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When Studies Can't Answer an Important Question (but are still published)

Sensible Medicine

Surgeons can operate on TR to either repair or replace the valve. But it’s a tough operation with high risk to the patient. Design of the Experiment: An important question in cardiology is if and when to operate on patients with TR. Sham operations are tough to do because of the ethical challenges. vs 18.2% ; P =.036).

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Orientation to the Operating Room for Sales Professionals

American Medical Compliance

The Orientation to the Operating Room for Sales Professionals course is designed to educate sales professionals on proper operating room practices. There are several benefits and risks of healthcare industry representatives (HCIRs) being in the operating room. Reach out for other courses by visiting the AMC Course Library.

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The Modified Valsalva Maneuver: Practical Treatment or Pointless Trick?

RebelEM

It is the first research paper to explore the synergistic effects of combining MVM and IV Adenosine in treating PSVT. The primary outcomes are patient-centered and objectively measured, potentially ensuring relevance and reliability. The unblinded nature of the study could influence outcomes due to observer bias.

Outcomes 137
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Fourteen Emergency Medicine Research Gems from 2023

ACEP Now

Every year, the volume of published research continues to outpace capacity to consume. 4 Repeated trials have not shown alteplase to have any signal of better outcomes, nor tenecteplase to have an association with increased adverse events. Gotta catch ‘em all!” How Best to Stop the Bleeding in Trauma?

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Single ventricle defects and the hunt for the best shunt

Don't Forget the Bubbles

Whilst waiting for an operation, they need to be managed medically. The underlying heart defect determines the precise operation performed – you might have heard of the Norwood procedure , an example used for HLHS specifically. Six hours post-operatively, they become more mottled, with weak pulses – signs of poor systemic perfusion.

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Threading the Needle: Bougie-First Intubation

RebelEM

Included patients from out-of-hospital, emergency department, intensive care unit, and operating-room intubations. Researchers used the Cochrane Risk of Bias Tool to assess bias in randomized controlled trials, and observational studies were assessed with the modified Newcastle-Ottawa scale. hypotension, hypoxemia). in another study).

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Serial PoCUS for ED Patients with Acute Dyspnea: Is More Actually Better?

RebelEM

What They Did: Design: Randomized, controlled, blinded-outcome trial Sites: Three emergency departments in Denmark Duration: October 9, 2019 to May 26, 2021. Outcomes: Primary Outcome: Reduction of dyspnea measured on a verbal dyspnea scale (VDS) from 0 to 10 recorded at enrollment, then at 2, 4, and 5 hours after arrival.