Emergency Live

JANUARY 11, 2024

A Historical Overview of Early Rescue Techniques and Their Evolution Early Traces of Rescue in Prehistory The history of human rescue dates back long before the advent of modern civilization, rooted in the depths of prehistory. Archaeological excavations in various parts of the world have revealed that ancient humans already possessed the knowledge and skills […] The post The origins of rescue: prehistoric traces and historical developments appeared first on Emergency Live.

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The Trauma Pro

JANUARY 11, 2024

The pendulum has swung from the use of whole blood in the early 20th century, to component therapy in the 1960s, and now a gradual move toward incorporating whole blood again. More and more papers are being published, and many trauma centers are looking for ways to integrate whole blood into their massive transfusion protocols. Much of the literature has been dedicated to safety and effectiveness, but little has examined thrombotic complications from its use.

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Resuscitation Fractures Shock 264

Science Based Medicine

JANUARY 8, 2024

The Wellness Company, promoted by Dr. Peter McCullough, is the product of a trend in which antivax doctors have predictably become just quacks. At least in this case, there is an amusing quack fight at the heart of it all. The post The Wellness Company: How antivaccine grift becomes plain old quackery first appeared on Science-Based Medicine.

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Wellness 143

EMCrit

JANUARY 11, 2024

Should DSI become the new standard? EMCrit Project by Scott Weingart, MD FCCM.

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Sensible Medicine

JANUARY 8, 2024

The Study of the Week is back after a nice holiday break. Peace to all. And Happy New Year. Subscribe now The journal LANCET Healthy Longevity now has the early lead for publishing the year’s most dubious study. The top-line result of this observational study was that use of hearing aids in adults with hearing loss was associated with a 24% lower rate of death compared with nonusers of hearing aids.

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Research 111

The Trauma Pro

JANUARY 12, 2024

In theory, tiered trauma centers should allow patients with lesser injuries to be treated at lower levels and more severe trauma at higher-level centers. This parallels the resource availability at those centers. In reality, many patients with injuries that seem complex (solid organ, children, and TBI) are transferred due to a “lack of comfort” in taking care of them or the perception that they may deteriorate quickly.

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Science Based Medicine

JANUARY 12, 2024

The many sheltered doctors who confidently said herd immunity was at hand and that fear of COVID was pathological are the last people to sanctimoniously sermonize on the importance of trust in medicine. The post Dr. Lucy McBride: “As physicians, dispensing false hope is dangerous & unethical.” first appeared on Science-Based Medicine.

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Sensible Medicine

JANUARY 11, 2024

A few weeks ago, I went to a poetry reading at my favorite bookstore. I enjoyed the poetry. I was even more interested in the discussion between the author and the audience that followed each poem. The author had written most of the poems during COVID. She and the audience reflected on the dark days of 2020. They talked about this period as a remarkable and unique time in their lives.

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Wellness 111

The Trauma Pro

JANUARY 9, 2024

Injured older adults typically sustain those injuries from blunt mechanisms. Radiographic evaluation, particularly CT scans, does not have good supporting literature to dictate which exams should be used in particular patients. There is a long-standing debate on the merits of pan-scan vs. selective scans when using CT. EAST sponsored a multicenter study to look for specific history and physical exam findings that could help direct CT evaluation.

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Dr. Smith's ECG Blog

JANUARY 9, 2024

The patient is female in her 80s with a medical hx of previous MI with PCI and stent placement. She also has a hx of paroxysmal atrial fibrillation and is on oral anticoagulant treatment. She had a single chamber ICD/Pacemaker implanted several years prior due to ventricular tachycardia. The last echocardiography 12 months ago showed HFmrEF. She presented to the emergency department after a couple of days of chest discomfort.

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EKG/ECG Stroke Hospitals Documentation/Coding 107

Life in the Fast Lane

JANUARY 10, 2024

John Mackenzie and Amanda Beech Procedure: Speculum examination Emergency Procedure: Speculum examination, how (and when) to find the cervix in the emergency department.

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Emergency Department Shock 105

Don't Forget the Bubbles

JANUARY 8, 2024

For paediatric ED doctors who come from a paediatric training background, dealing with agitated adolescents can be stressful. There is so much more to managing the agitated adolescent than just drugs, but sometimes sedation is necessary. As we are not used to sedating children in this way, choosing drugs and doses can be difficult. In paediatric emergency care, addressing the challenge of adolescent agitation is a complex and evolving task.

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Research Emergency Department Psychiatric Outcomes 105

The Trauma Pro

JANUARY 10, 2024

Airway assessment and protection are of paramount importance during trauma care. Airway management is even more challenging in the prehospital environment, where lighting and patient positioning may be suboptimal, and injuries or policies may prohibit orotracheal intubation. A variety of devices have been developed to make airway control simpler and faster.

