Sat.Aug 31, 2024 - Fri.Sep 06, 2024

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When To Call Your Urology Consultant

The Trauma Pro

Trauma professionals don’t always know everything. Sometimes we have to engage a specialist in the care of our patient. And unfortunately, we don’t always know which conditions demand immediate attention and which can wait. This can lead to overuse of our consultant colleagues and calls at inappropriate times. So what if we diagnose an injury in their area of expertise at 2 am?

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ECG Blog #446 — What Kind of SVT?

Ken Grauer, MD

You are shown the ECG in Figure-1 — told only that the patient had a “continuous" tachycardia. QUESTIONS: How would YOU interpret the ECG in Figure-1 ? What is the differential diagnosis? — Treatment? Figure-1: The initial ECG in today's case. ( To improve visualization — I've digitized the original ECG using PMcardio ). MY Thoughts on the ECG in Figure-1: The rhythm in Figure-1 — is a regular SVT ( S upra V entricular T achycardia ) at a rate just under 150/minute , without clear sign of sinus

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An Open Letter to the President of Stanford, Jonathan Levin: Don’t Censor Drs. Scott Atlas, John Ioannidis, Sunetra Gupta, Marty Marky, Monica Gandhi, Jay Bhattacharya, and Vinay Prasad. Amplify Their Voices.

Science Based Medicine

I trust you'll have the intellectual integrity to play videos of these speakers. Anything less, would be misinformation and censorship. The post An Open Letter to the President of Stanford, Jonathan Levin: Don’t Censor Drs. Scott Atlas, John Ioannidis, Sunetra Gupta, Marty Marky, Monica Gandhi, Jay Bhattacharya, and Vinay Prasad. Amplify Their Voices. first appeared on Science-Based Medicine.

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Elle Macpherson Made a Reasonable Choice, and Naturopathic Medicine Did Not Help

Sensible Medicine

The lay media is abuzz with stories about Elle Macpherson, who admits in a new memoir to declining chemotherapy seven years ago. Although precise details are not provided, it sounds like Ms. Macpherson had localized or regional breast cancer and underwent surgery. We learned something about the risks of commenting on the health of celebrities over a decade ago when an OpEd we published in Washington Post about former president George W.

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The Ducanto Catheter—It Sucks!

RebelEM

Background: Emergency intubations present a unique set of challenges, particularly when dealing with heavily contaminated airways. Anesthesiologist, Dr. James DuCanto, developed the DuCanto catheter to enhance airway management in these high-stakes situations. The commonly used 14 Fr Yankauer catheter, with its smaller bore, may struggle to clear heavily contaminated airways effectively.

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Seizure in a 30 something

Dr. Smith's ECG Blog

Written by Magnus Nossen — with edits by Grauer. The patient in today’s case is a 30-something female. She has no known previous medical history. Her husband called EMS when the patient experienced new onset seizures accompanied by micturition. The ECG below was recorded by EMS. What is your assessment? ECG #1 Interpretation: ECG #1 shows sinus rhythm at a heart rate of 77 bpm.

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Biosafety Now: Releasing The Virus Was Mass Murder. Intentionally Spreading It Was Forgivable.

Science Based Medicine

I suppose it's my turn to be called a fraudster, liar, perjurer, felon, grifter, stooge, imbecile, and maybe even murderer. What I won't get is a reasonable explanation as to why supposedly releasing a deadly virus was mass murder, but intentionally spreading it was a forgivable "policy position". The post Biosafety Now: Releasing The Virus Was Mass Murder.

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EMCrit 383 – The Ultrasound Hierarchy of Needs in Cardiac Arrest with Mike Prats

EMCrit

Learn about how to use ultrasound during cardiac arrest EMCrit Project by Scott Weingart, MD FCCM.

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Why the sudden shock after a few days of malaise?

Dr. Smith's ECG Blog

Written by Magnus Nossen - Edits by Grauer and Smith The patient in today’s case is a woman in her 70s with a previous medical history of HTN and hyperlipidemia. She presented to an outside hospital after several days of malaise and feeling unwell. At the time of admission, her vital signs were normal. Heart rate was in the 80s. She had a very elevated troponin T at 12,335 ng/L at the time of presentation. ( This is a value typical for a large subacute MI, n ormal value 48 hours after myocardial

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First10EM Journal Club: August 2024

Broome Docs

Welcome to another month of nerdy journal jam goodness. This month Justin has served up an eclectic collection of evidence, ethics and educational excellence. As always – we have the full PDFs liked below and you can read more deep thoughts over at First10EM where Justin likes to inconvenience a lot of electrons in his pursuit of educational elegance.

