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Why are we still intubating, when there is no evidence of benefit and we...
Also to be posted on ResearchBlogging.org when they relaunch the site. The results are in from two studies comparing intubation with laryngeal airways. There continues to be no good reason to...
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Are We Killing Patients With Parochialism?
The variation in approaches to resuscitation in EMS is tremendous. Many excuses center around the need for local people to be able to claim that they know something that the evidence does not show,...
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Vaccines are probably the safest and most effective medical intervention...
Why does anyone lie? Anti-vaxers lie for the same reason as other people – for personal benefit. Many anti-vaxers claim that there is an international conspiracy of doctors and researchers, as if...
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The Grinch Who Stole Reality
And the Grinch, with his Grinch-feet ice cold in the snow, stood puzzling and puzzling, how could it be so? It came without ribbons epi. It came without tags amio. It came without packages oxygen,...
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What Treatments May Be De-Emphasized by EM/EMS in 2019? Part I
EM (Emergency Medicine) and EMS (Emergency Medical Services) have already started to eliminate/decrease use of a lot of our failed treatments, because people started to see through our excuses....
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What Treatments May Be De-Emphasized by EM/EMS in 2019? Part II
I showed the problems with amiodarone for both live patients and dead patients in Part I. The higher the quality of the evidence, the less the evidence supports the use of amiodarone on humans....
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Happy Darwin and Lincoln Day 2019
Today we celebrate two 210th birthdays. Both stood up to right wing religious fanatics and were attacked for it. One was assassinated. The first birthday boy is Abraham Lincoln, who might have been...
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Protecting Systemic Incompetence – Part I
We demand the lowest standards, because we are willfully ignorant and we do not want to understand. The surprise is that so many of us survive our devotion to incompetence. The loudest voices tend...
View ArticleACLS Excuses for Causing Harm with Epinephrine
The next ACLS guidelines are available for review and comment, before they are finalized. The Consensus on Science with Treatment Recommendations (CoSTR) from the International Liaison Committee on...
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How Effective Is Epinephrine for Improving Survival Among Patients in Cardiac...
There have been two studies comparing epinephrine with placebo to treat out of hospital cardiac arrest. The Jacobs study was stopped early, because of interference by those who do not want to know...
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Do Emergency Physicians Intubate Often Enough to Maintain Competency?
There is a study of the frequency of intubation among emergency physicians in the current Annals of Emergency Medicine. This study is accompanied by a discussion, which unfortunately does not...
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New FDNY Cardiac Arrest Protocol is Reasonable
In New York City, the protocol for cardiac arrest during the coronavirus pandemic has been changed. The protocol now states to pronounce the patient dead after 20 minutes, if there is no return of...
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Interim Guidance for Basic and Advanced Life Support in Adults, Children, and...
All of the revised guidelines are at the end. Treatment of cardiac arrest in the time of a pandemic requires changes to the ACLS (Advanced Cardiac Life Support), PALS (Pediatric Advanced Life...
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Hydroxychloroquine – The More You Know, The Worse It Looks
Do you want to use a drug that was never based on any good evidence, but only a hunch? Try hydroxychloroquine. The president says, What have you got to lose? Kitchen sink medicine is a remnant of the...
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What’s the Good News on Hydroxychloroquine?
Hydroxychloroquine is a darling of the media and of politicians, but what about the evidence? Well, the evidence on the use of hydroxychloroquine to treat humans with COVID-19 (COronaVIrus Disease...
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What is the Evidence Supporting the Protesters Grievances?
I could post the video of a white man kneeling on the neck of a black man, while others help hold the black man down, but everybody is familiar with that video. That video shows what black men expect...
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What Does the Approval of a Russian Vaccine Mean?
Today, after testing on a grand total of 76 people, President Putin announced the approval of a vaccine in Russia, Sputnik-V, to prevent COVID-19. We knew another pandemic was coming, because we...
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The Oleandrin Scam Exposes Incompetent Doctors
President Trump has made another medical recommendation. This one is more dangerous than the last. As long as a lot of physicians are willing to harm patients in order to promote their political...
View ArticleThe Big Government, Big Religion, Immoral Opposition to Physician Assisted...
The government should not force people to die painful deaths, in order to please the people who can only think of the ways something can go wrong and/or the Bible thumpers. These patients are not...
View Article2020 ACLS Repeats the Mistakes of 2015 ACLS
The International Liaison Committee on Resuscitation (ILCOR) has updated the ACLS (Advanced Cardiac Life Support) recommendations by making excuses for the evidence. We have been using...
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