RebelEM

DECEMBER 23, 2024

Background: Sickle cell disease (SCD) affects an estimated 300,000 infants born worldwide each year and has a total estimated prevalence of 100,000 in the United States alone ( Piel 2017 ). Within this population, over 90% of healthcare encounters are due to painful vaso-occlusive episodes (VOE) ( Kidwell 2021 ). VOE is often complicated by hypovolemia, making fluid administration a common intervention ( Lovett 2017 ).

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Fluid Resuscitation Resuscitation Documentation/Coding Outcomes 122

St. Emlyn

DECEMBER 23, 2024

St.Emlyn's - Emergency Medicine #FOAMed David Purkarthofer reviews the highlights from the fantastic EuSEM conference held in Copenhagen earlier this year. #FOAMed @stemlyns The post EuSEM 2024 in review appeared first on St.Emlyn's.

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Northwestern EM Blog

DECEMBER 23, 2024

Written by: Chezlyn Patton, MD, (NUEM 27) Edited by: David Adler, MD (NUEM 25) Expert Commentary by : Melissa Marinelli, MD Expert Commentary Doctors in the ER are under intense time pressure to see many patients quickly and make hundreds of decisions over the course of a single shift. This actually fosters a natural honing of communication skills, because rapport must be developed quickly with anyone who walks through the door.

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EMDocs

DECEMBER 23, 2024

Authors: Molly Rinkevich, PharmD, PGY2 EM Pharm Resident (Geisinger Wyoming Valley, Wilkes Barre, PA); Howard Rainey, DO (Geisinger Medical Center, Danville, PA); Drew Schmucker, PharmD (Geisinger Wyoming Valley, Wilkes Barre, PA); Lloyd Tannenbaum, MD (APD, Geisinger Wyoming Valley, Wilkes Barre, PA) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case: Its 3 am on a busy shift and EMS rolls in with a 67-year-old male coming in from home with a history of ischemic card

EKG/ECG 63

EKG/ECG Wellness Shock EMS 63

St. Emlyn

DECEMBER 23, 2024

St.Emlyn's - Emergency Medicine #FOAMed Day 1 review from the London Conference 2024 with Zaf Qasim. Also check out our podcasts from the same conference on our podcast channel. #FOAMed The post Talking trauma – London Trauma Conference Day 1 appeared first on St.Emlyn's.

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EMCrit

DECEMBER 23, 2024

All the literature goodness for December 2024 EMCrit Project by Scott Weingart, MD FCCM.

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Mind The Bleep

DECEMBER 23, 2024

Introduction Thyroid Eye Disease (TED) is an autoimmune disease characterised by extraocular muscle swelling and orbital fat expansion 1. It affects approximately 50,000 people in the UK, most commonly occurring in those diagnosed with Graves disease, although a minority of cases do affect euthyroid or hypothyroid patients 1,2. Symptoms may include lid retraction , proptosis , watery eyes and double vision 3.

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PEMBlog

DECEMBER 23, 2024

The Emergency Department never closes – not even on Christmas Day. This song reminds us all that the ED is always open, and that we are there for our patients during the holidays. But we still miss our families… Lyrics When Ive got to work on Christmas Ill tell you what Ill do I will treat all sorts of problems Cough and cold and strep and flu Ill unwrap a diagnosis With a test or three I will splint a buckle fracture like I trim a tree If your child is sick on Christmas We will neve

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Fractures Emergency Department 52

Dr. Smith's ECG Blog

DECEMBER 23, 2024

Written by Willy Frick A woman in her 70s is hospitalized with undifferentiated shock after being found down at home. Her family had not heard from her and called EMS. Paramedics found her bradycardic, hypotensive, and tachypneic. She was resuscitated and admitted to ICU for presumed sepsis. Several days into hospitalization, she continued to have occasional episodes of sinus rhythm and sinus bradycardia with periods of Mobitz I AV block and 2:1 block.

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EKG/ECG Shock Ultrasounds Sepsis 115

Sensible Medicine

DECEMBER 23, 2024

When you read the PLATO trial in the NEJM , nothing seems awry. It was a comparison of ticagrelor vs clopidogrel as the second antiplatelet drug (added to aspirin) in more than 18,000 patients who were having an acute coronary syndrome (most often an MI). The primary endpoint of CV death, MI or stroke occurred in 9.8% in the ticagrelor arm vs 11.7% of those on clopidogrel.

Stroke 103

Stroke Documentation/Coding Research Wellness 103

First 10 EM

DECEMBER 23, 2024

Another month, another set of articles. Perhaps some are useful. Perhaps some will guide your practice. At least one should completely blow your mind. More research was needed Taccone FS, Rynkowski Bittencourt C, Mller K, Lormans P, Quintana-Daz M, Caricato A, Cardoso Ferreira MA, Badenes R, Kurtz P, Sndergaard CB, Colpaert K, Petterson L, Quintard […] The post The December 2024 Research Roundup appeared first on First10EM.

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Research EMS 102

Emergency Medicine Cases

DECEMBER 23, 2024

Which elements of your current pre-shift preparation contribute most to your mental clarity and performance, and what new practices might further optimize your readiness? With interruptions shown to increase task errors and decision fatigue, how can you strike a balance between being approachable to colleagues and safeguarding your focus for patient care?

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Resuscitation EMS 65

PulmCCM

DECEMBER 23, 2024

Severe acute hypoxemic respiratory failure (AHRF) is today treated with high-flow nasal cannula oxygen or noninvasive ventilation, in an attempt to forestall the need for intubation and mechanical ventilation. It’s uncertain which method of respiratory support is superior, or in which situations. AHRF can result from many different illnesses: viral or bacterial pneumonia, cardiogenic or noncardiogenic pulmonary edema, exacerbations of chronic lung disease, and more.

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Outcomes Hospitals 52

Don't Forget the Bubbles

DECEMBER 23, 2024

Two little boys, how lovely! And so close in age, theyll be tearing around getting muddy and kicking balls together. How many times did I hear comments like that? And how much further from the truth could they have been? I do have two boys. That much is true, although theyre not little anymore. My oldest, Lachie, is fifteen, and my youngest, Sam, is nearly fourteen.

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Wellness 59

Science Based Medicine

DECEMBER 23, 2024

I wish I didn't have to write this post, but the press won't stop referring to RFK Jr. as a "vaccine skeptic." He is not. He is antivax. The post Robert F. Kennedy, Jr. is NOT a vaccine skeptic. He is antivax. Period. first appeared on Science-Based Medicine.

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