Wed.Nov 29, 2023

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Awake, and Paralysed: A Never Event

Don't Forget the Bubbles

You are the Paediatric doctor on call and receive a call for an incoming patient to the emergency department. A 12-year-old male is being transported by ambulance after a road traffic accident. His name is Ben. Ben has a possible skull fracture and has been intubated, but his oxygen requirement is minimal. While waiting, another call comes in. Ben suddenly woke up and accidentally self-extubated.

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Quiz post: 2 similar patients with similar ECGs. Which, if any, or both, are OMI? Will you outperform the Queen of Hearts?

Dr. Smith's ECG Blog

Written by Pendell Meyers Two adult patients in their 50s called EMS for acute chest pain that started within the last hour. Both were awake and alert with normal vital signs. Both cases had an EMS ECG that was transmitted to the ED physician asking "should we activate the cath lab?" What do you think? Here they are: Patient 1, ECG1: Zoll computer algorithm stated: " STEMI , Anterior Infarct" Patient 2, ECG1: Zoll computer algorithm stated: "ST elevation, probably benign early repolarization.

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Internet Use and Mental Well-Being

Science Based Medicine

Results of the largest study on internet use, well-being, and mental health. The post Internet Use and Mental Well-Being first appeared on Science-Based Medicine.

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emDOCs Videocast: EBM Update – Steroids in Severe CAP and CT in Post ROSC OHCA

EMDocs

Welcome to the emDOCs Videocast – please subscribe to our YouTube channel. These videos will cover post summaries, take homes on clinical condition, and EBM/guideline literature updates. Our first video provides EBM updates on steroids in severe community-acquired pneumonia and CT in post ROSC OHCA. EBM Update: Steroids in Severe CAP and CT in Post ROSC OHCA #1: Dequin PF, Meziani F, Quenot JP, et al; CRICS-TriGGERSep Network.

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Crafting Your Story in Travel Nursing: Continuous Learning and Harmonizing Work-Life Balance

Core Medical Group

Welcome back to the second installment of our travel nursing series! Building on our previous discussion on navigating assignments, we’re now exploring the importance of continuous learning and achieving the perfect work-life balance.

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ACMT Toxicology Visual Pearl: Needle to Necrosis

ALiEM

Which of the following agents, when injected along with heroin, is associated with the skin changes pictured? Cocaine Fentanyl Methamphetamine Xylazine Photo by Dr. Matthew Salzman Reveal the Answer 4. Xylazine Background Xylazine is a synthetic substance approved by the U.S. Food and Drug Administration for veterinary use, specifically for its muscle relaxant, sedative, and analgesic effects [1].

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emDOCs Videocast: EBM Update – Fluids in Pancreatitis, Hypertriglyceridemic Pancreatitis

EMDocs

Welcome to the emDOCs Videocast – please subscribe to our YouTube channel. These videos will cover post summaries, take homes on clinical condition, and EBM/guideline literature updates. Today we focus on pancreatitis. EBM Update: Fluids in Pancreatitis, Hypertriglyceridemic Pancreatitis #1: de-Madaria E, Buxbaum JL, Maisonneuve P, et al; ERICA Consortium.

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Residency Life: OB/GYN

SheMD

Hi friends, I’m Dorothy. I’m currently a PGY1 in obstetrics and gynecology, and I’m here to share with you a little bit about what intern life is like! I’m about four months into my first year of residency and I think I’m starting to get used to the flow of things. To start things off, I wanted to share what a typical day for me as an OB/GYN intern looks like.

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2024 Course dates now available

ETM Course

The ETM team has been working hard to get the 2024 course calendar finalised and dates have now been announced. Course dates and registration details are available here. Book your course place soon to avoid disappointment as places are already selling fast. To find out more about ETM Course, please visit the course information page here.

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Oral Rehydration therapy: A caregiver education video

PEMBlog

This incredible and informative video was developed at Cincinnati Children’s and features some of my colleagues. It provides a tremendous overview on how to do oral rehydration therapy in a step by step fashion and it is definitely something that I think you can share with your patients on your next shift.

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Periorbital and Orbital Cellulitis

Mind The Bleep

Introduction The orbital septum is a fibrous connective tissue layer which divides orbital tissue from the eyelid, thus serving as a barrier against the spread of infection into the orbit. It extends from the orbital periosteum; is continuous with the tendon of levator palpebrae superioris superiorly and inserts into the tarsal plate inferiorly. Inflammation and infection of muscle and fat anterior to the orbital septum is termed periorbital (also known as preseptal) cellulitis.

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REBEL Core Cast 113.0 – ACS Therapies and Management

RebelEM

Take Home Points: All STEMIs should be loaded with dual antiplatelet therapy. Prasugrel (Effient) is avoided as there is an increase in bleeding complications if the patient requires a CABG. NSTEMI cases can be challenging to manage. Consult Cardiology early and use all available data. The appropriate medical treatment for ACS patients is as important as PCI.

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