The Skeptics' Guide to EM
JULY 8, 2023
Date: July 6, 2023 Reference: Hanula R et al. Evaluation of oseltamivir used to prevent hospitalization in outpatients with influenza: a systematic review and meta-analysis. JAMA Int Med 2023. Guest Skeptic: Dr. Anand Swaminathan is an Assistant Professor of Emergency Medicine at Staten Island University Hospital. Managing editor of EM:RAP and Associate Editor at REBEL EM.
American Ambulance Association
JULY 10, 2023
This content is for AAA members only. Please either Log In or Join! The post 2023 EMS Employee Turnover Study Released! appeared first on American Ambulance Association.
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Critical Care Scenarios
JULY 12, 2023
5 things you pretty much must be doing if you want to be excellent at critical care. See also on the blog: The ten laws of critical care Practicing medicine like an adult 5 things you pretty much must be doing if you want to be excellent at critical care.
EMergucate
JULY 11, 2023
The chest x-ray is from a toddler with 1 week history of cough. What can be seen?
Don't Forget the Bubbles
JULY 12, 2023
4-year-old Mark presents with lethargy, jaundice, and abdominal pain after eating one portion (40g) of broad beans. Could he have G6PD deficiency? G6PD , short for glucose-6-phosphate dehydrogenase, is an enzyme active in all cell types and is key to protecting red blood cells from oxidative damage and early destruction. A child with reduced G6PD enzyme activity has increased red blood cell breakdown – haemolysis – when exposed to specific triggers.
ACEP Now
JULY 8, 2023
ACEP Now offers real-time clinical news, news from the American College of Emergency Physicians, and news on practice trends and health care reform for the emergency medicine physician. ACEP Now is an official publication of the American College of Emergency Physicians.
First 10 EM
JULY 12, 2023
I have spent a lot of time reading and talking about the TXA literature. The more literature I see, the less valuable TXA seems. However, trauma remains the one area of practice with a clearly positive trial, with the CRASH2 trial that started it all. Despite its size, the CRASH2 trial was imperfect, and replication […] The post PATCH-trauma: Another negative (but complicated) TXA trial appeared first on First10EM.
Paramedicine Now brings together the best content for paramedicine professionals from the widest variety of thought leaders.
Dr. Smith's ECG Blog
JULY 14, 2023
A 40-something with persistent Ventricular Fibrillation presented after attempted prehospital resuscitation A 40-something with no previous cardiac history presented to the ED in persistent Ventricular Fibrillation after attempted prehospital resuscitation. He underwent further standard resuscitation EXCEPT that we applied the Inspiratory Threshold Device ( ResQPod ) AND applied Dual Sequential Defibrillation (this simply means we applied 2 sets of pads, had 2 defib machines, and defibrillated w
EMCrit Project
JULY 8, 2023
Today I am joined by Mathieu Brunet, MD; a EM Doc and Trauma Team Leader. He recently wrote me with a case of Transcutaneous Pacing in which he thought he had mechanical capture due to a perfect matched pulse ox waveform. Well it turned out that was erroneous. Why??? Listen to this episode. EMCrit Project by Scott Weingart, MD FCCM.
University of Maryland Department of Emergency Med
JULY 8, 2023
Pelvic fractures can be a major source of life threatening hemorrhage. Suspect fracture with significant force/mechanism. Signs are pelvic tendern.
Medgadget
JULY 12, 2023
Moximed , a medtech company based in California, has developed the MISHA knee system, an implantable shock absorber for use in patients with knee osteoarthritis. The system is designed as an alternative to total knee replacement, and can help to reduce pain and discomfort for patients when performing daily activities, such as walking. The system is implanted on the outside of the knee, beneath the skin, and there is no need to remove bone, muscle, or ligament, resulting in a much faster patient
Dr. Smith's ECG Blog
JULY 12, 2023
I come in early for every shift to read the ECGs on the system that have not yet been "confirmed". I came across this one: The computer calls is: "SINUS RHYTHM. NORMAL ECG" What do you think? Be VERY careful when the computer calls the ECG "Normal". I saw the inferior ST depression (which is reciprocal to subtle STE in aVL) and the subtle ST depression in precordial leads and thought: "If this patient came in with chest pain, then it is an acute OMI.
EMDocs
JULY 8, 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: DEVICE RCT – VL vs DL for Critically Ill Adults Spoon Feed Video laryngoscopy (VL) was associated with higher rates of first attempt intubation success compared to direct laryngoscopy (DL) for critically ill patient
EMCrit Project
JULY 13, 2023
Massive Hemorrhage Protocol--The Trauma Anesthesiologist Perspective. EMCrit Project by Scott Weingart, MD FCCM.
Medgadget
JULY 14, 2023
Researchers at the University of Birmingham in the UK have developed a wearable that can assist in keeping track of stress hormone levels in the body over time. Disregulated stress hormones can play a role in various disease states, from heart disease to depression. However, until now, researchers had to perform blood draws to measure stress hormone levels, meaning that they could obtain just one snapshot in time of hormone levels or repeated blood draws over time, neither of which are ideal.
