Ken Grauer, MD
MARCH 27, 2024
I was sent the ECG in Figure-1 — with the following history: The patient is a young man in his early 20s — who presents to the ED ( E mergency D epartment ) because of SOB ( S hortness O f B reath ) that had been ongoing for several hours. No chest pain. He reports a number of similar previous episodes over the past few years ( although apparently has not been formerly evaluated for this ).
Pediatric EM Morsels
MARCH 29, 2024
Often our job requires us to consider the presence of needles of significant illness in the haystack of nonspecific symptoms. With the help of our favorite geneticist , Dr. Liz Baker, we will dive into the haystack headfirst and find those needles. Hopefully, without getting poked. Let’s consider Inborn Errors of Metabolism Presenting in the ED : Inborn Errors of Metabolism: Basics Common Presentations, Uncommon Kiddos For the child with lethargy, vomiting, acidosis, hypoglycemia , organom
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The Trauma Pro
MARCH 25, 2024
Generative artificial intelligence (AI) is the newest shiny toy. The best-known example, ChatGPT, burst onto the scene in November 2022 and caught most of us off guard. The earliest versions were interesting and showed great promise for a variety of applications. The easiest way to think about this technology is to compare it to the auto-complete feature in your search engine.
Sensible Medicine
MARCH 25, 2024
You may have heard the ruckus about the study showing that intermittent fasting was associated with a 91% higher rate of dying of heart disease. I call it a ruckus because after the AHA sent out a press release about the study, two things happened: The mainstream health press covered it as they do (breathlessly) for any clickable story. The Top People of cardiology and health went ballistic in their criticism of the paper.
First 10 EM
MARCH 25, 2024
There is little doubt that the use of testing has increased dramatically in emergency medicine during my career. Between 2001 and 2010 the use of CT in emergency departments increased 3-fold (and the use of MRI increased 9-fold, but for some reason it is still almost impossible for me to get one done.) (Carpenter 2015) […] The post Overdiagnosis: Would we better better off not looking?
Science Based Medicine
MARCH 29, 2024
A new analysis of 2023 MIS-C cases reveals that the COVID-19 vaccine significantly reduces the risk of this dreaded complication. The post COVID-19 Vaccination Significantly Reduces Risk of Severe Inflammatory Syndrome in Kids first appeared on Science-Based Medicine.
Dr. Smith's ECG Blog
MARCH 28, 2024
A 69 y.o. male with pertinent past medical history including Atrial fibrillation, atrial flutter, cardiomyopathy, Pulmonary Embolism, and hypertension presented to the Emergency Department via ambulance for respiratory distress and tachycardia. Per EMS report, patient believes he has been in atrial fibrillation for 5 days, since coming down with flu-like illness with rhinorrhea, productive cough, SOB.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
First 10 EM
MARCH 28, 2024
Articles, articles, articles. So much wonderful science to improve patient care. So little time. Do you just skip to the bottom line? These articles can be digested in podcast version, if you prefer, either through the BroomeDocs site, or on YouTube. High dose nitro for SCAPE Siddiqua N, Mathew R, Sahu AK, Jamshed N, Bhaskararayuni […] The post Research Roundup (April 2024) appeared first on First10EM.
Broome Docs
MARCH 28, 2024
Welcome back for another episode of nerdy evidence based goodness with Dr Justin Morgenstern. As always we will be dissecting some data and looking into the literature of Emergency medicine. Below are the papers that we will discuss and click on the links to get the free PDF versions so that you can follow along, make up your own mind and get your inner nerd excited.
Emergency Live
MARCH 26, 2024
Innovation and specialization in pediatric emergency care Pediatric ambulances are state-of-the-art vehicles specifically designed for children’s medical crises. They are equipped with special gear to assist young patients during transportation. These ambulances utilize cutting-edge technologies such as drones for swiftly delivering supplies and solar panels for eco-friendliness.
Taming the SRU
MARCH 27, 2024
Obling LER, Beske RP, Meyer MAS, et al. Effect of prehospital high-dose glucocorticoid on hemodynamics in patients resuscitated from out-of-hospital cardiac arrest: a sub-study of the STEROHCA trial. Crit Care 2024;28(1):28. 10.1186/s13054-024-04808-3 This was a post-hoc analysis of a placebo-controlled randomized control trial comparing high-dose methylprednisolone versus placebo in out of hospital cardiac arrest (OHCA).
Science Based Medicine
MARCH 25, 2024
The term "allopathic medicine" was invented by homeopaths in the 19th century as a disparaging term for medicine. So to see a quack like Mark Sircus try to coopt it as "natural allopathic medicine" is quite something. The post Mark Sircus and “natural allopathic medicine”? Now I’ve heard everything from quacks first appeared on Science-Based Medicine.
