Pediatric EM Morsels
JULY 19, 2024
Previously, we covered Post-Tonsillectomy Hemorrhage and how we hope that “all bleeding eventually stops: ideally, by means that we have imposed rather than by exhaustion of the patient’s RBC resources.” Since the original morsel ( way back in 2012 ), the literature has shown that there are a few extra ingredients that we can add to our morsel recipe when we care for children with post-tonsillectomy hemorrhage.
Ken Grauer, MD
JULY 18, 2024
How would YOU interpret the rhythm in Figure-1 — if you were sent this tracing without the benefit of any history? Figure-1: How would YOU interpret this rhythm? The "Quick" Answer: My initial thoughts on the rhythm in Figure-1 : The rhythm in Figure-1 is not completely regular. That said — the R-R interval for the first 5 beats looks regular. The R-R interval for the last few beats is shorter than this — but also regular.
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The Trauma Pro
JULY 16, 2024
Every trauma center is required to have two specific committees: a multidisciplinary trauma performance improvement committee (PI) and a trauma operations committee (ops). However, a common question is, “How often do my committees need to meet?” Let’s start with your PI committee. The answer, of course, is “it depends.” There is no cookie-cutter, one-size-fits-all answer.
St. Emlyn
JULY 14, 2024
St.Emlyn's - Emergency Medicine #FOAMed Background – What do we already know about REBOA? In 2023, Dr Zaf Qasim reviewed the UK REBOA trial for us on St Emlyn’s (The UK-REBOA trial – Has the […] The post JC: Prehospital Partial Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) for Exsanguinating Subdiaphragmatic Hemorrhage appeared first on St.Emlyn's.
Sensible Medicine
JULY 15, 2024
The GLP1 agonists (glucagon-like-peptide-1-receptor agonist) may be the biggest medical development of this century. The success of Western society has resulted in widespread obesity—and obesity-related diseases, such as diabetes, high blood pressure, heart failure and vascular disease. Obesity is clearly not a good thing for human health. The statistics on obesity—especially in children—are staggering.
The Bottom Line
JULY 19, 2024
In critically ill patients undergoing tracheal intubation does pre-oxygenation with non-invasive ventilation compared with pre-oxygenation with an oxygen mask reduce the incidence of hypoxemia during intubation?
The Trauma Pro
JULY 19, 2024
In my last post, I discussed how often your multidisciplinary trauma performance improvement committee (PI) should meet. As you know, one other mandatory committee is required of all trauma centers, the Trauma Operations Committee (Ops). In this post, I will: describe how often your operations committee should meet help you determine whether your two committees should meet on the same day or separately How Often?
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
NIOSH Science Blog
JULY 15, 2024
A Discussion Paper, Streamlining Regulatory Oversight of Respirators Used in Health Care Settings will Improve Worker Protection, was recently published in the National Academy of Medicine’s NAM Perspectives journal by respiratory experts outside of the federal government. This paper highlights continued confusion amongst interested parties including health care organizations and manufacturers seeking approval regarding federal regulations and guidance on the use of air-purifying respirators (AP
Emergency Live
JULY 18, 2024
In Nova Siri, Matera province, where two firefighters lost their lives while fighting a vegetation fire Yesterday afternoon in Nova Siri, Matera province, two firefighters lost their lives while engaged in extinguishing a vegetation fire. The victims, Nicola Lasalata and Giuseppe Martino, both 45 and originally from Matera, were part of the Policoro detachment.
Critical Care Now
JULY 14, 2024
Reading Time: 3 minutes Extracorporeal cardiopulmonary resuscitation (eCPR) has been somewhat of a controversial topic in the intensive care community over the years, with observational and randomized controlled trials (RCTs) swinging the pendulum of scientific consensus back and forth from “hugely beneficial” to “expensive, without significant benefit”.
Science Based Medicine
JULY 18, 2024
Despite the hype, there is no evidence to show magnesium oil is effective for any purpose. The post Magnesium oil: Not so magical first appeared on Science-Based Medicine.
