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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
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.
In this Global EM post we provide examples of Global EM partnerships and tools for developing these partnerships to foster global solidarity in improving emergency medicine as a specialty and help EM societies not only strengthen their systems but also enhance global health outcomes. The post Global EM 7 Global Emergency Medicine Partnerships appeared first on Emergency Medicine Cases.
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.
Speaker: Simran Kaur, Co-founder & CEO at Tattva.Health
AI is transforming clinical trials—accelerating drug discovery, optimizing patient recruitment, and improving data analysis. But its impact goes far beyond research. As AI-driven innovation reshapes the clinical trial process, it’s also influencing broader healthcare trends, from personalized medicine to patient outcomes. Join this new webinar featuring Simran Kaur for an insightful discussion on what all of this means for the future of healthcare!
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
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.
Georgina Beech, Leon Lam, Jennifer Davidson and Parvathy Suresh Kochath CT Case 095 A 66-year-old lady presents with left sided facial droop and hemiparesis, headache and vomiting.
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 ).
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.
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.
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.
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?
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.
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.
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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