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SGEM Xtra: The 12 Days of Christmas the SGEM Gave to Me

The Skeptics' Guide to EM

The inspiration for the SGEM Xtra episode is the BMJ 2022 holiday article called "The 12 Days of Christmas, the Statistician Gave to Me,". Its fun to mix it up and not do a structured critical appraisal of a recent publication and have a more philosophical chat. And remember, CIs dont mean certainty!

OR 319
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EMS Wellness: Program Uptake and Roadblocks [2024 EMS Trend Survey]

Pulsara

Because the articles and advice found within contain such critical subject matter, we've elected to publish each segment one at a time here on our blog. Editor's Note: In August 2024, EMS1 and Fitch & Associates released their annual EMS trend survey, What Paramedics Want, proudly sponsored by Pulsara.

EMS 103
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JC: Small versus Large-Bore Thoracostomy for Traumatic Hemothorax.

St. Emlyn's

This evidence-based article helps trauma professionals make informed decisions about thoracostomy tube size, keeping patient outcomes and comfort at the forefront. However, for severe trauma or urgent settings, large-bore remains the go-to option.

OR 114
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Elbow Dislocations

REBEL EM

Elbow Dislocation Definition: Disarticulation of the proximal radius & ulna bones from the humerus Epidemiology: Incidence Second most common joint dislocation (after shoulder) in adults Most commonly dislocated joint in children Accounts for 10-25% of all injuries to the elbow ( Cohen 1998 ) Posterolateral is the most common type of dislocation (..)

E-9-1-1 99
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Compassionate Care for Neurodivergent Patients in the Emergency Dept.

ACEP Now

9 As Stowers points out in his article debunking neurodiversity myths: Consider that some individuals are auditory learners, while others prefer visual methods. Neurodivergence refers to the unique way in which an individual’s brain processes and responds to certain information, differing from the typical or average brain.

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Prehospital Extra-Corporeal Cardiopulmonary Resuscitation

International Journal of Paramedicine

Additionally, forwards and backwards reference tracing of eligible literature was performed to identify further articles. Methods A systematic literature search of the MEDLINE and Embase databases was performed between the dates of 4 th April 2024 and 11 th April 2024. Results A total of ten studies were identified.

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US Probe: Velocity Time Integral (VTI) in Sepsis Management

EMDocs

Fluid responsiveness should always be interpreted in the context of a patient’s fluid tolerance, however, evaluation of this is beyond the scope of the current article. Consider reviewing the EMDocs article on the VEXUS exam for further information on the ultrasound guided evaluation of fluid tolerance.