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Man gets $20 billion after two misdiagnoses caused him to lose a leg

Time : 18th of April 2023 12:26:23 PM Physician/Medicine,Nursing,Emergency Medicine

A man in his 30s with a history of sciatica visited Lowell General Hospital in 2015 with left foot discomfort. He was diagnosed with worsening sciatica. His leg was cold to the touch and turned purple. He returned 6 days later with ankle pain and was sent home with the same diagnosis. He was diagnosed with deep vein thrombosis 4 days later. His leg was amputated above the knee.

Screening patients in the ED can help detect undiagnosed diabetes

Time : 30th of January 2023 12:00:37 PM Endocrinology & Diabetes,Emergency Medicine,Diagnostics & Pathology

The emergency department diabetes screening program involved a best practice alert that was built into electronic medical records. About 52.3% of patients who were screened in the ED had abnormal readings, where 30% had diabetes, while 70% had prediabetes. Only 25% of these patients reported being diagnosed with diabetes, while 58% were receiving treatment.

Diagnostic errors in ED occur at similar rates seen in other clinical settings

Time : 5th of January 2023 12:29:22 PM Physician/Medicine,Emergency Medicine,Diagnostics & Pathology

One in 18 patients in the emergency department (ED) receive an incorrect diagnosis, 1 in 50 experience an adverse event, and 1 in 350 experience death or disability, as per a study conducted by emergency medicine agencies in the US. Overall, the diagnostic accuracy in emergency settings was high. These findings can help change policies to minimize misdiagnosis-linked harms.
  Effective Health Care Program

What to do when a child swallows a button battery?

Time : 23rd of November 2022 12:50:46 PM Physician/Medicine,Paediatrics,Entertainment,Emergency Medicine

Button batteries are coin-shaped batteries used in watches, hearing aids, car keys, and toys. Ingesting them is dangerous as they can cause holes in the oesophagus or intestines, ultimately causing tissue damage and death. If a child swallows a button battery, immediately go to the nearest emergency. Vomiting induction and the Heimlich manoeuvre are not recommended.
  Twitter @ClevelandClinic

WHO: Almost 50% of the world's population has oral diseases

Time : 18th of November 2022 09:45:25 AM Physician/Medicine,Nursing,Emergency Medicine,Dentistry

Severe gum disease, oral cancers, tooth decay, and tooth loss are common oral diseases worldwide. Around 2.5 billion people worldwide are suffering from tooth decay, while 380,000 new oral cancer cases are being diagnosed yearly. Oral health is being neglected due to high out-of-pocket costs and the unavailability of dental equipment in primary healthcare facilities.
  Twitter @Reuters_Health

"Tranq" can complicate the treatment of drug overdose

Time : 14th of November 2022 10:58:00 AM Psychiatry & Mental Health,Physician/Medicine,Pharma News,Nursing,Emergency Medicine

Overdose of xylazine-containing products, namely tranq, tranq dope, zombie drug, Philly dope, and sleep-cut, may not be reversed with naloxone treatment as per the FDA. Also, conventional tox screens cannot detect xylazine; thus, it should be considered a possible adulterant while treating overdosed patients. It can cause necrotic skin ulcers and severe withdrawal symptoms.

Giving IV potassium and magnesium could help treat AF

Time : 31st of October 2022 11:43:26 AM Physician/Medicine,Emergency Medicine,Cardiology

Patients with non-permanent atrial fibrillation or atrial flutter in the emergency department who were administered intravenous potassium and magnesium had an increased rate of spontaneous conversion in AF than no administration (19.2% vs 10.4%), as per a study. The findings suggest administering magnesium and potassium could reduce the necessity of antiarrhythmic treatment.
  Twitter @JAMANetworkOpen

Pulse CO oximetry is not reliable for detecting carbon monoxide poisoning

Time : 19th of October 2022 12:26:32 PM Pulmonology,Physician/Medicine,Emergency Medicine,Diagnostics & Pathology

Non-invasive pulse CO oximeters showed 77% sensitivity, 83% specificity, and 86% overall accuracy in diagnosing carbon monoxide poisoning, as per a study. However, they had a false negative rate of 23% for triaging patients with suspected poisoning. These findings suggest that pulse CO oximeters are not accurate enough to measure blood COHb levels in clinical practice.
  European Emergency Medicine Congress

New CPR method increases survival chances in out-of-hospital heart attacks

Time : 14th of October 2022 12:27:26 PM Physician/Medicine,Nursing,Emergency Medicine,Critical Care,Cardiology

Applying an "automated head-up/torso-up positioning" method to cardiopulmonary resuscitation was linked to significant improvements in the chances of survival compared to conventional CPR. Additionally, initiating this method of CPR early improved survival odds within achievable response intervals. This method could improve circulation and reduce intracranial pressure.
  Twitter @cardioceptor

ACC's guidance on evaluating acute chest pain in an emergency department

Time : 13th of October 2022 10:24:46 AM Physician/Medicine,Emergency Medicine,Diagnostics & Pathology,Cardiology

It advises a systematic approach at individual patient and institution levels to achieve optimal outcomes during evaluation. A hs-cTn assay and clinical decision pathway are advised to reduce ED time and safe discharge. ECG remains the best test to be done and interpreted within 10 minutes of arrival. Pre-hospital ECG should be reviewed in those arriving in ambulances.
  Twitter @ACCinTouch