Sensible Medicine

MARCH 4, 2024

Studies that tempt me to change my mind are worth telling you about. The story this week centers on the use of aspirin for prevention of cardiac events in people without heart disease. I used italics because this story ONLY applies to people without heart disease—so called primary prevention. In 2018, the NEJM and the Lancet published three trials that randomized tens of thousands of patients without heart disease to either low-dose aspirin or a placebo.

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The Skeptics' Guide to EM

MARCH 2, 2024

Reference: Gibbons et al. The sonographic protocol for the emergent evaluation of aortic dissections (SPEED protocol): A multicenter, prospective, observational study. AEM February 2024. Date: February 28, 2024 Guest Skeptic: Dr. Neil Dasgupta is an emergency medicine physician and ED intensivist from Long Island, NY. He is the Vice Chair of the Emergency Department at Nassau University […] The post SGEM#432: SPEED, Give Me What I Need – To Diagnose Acute Aortic Dissections first appeared on Th

Emergency Department 131

Emergency Department Stroke Operations Hospitals 131

Dr. Smith's ECG Blog

MARCH 4, 2024

I have often written about how an ECG interpreted as "normal" by a conventional algorithm may well be manifesting OMI, or even long QT or hyperkalemia. I have collected 51 OMI cases that were diagnosed as completely normal by the conventional automated computer algorithm. Shifa Karim and Gabe Keller helped with a project to assess all these ECGs with the Queen of Hearts.

EKG/ECG 128

EKG/ECG Documentation/Coding Wellness Resuscitation 128

St. Emlyn

MARCH 8, 2024

St.Emlyn's - Emergency Medicine #FOAMed Is mechanical CPR associated with improved or worse outcomes in in-hospital cardiac arrest. #FOAMed @stemlyns The post Is mCPR associated with better outcomes for in-hospital cardiac arrest? St Emlyn’s appeared first on St.Emlyn's.

Outcomes 124

Outcomes Hospitals CPR Research 124

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!

Outcomes

Sensible Medicine

MARCH 2, 2024

Since the start of the pandemic, I have written 200 op-eds on COVID-19 policy and published 20+ peer reviewed articles. I was opposed to school closure, masking kids, vaccine mandates, especially for young men in college who already had COVID-19, and took on many other controversial topics. Yet, from 2020-2022, I was not asked to debate these topics at any university.

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First 10 EM

MARCH 4, 2024

This is an invited guest post by Dr. Cory Rohlfsen (@CoryRohlfsen) based on an interesting twitter thread of his from a few month back. Dr. Rohlfsen is a hybrid internal medicine clinician at the University of Nebraska Medical Center. He splits his time between hospitalist duties and primary care clinic. He is passionate about fostering […] The post Diagnostic reasoning as artificial intelligence emerges: a distributed cognition framework appeared first on First10EM.

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EMCrit

MARCH 8, 2024

NephMadness hits EMCrit with RRT for the Poisoned Patient EMCrit Project by Scott Weingart, MD FCCM.

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Poisoning 120

EMDocs

MARCH 2, 2024

Authors: Mounir Contreras Cejin, MD (EM Resident Physician, UT Southwestern – Dallas, TX); Felipe Gonzalez Gutierrez (Medical Student, UT Southwestern – Dallas, TX); Emmanuel Ohuabunwa, MD, MBA (Attending Physician, UT Southwestern – Dallas, TX) // 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

EMS 119

EMS Fractures Seizures Head Injuries 119

ALiEM

MARCH 5, 2024

Which medication can be derived from the bark of the pictured tree? Aspirin Atropine Colchicine Quinine Reveal the Answer 1. Aspirin Background The photo shows a weeping willow, a member of the Salix genus of trees. Willow tree bark contains salicin from which aspirin (acetylsalicylic acid) can be derived. For over 3500 years, willow bark has been used as a traditional medicine to treat fevers and pain [1].

Hyperthermia / Hypothermia 114

Hyperthermia / Hypothermia Anaphylaxis Poisoning Administration 114

The Trauma Pro

MARCH 8, 2024

Medicine, in general, and trauma care, specifically, require frequent communication. These communications may be between two providers to maintain continuity of care or between providers and patients to explain it. Unfortunately, the Joint Commission has identified breakdowns in the process as a root cause of preventable events and a significant factor in preventable death.

EMS 113

EMS Wellness 113

EM Ottawa

MARCH 7, 2024

In this post, we will sink our teeth into some details around venomous snake bites that all emergency clinicians should be aware of regardless of their location of clinical practice. Although the incidence of venomous snake bites in Canada is rare, this should be considered a HALO (high acuity low occurrence) presentation for which you […] The post Venomous Snake Bites: The Fangs, The Guidelines, The Myths appeared first on EMOttawa Blog.

