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The Problem: Emergency Medicine (EM) in Pakistan has moved from developing to developed stage in the last decade [1]. As the specialty evolves in Pakistan and other countries, there is a need to improve and assimilate novel learning methods to elevate education standards. The COVID-19 pandemic catalyzed the routine use of video-conference platforms such as Zoom.
Some folks on twitter asked my thoughts on AMIKINHAL trial, so I thought I'd jot them here. AMIKINHAL is a multi-center RCT that evaluated the ability of inhaled amikacin to prevent VAP (ventilator-associated pneumonia) among patients who had been intubated for three days. It's available here at NEJM. It was a positive trial, which is […] EMCrit Project by Josh Farkas.
The National EMS Advisory Council (NEMSAC) will host a hybrid meeting on Wednesday and Thursday, November 15-16, 2023, from 1:00 pm – 4:15 PM ET. Join us for national EMS program […] The post National EMS Advisory Council Meeting November 15-16, 2023 appeared first on American Ambulance Association.
Maryland enacted the first “prudent layperson standard” (PLP) in state law in 1993 (see related timeline). The PLP standard they devised protected a patient’s access to emergency medical services, including on-call services, if the medical condition of the patient manifests itself by acute symptoms of sufficient severity (including severe pain) such that a prudent layperson could reasonably expect that the absence of immediate medical attention could result in serious jeopardy to the health of t
Researchers at the University of Massachusetts Amherst have developed a new method of detecting very small amounts of DNA. The breakthrough could allow clinicians to spot genetic markers of disease at the point-of-care, as the approach does not require conventional laboratory analysis, which is usually time-consuming and costly. In fact, the approach has led to a 100-fold increase in DNA detection sensitivity, with no corresponding increase in cost.
The Case A two-year-old female, seen three days ago at different local emergency department (ED)—Children’s General—presents with fever, headache, and neck pain. Her parents say that when she was previously seen, blood and urine were tested, and some type of X-ray and a spinal tap were performed. They were told she might have a kidney infection and she was prescribed cephalexin (Keflex).
Researchers at Northwestern University have developed a sophisticated microfluidic system that incorporates tissue from up to eight different organ systems. The technology is unprecedented in allowing researchers to study complex interactions between different organs during disease. Moreover, it also allows for more comprehensive drug testing that investigates the effects of drug candidates on multiple organ systems at once.
“So how long has he been in jail? I mean his core temp is 27.” I think that the only acceptable answer from the corrections officers at that time would have been “20 minutes or less,” but that was not the response. I sighed, wondering if I was the only person who thought that this situation was dubious. After perusing this with residents and colleagues for more than five years, I now think the nature of the possible prisoner-abuse situation would have been clear to anyone, but the next steps ha
“So how long has he been in jail? I mean his core temp is 27.” I think that the only acceptable answer from the corrections officers at that time would have been “20 minutes or less,” but that was not the response. I sighed, wondering if I was the only person who thought that this situation was dubious. After perusing this with residents and colleagues for more than five years, I now think the nature of the possible prisoner-abuse situation would have been clear to anyone, but the next steps ha
@RobertHermanMD on Making Waves from Mayo clinic. Artificial Intelligence-Augmented ECG Interpretation Using Smartphone Technology @TheEKGGuy [link] == MY Comment , by K EN G RAUER, MD ( 10/26 /2023 ): == Our THANKS to Drs. Anthony Kashou & Robert Herman for their wonderful ongoing work toward continued evolution and improvement of clinical ECG utilization.
Background: There is a shifting paradigm towards shorter durations of antibiotics in pediatric infections. Conflicting international guidelines recommend treatment of urinary tract infection (UTI) with antibiotic courses ranging from just 3 days to 7–14 days. 1–4 Antimicrobial resistance is a global health crisis, underscoring the importance of antibiotic stewardship.
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