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Doctors Should be Political, but not Political as Doctors

Sensible Medicine

As seems to be the norm on Sensible Medicine these days, whenever John, Vinay, or I publicly disagree with one another, one of our readers chimes in to explain how all of us are off the mark. Today I am happy to post the latest comeuppance, this one by Dr. Thomas Huddle. Adam Cifu Sensible Medicine is a reader-supported publication. If you appreciate our work, consider becoming a free or paid subscriber.

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Sometimes It's More than Just a Nosebleed

Emergency Medicine News

An abstract is unavailable.

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2024 ACEP Elections Preview: Meet the Board of Directors Candidates

ACEP Now

Jennifer J. Casaleto, MD, FACEP (North Carolina) Current Professional Positions: Emergency Medicine Physician, CirrusMD and Mid-Atlantic Emergency Medical Associates (MEMA); Adjunct Clinical Faculty Physician, Atrium Health’s Carolinas Medical Center Internships and Residency: Emergency Medicine Residency, Carolinas Medical Center (2003) Medical Degree: MD, Vanderbilt University School of Medicine (2000) Response Similar to most member organizations, ACEP experienced membership decline associate

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JC: The patient experience in the Emergency Department.

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed @LizCrowe2 gives us a fantastic critical appraisal of an EMJ paper discussing the patient experience in the emergency department. A qualitative study gives real insight into the patient experience. #FOAMed @stemlyns The post JC: The patient experience in the Emergency Department. appeared first on St.Emlyn's.

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Quoth Myrna Mantaring: “US government data” confirms a “143,233% increase in cancer cases due to COVID vaccination”? I answer with a plea for math-based reality checks.

Science Based Medicine

Myrna Mattaring, a retired scientist who worked in diagnostic labs, claims that COVID-19 vaccines caused a 1432% increase in cancer cases, a clearly impossible claim. Here I make a plea for examining such claims, including a much more famous and accepted one, with basic math. The post Quoth Myrna Mantaring: “US government data” confirms a “143,233% increase in cancer cases due to COVID vaccination”?

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ABEM to Overhaul Certification Exam in 2026

Emergency Medicine News

An abstract is unavailable.

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ICU Physiology in 1000 Words: The Venous Excess Ultrasound Score Is Not the Mean Systemic Pressure

PulmCCM

Jon-Emile S. Kenny MD [ @heart_lung ] Since its first description [1], the Venous Excess Ultrasound Score [VExUS] has received much research attention. Very simply, VExUS combines the size of the inferior cava [IVC] with Doppler patterns from the hepatic, portal and intrarenal veins. From these measures a score from 0 to 3 is given as a marker of increasing ‘venous congestion [VC].’ But what exactly does VC mean?

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EMCrit RACC Lit Review – September 2024

EMCrit

All the Resuscitation and Acute Critical Care goodness in the literature for September 2024 EMCrit Project by Scott Weingart, MD FCCM.

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PECARN STELAR Podcast – Episode 3: PEM Disparities

EMDocs

The emDOCs.net team is very happy to collaborate with PECARN STELAR (Seattle, Dallas/Texas, and Los Angeles) Node and the Emergency Medical Services for Children Innovation and Improvement Center (EIIC) in presenting high-yield pediatric topics that highlight evidence based medicine with solid research. This podcast on health equity and the impact of standardized clinical care pathways and decision support tools embedded in the electronic health record (EHR).

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The Cutting Edge of Cardiac Care

Emergency Medicine News

An abstract is unavailable.

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LLMs: Fighting Fire with Fire

Science Based Medicine

Using LLM tools to tackle AI-driven science misinformation head-on The post LLMs: Fighting Fire with Fire first appeared on Science-Based Medicine.

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How can we do better as a county hospital?

Sensible Medicine

My lecture to the cancer care staff at a county hospital.

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emDOCs Videocast: EBM Update #3 – ANNEXA-1 and DOAC Reversal in ICH

EMDocs

Welcome to the emDOCs Videocast – please subscribe to our YouTube channel. These videos will cover post summaries, take homes on clinical condition, and EBM/guideline literature updates. Today we focus on Andexanet versus 4F-PCC for reversal of DOAC-associated intracerebral hemorrhage (ICH). EBM Update: ANNEXA-1 and DOAC Reversal in ICH Article: Connolly SJ, Sharma M, Cohen AT, et al; ANNEXA-I Investigators.

