Tactical Medicine News Blog
Patwari Academy videos: EBM Treatment Studies (part 2)
Posted by Michelle Lin, MD on
Dr. Rahul Patwari continues with the fourth and fifth videos in this series on Evidence Based Medicine (EBM) and Treatment Studies (see first three videos). These two videos are about the concept of Confidence Intervals and Patient Applicability. The second video below makes great points about whether a published study is applicable to YOUR patient. Don’t fall into common traps.
The Checklist Manifesto: ALiEM Book Club Synopsis
Posted by Teresa Chan, MD, MHPE on
Our dear readers have chimed in and we’ve received amazing commentary and feedback regarding this month’s book The Checklist Manifesto. Please read the summary of the discussion below. CHECKLISTS ARE EVERYWHERE IN EMERGENCY MEDICINE Our readers have spotted checklists in a number of places including PALS/ACLS algorithms, Procedural Sedation protocols, and Clinical Decision Rules. Dr. Javier Benitez (@jvrbntz) stated that he uses a checklist for resuscitations at the start of shifts. Dr. Michelle Lin (@M_Lin) stated “We already use our own mental checklists in Med[icine]. It’s just not explicitly shared. Should have more overt shared checklists.”
Ultrasound-Guided Pericardiocentesis
Posted by Arun Nagdev, MD on
All the years of ultrasound training in residency has paid off. You found the large pericardial effusion in the hypotensive patient who is still alive, but looks sick. You are a star! The only problem was that you never performed a pericardiocentesis in an awake patient. The cardiology fellow is at home sleeping and/or the closest receiving hospital is about 1 hour away. Now what? Dr. Arun Nagdev reviews how to do an ultrasound guided pericardiocentesis as part of this new, ongoing series of advanced ultrasound tips for emergency physicians.
Heuristics and Cognitive Errors in Diagnostic Reasoning
Posted by C. Kene Nwoye, MD on
Medical error is among the top ten causes of death in the United States, and while there are different forms and sources, diagnostic error is one of the most significant and consequential. Graber et al, 2002 classifies diagnostic error as one of 3 types: No-fault error System error Cognitive error
Choosing the right vasopressor agent in hypotension
Posted by Todd A. Seigel, MD on
The incidence of critical illness in the ED is rising, with greater than 1 million ED patients requiring emergent resuscitation each year. In addition to definitive airway management, hemodynamic support is among the most important life-saving interventions implemented by emergency physicians. When a patient develops persistent hypotension, what is your approach to choosing the right [+] The post Choosing the right vasopressor agent in hypotension appeared first on ALiEM.