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First10EM Journal Club: February 2019

Welcome to another edition of the Broomedocs/ First10EM podcast. This month Justin and I serve up a selection of serious and seriously unusual papers. Key learning points: sharks are safe, The NEJM is dangerous and you just may be able to outrun Death. As always – the links to the full text PDFs and into […]

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Funeral Falldown

So here is a quick case for the sake of looking at a new paper in context. Mrs B is a 65 year old woman who has been brought in by ambulance from the local funeral home… no she is not dead. She was just at the home to view the cremation of her sister […]

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VTE Risk and Prophylaxis: Devil in the Details

VTE is a problem – there is definitely a risk of hospitalized patients acquiring and either dying or developing complications from VTE. The problem is that “hospitalized patients” includes very heterogeneous groups of patients.  We know that the higher risk groups DO benefit from appropriate VTE prophylaxis: Orthopaedic surgical patients General and gynaecological surgery Oncological […]

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Old Doc, New Drug: Gliflozins

Quick confession: I have never read or seen anything about Harry Potter in my life.  It isn’t because I am opposed to the Rowling machine.  I just grew up at the time before Harry and then had kids who missed the last few episodes…  I guess I have a lot to look forward to, one day […]

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Old Doc, New Drug: Ticagrelor

We all love to interfere with the clotting cascade in modern medicine, and this is a new way to do so!  Yet another unpronounceable new drug.  Ti-CAG-re-lor  is the latest in the family of drugs [cyclopentyltriazolopyrimidines.. forget that word immediately ] that stop clots and start bleeding.  I like to call it “tiger claw” and everyone around […]