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A Tip You May Not Know for Orbital Blowouts

Emergency Medicine News

An abstract is unavailable.

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WHO Systematic Review of RF and Cancer

Science Based Medicine

In our increasingly technological we are constantly exposed to radio frequency electromagnetic waves (RF-EMF). It would certainly be inconvenient, to say the least, if this ubiquitous and essential technology had negative health effects. But of course we would need to know if this were the case so that steps could be taken to fix it. Fortunately, a recent systematic review conducted by […] The post WHO Systematic Review of RF and Cancer first appeared on Science-Based Medicine.

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The First10EM monthly wrap-up for summer 2024

First 10 EM

The First10EM monthly (or I guess seasonal this time) wrap up is a place for me to share updates about the website, about my academic life, and also interesting content, such as books, podcasts, and other FOAMed, that I have encountered in the prior month. Obviously the format means the focus is mostly on content […] The post The First10EM monthly wrap-up for summer 2024 appeared first on First10EM.

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The Private Equity Wave in Health Care

ACEP Now

Hahnemann University Hospital in Philadelphia closed in 2019, a year and a half after it was acquired along with St. Christopher’s Hospital for Children by private equity (PE) firm Paladin Healthcare Capital for 170 million dollars. Of that total, 120 million dollars were new loans taken out against the assets of the hospitals with interest rates around 10 percent. 1 Immediately after the purchase, the real estate holdings of the hospitals were spun off into a separate company owned by Paladin a

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Your Patient is ‘Drunk’ but Didn't Drink Alcohol

Emergency Medicine News

An abstract is unavailable.

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Why Pediatric Rare Medicine is Like Timeshare Sales

Sensible Medicine

It is well-recognized that our commercial drug development process, a process that has led to so many nearly miraculous advancements, serves people with rare diseases poorly. Kate Edwards’ experiences are ones that I could not have guessed were possible. Adam Cifu Sensible Medicine is a reader-supported publication. If you appreciate our work, consider becoming a free or paid subscriber.

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Transforming patient experience through an innovative engagement center

NRC Health

Brooke Howard, Vice President of Operations at Tidelands Health shares how the system's patient connections team embarked on a transformative journey to enhance the patient experience. The post Transforming patient experience through an innovative engagement center appeared first on NRC Health.

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Happy Birthday One Hundred Eighteen of Cagliari

Emergency Live

Cagliari March 29, 2024 Nearly 40 years have passed since the 1985 experience with the three PMAs around the Basilica of Bonaria, on the occasion of Pope Wojtyla’s visit. In the meantime, after 14 years since Oct. 20, 1985, on March 29, 1999, Cagliari’s 118 service began. The occasional fact On the morning of March […] The post Happy Birthday One Hundred Eighteen of Cagliari appeared first on Emergency Live.

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Oh, for the Days of Paper Prescriptions

Emergency Medicine News

An abstract is unavailable.

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The 84th Bubble Wrap

Don't Forget the Bubbles

With millions of journal articles published yearly, it is impossible to keep up. This time, Doctors from ‘The Bridge ‘ tell us what is new in the world of paediatric literature… The Bridge: Is a Post Graduate Doctor in Training (PGDiT) -led paediatric research forum in Yorkshire and Humber, UK, with the aim of bridging the gap in research access amongst PGDiT.

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Protected: SCGHED Newsletter 09/24

SCGH ED

There is no excerpt because this is a protected post. The post Protected: SCGHED Newsletter 09/24 appeared first on Charlie's ED.

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Fire on Mount Cimadors: 100 hectares burned

Emergency Live

The flames spread rapidly over rough terrain, defying any attempt to contain Mount Cimadors, once a lush green lung of Friuli, is now marked by deep scars. A fire, which was set off by lightning on 19 August, has devastated over 100 hectares of forest, leaving behind a lunar landscape and a community in distress. […] The post Fire on Mount Cimadors: 100 hectares burned appeared first on Emergency Live.

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Take an Adventure in Rural Locums (Just Don't Poke Any Woodchucks)

Emergency Medicine News

An abstract is unavailable.

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UCEM says No to Softness

Life in the Fast Lane

Mike Cadogan UCEM says No to Softness The Utopian College of Emergency for Medicine (UCEM) is proud to announce a new policy pertaining to the discipline of peri-departmental medicine. Until now, the softest admissions - such as the Patient Without Discernible Pathology (PWDP) - have been the toughest dispositions.

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