The Blog
Thanks for dropping by! We have curated an incredible collection of the best articles from the leading Emergency Medicine, Tactical Medicine, Prehospitial Medicine, Austere & Remote Medicine authors, as well as Survival Medicine gurus and many others!
We hope you find something of interested to you, please use the search bar on top to narrow down what you are looking for.
As always, all credit is given to the original author and origin publication.
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- Dr. Amit Shah
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Tactical Medicine News
Assessment in medical education: Finding the signal in the noise
by Brent Thoma, MD MA
May 24, 2014
This past December it was reported in the Harvard Crimson that the median grade at their prestigious University was an A-.1 A flood of articles fol...
Tactical Medicine News
Ondansetron: Has it reduced need for IV rehydration in vomiting kids?
A 3-year-old male presents to the emergency department (ED) complaining of vomiting and diarrhea that has been occurring for 2 days. The mother sta...
Tactical Medicine News
Deep Vein Thrombosis (DVT): Wells criteria and D-dimers happy together
You are evaluating a 45-year-old male who is complaining of calf pain. He has a history of cancer however he has never had a clot in the past. Th...
Tactical Medicine News
PEITHO Trial: Fibrinolysis for Intermediate-Risk Pulmonary Embolism
Most of us would agree that massive PE is treated with fibrinolysis and non-massive PE is treated with anticoagulation. The area of great debate h...
Tactical Medicine News
Article: Hypotonic maintenance IV fluids in pediatrics
A 6-month-old male presents to the emergency department with diarrhea and vomiting. Despite antiemetic therapy, the the child is unable to tolerate...
Tactical Medicine News
Article: Elevated INR May Overestimate Coagulopathy in Trauma and Surgical Patients
A 55 year old woman presents as the driver of a motor vehicle collision. She has moderate abdominal tenderness diffusely and a seat belt sign, but ...
Tactical Medicine News
MIA 2012: Smith SW et al. Diagnosis of ST-Elevation Myocardial Infarction in the Presence of Left Bundle Branch Block With the ST-Elevation to S-Wave Ratio in a Modified Sgarbossa Rule. Ann Emerg Med. 2012 Dec;60(6):766-76
Bottom Line
Tactical Medicine News
MIA 2012: Levy P et al. Subclinical hypertensive heart disease in black patients with elevated blood pressure in an inner-city emergency department. Ann Emerg Med. 2012 Oct;60(4):467-74.e1.
Bottom Line1
In asymptomatic black patients who presented to the ED with elevated blood pressure, subclinical hypertensive heart disease was dete...
Tactical Medicine News
MIA 2012: Canto JG et al. Association of age and sex with myocardial infarction symptom presentation and in-hospital mortality. JAMA. 2012 Feb 22;307(8):813-22.
Bottom Line 1
Chest pain free MI is a very real phenomenon and it is associated with higher mortality – especially in younger women (NRMI study).
Tactical Medicine News
MIA 2012: Campagna JD, et al. The use of cephalosporins in penicillin-allergic patients: a literature review. J Emerg Med. 2012 May;42(5):612-20
Bottom Line 1
For patients with penicillin (PCN) allergies, it is safe to administer third- and fourth-generation cephalosporins (CPN) with no...
Tactical Medicine News
MIA 2012: Nishijima DK et al. Immediate and delayed traumatic intracranial hemorrhage in patients with head trauma and preinjury warfarin or clopidogrel use. Ann Emerg Med. 2012 Jun;59(6):460-8.e1-7.
Bottom Line 1
CREST study: Patients presenting to the emergency room with blunt head trauma and preinjury warfarin or clopidogrel use have a hig...
Tactical Medicine News
MIA 2012: Hoffmann U et al. Coronary CT angiography versus standard evaluation in acute chest pain. N Engl J Med. 2012 Jul 26;367(4):299-308.
Bottom Line 1
ROMICAT-II study: Coronary CT angiography (CCTA) is a safe and faster diagnostic strategy than the standard evaluation of low-to-i...
Tactical Medicine News
MIA 2012: Backes D, et al. Time-dependent test characteristics of head computed tomography in patients suspected of nontraumatic subarachnoid hemorrhage. Stroke. 2012 Aug;43(8):2115-9
Bottom Line 1
100% sensitive and specific if < 6 hours from headache onset
90% sensitive if after 6 hours
A noncontrast head CT can effect...
Tactical Medicine News
MIA 2012: Samuels-Kalow ME et al. Effective discharge communication in the emergency department. Ann Emerg Med. 2012 Aug;60(2):152-9
Bottom Line 1
This study tells us what we might already suspect: in the busy, hectic and loud Emergency Department, patients we discharge often ...
Tactical Medicine News
MIA 2012: Pearce MS et al. Radiation exposure from CT scans in childhood and subsequent risk of leukaemia and brain tumours: a retrospective cohort study. Lancet. 2012 Aug 4;380(9840):499-505.
Bottom Line 1
Interpret this data how you will: Exposure to 2-3 CT scans of the head will triple the risk of brain tumors; 5-10 head CT scans wi...
Tactical Medicine News
MIA 2012: IST-3 collaborative group et al. The benefits and harms of intravenous thrombolysis with recombinant tissue plasminogen activator within 6 h of acute ischaemic stroke (the third international stroke trial [IST-3]): a randomised controlled tri...
Bottom Line 1
Giving tPA to stroke patients within 6 hrs of symptom onset does not improve mortality or independence at 6 months. However, pati...
Tactical Medicine News
MIA 2012: Weingart SD, Levitan RM. Preoxygenation and prevention of desaturation during emergency airway management. Ann Emerg Med. 2012 Mar;59(3):165-75.e1.
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Tactical Medicine News
MIA 2012: Than M et al. 2-Hour accelerated diagnostic protocol to assess patients with chest pain symptoms using contemporary troponins as the only biomarker: the ADAPT trial. J Am Coll Cardiol. 2012 Jun 5;59(23):2091-8.
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For ED patients presenting with undifferentiated chest pain, a TIMI score of 0, together with a non-ischemic EKG, and a negative c...
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