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 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.

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EMS Wellness 147

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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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

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Emergency Department Stroke Operations Hospitals 118

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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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 147

Leadership Operations Hospitals Wellness 147

Dr. Smith's ECG Blog

MARCH 7, 2024

A young man presented with a gunshot wound to the right chest, with hemo-pneumothorax and hemorrhagic shock. He got a chest tube and intubation and massive transfusion and stabilized. CT of chest showed the bullet path through his right lung but nowhere near his heart. But he did get an EKG: What is this? There were times when it would be usurped by sinus tachycardia, then return to this rhythm.

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Shock EKG/ECG Documentation/Coding 118

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

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EMS Fractures Seizures Head Injuries 114

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.

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Outcomes Hospitals CPR Research 111

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.

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EKG/ECG Documentation/Coding Wellness Resuscitation 113

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

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Leadership Hospitals EMS 105

Science Based Medicine

MARCH 3, 2024

Actually running an RCT is a lot harder than merely calling for one. Those who recognized this obvious fact are not against RCTs. The post Doctors Who Performatively Fetishized RCTs Aren’t Out to Advance Medical Research, But Rather to Sow Doubt & Mistrust first appeared on Science-Based Medicine.

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Research 103

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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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

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.

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Emergency Department Ultrasounds EMS Radiology 87

Science Based Medicine

MARCH 8, 2024

Pro-infection doctors wanted them infected, and in this upside-down mirror world, the only policies that "helped" or "worked" were those that spread COVID. The post Pro-Infection Doctors Didn’t Honestly Question Whether Mitigation Measures Slowed COVID. They Sought To Undermine Them Precisely Because They Slowed COVID. first appeared on Science-Based Medicine.

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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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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 111

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

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Ultrasounds Pediatrics Radiology Radiology 70

Science Based Medicine

MARCH 6, 2024

What would happen if you were vaccinated 217 times against COVID? Let's find out. The post Hypervaccination first appeared on Science-Based Medicine.

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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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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.

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Leadership Pediatrics 64

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?

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Research Airway Management Stroke Outcomes 52

Science Based Medicine

MARCH 4, 2024

Antivaxxers who "repurposed" deworming drugs like ivermectin and fenbendazole are peddling cancer "miracle cure" testimonials that remind me of laetrile and Stanislaw Burzynski. Truly, everything old is new again. The post Fenbendazole is fast becoming the laetrile of the 2020s first appeared on Science-Based Medicine.

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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

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.

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Pediatrics 52

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.

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Ambulance Services Telemedicine Operations Wellness 52

Science Based Medicine

MARCH 2, 2024

The morning started too early. For some reason, I snapped awake just before sunrise and could not fall back to sleep. Probably that ball of guilt in the pit of my stomach. I suspected it is a minor example of what a condemned man feels on the morning of his execution. I lay in bed and stared thoughtlessly at the ceiling waiting […] The post Skeptics in Pub.

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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

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.

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Best Practices Wellness 52

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.

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Hospitals 52

PulmCCM

MARCH 4, 2024

New data quantify post-Covid “brain fog” People with persistent symptoms after Covid-19 infection (“long Covid”) often describe difficulty focusing and thinking, or “brain fog” New large datasets are shining light on this phenomenon, most recently in NEJM. Since early in the pandemic, the UK’s REACT program has used online surveys to monitor various aspects of Covid epidemiology, including cognitive impairment post-Covid.

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Sepsis CDC Pediatrics Documentation/Coding 52

Emergency Live

MARCH 8, 2024

The integration of four Bell 429 helicopters promises a qualitative leap in safety and rescue missions in the Middle East A Strategic Renewal for Parapublic Operations The recent acquisition of four Bell 429 helicopters destined for parapublic operations in the Middle East marks a significant turning point for intervention forces. This investment by Bell Textron […] The post Bell Textron revolutionizes parapublic operations with New 429 appeared first on Emergency Live.

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Operations 98

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).

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Documentation/Coding 52

Board Bombs

MARCH 3, 2024

This week we ask an important question- can you use the weather to predict patient's INR levels? Newsflash, you cannot. Let's talk tPA and contraindications. Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here. Cite this podcast as: Briggs, Blake. 214. 99 problems and tPA is one.

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Maria Yang, MD

MARCH 2, 2024

We got on the topic of nightclubs. “I’ve never been to that nightclub,” I said. “Yeah, I’ve never seen you there,” The Person replied, before adding, without any malice, “… you seem like you’d go to the Wildrose.” I couldn’t help but laugh. That allowed the moment to pass, a question to leave unanswered. The Wildrose is a lesbian bar in Seattle. (It’s apparently the oldest lesbian bar in the US.

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Emergency Live

MARCH 8, 2024

At the Senate, Focus on Violence Against Healthcare Workers A Significant Conference On March 5, the Senate of the Italian Republic hosted a conference of great importance dedicated to “Violence against Healthcare Workers“ This event, organized by Dr. Fausto D’Agostino and Senate Vice President Mariolina Castellone, attracted the attention of a wide audience and experts […] The post Health Security: A Crucial Debate appeared first on Emergency Live.

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Operations 98