EMDutch Review – Happy New Year

4 Jan

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The Skeptics Guide to Emergency Medicine: One is the Loneliest Number (High Sensitivity Troponin)

http://thesgem.com/2013/09/sgem43-one-is-the-loneliest-number/

“One is a lonely number. A single negative hs-cTn should not be used to rule out acute myocardial infarction.” The hs-cTn missed up between 6%-23% of AMI.  NPV for the four tests was 94-98% It was no surprise the sensitivity and NPV were better in patients presenting after 6 hours of chest pain.

But…TGEM also talks about a couple of factors to consider when interpreting the results of this study.

EPMonthly: LP for Subarachnoid Hemorrhage: The 700 Club

http://www.epmonthly.com/features/current-features/lp-for-subarachnoid-hemorrhage-the-700-club/

Is it worth 700 LPs (which its complications) to find one aneurysmal subarachnoid hemorrhage? In patients with half the risk, the ratio of LPs to aneurysmal SAH jumps from 700 to 1400. And for those with lower risk headaches the number is in the thousands, which helps to explain why finding an aneurysmal SAH by LP is a Ghostbusters moment.

LITFL: Does Roc rock? Does Sux suck? 

http://lifeinthefastlane.com/ruling-the-resus-room-004/

All you need to know about roc and sux…..and if you ask met roc rock & sux suck! A MUST SEE!!! Great stuff by Ruben Strayer!

LITFL: Oxygen & CO2 retention in COPD

http://lifeinthefastlane.com/education/ccc/oxygen-and-co2-retention-in-copd/

The real explanation involves: 1. increased V/Q mismatch (most important) 2. the Haldane effect

Podcasts

ERCast: Pulmonary Nodule: The incidentaloma

http://blog.ercast.org/2013/11/pulmonary-nodule-incidentaloma/

Which incidentiloma needs follow-up….and when!

 

Presentations & Videos

EM in 5: Hyphema

http://em-in-5.blogspot.nl/2013/07/hyphema.html?m=1

ED Websites 

http://radiologymasterclass.co.uk/tutorials/musculoskeletal/x-ray_trauma_upper_limb/wrist_trauma_x-ray.html

Fantastic Radiology Masterclass for (young) doctors

http://lacerationrepair.com

Closing the Gap ~ Advanced Wound Closure for the Emergency Practitioner

Dutch delight

From 28th of sept – 1 oct 2014 Amsterdam will be in the spotlights and we don’t mean the red lights. We mean EuSEM 2014! It will be in the Westergasfabriek and it’s gonna be massive. Hope to see you there and follow @ EuSEM14 on Twitter to keep informed!

Until next time!

Egon

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One Response to “EMDutch Review – Happy New Year”

  1. wendy January 6, 2014 at 11:38 #

    Great site!!!

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