Northwestern EM Blog
JULY 15, 2024
Written by: Hart Edmonson, MD (NUEM ‘27) Edited by: David Adler, MD (NUEM ‘25) Expert Commentary by : Anthony J. Esposito, MD Expert Commentary Thank you to Drs. Edmonson and Adler for this infographic that concisely emphasizes key concepts for the recognition and initial management of acute respiratory distress syndrome (ARDS) in the Emergency Department.
Emergency Live
JULY 15, 2024
In order to have the best vacation and a well-deserved rest, you need to be prepared for anything. A well-stocked first aid kit can make the difference After a long period of work, a nice trip and a well-deserved vacation are ideal for relaxing and recharging. But in order to fully enjoy your vacation, it […] The post Vacation first aid kit: your personal pharmacy on the road appeared first on Emergency Live.
Taming the SRU
JULY 17, 2024
Rout G, Shalimar, Gunjan D, et al. Thromboelastography-guided Blood Product Transfusion in Cirrhosis Patients With Variceal Bleeding. J Clin Gastroenterol 2019;54(3):255–62. This study was a single-center, prospective, open-label, randomized controlled trial of patients with cirrhosis and acute variceal bleeding. Patients were randomized to blood product resuscitation guided by either TEG parameters or conventional coagulation tests (INR, platelet count, and fibrinogen).
Science Based Medicine
JULY 15, 2024
Vaccine scientist Stanley Plotkin coauthored a commentary on vaccine postlicensure studies. Antivax lawyer Aaron Siri tries to spin it as an "admission" that vaccines aren't safe. Predictable. The post Aaron Siri vs. Stanley Plotkin on post-licensure safety monitoring of vaccines first appeared on Science-Based Medicine.
EMCrit
JULY 18, 2024
A great rural medicine critical care cards case EMCrit Project by Scott Weingart, MD FCCM.
Emergency Live
JULY 16, 2024
Nearly 1,000 pilgrims have died in Saudi Arabia due to extreme temperatures. Once again, high temperatures are having a dramatic impact on human health Mecca: The carnage of high temperatures During the annual Hajj pilgrimage to Mecca, a tragic heat wave hit Saudi Arabia killing nearly 1,000 people. The extreme temperatures, which exceeded 50 degrees, […] The post Killer heat hits Mecca: how to cope with high temperatures appeared first on Emergency Live.
First 10 EM
JULY 15, 2024
Some big and potentially practice changing articles this month. (I tend to read ridiculous articles in my free time, which I have had very little of, and so there are no intubation in outer space or highly philosophical papers about the language this month. Don’t worry, there is still a very bad joke.) BiPAP for […] The post Research Roundup (July 2024) appeared first on First10EM.
Science Based Medicine
JULY 19, 2024
More people, mostly kids, are drowning these days, in no small part because of the pandemic. The post Drowning Deaths Continue Post-Pandemic Rise first appeared on Science-Based Medicine.
Dr. Smith's ECG Blog
JULY 14, 2024
Sent by anonymous, written by Pendell Meyers Case 1: A man in his 50s presented with acute chest pain. Normal vital signs. Here is his ECG at triage: What do you think? Here's what Version 1 QOH thinks: It is diagnostic of acute LAD OMI, with the precordial swirl pattern. See this post if you dont know that pattern yet: Precordial Swirl -- 20 cases of Swirl or Look-Alikes Here was a repeat ECG done within 20 minutes (still with ongoing pain): It still looks like active OMI to me, but perhaps sli
EM Ottawa
JULY 18, 2024
In case you missed it, in part 1 of this series, Dr. Zworth discussed the increasing prevalence of invasive Group A Strep (iGAS), the mounting public health concern, recognition, and diagnosis. In this post, we focus on management, the treatment of (strep) pharyngitis, and post-exposure prophylaxis. Take home #5: The four pillars of iGAS management […] The post Invasive Group A Strep (iGAS).
Stop and Think
JULY 17, 2024
With age, I have come to appreciate the value of reading and knowing the evidence underpinning what we do in cardiology. The thing is that cardiology requires a lot of technical learning. To read images or perform procedures, you have to master specific tasks. Forging these neural pathways takes a lot of effort and time, especially for new learners.
Sensible Medicine
JULY 14, 2024
Recently, I read an article on “toxic” quizzing. It’s was about attendings asking trainees questions in a mean way. Does it happen? Yes, of course. When I was a medical student, there was only one drug approved for HER-2 positive breast cancer. It was traztuzumab (this was before lapatinib). A breast surgeon, known for pimping, asked me about it in the OR.
