Sensible Medicine

OCTOBER 21, 2024

It showed that the common practice of using drugs to suppress rhythm disturbances (anti-arrhythmics) in patients after heart attack (myocardial infarction) led to higher death rates. CAST shocked the world of cardiology because suppression of rhythm disturbances after MI had been an accepted practice. But our belief was wrong.

Evidence-Based Practice 107

Evidence-Based Practice Shock Fractures Outcomes 107

EB Medicine

JANUARY 2, 2019

Interestingly, groups have examined outpatient care with 2 days of daily IM ceftriaxone vs inpatient IV antibiotic therapy and they found that there may be a higher than acceptable risk in the outpatient setting as several required eventual admission and one developed septic shock in their relatively small trial.

Ultrasounds 40

Ultrasounds Radiology Radiology Infectious Diseases 40

EB Medicine

DECEMBER 4, 2019

Nachi: AEDs are also required and have been since 2001 and amazingly when a shock was delivered in flight, 40% survived to hospital discharge with a good outcome. Over the past 3 years, we’ve thoroughly enjoyed hosting EMplify and having the unique opportunity to share high quality evidence based medicine with you all.

Dehydration 40

Dehydration EMS Wellness Burns 40

Sensible Medicine

JANUARY 13, 2025

Yet, still, the vast majority (≈13 of 14) of patients implanted with an ICD for primary prevention never receive a shock, and therefore gain no benefit. Keep in mind that the ICD is a dumb device—as it saves lives by shocking a malignant arrhythmia back to normal. Plus, it’s in mortality, not a composite endpoint.

Evidence-Based Practice 76

Evidence-Based Practice Shock Academics Documentation/Coding 76