Thu.Nov 14, 2024

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Prehospital Cath Lab Activation. What happened when the medics and patient arrived at this Academic ED?

Dr. Smith's ECG Blog

This was texted to me by a paramedic while I was out running one day: "54 yo male chest pain started at 1pm. History of diabetes type II and stent placement in 2018. I’m seeing hyperacute T waves III, aVF, down sloping depression I and aVL. Thoughts?" What do you think? I responded: "Definite inferior OMI. And Right Ventricular. Activated the Cath Lab.

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Meta-analysis: Leg ergometry helps vented patients in ICUs worldwide

PulmCCM

Critically ill patients receiving mechanical ventilation are highly prone to developing severe weakness and long-term disability. Although early mobilization and physical therapy for vented patients would intuitively seem to have indisputable benefits, early mobility programs have failed to consistently show improvements in meaningful patient-centered outcomes (e.g, increased functional independence or exercise ability after ICU discharge).

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MAHA and Medical Conservatism

Sensible Medicine

What does our philosophy have to do with RFK Jr and MAHA?

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ECG Pointers: A Dynamic Approach to Tachydysrhythmias Part 3

EMDocs

Authors: Lloyd Tannenbaum, MD (EM Attending Physician, Geisinger Wyoming Valley, PA); Mai Saber, DO (EM Attending Physician, Hackensack University Medical Center, NJ); Rachel Bridwell, MD (EM Attending Physician, Charlotte, NC) // Reviewer: Brit Long, MD (@long_brit) Hello and welcome back to ECG Pointers, a series designed to make you more confident in your ECG interpretations.

EKG/ECG 64
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Addressing Vaccine Hesitancy Through Pediatric Immunization Training 

American Medical Compliance

Defined by the World Health Organization as the reluctance or refusal to vaccinate despite the availability of vaccines, vaccine hesitancy is influenced by complex factors including misinformation, cultural beliefs, and fear of adverse effects. To help address this growing concern, pediatric immunization training equips healthcare providers with the skills, knowledge, and empathy necessary to effectively address vaccine hesitancy.

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Blurred Lines: The Ethical Pitfalls of Urine Drug Screens

EM Ottawa

Urine drug (or toxicologic) screens are a fairly standard tool used in addictions, psychiatry and the Emergency Department (ED), often employed to detect substance use in patients presenting with altered mental status, trauma, psychiatric or abnormal behaviour. Yet, the reliance on these screens is fraught with inaccuracies, clinical irrelevance, and significant ethical concerns, particularly from […] The post Blurred Lines: The Ethical Pitfalls of Urine Drug Screens appeared first on EMOt

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Podcast – Care in the Hot Zone with Claire Park at Tactical Trauma 2024

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed Emergency medicine is shaped by our ability to respond effectively to both routine cases and extreme, high-stakes incidents. While civilian incidents dominate prehospital care, the intersection of civilian and military […] The post Podcast – Care in the Hot Zone with Claire Park at Tactical Trauma 2024 appeared first on St.Emlyn's.

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Designing the future of healthcare: Elevating patient and staff experience

NRC Health

In today's episode, Lukas Voss chats with Jennifer Baron, Chief Experience Officer at NRC Health, and Dr. Reg Blaber, EVP and Chief Clinical Officer at Virtua Health. They delve into the concept of "experiences by design" and its crucial role in healthcare. The post Designing the future of healthcare: Elevating patient and staff experience appeared first on NRC Health.

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NON CONDUCTED PAC

ECG Guru

Especially in the social media, one sees again and again similar EKGS like the one shown here with the question: What type of AV block is present here? 2nd degree AVB block type I (Wenckebach) or type II (Mobitz)? It is neither one nor the other! Here, a PAC can be seen under the blue arrow, which is not conduced because the AV node is still refractory (the refractory period of the AV node depends on the preceding heart rate).

EKG/ECG 52
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VENTRICULAR TACHYCARDIA ATRIAL FIBRILLATION AND ABERRANT CONDUCTION

ECG Guru

It is not uncommon for several different abnormal changes to occur simultaneously in an ECG, as in this Holter ECG strip.

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