The Skeptics' Guide to EM

OCTOBER 28, 2023

Date: October 26, 2023 Reference: Jones et al. Opioid analgesia for acute low back pain and neck pain (the OPAL trial): a randomised placebo-controlled trial placebo-controlled trial. Lancet July 2023 Guest Skeptic: Dr. Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. He is also one of the world’s leading researchers […] The post SGEM#419: Welcome Back – To Another Episode on Back Pain first appeared on The Skeptics Guide

Emergency Department 223

Emergency Department ALS ED OR 223

Broome Docs

OCTOBER 28, 2023

This is a very special episode of the Broome Docs Podcast Journal Club with Dr Justin Morgenstern. Justin was invited to visit us in Western Australia as a guest lecturer for the W.G. Smith lecture series. So we decided to invite along a few of our favourite FOAMed friends to be a part of the festival of nerdiness and record a live version in front of the local crew.

ALS 67

ALS ED OR 67

EMDocs

OCTOBER 28, 2023

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: How Useful Is Lactate Clearance Anyway? Spoon Feed Don’t hang your hat on lactate clearance to assess therapeutic response to resuscitation in sepsis; there are too many confounders, and initial clearance does not n

STEMI 66

STEMI Emergency Department Coronary OR 66

The Bottom Line

OCTOBER 28, 2023

Landiolol and Organ Failure in Patients With Septic Shock Whitehouse. JAMA Published online October 25, 2023. doi:10.1001/jama.2023.20134 Clinical Question In patients with tachycardia and septic shock who are treated with high dose norepinephrine does the use of β-blockade for up to 14 days reduce organ failure compared to standard care?

65

65

Dr. Smith's ECG Blog

OCTOBER 28, 2023

A young man presented with continuous prolonged generalized weakness, lightheadedness, and presyncope. There was some dyspnea but no chest pain. Here is his ECG. This shows LVH, with high voltage. LVH can have very thick-walled ventricles and a correspondingly small LV cavity. LVH is a common etiology of heart failure with preserved ejection fraction, as it may results in a stiff ventricle with poor diastolic relaxation.

ALS 77

ALS OR 77

EMCrit Project

OCTOBER 28, 2023

All the lit goodness for Oct 2023 EMCrit Project by Scott Weingart, MD FCCM.

83

83

FOAMfrat

OCTOBER 28, 2023

Sweep? What is Sweep? You may have heard this term in reference to medicine, or you may just be familiar with what your parents had you doing to help around the house when you were younger. To oversimplify the concept, sweep, or sweep gas, is the term used to describe the gas flow across an oxygenator membrane in extracorporeal oxygenation devices such as ECMO.

Life Support 52

Life Support Paramedic CPR OR 52

ECG & Echo Learning

OCTOBER 28, 2023

Table 1 provides a summary of the indications, contraindications, dosage, administration, warnings, precautions, and other relevant information for the drug Prasugrel. Table 1. Summary Indications Prasugrel, in combination with acetylsalicylic acid (ASA), is indicated for the prevention of atherothrombotic events in adult patients with acute coronary syndromes undergoing percutaneous coronary intervention (PCI).

Coronary 52

Coronary OR 52