Tue.Oct 15, 2024

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Masking Mistakes – Fall 2024 Edition

Sensible Medicine

It is my pleasure to introduce this article by Joseph Marine, MD in response to mandatory masking policies in a number of California hospitals. There is simply no randomized evidence to support these policies, and they make little sense in 2024. I worry about the mental abilities of the public health officers who instituted these policies, and that their actions will further erode trust in public health.

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Cath Lab occupied. Which patient should go now (or does only one need it? Or neither?)

Dr. Smith's ECG Blog

This was sent to me by an undergraduate name Hans Helseth, who is an EKG tech, but who is an expert OMI ECG reader. He wrote most of it and I (Smith) edited. A prehospital “STEMI” activation was called on a 75 year old male ( Patient 1 ) with a history of hyperlipidemia and LAD and Cx OMI with stent placement. He arrived to the ED by helicopter at 1507, about three hours after the start of his chest pain while chopping wood around noon.

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Diagnostic Accuracy of D-Dimer for Acute Aortic Syndromes: Systematic Review and Meta-Analysis

EM Ottawa

Methodology: 3/5 Usefulness: 4/5 Essat M, et al. Ann Emerg Med. 2024 Jun 18:S0196-0644(24)00260-9 Question and Methods: Using systematic review methodology, the authors aimed to determine sensitivity and specificity in the use of D-Dimer in the work-up for Acute Aortic Syndrome. Findings: A total of 25 studies were included in the primary meta-analysis; summary sensitivity […] The post Diagnostic Accuracy of D-Dimer for Acute Aortic Syndromes: Systematic Review and Meta-Analysis appeared

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ECG 16 October

EMergucate

An 80yr male presents with 2 weeks increasing shortness of breath, he has a history of CABG. What can be seen on the ECG: If these were new findings what might you be concerned about?

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Airbus Tests Drone and Helicopter Interoperability to Boost Emergency and Rescue Operations

Emergency Live

MUM-T Technology Aims to Enable Faster, More Efficient Crisis Response Worldwide Collaboration between drones and helicopters is poised to revolutionize emergency and rescue operations. Airbus Helicopters and its European partners recently completed a large-scale demonstration to test the interoperability between piloted and unmanned aerial systems (MUM-T).

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Imaging Case of the Week 606 Answer

EMergucate

The chest x-ray shows streaky lucency outlining the great vessels of the neck (tubular artery sign) & air in the … Continue reading →

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TXA in Angioedema: Friend or Foe?

Emergency Medicine News

No abstract available

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Perfectly Imperfect: A Novel Hydrogel for Ultrasound-guided Procedure Training

Emergency Medicine News

No abstract available

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Imaging Case of the Week 604 Answer

EMergucate

The chest x-ray shows hyperexpanded & lucent right lung field. There is no radio-opaque foreign body seen.

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Imaging Case of the Week 603 Answer

EMergucate

The abdominal x-ray shows Gall stone ileus. There are prominent central bowel loops with pneumobilia.

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ECG of the Week – 16th October 2024

EMergucate

The following ECG is from a 19-year-old female who has presented following a syncopal episode.

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Imaging Case of the Week 605 Answer

EMergucate

The left thigh x-ray shows fracture of proximal femur with massive callus formation.

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Lab case 451

EMergucate

Interpret these blood gas results PH = 7.

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