EMCrit
MARCH 24, 2024
(A blogitorial is like a tweetorial in blog form, so folks on different platforms can see it). Our approach to risk stratification and management of (sub)massive PE tends to be dominated by CT scan and echocardiography (eye-candy modalities). And these are great. But I think there are situations where ECG can be really helpful – […] EMCrit Project by Josh Farkas.
Emergency Live
MARCH 26, 2024
Augmented reality, software, and simulators for the comprehensive course on airway management On April 21st in Rome, CFM is organizing the 3rd edition of the comprehensive course on airway management in extra and intra-hospital emergencies, in helicopter emergency medical services, for adult and pediatric patients. Emergency airway management, both inside and outside the hospital, can […] The post A course on new technologies for airway management appeared first on Emergency Live.
American Medical Compliance
MARCH 26, 2024
The following Implicit Bias Training for Dental Healthcare Providers course is designed to educate dental healthcare providers on how to recognize and mitigate implicit bias in the workplace. Most of us don’t recognize our own biases, yet we have them. It is the very nature of being human. In this implicit bias course, we’ll define diversity, show why it matters in your dental practice, discover what prevents it, and learn how to foster it.
Sensible Medicine
MARCH 27, 2024
Arguably, the most prominent “longevity doctor” in the world is now Peter Attia. His book “Outlive: The Science & Art of Longevity,” which was published a year ago has sold more than a million copies and his podcast,“ The Drive ” ranks among the top five in the health and fitness category on Apple and Spotify.
EMDocs
MARCH 25, 2024
Authors: Zachary Boivin, MD (@ZachBoivinMD, Ultrasound Fellow, Yale University); Jia Jian Li, MD (@JjMDUS, Ultrasound Fellow, Yale University) // Reviewed by: Stephen Alerhand, MD; Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Introduction Anytime a patient presents to the ED with abdominal pain, biliary pathology should be considered in the diagnosis. 1 A biliary point-of-care ultrasound (POCUS) is the fastest and most accurate way to assess for biliary pathology, but it can be diffi
Emergency Live
MARCH 25, 2024
Advanced Prediction Thanks to New Artificial Intelligence Models An innovative study published in “Radiology” introduces AsymMirai, a predictive tool based on artificial intelligence (AI), which leverages the asymmetry between the two breasts to forecast the risk of breast cancer one to five years before clinical diagnosis. This technology promises to significantly enhance the accuracy of […] The post Revolution in Early Detection: AI Predicts Breast Cancer appeared first on Em
Science Based Medicine
MARCH 27, 2024
Yet again the public is being subjected to warnings about the potential health risks of consuming a common food item based upon insufficient evidence. Last month it was oat products, and now it’s sweetened drinks. The study is a prospective cohort study, which means it is observational. The researchers looked at over 200 thousand participants in the UK biobank.
Sensible Medicine
MARCH 28, 2024
I always find it shameless when a celebrity becomes ill and armchair doctors chime in about their condition. In 2016, Jonathan Reiner said this about Carrie Fisher’s mother, who died very shortly after her daughter. But his comment turned out to be not only in poor taste, but also incorrect. Last week, Kate Middleton announced she had cancer, which was found during abdominal surgery, and was receiving ‘preventive chemotherapy’ That’s as vague as it gets, and no good docto
Core Medical Group
MARCH 29, 2024
Introducing Greg Henrichon, Executive Vice President at CoreMedical Group. This feature branches off from our Friday's Finest, where we previously showcased our exceptional recruiters. Now, we're shifting gears to shine a light on our executive team. With a tenure of 23 years at CMG, Greg offers valuable insights on his path into the field and his journey to becoming Executive VP.
Emergency Live
MARCH 25, 2024
Prevention and Treatment at the Core of Renal Health Kidneys perform vital functions for our body, including filtering waste from the blood, regulating blood pressure, and maintaining fluid and mineral balance. However, unhealthy lifestyles and pre-existing medical conditions can seriously compromise their functionality. The Fundamental Role of Kidneys These organs, located in the lumbar region, […] The post Protecting the Kidneys: Essential Strategies for Health appeared first on Emergenc
American Medical Compliance
MARCH 26, 2024
The following EPA Retaliation Training is designed to educate healthcare staff on federal policy regarding retaliation and discrimination complaints. Understanding federal policies on retaliation and discrimination complaints and how they are applicable within your healthcare organization is extremely important. What you will learn: Description of retaliation Filing a discrimination complaint against a recipient of EPA funds Employment complaint resolutions Alternative dispute resolution Filing
EMDocs
MARCH 23, 2024
We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: Ketamine for the Win? Induction Agents Compared Spoon Feed A Bayesian meta-analysis found an 83.2% probability that ketamine lowers mortality compared to etomidate in critically ill patients undergoing intubation.
