The Skeptics' Guide to EM

JULY 2, 2023

Date: July 1, 2023 Reference: PATCH-Trauma Investigators and ANZICS Clinical Trial Group. Prehospital Tranexamic Acid for Severe Trauma. NEJM 2023. Guest Skeptic: Dr. Salim Rezaie is a community emergency physician in San Antonio, TX. He is the Creator and founder of REBEL EM, a free, critical appraisal blog that tries to cut down knowledge translation gaps of […] The post SGEM#408: Hey, I, Oh I’m Still Alive – Is it due to TXA?

Emergency Medical Services 311

Emergency Medical Services EMS Paramedic 311

Dr. Smith's ECG Blog

JULY 2, 2023

This was texted to me from a former resident, while working at a small rural hospital, with the statement: "I can’t convince myself of anything here, but he’s a 63-year-old guy with prior stents and a good story for ACS." (Chest pain or discomfort) What do you think? Here was my response: "Suspicious for inferior posterior OMI. Get serial ECGs" He then sent a previous from 4 years prior: "This is totally normal, which confirms that the first EKG does indeed represent OMI" Then the patient's ches

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ACS Coronary OR 52

University of Maryland Department of Emergency Med

JULY 2, 2023

POCUS can be used to screen for appendicitis. A recent study showed a sensitivity of 66.7% (CI 95% 47.1–82.7), and a specificity of 96.8%.

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