The Trauma Pro

JULY 9, 2024

Cervical spine injury presents a host of problems, but one of the least appreciated ones is dysphagia. Many clinicians don’t even think of it, but it is a relatively common problem, especially in the elderly. Swallowing difficulties may arise for several reasons: Prevertebral soft tissue swelling may occur with high cervical spine injuries, leading to changes in the architecture of the posterior pharynx Rigid cervical collars , such as the Miami J and Aspen, and halo vests all force the neck int

Head Injuries 237

Head Injuries Fractures Hospitals Wellness 237

St. Emlyn

JULY 9, 2024

St.Emlyn's - Emergency Medicine #FOAMed A podcast with Steve Smith ECG educator extraordinaire where we discuss occlusive myocardial infarction and the future of AI and ECG interpretation. The post Podcast – Occlusive Myocardial Infarction, ECGs and Artificial Intelligence with Steve Smith appeared first on St.Emlyn's.

EKG/ECG 136

EKG/ECG 136

Science Based Medicine

JULY 11, 2024

Discussions about the GBD tend to take place in the conditional tense- what would, could, and should have happened. But the GBD actually existed and we can examine what actually happened. The post Part 1: We Don’t Have to Wonder if the Great Barrington Declaration Could Have “Worked”. In the Real World, It Failed. first appeared on Science-Based Medicine.

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The Bottom Line

JULY 11, 2024

Stress Ulcer Prophylaxis during Invasive Mechanical Ventilation (REVISE) D. Cook. NEJM 2024. DOI: 10.1056/NEJMoa2404245 Clinical Question In mechanically ventilated adults, does stress ulcer prophylaxis with intravenous pantoprazole (40 mg daily), compared with placebo (0.9% saline), reduce the occurrence of clinically important upper gastrointestinal bleeding at 90 days?

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Sensible Medicine

JULY 12, 2024

Autonomy is important to me. Maybe it’s because I am a Gen X-er. Some say we were raised by wolves. I do know that we were raised knowing we had the freedom to explore but also the freedom to fail. Our autonomy taught us resilience. With autonomy comes responsibility. I need to do the adulting task of scheduling my annual doctor’s visit.

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St. Emlyn

JULY 11, 2024

St.Emlyn's - Emergency Medicine #FOAMed The Faculty of Forensic & Legal Medicine's guidelines for managing non-fatal strangulation (NFS). These guidelines advocate a trauma-informed, multidisciplinary approach to improve outcomes for patients who have experienced NFS. @stemlyns #FOAMed The post Non-fatal strangulation appeared first on St.Emlyn's.

Forensics 125

Forensics Outcomes 125

Science Based Medicine

JULY 6, 2024

"There is an ongoing, competitive process of writing the history of the pandemic." The post Pandemic Revisionism: Doctors Who Defend Dr. Scott Atlas Are Afraid to Accurately Quote Dr. Scott Atlas. I’m Not. first appeared on Science-Based Medicine.

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Emergency Medicine Cases

JULY 8, 2024

In this episode: recognition, risk stratification, decision tools, indications for lumbar puncture in the febrile pediatric patient, tips and trick on performing LPs in children, and ED management of pediatric meningitis. We answer such questions as: what are the test characteristics of the various clinical features of meningitis across various ages?

Pediatrics 95

Pediatrics EMS Wellness Seizures 95

American Medical Compliance

JULY 9, 2024

The Ethical Practices in Assisted Living Training aims to educate healthcare providers (HCP) on the definition of ethics in the context of assisted living. Additionally, education and training on the subject of ethics within assisted living facilities is crucial to the proper care of patients. This course offers valuable insight and practical strategies aimed towards achieving the best and most compassionate care regarding the use of ethical practices in assisted living facilities.

Outcomes 85

Outcomes Wellness 85

Science Based Medicine

JULY 10, 2024

The Human Immunodeficiency Virus (HIV) is a global pandemic, with 39 million cases worldwide, and over 1 million new infections each year. While it rose to epidemic and then pandemic levels in the 1980s, the first case goes back to 1959. HIV is a retrovirus that inserts its genetic material into the DNA of host cells, and targets the immune system as […] The post Science vs HIV first appeared on Science-Based Medicine.

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Dr. Smith's ECG Blog

JULY 11, 2024

This is another case sent by the undergraduate (who is applying to med school) who works as an EKG tech. How is it possible that a kid who has not even started medical school can know so much about EKGs and cardiology? Because: 1) He has been reading this blog for a long time. 2) He is curious This is how Pendell got started. Case A 43 year old male with a history of DM II, hyperlipidemia, and a family history of myocardial infarction presented to a family clinic with two days of epigastric pain

EKG/ECG 90

EKG/ECG Outcomes Hospitals Wellness 90

Emergency Medicine Cases

JULY 9, 2024

The decision of whether or not to order a CT head for an older patient who falls is one I need to make on almost every shift. The Canadian CT Head Rule does not apply to older patients. Does the recently derived Falls Decision Rule give us an answer to the question of which older patients can safely forego a CT head after a fall? Dr. Rohit Mohindra reviews the latest evidence in this EM Cases Journal Club.