Sensible Medicine
MARCH 29, 2024
I recently read David Ropeik’s book, Curing Cancer-phobia and found that it contained a lot of, well, sensible messages. I asked if he would write something for Sensible Medicine. Not only did he write a great piece, but he managed to use the word sensible five times in the opening paragraph! Adam Cifu Sensible Medicine is a reader-supported publication.
Emergency Live
MARCH 25, 2024
The Importance of Cardiopulmonary Resuscitation In a world where every moment can be crucial to saving a life, knowledge and application of Cardiopulmonary Resuscitation (CPR) and the use of Automated External Defibrillator (AED) emerge as bulwarks against sudden cardiac arrest. What is CPR? CPR, or cardiopulmonary resuscitation, is a life-saving intervention performed when the heart […] The post Life Saved: The Importance of First Aid appeared first on Emergency Live.
American Medical Compliance
MARCH 26, 2024
The following Implicit Bias Training for Healthcare Providers course is designed to educate healthcare providers on how to recognize and mitigate implicit bias in the workplace. Most of us don’t recognize our own biases, yet we have them. It is the very nature of being human. In this implicit bias course, we’ll define diversity, show why it matters in your medical facility, discover what prevents it, and learn how to foster it.
Science Based Medicine
MARCH 28, 2024
ChatGPT may not replace a health care professional's assessment yet, but its capabilities are growing. The post AI for prescription drug information: Not yet useful for health care – but it’s coming first appeared on Science-Based Medicine.
Sensible Medicine
MARCH 26, 2024
There may be a shortage of primary care doctors, but there is no shortage of celebrity doctors. I have tried fighting them , I have tried rationally engaging them, now I have decided to join them. This post marks the launch of my health and wellness empire. I call it: Life My Way! The Science and Art of Outhealthing your Friends and Enemies. I will refer to the strategy as OhFE, pronounced “Ooof” (my creative team is still working on that). 1 Sensible Medicine is a reader-supported p
Emergency Live
MARCH 26, 2024
Becoming an expert trainer in extrication from accident vehicles at STRASICURAPark’s permanent center for extrication from accident vehicles, Saturday, May 3rd, and Sunday, May 4th In an era where professional updating is fundamental, the new project is born at the hands of Formula Guida Sicura at STRASICURAPark, where a permanent training area has been created […] The post New ways to become an expert trainer in extrication appeared first on Emergency Live.
Core Ultrasound
MARCH 25, 2024
Old IVC Vid (2021) TEE VTI Here are Dr. Spiegel’s Notes: 1. The discussion of what an IVC tells you is a fairly nuanced discussion but essentially it is telling you the difference in the RA pressure compared to the intra-abdominal pressure. It is our job as clinicians to interpret what that means. I find if you teach IVC US from that perspective than all the variability in techniques make a whole lot of sense.
Dr. Smith's ECG Blog
MARCH 26, 2024
Sent by Tom Fiero, written by Pendell Meyers A man in his 50s presented with acute shortness of breath. Unfortunately we do not have access to the patients presenting vital signs. Here is his ECG: Original image, suboptimal quality Quality improved with PM Cardio digitization The ECG is highly suggestive of acute right heart strain, with sinus tachycardia, S1Q3T3, and T wave inversions in anterior and inferior with morphology consistent with acute right heart strain.
EM Ottawa
MARCH 28, 2024
Opioid use disorder is a terrible disease that takes over people’s lives and leaves them overwhelmed, consumed by compulsions and cravings, and often alone. Over the past 10 years, opioid overdoses and deaths have continued to climb in Ontario, now surpassing the annual death toll from road traffic accidents. It’s only natural for healthcare providers […] The post BHP Corner: The Opioid Crisis appeared first on EMOttawa Blog.
Emergency Live
MARCH 25, 2024
Water: Vital Element at Risk The importance of water as a vital resource and the need for its conscious and sustainable use were central to the reflections of World Water Day 2024 on March 22nd. This occasion underscores the urgency of adopting modern technologies and rational practices for water management, addressing the challenges posed by […] The post Saving Water: A Global Imperative appeared first on Emergency Live.
Science Based Medicine
MARCH 23, 2024
I did not bother going back to the office but decided to wander over the sisters to see if they had anything new from their research. I took a trolley to Southeast and hopped off early. It was a beautiful summer day, and it would do me good to walk. It was a pretty neighborhood with many trees and well-kept gardens. I […] The post Skeptics in the Pub.
PEMBlog
MARCH 27, 2024
This episode will help you better prepare for and manage children with inborn errors of metabolism in the Emergency Department. Consider it a supplement to what you remember from Biochemistry and the instructions on the family’s laminated care plan sheet. My special guest podcaster, Emily Groopman, is an actual Pediatric Geneticist in training and we hope that you will find this episode useful.
Life in the Fast Lane
MARCH 25, 2024
Samuel McCarney and Mike Cadogan NeuroResus Review NeuroResus is a FOAMed educational resource which defines, describes and elaborates on the practical management of all neurological emergencies
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