Thu.Mar 07, 2024

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Young man with Gunshot wound to right chest with hemorrhagic shock, but bullet path not near heart

Dr. Smith's ECG Blog

A young man presented with a gunshot wound to the right chest, with hemo-pneumothorax and hemorrhagic shock. He got a chest tube and intubation and massive transfusion and stabilized. CT of chest showed the bullet path through his right lung but nowhere near his heart. But he did get an EKG: What is this? There were times when it would be usurped by sinus tachycardia, then return to this rhythm.

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4×4 Ambulances: Innovation on Four Wheels

Emergency Live

Tackling Every Terrain, Saving More Lives 4×4 ambulances represent a crucial evolution in the field of emergency medical services, combining the power and resilience necessary to tackle the most challenging terrains with the high-tech medical capabilities essential for saving human lives. Let’s explore the most common models, their unique advantages, and the specific uses that […] The post 4×4 Ambulances: Innovation on Four Wheels appeared first on Emergency Live.

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PEM POCUS Series: Pediatric Renal and Bladder Ultrasound

ALiEM

Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric renal and bladder ultrasonography. Then test your skills on the ALiEMU course page to receive your PEM POCUS badge worth 2 hours of ALiEMU course credit. Take the ALiEMU Quiz: Pediatric Renal and Bladder Ultrasound Module Goals List the indications for performing a pediatric renal/bladder point-of-care ultrasound (POCUS) Describe the technique for performing renal/bladder POCUS Identify hydronephrosis and its

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NPS growth and employee engagement: The power of thoughtful communication

NRC Health

NRC Health hosted a live webcast to discuss Children’s Minnesota’s case study on improving parental involvement and communication strategies to achieve better NPS scores. The post NPS growth and employee engagement: The power of thoughtful communication appeared first on NRC Health.

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Clinical Governance Day – Wed 13 Mar 2024

Greater Sydney Area HEMS

Visit the post for more.

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Please everyone, Stop and Think about the NEJM paper on plastics and heart disease

Stop and Think

This will be a short post. I have read the NEJM paper on plastics and the risk of future heart events. It is a clever and interesting analysis. It has led to substantial attention on social media. But there are serious limitations of this correlational study. Sadly, the accompanying editorial did not focus on these limitations. Nor did many of the analyses online.

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GCS less than 9, Intubate or Not?

Emergency Medicine Education

In November 2023, JAMA published an article on noninvasive airway management among patients with depressed consciousness. The watch-and-wait approach, involving close monitoring for individuals with traditional GCS scores <9 and suspected acute poisoning, demonstrated positive outcomes.