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Airway Management Hospitals 113

Emergency Live

JANUARY 8, 2024

Join the Forefront of Disaster Response: Insights and Innovations at Disasters Expo USA 2024 Emergency Live announces collaboration with Disasters Expo USA, the leading event mitigating the world’s most costly disasters, curated for professionals looking to source the solutions helping our communities prepare, respond and recover from disasters to the best of our ability.

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The Skeptics' Guide to EM

JANUARY 6, 2024

Reference: Remick KE, et al. National Assessment of Pediatric Readiness of US Emergency Departments during the Covid-19 Pandemic. JAMA Netw Open. July 2023 Date: Dec 11, 2023 Guest Skeptic: Dr. Rachel Hatcliffe is a pediatric emergency medicine attending at Children’s National Hospital in Washington, DC. Her research focuses on prehospital care of children with anaphylaxis. […] The post SGEM #425: Are You Ready for This?

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Emergency Department Pediatrics Anaphylaxis Leadership 102

RebelEM

JANUARY 9, 2024

Bottom Line Up Top: In patients with infectious processes that are stable for discharge home, there is no role for giving a first dose of antibiotics IV in the ED. Clinical Scenario: A 45-year-old woman with hypertension presents with a productive cough and fever. Her vitals are: HR 115, BP 120/80, Temp 102.8, O2 Sat 99% on RA, RR 18. A CXR demonstrates a right middle lobe opacity.

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Infectious Diseases Pediatrics EMS Administration 99

The Trauma Pro

JANUARY 8, 2024

Focused abdominal sonography for trauma (FAST) has been a mainstay of rapid diagnosis for many years. The extended FAST exam (eFAST) adds an examination of the thoracic cavities to the basic exam. The sensitivity and specificity of FAST have mostly been determined. However, there is much less literature outlining the accuracy of the eFAST. The group at Vanderbilt performed a prospective, observational study on the ability of the eFAST exam to detect pneumothorax specifically.

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Ultrasounds Fractures 113

Emergency Live

JANUARY 8, 2024

From AI to New Healthcare Solutions, What to Expect The Importance of CES for Technological Innovation The CES (Consumer Electronics Show) 2024, considered one of the largest events in the technology sector, will be held from January 9 to 12 in Las Vegas, USA, and will represent a crucial moment for companies aiming to establish […] The post CES 2024: technological innovation meets in Las Vegas appeared first on Emergency Live.

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Life in the Fast Lane

JANUARY 11, 2024

Mark Corden and Neil Long Funtabulously Frivolous Friday Five 355 Funtabulously Frivolous Friday Five 355 - Just when you thought your brain could unwind, enter the medical trivia of FFFF.

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Dr. Smith's ECG Blog

JANUARY 6, 2024

Written by Willy Frick I was reading ECGs in the queue, and the following tracing appeared. I frequently check the chart if I want to know more clinical context (which is crucial for accurate interpretation). But in the reading software, all I am told is that it is a 77 year old man, and that the indication is "NSTEMI." What do you think? Although not necessarily intentional, the first processing that I do when I see an ECG is to categorize as OMI or not.

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EKG/ECG Wellness 98

Science Based Medicine

JANUARY 10, 2024

Dual Sympathetic Block is being promoted as a treatment for PTSD prior to any convincing clinical evidence. The post Dual Sympathetic Reset for PTSD first appeared on Science-Based Medicine.

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Emergency Live

JANUARY 12, 2024

A new era of air rescue vehicles is taking flight, driven by innovations and technological changes Revolution in the Air Rescue Sector The air rescue sector is experiencing a phase of significant growth and innovation. The demand for air ambulance services is on the rise, driven by the need to swiftly transport critical patients and […] The post The evolution of air rescue vehicles: technology and sustainability appeared first on Emergency Live.

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Ambulance Services 98

Taming the SRU

JANUARY 10, 2024

violence against healthcare workers - vascular access - SCAD - subtle ischemia on ekg - alcohol withdrawal - panorex - community corner R4 Capstone: violence against healthcare workers WITH dr. wosiski-kuhn Nearly half of emergency physicians report being physically assaulted at work 85% of emergency physicians believe that the rate of violence experienced in emergency departments has increased over the past five years, with 45% indicating it has greatly increased.

