Fri.Jan 05, 2024

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ECG Blog #411 — Is it Wenckebach?

Ken Grauer, MD

How would YOU interpret the tracing in Figure-1 — that was sent to me without additional information? QUESTIONS: What is the rhythm? Is there AV dissociation? If so — WHY? Clinically — HOW would you approach interpretation of this tracing in optimal time -efficient fashion? Figure-1: The initial ECG in today's case. KEY Clinical Point: If I was the medical provider charged with the care of the patient whose ECG is shown in Figure-1 — I would approach this tracing in the following sequential stag

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Best Of EAST 2024 #4: Chest Tube Irrigation Prevents Retained Hemothorax

The Trauma Pro

One of the potential complications of chest trauma causing hemothorax is the retained hemothorax. In most patients, retained blood slowly lyses and is reabsorbed. But a few do not, and scarring can occur that entraps the lung and interferes with pulmonary function. This can ultimately require a VATS or thoracotomy to resolve. Several protocols have been developed to try to prevent a retained hemothorax.

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Three normal high sensitivity troponins over 4 hours with a "normal ECG"

Dr. Smith's ECG Blog

Written by Willy Frick A 46 year old man with a history of type 2 diabetes mellitus presented to urgent care with complaint of "chest burning." The documentation does not describe any additional details of the history. The following ECG was obtained. ECG 1 What do you think? The ECG shows sinus bradycardia but is otherwise normal. There is TWI in lead III, but this can be seen in normal ECGs.

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A Bit of Good News: Kids Appear to Have Lower Risk of Post-COVID Conditions Than Previously Thought

Science Based Medicine

Based on a recently published study using improved criteria for determining long term COVID-related health problems, it looks like kids are less likely to be negatively impacted than previously thought. The post A Bit of Good News: Kids Appear to Have Lower Risk of Post-COVID Conditions Than Previously Thought first appeared on Science-Based Medicine.

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EM Match Advice 42: Mid Interview Season Check-In

ALiEM

Dr. Sara Krzyzaniak (podcast host and Stanford University PD) and Dr. Michelle Lin (ALiEM Founder/UCSF) are joined by Dr. Aaron Kraut (University of Wisconsin PD) in this insightful, rapid-fire, practical episode through the lens of experienced residency program directors. What does the Electronic Residency Application Service (ERAS) preliminary data show just far for the 2024 residency application season?

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The Perfect Placebo

Sensible Medicine

I don’t think it is possible to care for people with chronic diseases and not appreciate the waxing and waning of symptoms and the effect of placebo interventions of all kinds. The last year, once again, showed me examples of placebo use in medicine. Sometimes their use was in the patient’s best interest. At other times, their used seemed mostly for the financial gain of a practitioner.

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Former F1 driver suffers cardiac arrest after choking on Christmas dinner

AED Leader

Former F1 driver Wilson Fittipaldi Jr suffered a cardiac arrest after choking on Christmas dinner in December 2023. The 80-year-old Brazilian man was resuscitated, after which he was sedated and intubated in the hospital. He was still in the hospital as of 5 January 2024 when his family was waiting hopefully for him to wake up. The fast action of the people who witnessed the incident was no doubt critical in bringing him this far.

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Former F1 driver suffers cardiac arrest after choking on Christmas dinner

AED Leader

Former F1 driver Wilson Fittipaldi Jr suffered a cardiac arrest after choking on Christmas dinner in December 2023. The 80-year-old Brazilian man was resuscitated, after which he was sedated and intubated in the hospital. He was still in the hospital as of 5 January 2024 when his family was waiting hopefully for him to wake up. The fast action of the people who witnessed the incident was no doubt critical in bringing him this far.

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Pathways to becoming a nurse: a global comparison

Emergency Live

United States, Western Europe, and Asia in Nursing Education Comparison Nursing Education in the United States In the United States, becoming a Registered Nurse (RN) requires completing an accredited nursing education program. These programs include a diploma in nursing, an Associate Degree in Nursing (ADN), or a Bachelor of Science in Nursing (BSN).

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The importance of master's degrees in Critical Care Area

Emergency Live

A Step Forward in Quality Healthcare Training Meaning and Purpose of Critical Care Master’s Programs Critical Care Masters programs, such as those offered by the University of Edinburgh, Cardiff University, and other European and global academic institutions, are advanced academic programs designed for healthcare professionals, including doctors, nurses, paramedics, and allied health professionals.

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Understanding Tourette Syndrome: A Complete Guide

Emergency Live

Detailed Exploration of the Neurological Condition Introduction to Tourette Syndrome Tourette Syndrome (TS) is a neurological disorder primarily characterized by the presence of motor and vocal tics. In this guide, we will explore the nature, causes, symptoms, and available treatment options for TS, providing a comprehensive overview of this complex condition.

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The growing role of women in European Civil Defense

Emergency Live

From Emergency Response to Leadership: The Evolution of Women’s Contribution Increasing Female Presence in Civil Protection In recent years, there has been a significant rise in the female presence in the field of civil protection on a global scale. This shift reflects the growing recognition of the value women bring to these key roles, not […] The post The growing role of women in European Civil Defense appeared first on Emergency Live.

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Global emergencies summary 2023: a year of challenges and responses

Emergency Live

The Impact of Climate Change and Humanitarian Responses in 2023 Natural Disasters and Climate Impact In 2023, extreme weather events were witnessed, with wildfires in Canada and Portugal devastating thousands of hectares. In Canada, a staggering 91 wildfires burned simultaneously, with 27 of them deemed uncontrollable due to extremely dry weather conditions.

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