The Skeptics' Guide to EM

NOVEMBER 11, 2023

Date: November 2, 2023 Reference: Coventry et al. Which clinical features best predict occult scaphoid fractures? A systematic review of diagnostic test accuracy studies. Emerg Med J. Aug 2023 Guest Skeptic: Dr. Matt Schmitz is an Orthopaedic Surgeon who sub-specializes in adolescent sports and hip preservation. He will soon be transitioning out of the US military after […] The post SGEM#420: I get knocked down, but I get up again – do I have a scaphoid fracture?

ALS 244

ALS Emergency Department ED OR 244

Dr. Smith's ECG Blog

NOVEMBER 11, 2023

A 90-something year old woman presented with an acute mild stroke. She had a routine ECG as part of her workup: What do you think? This was shown to me in real time. I thought it had to be an inferior-lateral-posterior OMI. But the patient had no symptoms. Later, she did admit to some vague chest discomfort, but that could be due to the power of suggestion.

STEMI 70

STEMI ED OR 70

EMDocs

NOVEMBER 11, 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: ACORN RCT – Piperacillin-Tazobactam or Cefepime? Spoon Feed In this randomized control trial of patients receiving cefepime or piperacillin-tazobactam, there was no difference in risk of acute kidney injury between

OR 68

OR 68

University of Maryland Department of Emergency Med

NOVEMBER 11, 2023

This pediatric ICU study measured ICP during and after ketamine infusion. There was no increase in ICP associated with the ketamine in.

ICU 60

ICU 60