University of Maryland Department of Emergency Med
JULY 8, 2023
This study found that time to intraosseous was faster than time to peripheral IV. This lead to quicker resuscitation time. This was particularly tr.
EMDocs
JULY 11, 2023
Today on the emDOCs cast, Brit Long, MD ( @long_brit) covers hemophilia, including background, severity, evaluation, and management. Episode 81: Hemophilia What is hemophilia? Bleeding disorder due to a deficiency in one or more of the proteins (factors) involved in the coagulation pathway. Interruption of the coagulation cascade → ↓ fibrin clot formation → Several types : Hemophilia A – deficiency in factor VIII, 80-85% of cases Hemophilia B – deficiency in factor IX Hemophilia C – deficiency
ACEP Now
JULY 14, 2023
ACEP Now has received an APEX Award of Excellence for writing for “ How the Scene Unfolded in Uvalde” (July 2022). You can read the award-winning article. The annual APEX Awards are given by Communication Concepts to recognize excellence in writing, digital content, graphic design, social media, public relations, and marketing. The post <em>ACEP Now</em> Wins APEX Award for Writing Excellence appeared first on ACEP Now.
Medgadget
JULY 14, 2023
Researchers at the University of Washington have developed an app that converts common smartphones into clinical thermometers. Spotting the signs of fever early could make a difference in providing early treatment or beginning a period of isolation to reduce the chance of disease transmission. This is particularly important for viral diseases, such as COVID-19.
Stem EMS
JULY 11, 2023
The violent events against french fire-fighters is a problem around the whole country. Every year hundreds of rescue people are victims of physical and verbal violence. And even though they […] L'articolo Violence against french fire-fighters proviene da Stem Ems.
EMT City
JULY 8, 2023
I went into it feeling over confident I think, I FELT really prepared with my knowledge of materials, but I guess that theory was proven false. I usually do so good on tests, and every test in my EMS course I felt surprised by how well I did, I had to wrestle through a lot of self doubt, but at the end, I felt a lot more ready for this test. But I was totally caught off guard with how this test seemed totally bizarre and totally unexpected in how it was phrased and how some questions seemed to c
ACEP Now
JULY 8, 2023
The best questions often stem from the inquisitive learner. As educators, we love—and are always humbled by—those moments when we get to say, “I don’t know.” For some of these questions, you may already know the answers. For others, you may never have thought to ask the question. For all, questions, comments, concerns, and critiques are encouraged. Welcome to the Kids Korner.
Medgadget
JULY 10, 2023
Engineers at MIT have developed a microelectronic probe that can measure and influence the behavior of neurons involved in the brain-gut axis. Neural communication between the brain and GI tract has been implicated in a range of conditions as varied as autism and Parkinson’s disease. However, studying the interplay between these neurons was difficult, until now.
Stem EMS
JULY 11, 2023
Si sta avvicinando l’evento italiano dedicato al soccorso più atteso dell’anno. Siete pronti alla 23° edizione di REAS. Com’è diventato un punto di riferimento internazionale e com’è nata la Rassegna Emergenza Attrezzature da Soccorso e Sicurezza? L'articolo The origins of REAS: how did the most important rescue exhibition in Italy come about? proviene da Stem Ems.
University of Maryland Department of Emergency Med
JULY 13, 2023
This study attempts to answer the age old question: What is the importance of fever in pediatric illnesses? The authors' goal was to assess i.
Dr. Smith's ECG Blog
JULY 10, 2023
A 60 year old with chest pain: what do you think? The medics came to me worried about hyperacute T-waves. But these are not HATW and I immediately said so. Why? The ST segment is too flat, resulting in a narrow base for the T-wave even though the QT interval is quite long (QTc Hodges = 464 and a lot longer by Bazett). T-wave hyperacuteness is due to area under the curve, which is height + width + straightness of the ST segment.
Medgadget
JULY 10, 2023
Researchers at the University of London have collaborated with QuantuMDx, a medtech company based in the UK, to develop a microfluidic diagnostic device for tuberculosis. The CAPTURE-XT chip is designed to concentrate and purify Mycobacterium tuberculosis from suspected tuberculosis patients, particularly in areas that lack access to routine diagnostic technologies.
The FllightBridge ED
JULY 11, 2023
Ketamine is a non-barbiturate dissociative anesthetic originally synthesized in the 1960s.
University of Maryland Department of Emergency Med
JULY 12, 2023
Citrate is an anticoagulant added to blood products to maintain stability for storage. With the administration of large volumes of blood pr.
Don't Forget the Bubbles
JULY 10, 2023
There have been several news reports about cases of polio in the United States (New York State), Ukraine, sub-Saharan Africa, and India. In most of these countries, poliomyelitis was thought eradicated, with no cases reported for years, mainly due to successful vaccination campaigns. So why is it now being diagnosed again in both children and grown-ups?
REBEL EM
JULY 13, 2023
A 51-year-old woman presents for evaluation of increasing right lower extremity swelling for the last 3 hours. She was hiking with her dog in the southwest US when she heard a rattling noise in a nearby bush. She bent over to examine where the sound was coming from when she felt a sharp pain in her right lower leg. She subsequently noticed a single puncture wound.
University of Maryland Department of Emergency Med
JULY 12, 2023
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