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Rahul Goswami
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174 followers
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How dare you SIRS?
Here's a good reminder that risk stratifiers and mnemonics are just that - prognostications. Like a wise ma once said - its all a spectrum. Time to Initial Antibiotic Administration, and Short-term Mortality Among Patients Admitted With Community-Acquired S...

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Age-ism in d-dimers
This is something that has been a bug bear of many a physician for years. Your gestalt and experience downtrodden by a slightly raised d-dimer that should not have been sent in the first place. Here's a reason why you should have that leeway. Original artic...

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Webucation 13/12/15
This episode of web wisdom hails from the realms of almost all specialities. Make sure you visit the content on the sites and all credit to them. Information overload  - Insights into Meducation Central line showdown  - The Thunder Dome of lines! A FAST tho...

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Give me something for the pain!
The original article was found in Medscape but presented at ACEP 2015. We like it for obvious reasons. Anything to do with ketamine has a place on this site... and we believe oligoanalgesia should be a thing of the past. Our infusion and dosing on it can be...

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Sepsis SMACC-down panel.
This is a long one but worth it for broad concepts which are not discussed everyday. This panel comprises of the leading minds in sepsis research and information dissemination. It also demonstrates that we don't know as much as we think we know and are far ...

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TXA denial SMACC-down
SMACC 2015 videos will be coming fast and enlightening as they continue their valuable trend in post conference broadcasting. Long may it continue. Prof Karim Brohi enthralled at our local conference a few years ago and he is at his whimsical best here. He ...

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Oh shoulder reduction...let me count the ways I love thee.
Shoulder reductions are one of my favourite procedures to do and we have seen it evolve from medieval "leg in the armpit" method to the "no drug" massage nowadays. How many ways can you recall? Here's a delightful compendium. Get more of Prof Larry Mellick'...

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Webucation 3/11/15
Web wisdom this episode distills some thoughts about kidney stones, updates our facts in paeds and even challenges dogma about CTs in trauma - heavens no.... All credit to the original posters and do visit their sites for more content. The no CT in trauma e...

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EHR rapped
As usual, ZDogg captures most of our thoughts and emotions and portrays it well into rap and melody with a hilarious vid to boot. Worldwide this is becoming a bane for most EDs. A potent combination of "old-school" administrators/heads making allied to prof...

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Are we (EPs) the weakest link in cardiac arrest?
A recent publication in Intensive Care summarises the strategies involved in improving cardiac arrest outcomes, as can be seen in this infographic: We have many of the elements in place to improve cardiac arrest outcomes. There is an agency with lots of fun...
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