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Hospitals Resuscitation 107

EMDocs

MARCH 6, 2024

Today on the emDOCs cast we cover lower GI bleeding and what you need to know regarding diagnosis and treatment. Episode 96: Lower GI Bleeding Background: Defined as bleeding distal to the ligament of Treitz. Over 110,000 admissions and 270,000 ED visits in the U.S. annually. Etiologies: anatomic (e.g., diverticular bleeding), vascular (e.g., angiodysplasia, ischemic), inflammatory (e.g., infectious, inflammatory bowel disease), and neoplastic.

Blood Transfusions 105

Blood Transfusions Outcomes Resuscitation Radiology 105

RebelEM

MARCH 6, 2024

REBEL Core Cast 119.0 – Sleep Hygiene Click here for Direct Download of the Podcast Employ sleep strategies: Anchor sleep: a period of sleep that overlaps each day regardless of your night shift schedule to provide a guidepost for your body clock. Ideally would overlap with when you would normally be asleep if you were not on night shift. Split sleep: sleep 3-4 hours immediately after shift then another 3-4 hours immediately before shift Melatonin timing/dosing: Most sleep specialists rec

Leadership 101

Leadership Hospitals EMS 101

The Trauma Pro

MARCH 5, 2024

Damage control surgery is now over 30 years old! We continue to refine the techniques and closure techniques/devices, and have developed novel ways to speed closure of the abdominal wall in order to avoid pesky hernias. But the process itself is time intensive, and typically several days pass with regular returns to OR until closure is achieved. This is one of the prime areas in which human error can occur , especially with modern service-style coverage of trauma patients.

Leadership 113

Leadership Operations Hospitals Wellness 113

Emergency Live

MARCH 8, 2024

An Essential Guide to Making Informed Choices In the landscape of healthcare professions, 2024 marks a turning point in terms of demand and career opportunities across Europe, including Western European nations. This guide explores the most sought-after professions, providing valuable information for those seeking a career path in the healthcare sector.

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EMDocs

MARCH 4, 2024

Authors: Amelia Campbell, MD (EM Resident Physician, Carl R. Darnall Army Medical Center) and Alec Pawlukiewicz, MD (EM Attending Physician, Carl R. Darnall Army Medical Center) // Reviewed by: Joshua Lowe, MD (EM Attending Physician, USAF); Marina Boushra (EM-CCM, Cleveland Clinic Foundation); Brit Long, (@long_brit) Disclaimer: The views expressed in this post are those of the authors and do not reflect the official policy or position of the Department of the Army, DoD, or the US Government.

Emergency Department 105

Emergency Department Ultrasounds EMS Radiology 105

ECG Guru

MARCH 6, 2024

The Patient: Unfortunately, this is an old tracing, and we do not have patient information, other than the list of medications the patient has been taking, (Lasix, Capoten, Ntg, and Procardia). Lasix (furosemide) is a potassium – wasting diuretic. Capoten (captopril) is an ACE inhibitor. Ntg is presumably sublingual nitroglycerine used for angina.

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EKG/ECG 98

Don't Forget the Bubbles

MARCH 4, 2024

With millions of journal articles published yearly, it is impossible to keep up. Our team have scoured the literature, so you don’t have to… or it might spark an interest to go and have a look at the full article. We have teamed up with the team from the Emergency Department at Bristol Royal Hospital, who have used this as a springboard for their journal club.

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

Emergency Live

MARCH 8, 2024

Under the Shadow of Death: The Arrival of the Plague In the heart of the 14th century, Europe was struck by its most devastating pandemic in history: the Black Death. Between 1347 and 1352, this disease spread unchecked, leaving behind a landscape of death and despair. The bacterium Yersinia pestis, carried by fleas of rodents, […] The post The Black Death: a tragedy that changed Europe appeared first on Emergency Live.

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ALiEM

MARCH 7, 2024

Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric renal and bladder ultrasonography. Then test your skills on the ALiEMU course page to receive your PEM POCUS badge worth 2 hours of ALiEMU course credit. Take the ALiEMU Quiz: Pediatric Renal and Bladder Ultrasound Module Goals List the indications for performing a pediatric renal/bladder point-of-care ultrasound (POCUS) Describe the technique for performing renal/bladder POCUS Identify hydronephrosis and its

Ultrasounds 70

Ultrasounds Pediatrics Radiology Radiology 70

NRC Health

MARCH 7, 2024

NRC Health hosted a live webcast to discuss Children’s Minnesota’s case study on improving parental involvement and communication strategies to achieve better NPS scores. The post NPS growth and employee engagement: The power of thoughtful communication appeared first on NRC Health.

Leadership 64

Leadership Pediatrics 64

Greater Sydney Area HEMS

MARCH 7, 2024

Visit the post for more.