EMCrit
JULY 17, 2024
Q&A for July 2024 EMCrit Project by Scott Weingart, MD FCCM.
Science Based Medicine
JULY 16, 2024
Perhaps the EKG of my bulldog. TCPM wouldn't have a clue what was going on. The post Pulse Diagnostics first appeared on Science-Based Medicine.
The Bottom Line
JULY 17, 2024
What’s new in the Critical Care literature – monthly updates
Sensible Medicine
JULY 19, 2024
PT is a 62-year-old man referred for an initial clinic visit by the medical center president. He is an executive at a Fortune 500 Company, a large donor to the University, and a member of the hospital board of directors. He is healthy, comes to the visit impeccably dressed, and knows exactly which tests are warranted – some which the doctor also recommends.
NRC Health
JULY 16, 2024
Seize the opportunity to be motivated by Doctor Mike’s insights and forward-thinking vision to revolutionize healthcare one viewer at a time. Join us on this journey toward improved health, powered by data-driven solutions and collaborative efforts. The post Global healthcare leader and lifestyle expert Doctor Mike announced as HUB24 keynote appeared first on NRC Health.
EMDocs
JULY 13, 2024
Authors: Haley Sinatro, MD (EM Resident Physician, UTSW EM); Alan John, MD (Assistant Professor, UTSW EM) // Reviewed by: Sophia Görgens, MD (EM Physician, Northwell, NY); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providing an expedited review of clinical basics.
The Bottom Line
JULY 17, 2024
What’s new in the Critical Care literature – monthly updates
Dr. Smith's ECG Blog
JULY 16, 2024
This is the prehospital ECG from an 81 year old man with acute chest pain. You will need to click on it to enlarge it in order to see it well enough What do you think? The medics did NOT activate the cath lab. But the paramedic got "told off" by ER staff saying they should have called the Cath lab saying it’s an inferior MI". ECG: There is what appears to be STE in inferior leads with reciprocal STD in aVL.
NRC Health
JULY 18, 2024
Patient income in med-surg units hinges on efficient communication between physicians and nurses. Any lapses can significantly sway patient outcomes. Recognizing the importance of clear communication across the care team, UCI Health set out to enhance these communication channels. The post UCI Health communication strategy elevates patient experience appeared first on NRC Health.
St. Emlyn
JULY 16, 2024
St.Emlyn's - Emergency Medicine #FOAMed Listen to a podcast about looking after patients with hybrid closed loop insulin pumps and what might go wrong The post Podcast – Hybrid Closed Loop Insulin Pumps in the ED appeared first on St.Emlyn's.
The Bottom Line
JULY 15, 2024
In patients with spontaneous intracranial haemorrhage (ICH), does the use of early minimally invasive surgery + standard management compared to standard management alone, result in better functional outcomes at 180 days?
Medical Law
JULY 19, 2024
Santa Barbara is a haven for bicyclists, attracting both locals and tourists with its scenic routes and bike-friendly initiatives. The city’s mild climate and picturesque coastline make cycling an appealing mode of transportation and recreation year-round. On weekends, it is common to see families, fitness enthusiasts, and tourists exploring the city and its surroundings on two wheels.
Emergency Live
JULY 19, 2024
From Oct. 4-6, the REAS 2024 international trade fair presents the latest technologies and new aircraft dedicated to fighting wildfire The twenty-third edition of the REAS 2024 International Emergency Exhibition will be held from October 4 to 6 at the Montichiari (Brescia) Exhibition Center. The fair presents itself as an opportunity to discover the latest […] The post REAS 2024 unveils new aircraft, helicopters and seaplanes for forest firefighting appeared first on Emergency Live.
Total Medical ComplianceHIPAA
JULY 19, 2024
HIPAA: Do surveillance cameras breach HIPAA regulations? Since HIPAA mandates the confidentiality of protected health information (PHI), installing video cameras can result in a violation if they are not placed correctly or used appropriately. Infection Control: What is the difference between universal, standard, and transmission-based precautions in preventing the spread of infection?
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