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First10EM Journal Club: August 2024

Broome Docs

Early Physician Gestalt Versus Usual Screening Tools for the Prediction of Sepsis in Critically Ill Emergency Patients. Ann Emerg Med. 2024 Mar 25:S0196-0644(24)00099-4. CJEM debate series: #StillTheOne-while more challenging than ever, emergency medicine is still the best career path available for medical students.

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SGEM#452: Iā€™m Still Standing ā€“ After the Allergy Challenge

The Skeptics' Guide to EM

Date: September 12, 2024 Reference: Anderson et al. Full dose challenge of moderate, severe and unknown beta-lactam allergies in the emergency department. AEM August 2024. Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals.

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SGEM#438: Bone, Bone, Bone, Tell Me What Ya Gonna Do ā€“ for IO Access Location?

The Skeptics' Guide to EM

Prehospital Emergency Care. February 2024. Date: April 25, 2024 Guest Skeptic: Missy Carter is a PA working in an ICU in the Tacoma area and an adjunct faculty member with the Tacoma Community College paramedic program. Prehospital Emergency Care. February 2024. Prehospital Emergency Care.

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Brazilian Butt Lift Procedure Can Result in Emergency Department Visits

ACEP Now

Complications of Gluteal AFT The pale, prone patient with multiple surgical drains and a constrictive faja has become a common site in the Jackson Memorial Hospital Emergency Department. Nearly half of all post-AFT patients presenting to our emergency departments required admission and six percent required ICU admission.

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SGEM#440: Iā€™m Gonna Need Someone To Help Me ā€“ GRACE4 AUD and CHS Management in the ED

The Skeptics' Guide to EM

Guidelines for Reasonable and Appropriate Care in the Emergency Department (GRACE-4): Alcohol use disorder and cannabinoid hyperemesis syndrome management in the emergency department. Reference: Borgundvaag et al. When we combine SGEMHOP with an SGEM Xtra I hope we get someā€¦AMAZING knowledge translation for GRACE4.

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Journal Feed Weekly Wrap-Up

EMDocs

Spoon Feed An international, multi-center RCT found that administering pantoprazole to intubated ICU patients lowered the rate of upper GI bleeding compared to placebo. Published online June 14, 2024. Published online June 14, 2024. Acad Emerg Med. 2024 May;31(5):425-455. Ann Emerg Med. Epub 2024 Mar 2.

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Journal Feed Weekly Wrap-Up

EMDocs

Non-rebreather Mask Spoon Feed Noninvasive ventilation (NIV) was superior to a standard non-rebreather (NRB) oxygen mask for preoxygenation of critically ill ED or ICU patients requiring intubation, with a NNT of 11 to prevent 1 episode of hypoxemia <85%. Source Noninvasive Ventilation for Preoxygenation during Emergency Intubation.

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