David Weil, MMSc, PA-C, NRP

1,662 Flips | 21 Magazines | 3 Likes | 1 Following | 609 Followers | @dweil77 | Keep up with David Weil, MMSc, PA-C, NRP on Flipboard, a place to see the stories, photos, and updates that matter to you. Flipboard creates a personalized magazine full of everything, from world news to life’s great moments. Download Flipboard for free and search for “David Weil, MMSc, PA-C, NRP”

Calls for ibuprofen sale restrictions after study finds cardiac arrest risk

Over-the-counter drug linked to 31% increased cardiac arrest risk, with the figure rising to 50% for diclofenac, says research<p>There have been fresh calls for restrictions on the sale of the painkiller ibuprofen after another study found it heightens the risk of cardiac arrest.<p>Taking the …

Biomedicine

First-year doctors will be allowed to work 24-hour shifts starting in July

First-year doctors will be allowed to work 24-hour shifts in hospitals across the United States starting July 1, when a much-debated cap that limits the physicians to 16 consecutive hours of patient care is lifted, the organization that oversees their training announced Friday.<p>The Chicago-based …

Do not get a serum acetaminophen level less than 4 hours after an acute ingestion

4 out of 5 stars<b>Can a serum acetaminophen concentration obtained less than 4 hours post-ingestion determine which patients do not require treatment</b> …

Chest pain, ST elevation, and negative serial trops: normal variant ("early repol"). Right?

<b>Case</b><br>A 58 year old man presented with intermittent chest pain for 2 weeks. He has active pain at the time of this initial ECG:<br>QTc is 455 ms<br>What do you …

An Effective Maneuver to Break PSVT : Emergency Medicine News

Schwartz, Alan C. MD<p>Emergency Medicine News: January 17th, 2017 - Volume 39 - Issue 1A - p<p>doi: 10.1097/01.EEM.0000511769.23824.6e<p>News<p><b>Dr. Schwartz</b> <i>is a</i> …

Blood Pressure

Doctors may not show empathy all the time, but it is a goal they must aspire to

Medical professionals have begun focusing too much on the wonders of medical technology and too little on bedside manner.<p>In my medical humanities and …

Psychiatric Hospitals

Which youngsters should have their tonsils removed?

A few decades ago removing a child's tonsils to prevent throat infections was almost a rite of passage. In the last 30 years, however, the number of tonsillectomies has declined dramatically, with far more being done on kids with sleep apnea than for those with sore throats.<p>Even so, tonsillectomy …

Medicine

A young doctor tries to get comfortable with the Big C

She had gone to the emergency department because she had had difficulty taking a deep breath. It wasn't quite pain that was affecting her breathing, she said. It was discomfort, a feeling that "something was there."<p>A CT scan of the chest showed clear lungs. But just underneath, within the tip of …

Medicine

Five Universally Applicable Leadership Lessons Learned from Military Medicine

<b>By Dr. Sudip Bose, MD</b><p><b>Dec. 7, 2016</b> -- In November 2004, I served in the Second Battle of Fallujah, which was the bloodiest battle of the Iraq War and the most violent since Vietnam. There is no substitute for, and no ingredient more important than, strong leadership -- whether fighting in our …

US life expectancy declines for first time in 20 years

<b>Life expectancy in the United States has declined for the first time in more than two decades.</b><p>Data from the National Center for Health Statistics showed a drop for men from 76.5 years in 2014 to 76.3 in 2015, and from 81.3 to 81.2 for women.<p>The preliminary figures show rises in several causes of …

Biomedicine

IV Lidocaine for Renal Colic: Another Opioid Sparing Option?

<b>Background</b> <b>:</b> For anyone who has taken care of a patient with renal colic, the agony they experience is indelible. I have had several female patients …

Anesthesiology

Should I Stay or Should I Go: Outpatient Treatment of Venous Thromboembolism

<b>Background:</b> The care of venous thromboembolism (VTE) is currently undergoing a paradigm shift in the US with an increasingly large percentage of …

Tissue Plasminogen Activators Safe for Patients Who Wake Up with Stroke Symptoms

Medicine

Is it OK for medical students to practise on themselves?

