Sat.Oct 19, 2024

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ECG Blog #452 — Is this Wide QRS Rhythm VT?

Ken Grauer, MD

The patient whose ECG is shown in Figure-1 — presented with acute dyspnea and hypotension. QUESTION: In Figure-1 — Is the rhythm VT? — How certain are you of your answer? Figure-1: The initial ECG in today's case. ( To improve visualization — I've digitized the original ECG using PMcardio ). == MY Thoughts on the ECG in Figure-1: Although at first glance, the ECG in Figure-1 appears to be wide — this is a false initial impression!

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Modernizing Viral vs. Bacterial | Risk Of Antibiotic Drug Reactions

JournalFeed

The JournalFeed podcast for the week of Oct 14-18, 2024. These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member. Wednesday Spoon Feed : This prospective study of a new proprietary rapid host-protein test, MeMed BV (MMBV), shows promising results for differentiating viral vs bacterial causes of fever.

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EMCrit 386 – Liver I – Fulminant Acute Liver Failure (ALF) with Tasneem Pirani

EMCrit

All things acute liver failure with a GI Intensivist EMCrit Project by Scott Weingart, MD FCCM.

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SGEM#457: Inhale – Nebulized or IV Ketamine for Acute Pain?

The Skeptics' Guide to EM

Date: October 7, 2024 Reference: Nguyen et al. Comparison of Nebulized Ketamine to Intravenous Subdissociative Dose Ketamine for Treating Acute Painful Conditions in the Emergency Department: A Prospective, Randomized, Double-Blind, Double-Dummy Controlled Trial. Annals of EM 2024. Guest Skeptic: Dr. Brendan Freeman is an emergency medicine physician, assistant professor of emergency medicine, and medical education fellow at Staten Island University Hospital.

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Guidelines for Prehospital Management of Traumatic Brain Injury 3rd Edition: Executive Summary – PMC

PHARM

Prehospital care markedly influences outcome from traumatic brain injury, yet it remains highly variable. The Brain Trauma Foundation’s guidelines informing prehospital care, first published in 2002, have sought to identify and disseminate best … — Read on pmc.ncbi.nlm.nih.

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EM@3AM: Bacterial Tracheitis

EMDocs

Authors: Jacob Tauferner, MD (EM Resident Physician, UTSW/ Dallas, TX) and Mihir Patel, MD (EM Attending Physician, Dallas, TX) // Reviewed by: Sophia Görgens, MD (EM Physician, BIDMC, MA), Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Alex Koyfman, MD (@EMHighAK) ; Brit Long, MD (@long_brit) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providing an expedited review of clinical basics.

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Anaphylaxis: first clinical presentation, subsequent referral practise, and suspected elicitor—an observational study – PMC

PHARM

Anaphylaxis is an allergic manifestation characterised by rapid onset and progression. Rapid treatment may be challenging in patients with atypical symptoms or no previous history of anaphylaxis. This study aimed to describe the clinical prehospital … — Read on pmc.ncbi.nlm.nih.

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Smartphone AI vs. Medical Experts: A Comparative Study in Prehospital STEMI Diagnosis – PMC

PHARM

Prehospital telecardiology facilitates early ST-elevation myocardial infarction (STEMI) detection, yet its widespread implementation remains challenging. Extracting digital STEMI biomarkers from printed electrocardiograms (ECGs) using phone cameras … — Read on pmc.ncbi.nlm.nih.

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A Ten-Year Retrospective Cohort Study on Neck Collar Immobilization in Trauma Patients with Head and Neck Injuries – PMC

PHARM

Background and Objectives: In the context of prehospital care, spinal immobilization is commonly employed to maintain cervical stability in head and neck injury patients. However, its use in cases of unclear consciousness or major trauma patients is … — Read on pmc.ncbi.nlm.nih.

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Ultrasound on the Frontlines: Empowering Paramedics with Lung Ultrasound for Dyspnea Diagnosis in Adults—A Pilot Study – PMC

PHARM

Lung transthoracic ultrasound (LUS) is an accessible and widely applicable method of rapidly imaging certain pathologies in the thorax. LUS proves to be an optimal tool in respiratory emergency medicine, applicable in various clinical settings. … — Read on pmc.ncbi.nlm.nih.

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Prehospital anesthesia in postcardiac arrest patients: a multicenter retrospective cohort study – PMC

PHARM

Currently, the data regarding the impact of prehospital postcardiac arrest anesthesia on target hemodynamic and ventilatory parameters of early postresuscitation care and recommendations on its implementation are rare. The present study examines the … — Read on pmc.ncbi.nlm.nih.

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Does a prehospital applied pelvic binder improve patient survival? – Injury

PHARM

Does a prehospital applied pelvic binder improve patient survival? – Injury — Read on www.injuryjournal.

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