EMS 88

EMS 88

EB Medicine

JULY 9, 2024

In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the July 2024 Emergency Medicine Practice article, Emergency Department Management of Patients With Complications of Dialysis Overview of Dialysis Complications Key Dialysis ComplicationsCardiovascular Disease Congestive Heart Failure Pericarditis and Cardiac Tamponade Neurological Sequelae Gastrointestinal Complications Hypotension Dialysis Disequilibrium Syndrome Air Embolism and Chloramine Toxicity Disaster Preparedness Vascular Ac

Risk Management 84

Risk Management Emergency Department Hospitals 84

Canadian EM

JULY 11, 2024

Clinical scenario A 27-year old female presents to the emergency department (ED) after a fall onto her hand from amotorized scooter. She has pain on the radial aspect of her left wrist and anatomical snuffbox.However, the X-rays do not indicate an obvious scaphoid fracture. Clinical question: What are the predictive clinical features for occult scaphoid fractures in patients with normal initial radiographs in the ED?

Fractures 83

Fractures Emergency Department 83

Science Based Medicine

JULY 8, 2024

Access Consciousness claims to show how to improve your mental and physical health by touching 32 Access Bars on your scalp. It's basically phrenology reborn and fused with "energy medicine." The post Access Consciousness: Phrenology fused with energy medicine first appeared on Science-Based Medicine.

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American Medical Compliance

JULY 9, 2024

The Pressure Injury Prevention for Assisted Living Facilities Training aims to educate healthcare providers (HCP) on what pressure injuries are. Understanding the importance of pressure injuries and strategies aimed towards preventing them is crucial within assisted living facilities in order to provide the most appropriate care. This course offers valuable insight and actionable plans aimed towards achieving the best and most compassionate care regarding pressure injuries within assisted livin

Documentation/Coding 76

Documentation/Coding Outcomes 76

Core Medical Group

JULY 12, 2024

Rachel is a dedicated Permanent Placement Recruiter at CoreMedical Group. With a year of experience under her belt, she excels at identifying top talent and building strong connections with her candidates. Outside of work, Rachel enjoys spending quality time with her two-year-old son, Jack, bringing the same level of care and attention to both her professional and personal life.

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The Skeptics' Guide to EM

JULY 6, 2024

Reference: Tjan et al. Conflict in emergency medicine: A systematic review. AEM June 2024 Date: July 5, 2024 Guest Skeptic: Dr. Lauren Westafer an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School – Baystate. She co-founded FOAMcast and is a pulmonary embolism and implementation science researcher.

Teamwork 83

Teamwork Leadership Research Patient Safety 83

Critical Care North Hampton

JULY 10, 2024

I delivered a talk at the ACTACC 20204 meeting in Cardiff with my friend and colleague Nish Sall. We used Slido and interaction with the crowd of cardiothoracic anaesthetists/Intensivists, to scope opinions on practice when our patients suffer from Fast arrhythmias. There was a particular focus on new-onset AF.

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EM Ottawa

JULY 11, 2024

In Fall 2023, I was working an evening shift at a community hospital when we got a patch. A 3-year-old girl was being brought in by EMS with an out-of-hospital cardiac arrest. CPR was ongoing, and their ETA was 10 minutes. We prepared the ED for the patient’s arrival. According to EMS, the patient had […] The post Invasive Group A Strep (iGAS).

CPR 76

CPR EMS Hospitals Infectious Diseases 76

The Bottom Line

JULY 7, 2024

In adult patients scheduled for cardiac surgery with cardiopulmonary bypass does infusion of a balanced solution of amino acids, commencing at the time of surgery, compared with balanced crystalloid alone (Ringer's Lactate) reduce the incidence of acute kidney injury (AKI)?

Operations 73

Operations 73

EMCrit

JULY 12, 2024

How do you sedate a critically ill patient for a procedure? EMCrit Project by Scott Weingart, MD FCCM.

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Dr. Smith's ECG Blog

JULY 7, 2024

Written by Jesse McLaren A previously healthy 60 year old developed exertional chest pain with diaphoresis, and called EMS. Here’s the EMS ECG, digitized with PM cardio. What do you think? There’s sinus arrhythmia with normal conduction, normal axis and normal voltages. There’s loss of R waves in V2-3 with hyperacute waves V1-5. There’s no significant ST elevation but there are two forms of ST depression: deWinter T wave V3-5 and precordial swirl with ST depression V6 reciprocal to subtle STE in

EKG/ECG 68

EKG/ECG Documentation/Coding EMS Wellness 68

American Medical Compliance

JULY 9, 2024

The Promoting Equity in Healthcare Training aims to educate healthcare providers (HCP) on the definition of healthcare equity. By educating healthcare providers on the subject, healthcare facilities can ensure just and effective care. This course offers valuable insight and practical strategies aimed towards achieving the most just and effective care for patients regardless of their circumstances.

Outcomes 67

Outcomes 67

The Bottom Line

JULY 10, 2024

In patients who have recently taken factor Xa inhibitors with an intracerebral haemorrhage (ICH) did the administration of Andexanet result in better haemostatic efficacy compared to standard care?