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EKG/ECG Shock Fractures Emergency Department 93

EMDocs

JANUARY 9, 2024

Today on the emDOCs cast, we have a special guest, Alexis Koda, core faculty at the Nazareth Emergency Medicine Residency program in Philadelphia, PA. Alexis takes us through marine ingested poisons and infections. Episode 92: Marine Ingested Poisons and Infections Scombroid Pathophysiology: Fish from family Scombroidae Tuna , mackerel, skipjack, bonito Dark-meat fish Herring, bluefish , anchovy, sardine, amberjack, black marlin, and mahi mahi Histidine decarboxylase produces histamine and hista

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Poisoning Burns Sepsis 83

Science Based Medicine

JANUARY 11, 2024

SBM's guest contributor and ophthalmologist, Dr. DAvid Weinberg, provides an update on the phase 3 trials of pegcetacoplan for macular degeneration. The results are still disappointing. The post Pegcetacoplan (Syfovre™) for macular degeneration: an update first appeared on Science-Based Medicine.

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Emergency Live

JANUARY 12, 2024

A Detailed Guide for Aspiring EMS Helicopter Pilots First Steps and Training To become an Emergency Medical Services (EMS) helicopter pilot, it is essential to hold a commercial helicopter pilot’s license, which requires a Federal Aviation Administration (FAA) second-class medical certificate, although some employers may require a first-class certificate.

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Don't Forget the Bubbles

JANUARY 10, 2024

Transfusion Decisions in Severe Anaemia Reducing child mortality remains high on the global health agenda. It’s important we think about ways and means to do this with both population-based and targeted approaches. Let’s take the humble blood transfusion – used in emergency departments across the globe and playing a key role in critical care. Severe anaemia is a common and life-threatening cause of hospital admission in children in sub-Saharan Africa. 8% die in hospital, with a further 12% dying

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Blood Transfusions Outcomes Research Hospitals 78

EMDocs

JANUARY 8, 2024

Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American Heart Association 2023 Guideline Updates for 2023 were just published. This post will focus on the key parts of the guideline that affect ED evaluation and management. Major Updates Avoid routine use of calcium in patients with cardiac arrest. Calcium is associated with harm but is still necessary in certain situations (hyperkalemia, calcium channel blocker overdose) (Level 3 recommendation: no benefit).

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Seizures Shock CPR Hyperthermia / Hypothermia 83

Dr. Smith's ECG Blog

JANUARY 8, 2024

I was reviewing ECGs for a study, and came across this one, and was able to get all the clinical information: What do you think? The Queen diagnosed "OMI with high confidence" due to the ST Elevation in V1-V3. Smith interpretation: This is highly likely to be due to extreme right heart strain and is nearly diagnostic of pulmonary embolism. Let me tell you about her hospitalization, discharged 1 day prior, but it was at another hospital (I wish I had the ECG from that hospitalization): The patien

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EKG/ECG Resuscitation Hospitals EMS 75

Emergency Live

JANUARY 11, 2024

From Birth to Modernization of Emergency Services Introduction The Italian territorial emergency service, known simply as “118,” has revolutionized the management of healthcare emergencies in Italy. Its development and evolution reflect a radical shift in emergency management, from the era of basic ambulances to technological modernization.

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The Bottom Line

JANUARY 10, 2024

What’s new in the Critical Care literature – monthly updates

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EMDocs

JANUARY 11, 2024

Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American Heart Association (AHA) and Neurocritical Care Society (NCS) released their 2023 Scientific Statement on the critical care management of post ROSC patients. This post covers the key components, with each section starting with the key takeaway followed by the scientific statements.

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Seizures Shock Infectious Diseases CPR 75

Science Based Medicine

JANUARY 6, 2024

The story continues apace. The post Skeptics in the Pub. Cholera. Chapter 7a first appeared on Science-Based Medicine.

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Emergency Live

JANUARY 11, 2024

From Disease Identification to Assessing Bodily Functions What Is PET and How Does It Work? Positron Emission Tomography, commonly known as PET, is a medical imaging technique that uses a radioactive tracer to show how organs and tissues function in real-time. Unlike other imaging techniques such as CT or magnetic resonance imaging, PET focuses on […] The post PET scan: a revolutionary diagnostic test appeared first on Emergency Live.

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NRC Health

JANUARY 11, 2024

You may not immediately see the connection between running ultramarathons in the mountains and leading a product innovation team, but to Jon Tanner, Product Leader, the parallels are obvious. Both involve setting ambitious goals, overcoming obstacles, and finding fulfillment in testing limits. The post Igniting Human Understanding: Jon Tanner appeared first on NRC Health.

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The Bottom Line

JANUARY 10, 2024

In acutely ill adults (ED / ICU) does the administration of cefipime or piperacillin-tazobactam (pip-taz) result in an increased incidence of AKI or death by day 14?

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Administration Sepsis 62

ALiEM

JANUARY 8, 2024

A 49-year-old female with a past medical history of recurrent diverticulitis initially presented with one month of shortness of breath and a minor nonproductive cough for which she was started on doxycycline by her primary care provider. She then developed a rash on her chest, upper back, and face. Antibiotics were switched to amoxicillin and azithromycin.

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Academics Hospitals Outcomes 60