Fri.Oct 25, 2024

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ECG Blog #453 — Is this Wellens' Syndrome?

Ken Grauer, MD

The ECG in Figure-1 was obtained from a middle-aged man who presented with a 2 week history of progressively increasing CP ( C hest P ain ) with exertion. He had his most severe episode of CP the day before he was seen with this ECG. His CP was much less compared to the day before — but it had not yet completely resolved. An initial Troponin drawn less than 1 hour after the ECG in Figure-1 was recorded was over 10,000.

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Pelvic Fracture Intervention And Venous Thromboembolism Risk

The Trauma Pro

Earlier this year, I wrote a series of posts on the two commonly used pelvic fracture interventions: preperitoneal packing (PPP) and angioembolization (AE). To sum up, both are equally effective in controlling hemorrhage, but the hospital costs for patients undergoing angioembolization are significantly less. This is probably because there is no need to perform repeated operations to insert and remove the preperitoneal packs when angiography is used.

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Friday Reflection 45: Patients

Sensible Medicine

The woman with palpitations. The man with whom you used to joke and trade barbs who now sits silently, absent, while you talk to his wife. The woman whose depression dominates every visit; her depression being the one problem she refuses to address. The man whose joy and charisma makes every visit an absolute pleasure, despite his painful disability about which you can really do nothing.

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How to Conduct Effective Compliance Audits 

American Medical Compliance

Compliance isn’t just a box to check—it’s a vital responsibility that safeguards patient well-being and protects organizations from significant financial losses. Shockingly, over $54 billion is stolen each year through scams targeting patients and insurance companies with fraudulent medical charges, according to the NHCAA. This staggering figure highlights the importance of staying vigilant.

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Happy 25th Birthday CoreMedical Group!

Core Medical Group

This week, CoreMedical Group is celebrating its 25 th anniversary. From beginning its journey in 1999, to thriving today in 2024, CoreMedical Group has grown and flourished.

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emDOCs Podcast: Episode 109 – Corneal Abrasion and DRESS

EMDocs

Today on the emDOCs cast with Brit Long, MD ( @long_brit) , and Rachel Bridwell, MD ( @rebridwell ), we cover corneal abrasions and DRESS. Episode 109: Corneal Abrasion and DRESS Corneal Abrasion Epidemiology Ocular diagnoses comprise 8% of total ED visits with 45% of those being corneal abrasions. Corneal epithelium is easily damaged, however, regenerates quickly with a healing time of 24-48 hours.

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SAEM Clinical Images Series: When Needles Go Beyond Sewing and Acupuncture

ALiEM

A 64-year-old male with a history of bipolar 1 disorder, PTSD, anxiety, depression, obsessive-compulsive disorder, GERD, and HTN presented to the ED with the chief complaint of foreign body and self-injury. He reported years of sticking sewing needles into his right arm, most recently yesterday. He explained that inserting needles makes him feel better with mild associated pain.

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ANZTS Conference 2024

ETM Course

ETM Course Director Andy Buck was lucky enough to be invited to speak on Trauma Education at the fantastic ANZTS Conference in Brisbane this week. If you’re looking for the references from Andy’s talk, you can find them here. Thanks to everyone who came to the presentation and the conference, it’s always great to catch up with like-minded people who have a passion for trauma!

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Half the world suffers from nutritional deficiencies

Emergency Live

Vitamins, minerals and trace elements: half of the world’s population does not have enough To function at its best, our body needs a number of specific “ingredients”, the micronutrients. And, according to a recent study, half of the world’s population does not have enough. What are micronutrients? Micronutrients are substances present in small amounts in […] The post Half the world suffers from nutritional deficiencies appeared first on Emergency Live.

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Strabismus: A Comprehensive Overview

Mind The Bleep

Strabismus, commonly referred to as “crossed eyes” or “wandering eyes,” is a visual condition characterised by the misalignment of one or both eyes. This condition can have significant implications for visual acuity and quality of life. Below is a detailed discussion on strabismus, diagnosis, affected populations, treatments, and potential complications, intended to provide medical professionals with a comprehensive understanding of this condition.

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The Latest In Critical Care, 10.25.24 (#59)

PulmCCM

News The IV fluid shortage induced by Hurricane Helene’s damage around the Baxter plant near Marion, NC—which reportedly supplies as much as 60% of the U.S. supply—is stabilizing. A temporary bridge is being built at the site and Baxter anticipates significantly increasing production as soon as next week. The Biden administration invoked the Defense Production Act, FDA permitted increased importation of fluids, and some restrictions on compounding IV fluids by hospitals have be