Last fall, I diagnosed mumps in a family member. At first, I thought maybe I was wrong. From what I can remember, I had not seen mumps in my career, and I could only remember what it looked like based on pictures from medical school. Not only that, but there were only 357 cases of…
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…
The legal landscape surrounding the use of artificial intelligence (AI) within the medical setting remains in a state of flux. There are a multitude of issues regarding liability yet to be tested, balancing the responsibility for errors between the clinician, the vendor of an AI product, and the hospital deploying an AI product. Each of…
Background We’ve talked a lot about refractory shockable cardiac arrest at St Emlyns’s. In many ways it’s the frustration of seeing a patient who has a condition that we think we should be able to correct, and yet we cannot. Ordinarilly we derscribe refractory VF/VT as persisting VF/VT for more than three shocks. While traditional…
As a procurement officer or safety manager, you are tasked with a critical balancing act. You are ensuring workplace safety while managing costs. When it comes to deploying an automated external defibrillator (AED), the decision often gets simplified to a line item on a budget. But viewing an AED as a simple capital expense is…
As a leader in the hospitality industry, the safety and well being of your guests and staff are your highest priority. In a bustling hotel, resort, or conference center, a medical emergency can happen at any moment. Sudden cardiac arrest (SCA) is a life threatening condition where every second counts, and having an automated external…
In this episode, I explore the origins and evolution of the daily sedation hold — also known as the spontaneous awakening trial (SAT) — one of the most influential shifts in ICU sedation practice. I unpack the key trials that demonstrated SATs could safely reduce ventilation time and ICU stay, and examines how these findings became standard care. But…
Today on the emDOCs cast with Brit Long (@long_brit), we cover a difficult diagnosis: non-convulsive status epilepticus. Episode 124: Non-Convulsive Status Epilepticus Background: Status epilepticus is severe and associated with morbidity and mortality. Two forms: 1) convulsive SE (CSE) marked by prominent motor activity, and 2) non-convulsive SE (NCSE) without prominent or clinically obvious…
Each year in the U.S., sudden cardiac arrest strikes an estimated 236,400 times at home (excluding the workplace), 57,050 times in public settings, 36,050 times in nursing homes, and 10,000 times on the job. For operations, procurement, and safety leaders in a multi-site organization, those 10,000 workplace events represent a dispersed threat you must control….
🧭 REBEL Rundown 📌 Key Points 🩸 No BP Boost at 24h: Early 20% albumin in sepsis didn’t significantly improve systolic BP at 24 hours compared to standard care. 💉 Less Fluid, Fewer Pressors: Albumin group received 725mL less fluid over 72h and needed vasopressors 7.4% less often—but the differences were small and statistically fragile….