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2015 Dec 22;132(25):2412-22. 2015 Dec 17;373(25):2413-24. Epub 2015 Nov 11. Ann Emerg Med. 2020;76(4):470-485. doi:10.1016/j.annemergmed.2019.09.001 2019.09.001 Eikelboom JW, Quinlan DJ, van Ryn J, Weitz JI. Idarucizumab: The Antidote for Reversal of Dabigatran. Circulation. doi: 10.1161/CIRCULATIONAHA.115.019628. 115.019628.
Record, 2015) Normal aortomesenteric angle ranges from 28 o to 65 o and the normal distance from 10 to 34 mm. Record, 2015) Nausea and pain are typically post-prandial. Record, 2015). Record, 2015) Secondary findings on imaging including gastric distension and distension of the proximal duodenum. The Oschner Journal.
A talk that I presented during the Kelantan Resuscitation Updates 2015 (22 Nov 2015) based on the new AHA/ILCOR guidelines. Basically however, there are no major changes in this year 2015 updates.
Published online September 3, 2015:bcr2015211732. doi:10.1136/bcr-2015-211732 Heffernan C, Pachter HL, Megibow AJ, Macari M. [link] Hudson J, Malik A. A fatal faecaloma stercoral colitis: a rare complication of chronic constipation. BMJ Case Reports. Stercoral Colitis Leading to Fatal Peritonitis: CT Findings. 2005;184(4):1189-1193.
Hospitalization for travel-related illness are around 10% for both VFR and tourists (Leuthard 2015) Multiple studies have reported the most common travel infections in various countries. In the 1950’s travel accounted for 25 million international tourists. A study of swiss tourists found they compromised 53.4%
Dave Schriger and colleagues reviewed publications in the Annals of Emergency Medicine from 1998 to 2015 and found that only 11% of the studies compared decision aids to clinical judgement [4]. A similar review by Sanders et al 2015 concludes that clinica.
In SGEM#181, we were unconvinced of the value of routine use of whole body CT in trauma patients, and right back in 2015 on SGEM#106 discussing the Canadian CT head rule and the New Orleans Criteria. However, we’ve not previously looked at the intersection of non-traumatic back pain and rational investigation.
Red Book: 2015 Report of the Committee on Infectious Diseases. Elk Grove Village, IL: American Academy of Pediatrics; 2015:432445. References American Academy of Pediatrics: Herpes simplex. In: Kimberlin DW, Brady MT, Jackson MA, Long SS, eds. Studdiford JS, Valko GP, Belin LJ, Stonehouse AR.
Figure 1: Peripheral IV ultrasound using alcohol under transparent film dressing and topical saline flush – all without ultrasound gel Read other Tricks of the Trade articles. References Cleaning and Disinfecting FUJIFILM SonoSite Products User Guide [PDF]. Accessed April 5, 2023. Accessed April 5, 2023 Afzal S, Zahid M, Rehan ZA, et al.
Let’s take a moment to digest a morsel on this condition that may lead to recurrent pulmonary problems: Congenital Pulmonary Airway Malformation: Basics Developmental lesion of the lungs characterized by pseudocysts, lesions, and dilated airways (Dessole, 2019) Incidence is 1 in 11,000 to 1 in 35,000 (Dessole, 2019) Most often unilateral 85% (..)
Carpenter 2015) […] The post Overdiagnosis: Would we better better off not looking? 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.) appeared first on First10EM.
Acetaminophen ( Williams et al Lancet 2014) * Muscle relaxants ( Friedman et al JAMA 2015) * NSAIDs ( Machado et al Ann Rheum Dis 2017) * Steroids ( Balakrishnamoorthy et al Emerg Med J 2014) * Benzodiazepines ( Friedman et al Ann Emerg Med 2017) Many non-pharmacologic therapies have also been tried with limited efficacy.
Weingart 2011, Weingart 2015) It is a brilliant concept, makes a ton of sense on paper, and anecdotally has seemed to help a number of my patients. Introduced to the world by our friend Scott Weingart, delayed sequence intubation (DSI) is often summarized as procedural sedation for the procedure of preoxygenation.
This changed in 2015 when the Food and Drug Administration (FDA) approved idarucizumab for the reversal of dabigatran. We covered the interim analysis of 90 patients included in a prospective cohort study by Pollack et al NEJM 2015 on SGEM#139. Dabigatran is a direct thrombin inhibitor.
However, we have not covered the Therapeutic Hypothermia after Out-of-Hospital Cardiac Arrest (OHCA) in Children or THAPCA-OH published in the New England Journal of Medicine in 2015. We’re adding on a second paper looking at the Bayesian interpretation of the original study. Original trial: Moler FW, Silverstein FS, Holubkov R, et al.
The American Heart Association (AHA) discussed opioid overdoses and the use of naloxone Part 10: Special Circumstances of Resuscitation in their 2015 Guidelines (3). CanadiEM summarized the Top 5 changes to AHA 2015 Guidelines in a series of infographics (4). There were two new recommendations.
A 2015 phase 2 study published in the NEJM (Bas et al) touted the role for icatibant in the treatment of these patients. We covered ACE-I induced angioedema and reviewed the 2015 icatibant study on SGEM#110. Icatibant is a selective bradykinin B2 receptor antagonist so it acts by blocking the production of bradykinin.
