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Online Medical Education on Emergency Department (ED) Critical Care, Trauma, and Resuscitation

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You are here: Home / Archives for Rory Spiegel

“The Adventure of the Second Stain”

January 24, 2014 by Rory Spiegel 3 Comments

Subarachnoid Hemorrhage (SAH) is one of the more angst-inducing pathologies an Emergency Physician faces on a daily basis. A disease for which we have a well established diagnostic pathway. The strategy of non-contrast CT followed by a lumbar puncture (LP) has been showed to effectively eliminate the risk of SAH (1). And yet there is […]

The Adventure of the Resident Patient

December 31, 2013 by Rory Spiegel 2 Comments

In a properly automated and educated world, then, machines may prove to be the true humanizing influence. It may be that machines will do the work that makes life possible and that human beings will do all the other things that make life pleasant and worthwhile.   -ISAAC ASIMOV   The term Cyborg, short for […]

The Adventure of the Speckled Band

December 8, 2013 by Rory Spiegel 4 Comments

Blood pressure is one of the least understood and yet most intervened on metrics in modern medicine. Though we have found meager success in controlling blood pressure over the long-term (1,2) our attempts to translate these benefits to the acute setting of the emergency room have not been met with improved short-term outcomes. Traditionally acutely […]

“The Adventure of the Empty House”

November 19, 2013 by Rory Spiegel 6 Comments

Well before Han Solo was frozen in carbonite, before Sigourney Weaver crossed galaxies in cryostasis, or Walt Disney was cryopreserved, we have been fascinated by the stasis-like powers of hypothermia.  Given this enthusiasm, we most likely would have reacted with just as much vigor even if the initial trials of hypothermia for out of hospital […]

A Study in Scarlet

November 4, 2013 by Rory Spiegel Leave a Comment

  A recent article published in the NEJM by Steg et al demonstrates that it is not the efficacy of an intervention that determines the success or failure of a trial, but rather the definition of its endpoints (1). In contrast to the majority of trials examining novel anticoagulants for ACS, Steg et al chose […]

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