Fri.Nov 17, 2023

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FAST Is Fast, and FAST Is Last

The Trauma Pro

Ever been in a trauma activation where it seems like the first thing that happens is that someone steps up to the patient with the ultrasound probe in hand? And then it takes 5 minutes of pushing and prodding to get the exam done? Well, it’s not supposed to be that way. The whole point of adhering to the usual ATLS protocol is to ensure that the patient stays alive through and well after your exam.

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Cuffed Endotracheal Tubes for Children: ReBaked Morsel

Pediatric EM Morsels

While doing literature review for my scholarly project it dawned on me that it might be time to dust off a classic morsel from the bottom of the cookie jar. On this 10 year anniversary, we chose to throw this one back in the oven to include some even more delicious data on cuffed endotracheal tube (ETT) use. No matter whether you have the wisdom of many years of practice ( old doc like Dr.

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Massive Haemorrhage: Science and Practice

Broome Docs

This is another lecture by the always amazing Dr Justin Morgenstern from the series of talks he delivered on his tour of Perth in September 2023. In this talk I challenged Justin to go on a very deep dive into the literature around the modern management of the massively bleeding trauma patient. What is the best way to resuscitate and replace all those blood products in these severely unwell people?

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Eighteen Years as a Nocturnist: Night-shifters do it without even a little consideration from administration

Emergency Medicine News

An abstract is unavailable.

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ICU Physiology in 1000 Words: The Right Atrial Pressure Does Not Determine Cardiac Output – Part 2

PulmCCM

Jon-Emile S. Kenny MD [ @heart_lung ] In part 1 , right atrial pressure [P ra ] and cardiac output/venous return [CO/VR] were considered as two hemodynamic measures bound at the operating point [OP] of the circulatory system. Within the sphere of macrohemodynamics, the OP is the true dependent variable – meaning that P ra and CO do not affect each other [1, 2].

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Acute Dyspnea and Right Bundle Branch Block

Dr. Smith's ECG Blog

I was texted this ECG just as I was getting into bed. It is of an elderly woman who complained of shortness of breath and had a recent stent placed. I was told that the Queen of Hearts had called it OMI with high confidence. What do you think? Ken (below) is appropriately worried about pulmonary embolism from the ECG. What I had not told him before he made that judgement is that the patient also had ultrasound B-lines of pulmonary edema.

EKG/ECG 122
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Dr. Jay Bhattacharya: “The Unspoken Root Idea Of His Is That The General Public Owed It To Doctors To Not Get COVID Because It Would Place Doctors At Risk Of Getting COVID. Of Course This Is An Inversion. “

Science Based Medicine

Frontline fealthcare workers are also part of the public. Our lives have value too. The post Dr. Jay Bhattacharya: “The Unspoken Root Idea Of His Is That The General Public Owed It To Doctors To Not Get COVID Because It Would Place Doctors At Risk Of Getting COVID. Of Course This Is An Inversion. “ first appeared on Science-Based Medicine.

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SAEM Clinical Images Series: Pediatric Genitourinary Bleeding

ALiEM

A 4-year-old female with no significant past medical history is brought to the Emergency Department by her grandmother for concern for two days of progressive vaginal bleeding. The grandmother first noted blood in the patient’s underwear the previous morning when she was helping the patient wipe and she noticed it again prior to arrival, this time saturating the patient’s underwear.

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Does TUMS Stop Bleeding?: The antacid might work because it contains calcium carbonate

Emergency Medicine News

An abstract is unavailable.

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Friday Reflection 33: Making Your Doctor Laugh

Sensible Medicine

RF is a 74-year-old man with multiple, progressive medical problems. He sees his doctor frequently and often needs his assistance to arrange home care and other services so that he might maintain his independence despite his increasing disability. Sensible Medicine is a reader-supported publication. If you appreciate our work, consider becoming a free or paid subscriber.

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Fracture Fridays: You can dance if you want to

PEMBlog

The case A self-proclaimed dance team superstar presents after injuring her foot at a regional competition. She tried to finish the routine after landing awkwardly. But was having difficulty bearing weight. She applied ice overnight and despite ibuprofen is still in pain, and presents to the ED the next day.On her exam the neruovascular exam is normal, and she has pain along the proximal edge of the 5th metatarsal.

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Use of reverse shock index times GCS to predict Peds trauma needs

University of Maryland Department of Emergency Med

This small study suggests using reverse shock index times the Glasgow Comma Scake score may give a prognostication on pediatric trauma seve.

Shock 90
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Will Attrition Fix the Workforce?: A study put the rate at 5% before the pandemic, 40% higher than the projections

Emergency Medicine News

An abstract is unavailable.

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EMCrit 362 – Jonathan Edlow, Lead Author of GRACE-3, on Dizziness

EMCrit

Dizziness and Vertigo with the lead author of GRACE-3 EMCrit Project by Scott Weingart, MD FCCM.

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Subsegmental PE: When to Withhold Anticoagulation?: A recalibration of the role of structured surveillance may change care

Emergency Medicine News

An abstract is unavailable.

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Fentanyl Alert: International Cooperation To Fight Drugs

Emergency Live

US and China Join Forces in War Against Synthetic Opioid In recent years, Fentanyl, an extremely potent synthetic opioid, has become a major public health threat globally. Recently, during the San Francisco summit, U.S. President Joe Biden and Chinese President Xi Jinping put this crisis at the top of the agenda, with China pledging to […] The post Fentanyl Alert: International Cooperation To Fight Drugs appeared first on Emergency Live.

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When is a Complication Malpractice?: Whatever can go wrong will go wrong, but it may be defensible

Emergency Medicine News

An abstract is unavailable.

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