Administration 65

Administration Head Injuries 65

Sensible Medicine

JULY 8, 2024

A few years ago, I was on service and about to start ABVD in a 20 year old man with rip roaring Hodgkin’s lymphoma. He had B symptoms, was hospitalized and deteriorating by the day. A colleague stopped me. “Before you start chemotherapy, make sure he gets a referral to fertility clinic.” “Why?” I asked. “So he can bank sperm, if he wants.

Blood Transfusions 61

Blood Transfusions Leadership Pediatrics Hospitals 61

ACEP Now

JULY 7, 2024

A 40-year-old woman with a history of untreated hypertension presented by ambulance after she was thrown from an ATV at unknown speeds and then crushed by the vehicle. The vehicle had no seatbelt or airbags, she was not helmeted, and she did not hit her head or lose consciousness. She reported 10/10 pain localized to her right arm and right flank, with no other complaints.

Operations 59

Operations Hospitals Administration Outcomes 59

RebelEM

JULY 10, 2024

Take Home Points Early administration of antibiotics (within 60 min) in patients with fever and neutropenia is life saving. Fever in sickle cell is an emergency and always requires cultures and antibiotics even if the child appears well. Avoid sedation and lying supine and steroids in patients with mediastinal masses. Red flags in patients with headaches that may suggest a brain tumor include signs of increased intracranial pressure, focal neurological signs, seizures or ataxia.

Seizures 57

Seizures Administration EMS Wellness 57

Dr. Smith's ECG Blog

JULY 10, 2024

Our latest @stemlyns podcast is an absolute cracker. A chat with @smithECGBlog about all things OMI and artificial intelligence for ECG interpretation. Could be a game changer for many.

EKG/ECG 52

EKG/ECG 52

Total Medical ComplianceHIPAA

JULY 10, 2024

Safeguarding PHI is required under both the HIPAA Privacy Rule and Security Rule. The Security Rule specifically pertains to electronic PHI, which includes video surveillance footage. How to ensure your video surveillance system meets these standards: 1. Administrative Safeguards Administrative safeguards involve creating policies and procedures to protect electronic PHI.

Administration 52

Administration Best Practices Wellness 52

AED Leader

JULY 10, 2024

Automated External Defibrillators (AEDs) are life-saving devices that can significantly increase the chances of survival for individuals experiencing sudden cardiac arrest. These devices are designed to deliver an electric shock to the heart, restoring its normal rhythm. AED trainers are essential tools for training individuals on properly using an AED in emergencies.

CPR 52

CPR Shock Pediatrics Wellness 52

Life in the Fast Lane

JULY 8, 2024

Kane Guthrie and Mike Cadogan LITFL Update 031 Update 029. Sending you FOAMed content from around the globe. Latest trends and best articles so that you stay top of your field.

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American Medical Compliance

JULY 9, 2024

The Empowering Elder Justice Training aims to educate healthcare providers (HCP) on the definition of elder justice. By ensuring healthcare providers are educated on the subject, healthcare facilities can guarantee a safe and respectful environment that promotes elder justice. This course offers valuable insight and practical strategies aimed towards achieving the most considerate and compassionate care regarding the empowerment of elder justice.

Elder Abuse 52

Elder Abuse Documentation/Coding Outcomes Wellness 52

NIOSH Science Blog

JULY 9, 2024

NIOSH’s Impact Wellbeing™ campaign gives hospital leaders evidence-informed solutions to reduce healthcare worker burnout and sustain wellbeing. The goal is to build a system where healthcare workers thrive. It helps hospital leaders go beyond individual resilience efforts and encouraging self-care to instead focus on systems-level improvements. Many hospitals face challenges getting started or have concerns about the resources needed for wellbeing work.

Hospitals 52

Hospitals Wellness 52

AED Leader

JULY 10, 2024

When saving lives during cardiac emergencies, having a reliable and fully functional automated external defibrillator (AED) is crucial. Physio-Control AEDs are known for their high-quality and innovative features, making them popular among businesses, organizations, and individuals. However, simply owning an AED is not enough. Regular maintenance and upkeep are essential to ensure your Physio-Control AED is always ready to perform when it matters most.

CPR 52

CPR Administration Shock Wellness 52

ACEP Now

JULY 8, 2024

Virtually everyone has experimented with large language models (LLMs) in some fashion. Whether a person is conducting such parlor tricks as generating “Choose Your Own Adventure” children’s stories, looking for recipes in order to utilize a strange assortment of leftover ingredients, or composing eloquent poetry, the list of non-serious uses is vast.

Emergency Department 52

Emergency Department Operations Documentation/Coding Research 52

American Medical Compliance

JULY 9, 2024

The Medicare FWA Compliance Training aims to educate healthcare providers (HCP) on the definitions of fraud, waste, and abuse in the context of Medicare. Additionally, education regarding Medicare FWA is crucial to providing proper care and the prevention of FWA. This course offers valuable insight and practical strategies aimed towards achieving the highest level of education and care concerning Medicare and the various forms of FWA.

Hospice 52

Hospice Hospitals Outcomes 52