Ken Grauer, MD
APRIL 5, 2024
The ECG in Figure-1 was obtained from a middle-aged woman — who presented with low back pain, shortness of breath and marked hypertension — but no CP ( C hest P ain ). QUESTIONS: In view of this history — How would YOU interpret this ECG? Are the large, peaked T waves ( especially in lead V2 ) — likely to indicate hyperacute deWinter T waves? Figure-1: The initial ECG in today's case.
Pediatric EM Morsels
APRIL 5, 2024
Traveling Ticks are more than just ticking off a checklist before you get ready to travel! Climate change and changes in land usage have contributed to an expanded range of ticks (Beard 2016). There are species of ticks found on every continent and carrying a variety of vectors capable of infecting humans. Globally, ticks are the second most common vector to transmit illnesses after mosquitos (Parola 2018).
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The Trauma Pro
APRIL 5, 2024
The American College of Surgeons requires all US Trauma Centers to publish a call schedule that includes a backup trauma surgeon. This is important for several reasons: It maintains a high level of care when the on-call surgeon is encumbered with multiple critical patients, or has other on-call responsibilities such as acute care surgery It reduces the need to place the entire trauma center on divert due to surgeon issues However, the ACS does not provide any guidance regarding the criteria for
Science Based Medicine
APRIL 5, 2024
Part 2: In 2020, pro-infection doctors said "It’s fantastic news that we have a lot of cases." Today, they performatively lament "learning loss for children, especially in poor families". What happened to their assurances that the mass infection of unvaccinated youth will rapidly lead to herd immunity? The post The Failed “We Want Them Infected” Movement Is Trying to Rebrand Itself As The “All We Really Wanted Was Poor Kids in School” Movement. first appeared on Science-Based Medicine.
ACEP Now
APRIL 5, 2024
A 68-year-old man presents to the emergency department (ED) with altered mental status and fever. Vital signs on arrival are: Temperature: 38.8 degrees Celsius Heart rate:128 Blood pressure: 74 over 48 Respiratory rate: 10 Oxygen saturation: 77 percent Physical examination was notable for lethargy and confusion. He has an absent gag reflex. He has a Class I Mallampati view and lung sounds were diminished in all fields.
EMCrit
APRIL 5, 2024
The 2nd FoundStab SOP is on standard intubation. EMCrit Project by Scott Weingart, MD FCCM.
ACEP Now
APRIL 5, 2024
A 33-year-old woman presents with confusion, abdominal pain, and fever. Her vital signs are: Blood pressure of 118 over 93 Heart rate of 120 Respiratory rate of 18 She has a history of lupus. CBC shows a thrombocytopenia of 27 x 109/L platelets. What is the best management of this condition? For six decades, the pentad of fever, thrombocytopenia, hemolytic anemia, renal injury, and neurological manifestations has remained the classic clinical diagnostic criteria for Thrombotic Thrombocytopenic P
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
ACEP Now
APRIL 5, 2024
By late 1988, 11 Black women had been found dead in the same area of Miami with low levels of cocaine in their blood. Forensic pathologist Dr. Charles Wetli of the University of Miami had conducted autopsies that he said, “conclusively showed that they have not been murdered.” 1,2 He attributed their deaths to a female-specific manifestation of the mysterious phenomenon he had identified in men who had also died after consuming less-than-lethal amounts of cocaine.
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