Medical students are practising invasive clinical procedures on themselves and fellow students at home as well as at medical school, a recent New …

ED Management of Heart Failure: Pearls & Pitfalls

<b>Authors: Kristine Jeffers, MD (EM Resident at SAUSHEC) and Brit Long, MD (@long_brit, EM Attending Physician at SAUSHEC // Edited by: Alex Koyfman,</b> …

Medicine

A med school lesson in peanut butter sandwiches could one day save your life

Anywhere between tens of thousands and hundreds of thousands of Americans, depending on whom you ask, die of medical errors each year.<p>Now, universities are looking to address that fact by teaching clinicians and administrators to see medical problems in a new light, using coursework that might …

Medical School

CC Nerd-The Case of the Sussex Vampire Continues…

Catheters designed for superficial vessels that can be identified by palpation or direct visualization are not effective in accessing the deeper …

Sussex

An Approach to Bradycardia in the Emergency Department

<b>Authors: Patrick C Ng, MD (EM Chief Resident, SAUSHEC Emergency Medicine Department) and Brit Long, MD (@long_brit, EM Attending Physician, SAUSHEC</b> …

Medicine

The Adult Hypoglycemic Patient: Tips for Emergency Department Management

<b>Authors: Erica Simon, DO, MHA (@E_M_Simon, EM Chief Resident at SAUSHEC, USAF) and Daniel Sessions, MD (Medical Toxicologist, South Texas Poison</b> …

Diabetes

Medical Expulsion Therapy in Ureteral Colic: An Update

Back in August 2014, we posted an in depth review on medical expulsion therapy (MET) with tamsulosin in patients with renal colic. The summary of …

Placebos

Gout Treatment Is Questioned in New Medical Guidelines

You might think of gout as an old-fashioned illness—relevant only, perhaps, to a character in Charles Dickens’ "The Pickwick Papers."<p>But almost 4 …

High Blood Pressure

Ascending cholangitis (acute cholangitis) - causes, symptoms, diagnosis, & pathology

I can guess your weight

Before we can do anything to a child in the emergency department we need to know how much they weigh. We have weight-based formulas for everything …

Formula E

The Skeptics Guide to Emergency Medicine

Posted by admin on Jun 30, 2018 in Featured, Musculoskeletal, Podcasts | 0 comments<p>Podcast Link: SGEM224 BFA Date: June 20th, 2018 Reference: Fox LM …

More Coverage of Inappropriate Antibiotic Prescribing

If this feels like déjà vu, it might be because it is.<p>This short research letter in JAMA Internal Medicine describes patterns of antibiotic …

Medicine

What is the difference between stroke and aneurysm?

Stroke is a life-threatening medical emergency that affects the brain. Aneurysm may be confused with stroke because an aneurysm in the brain can lead …

PulmCrit mythbusting- Anaphylaxis to penicillins isn’t a contraindication to meropenem

An unconscious septic patient rolls in wearing a “PCN anaphylaxis” medic-alert bracelet. What is the best broad-spectrum antibiotic for this patient? …

Allergies

Esmolol for Refractory VFib

Up until two years ago, beta blocker use for refractory ventricular fibrillation (VFib) had only been studied in animal models with sporadic human …

Episode 8: Empiric Antibiotic Selection in the ICU

So much of antibiotic selection has to do with local resistance patterns and it cannot be protocolized or generalized without that …

Overdiagnosis of Pulmonary Embolism by Pulmonary CT Angiography. - PubMed

OBJECTIVE:<p>The purpose of this study is to evaluate the rate of overdiagnosis of pulmonary embolism (PE) by pulmonary CT angiography (CTA) in a …