The impact of defibrillation current and pad position on return of spontaneous circulation during refractory ventricular fibrillation Although pad position influences current delivery, the relationship between transthoracic current, pad position, and shock efficacy during external defibrillation for refractory ventricular (VF) has n...

Any EMS medical directors want to be an SGEM guest skeptic and critically appraise this secondary analysis?
www.resuscitationjournal.com/article/S030...

How great is the Canadian Syncope Score?

Find out in this clinical decision tool's external validation: https://loom.ly/yuSj7_0

Here's one of our REBEL REVIEWS summarizing the tool

#FOAMed #EMIMCC #MedSky #Medicine #Syncope

The Urine Drug Screen is Useless #criticalcare #emergencymedicine #toxicology YouTube video by EMSwami

Urine Drug Screen is useless in ED
-False (+) common due to cross-reactivity
-False (-) common: only looks for THC, cocaine, BZD, amphetamines, pcp + opiates
-Can’t tell you if patient’s symptoms are from the drug

All of this makes the test clinically useless

youtube.com/shorts/GwVh1...
#EMIMCC

D-dimer use in suspected #AcuteAorticSyndrome

doi.org/10.1111/1742...

#OpenAccess

nzpetejones.bsky.social
@wileyhealth.bsky.social
#MedSky #EMSky #EMedSky #emimcc #ACEM

How will the dismantling of USAID affect U.S. relief efforts in Jamaica? USAID was the lead American agency in disaster response. Now that it's been dismantled, questions are arising about how effective U.S. relief efforts will be in Jamaica after the hurricane.

A Cat-5 hurricane has devastated Jamaica.

USAID, with over 6 decades of disaster response expertise, no longer exists. The State Department can't fill this gap.

Dismantling federal agencies has real consequences.
@thelastmileusaid.bsky.social @altusaid.altgov.info
www.npr.org/sections/goa...

Live Updates: María Corina Machado of Venezuela Is Awarded the Nobel Peace Prize

Congratulations to new Nobel Peace Prize laureate María Corina Machado for her courageous struggle to bring democracy to Venezuela.

Finally time for a dip in Chicago River.

300 swimmers looped through downtown Chicago this month in the first official river swim since 1927, a milestone made possible by decades of cleanup, which has also lured back fish, beavers, and a giant snapping turtle.

https://f.mtr.cool/ygumdplwpv

Huntington's disease successfully treated for first time One of the most devastating diseases finally has a treatment that can slow its progression and transform lives, tearful doctors tell BBC.

a new mRNA therapy apparently can cut the rate of Huntington's disease progression by ~75%. yet more miracle shit www.bbc.com/news/article...

ACEP addresses the safety and efficacy of Tylenol (acetominophen) for pregnant patients in the ED. Read the full statement via the link below 🔗

www.emergencyphysicians.org/press-releas...

In case you’re wondering why ACEP is (sort of) singling out Dr. Houry, it’s because she is an emergency medicine physician who (I believe) still takes shifts at Emory Hospital, in addition to her work in CDC leadership.

She genuinely works on the front lines of public health.

EM’s influence at the AMA is stronger than ever 💪 This year, ACEP members serve on all 7 policymaking councils and the Board of Trustees, advancing EM priorities through the AMA House of Delegates. #acepnation #acep25

I have not seen my classmate since 2018 but she reaches out when she has a major case or research to present or life update. I’m so proud of her major career milestone presenting now as an expert in her specialty.

Just finished 2.5 hrs of chatting and reviewing with my medschool classmate on her slides for her infectious ds peers. More than 15 yrs since we met, we’re in different specialties and countries now but we still talk like the hopeful 1st yr students refining our research paper

Why am I doing this?” he said recently. “Why am I beating myself up writing papers about the moons of Jupiter when there’s people starving in the world? Papers that only five people in the world are going to read, and two of them are my enemies?”

This is the best critique of academia I have ever read. @newyorker.com www.newyorker.com/magazine/202...

Incivility contaminates the OR just as much as a break in the sterile field.
When it happens:
➡️The target is rattled.
➡️The witnesses feel it too.
➡️Focus narrows → core tasks can get missed.

The UpToDate flow chart about types of hyponatremia was literally the last straw on me deciding not to go into IM.

I know enough for EM! Order urine lytes and call to admit before they result and I might have to interpret them. 😅

Somebody on LinkedIn said what we're all thinking.

Good advice @thinkingpowers.bsky.social

The transformative power of keeping a daily journal In a new book, writer Suleika Jaouad explains why journaling is a form of alchemy — and offers tips on how to reignite your practice if you're feeling stuck, bored or uninspired by your own writing.

In a new book, writer Suleika Jaouad explains why journaling is a form of alchemy — and offers tips on how to reignite your practice if you're feeling stuck, bored or uninspired by your own writing.

“We take vaccines so for granted in the United States” ...“Women in the developing world know the power of [vaccines]. They will walk 10 kilometers in the heat with their child and line up to get a vaccine because they have seen death.”

Melinda Gates

How My ADHD Went Undiagnosed for Decades — And Why It Matters

ADHD doesn’t always look the way you expect. I was recently asked to write a letter to my younger self for a project Find the ADHD Girls is working on. It made me realize how many signs of ADHD I had growing up ... and how easy they were to miss.
#adhd #ADHDinWomen #ADHDinGirls #Masking

I’ve enjoyed being part of Narrative Mindworks - The World’s Leading International Narrative Practices Association; consider joining the global community advancing the art and practice of narrative in healthcare, education & communication. #healthhumanities #medicalhumanities
narrativemindworks.org

The community health workers protecting pregnant women from dangerous heat in Delhi In one of the world's hottest capital cities, a specialist team is working to help pregnant women survive the scorching temperatures.

The community health workers protecting pregnant women from dangerous heat in Delhi

“India is expected to be among the 1st countries where temps exceed safe limits for healthy people by 2050, even while resting in the shade, which could impact labour productivity, economic growth & quality of life”

Archaeologists are unearthing the most powerful women who ever lived Astonishing new archaeological finds and ancient DNA analysis leave no doubt that throughout prehistory women were rulers, warriors, hunters and shamans

Astonishing discoveries by archaeologists and analysis of ancient genomes mean we must rethink the emergence of patriarchy and the roles of women in prehistoric societies.

I was premed when I saw this and many years later, after a very short residency in neurology, I have been EM since then and the lack of attention span is too accurate. Best wishes to your daughter!

If you were forced to flee your home because of floods or wildfires, would you expect to be received with dignity and be supported?

Yes?

That’s exactly what all refugees everywhere deserve

Heartwarming moment baby turtle is rescued from a ghost net…..
Thank you for rescuing the little beautiful creature…. 🐢
🥹🥰

Bright orange and pink peony flowers with green leaves over blue in the background. Beige box with black text in center “May life treat you exactly the same way you treat servers, store clerks, senior citizens, children, and farm workers.”