells, but their breakdown into free fatty ac

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Airway anatomy

PHARM

Visit the post for more.

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Imaging Case of the Week 608

EMergucate

The following chest x-ray is from an elderly patient with cough & dyspnoea.

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238. Live from Maine! Envenomation at the beach

Board Bombs

We are live from Maine while at our podcast retreat (yes thats a thing). Lets talk about a classic envenomation. Plus we have a surprise guest join us. Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind at here. Cite this podcast as: Briggs, Blake; Husain, Iltifat. 238. Stabbed at the beach?

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AHA On Asymptomatic HTN | Discharged Severe HTN Outcomes

JournalFeed

The JournalFeed podcast for the week of Oct 21-25, 2024. 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. Monday Spoon Feed : This article emphasizes the difference between hypertensive emergency and asymptomatic elevated blood pressure (BP). While hypertensive emergency requires prompt treatment to lower BP, treatment of asymptomatic elevated BP in acute care settings may be harmful.

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ABC-SEPSIS trial for albumin in septic shock

PulmCCM

Neither of two large randomized trials in the 2000s showed a benefit from albumin solutions as a resuscitation fluid for patients with septic shock. Significant uncertainty remained, though, as we discussed further here: Another randomized trial was therefore performed, dubbed ABC-SEPSIS.

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Lab case 452

EMergucate

17-year-old boy with wrist fracture. This patient became blue during manipulation of the fracture under bier’s block anaesthetic effect.

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Mastering the emergency airway with a true master !

PHARM

[link] The airway legend

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