Guest Skeptic: Dr. Natalie May trained as an emergency physician with subspecialty paediatric emergency medicine in the UK and worked in Manchester and Oxford before moving to Australia in 2015 to work for Sydney […] The post SGEM#190: Wee are the Champions of Pediatric Urine Samples first appeared on The Skeptics Guide to Emergency Medicine.
We revisit the topic of Hyperkelamia to update our prior episode from 2015 (pre-Lokelma) Hosts: Brian Gilberti, MD Jonathan Kobles, MD [link] Download Leave a Comment Tags: Renal Colic Show Notes Introduction Background Physiology : Normal range and the significance of deviations (>5.5
Photo Courtesy of (Bohrer, 2015)) Chemical Suicides, also sometimes referred to as detergent suicides, became prevalent in 2007 in Japan, and in 2008 started occurring in the United States (Reedy, Schwartz, & Morgan, 2011). 2015, 11 23). Chemical Suicide Awareness. 2014, 10 21).
I came on in the spring of 2015. This was something he definitely didn't plan for but took it in stride. His first cohort had 17 students. Since then, the demand for the class has grown. I was a fresh paramedic with a passion to share my new found knowledge and skills. The EMS program even had an ambulance at one point.
Pediatrics 2015 8 studies; 765 patients 96% 93% Evidence supports lung POCUS as an alternative for diagnosis of pneumonia in children. 2015 Apr;135(4):714-22. Table 1 summarizes these studies, showing an overall high accuracy for lung POCUS diagnosis of pneumonia in children. Study N Sensitivity Specificity Comments Pereda et al.,
Norii 2015, […] The post The UK-REBOA trial appeared first on First10EM. There have been some observational studies that suggested REBOA was associated with worse outcomes, but the outcomes were largely assumed to be the result of confounders.
JAMA 2015 [7] The PROPPR Trial 680 severely injured adult trauma patients Patients randomized to Plasma, Platelets, and PRBCs in a 1:1:1 ratio vs 1:1:2 ratio No difference in overall mortality at 24 hrs BUT 1:1:1 achieved hemostasis faster and fewer experienced death due to exsanguination at 24hrs Crombie N et al. Lancet 2019.
One side argues that fever places additional physiological stress on patients, who are already ill ( Young 2015 ). On the other hand, fever may serve as a protective role by enhancing immune cell function and inhibiting pathogen growth and spread ( Young 2015 ). NEJM 2015; 373(23): 2215-24. PMID: 26436473 Schortgen F et al.
Mayo Clin Proc 2015 * Shanafelt et al. There are also a number of references for further information on burnout. Shanafelt et al. Changes in Burnout and Satisfaction With Work-Life Balance in Physicians and the General US Working Population Between 2011 and 2014.
Background: An update to our 2015 post on HIET for beta-adrenergic receptor and calcium channel antagonists overdose. Beta-adrenergic receptor antagonists (Beta blockers, BB) and calcium channel antagonists (calcium channel blockers) are common drugs that can produce profound cardiac depression and shock when taken in overdose.
That rant relied upon a Cochrane SRMA by Stevens B et al 2013 and a randomized clinical trail published in Pediatrics by Gray L et al 2015. There is a RANThony on pediatric pain control and one of the interesting treatments was sucrose.
We looked at the PROPPR trial on SGEM#109 when it came out in 2015 and concluded then that a 1:1:1 transfusion strategy was a reasonable approach to massive transfusion and that it seemed to achieve more hemostasis and less death from exsanguination at 24 hours.
2015): 855-857. Baizabal-Carvallo, J.F. and Jankovic, J., Stiff-person syndrome: insights into a complex autoimmune disorder. Journal of Neurology, Neurosurgery & Psychiatry , 86 (8), pp.840-848. Gavin, Pamela. “The importance of natural histories for rare diseases.” ” Expert Opinion on Orphan Drugs 3.8 Caffrey, D.,
In fact, the average number of applicants between 2015-2020 and 2022-2023 were relatively similar, with the latter demonstrating 122 more applicants (2,801 vs 2,923). However, between 2015 and 2023, the number of available EM positions grew, with an annual addition of 149 PGY1 positions.
The slow moon climbs: The science, history, and meaning of menopause. Princeton University Press, 2019. Davis, S.R., Lambrinoudaki, I., Lumsden, M., Mishra, G.D., Santoro, N. and Simoncini, T., Menopause (Primer). Nature Reviews: Disease Primers , 1 (1). Gunter, Jennifer. The Menopause Manifesto: Own Your Health with Facts and Feminism. Harlow, S.D.,
Acetaminophen Williams et al (Lancet 2014) * Muscle relaxants Friedman et al (JAMA 2015) * NSAIDs Machado et al (Ann Rheum Dis 2017) * Benzodiazepines Friedman et al (Ann Emerg Med 2017) Opioids are very effective at reducing pain. Many different treatment modalities have been tried to treat low back pain with limited success.
There are five steps in the Chain-of-Survival for OHCA: Most of us can agree with the first three steps. You need to recognize an arrest and activate your EMS system.
SGEM#87 : Let Your Back-Bone Slide (Paracetamol for Low-Back Pain) * SGEM#173 : Diazepam Won’t Get Back Pain Down * Muscle Relaxant Friedman et al (JAMA 2015) * NSAIDs Machado et al (Ann Rheum Dis 2017) * Systematic Review Ashbrook et al (Emerg Med J 2017) Then there is the issue of opioids use for low back pain.
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