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Emergency Live

MARCH 8, 2024

A guide on what happens when an airborne medical emergency occurs Ground medical resources and management of airborne emergencies Airlines, while not mandated by the FAA to consult with ground medical support during an emergency, often rely on third parties to handle such situations. These teams, usually composed of emergency physicians trained in aeronautical medicine […] The post In-flight first aid: how airlines respond appeared first on Emergency Live.

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ACEP Now

MARCH 6, 2024

Every year, the volume of published research continues to outpace capacity to consume. “Gotta catch ‘em all!” may be an appealing mantra, however it is impracticable to achieve with the medical literature. The Sisyphean task remains to try to keep up—and, in that vein—here is a light round of the emergency medicine literature from 2023. How Best to Stop the Bleeding in Trauma?

Research 52

Research Airway Management Stroke Outcomes 52

Emergency Medicine News

MARCH 6, 2024

An abstract is unavailable.

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NRC Health

MARCH 6, 2024

The NRC Health 2024 Pediatric Collaborative is truly a can’t-miss experience, with exceptional presentations that will stir innovative ideas. Check out a preview of one of the sessions! The post Pediatric Collab Preview | Healthcare insights and trends for 2024 appeared first on NRC Health.

Pediatrics 52

Pediatrics 52

Emergency Live

MARCH 8, 2024

An Invisible Thread: The Dual Nature of Social Networks In an era where digital connection is just a click away, the debate on the relationship between social networks and the physical and mental health of users is more heated than ever. Through a careful examination of recent research, diverse perspectives emerge, highlighting both the potential […] The post Social networks and mental and physical health appeared first on Emergency Live.

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Research 98

Ziqitza HealthCare Ltd

MARCH 6, 2024

In the hustle and bustle of urban life, emergencies can strike at any moment, demanding swift and efficient medical response. Navigating through congested streets, battling traffic congestion, and reaching the distressed in time is a big challenge. Amidst this chaos, Ziqitza Health Care Limited led by Sweta Mangal is providing crucial ambulance services in urban settings.

Ambulance Services 52

Ambulance Services Telemedicine Operations Wellness 52

Emergency Medicine News

MARCH 6, 2024

An abstract is unavailable.

EMS 52

EMS 52

American Medical Compliance

MARCH 5, 2024

The following Dressing, Grooming, and Bathing Training for CNAs is designed to educate certified nursing assistants (CNAs) on the significance of dressing, grooming, and bathing in maintaining the health of patients. Certified nursing assistants play a large role in caring for individuals who are in restorative nursing facilities, whether it is to help them relearn a skill, take care of themselves, and eat, among other tasks as well.

Best Practices 52

Best Practices Wellness 52

Emergency Live

MARCH 6, 2024

A milestone in the development of the Fregate-F100 amphibious firefighting aircraft HYNAERO and Altitude Aerospace have signed a cooperation protocol for strategic collaboration in the development of the Fregate-F100 amphibious firefighting bomber. HYNAERO, a start-up company from Bordeaux, France, working on the design and production of a next-generation amphibious firefighting bomber, the Fregate-F100, is pleased […] The post Partnership between Altitude Aerospace and Hynaero appeared fi

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NRC Health

MARCH 5, 2024

Jason Brown, CEO and Chief Strategy Officer of BPD, one of the top full-service hospital marketing agencies in the country joins Ryan Donohue on Patient No Longer. This episode underscores the changing dynamics in healthcare, the importance of effective branding, and the need for organizational adaptability to meet evolving consumer expectations. The post Insights from a healthcare “Mad Men” marketing exec appeared first on NRC Health.

Hospitals 52

Hospitals 52

Emergency Medicine News

MARCH 6, 2024

An abstract is unavailable.

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American Medical Compliance

MARCH 5, 2024

The following Understanding & Preventing Workplace Bullying & Harassment for Dental Healthcare Providers is designed to educate dental healthcare providers (DHCP) on the definition of workplace bullying. Also, harassment is a form of employment discrimination that violates Title VII of the Civil Rights Act of 1964, the Age Discrimination in Employment Act of 1967, (ADEA), and the Americans with Disabilities Act of 1990, (ADA).

Documentation/Coding 52

Documentation/Coding 52

Emergency Live

MARCH 8, 2024

The Importance of Prevention and Timely Care Diabetic foot represents one of the most serious and common complications of diabetes mellitus, involving neurological, vascular, and infectious alterations that can lead to disastrous consequences such as ulcers, infections, and even amputations. This condition requires constant attention to foot health, as well as a multidisciplinary approach to […] The post The Diabetic Foot: what it is and how to manage it appeared first on Emergency Live.

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Wellness 98

EMergucate

MARCH 5, 2024

80-year-old lady presented with confusion. Her Venous blood gases showed the following: PH = 7.

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