Sensible Medicine
AUGUST 11, 2024
When I was a resident, I worked 7 nights of 12 hour shifts alternating with 7 days of 14 hour shifts. The jet lag was like flying to Moscow. I also worked 28 hour shifts Q4 (on paper), which actually ran as high as 32-36 hours (in reality). Often, I was tired. Whether or not residents need to work long hours, and what they do during that time is an open debate.
Dr. Smith's ECG Blog
AUGUST 11, 2024
Written by Jesse McLaren A healthy 75 year old developed 7/10 chest pain associated with diaphoresis and nausea, which began on exertion but persisted. Below is the first ECG recorded by paramedics after 2 hours of chest pain, interpreted by the machine as “possible inferior ischemia”. What do you think? There’s competing sinus bradycardia and junctional rhythm, with otherwise normal conduction, borderline right axis, normal R wave progression and voltages.
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ACEP Now
AUGUST 11, 2024
A 41-year-old woman arrived in a Hawaii emergency department with her husband early in the morning. The nursing triage note indicated vomiting with dizziness and tingling in her hands. History revealed the patient and four family members had eaten fish for dinner, an 18-inch grouper. Her husband reported she had had similar symptoms about five years prior to this situation, also after eating fish.
Emergency Live
AUGUST 11, 2024
The fire spread, eating up over 425,000 acres of land and forcing thousands to evacuate their homes California is once again on its knees in the face of the fury of fire. The Park Fire, which broke out in Tehama county, has spread rapidly, devouring over 425,000 acres of land and forcing thousands to evacuate […] The post The Park Fire: the biggest fire of the year in California appeared first on Emergency Live.
PulmCCM
AUGUST 11, 2024
Direct oral anticoagulants have not displaced warfarin and other vitamin K antagonists (VKAs), which remain the most commonly prescribed oral anticoagulants in older adults in the U.S. Among the more than 2.
Board Bombs
AUGUST 11, 2024
Paris Olympics just ended, but we are feeling inspired to talk about la boîte (the box in French). Let's talk chest trauma, both penetrating and blunt. Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here. [link] Cite this podcast as: Briggs, Blake; Husain, Iltifat. 231. Chest Trauma: La boîte.
Life in the Fast Lane
AUGUST 11, 2024
Jeremy Rogers and Chris Moseley High Flow Nasal Cannula
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Taming the SRU
AUGUST 11, 2024
ABEM updates - R4 Capstone - Sepsis Operations update - R3 taming the sru - traveler’s diarrhea abem updates WITH dr. melissa platt, abem board of directors Beginning 2026, ABEM will be requiring a new certifying exam to replace the previous oral boards. This was felt to be a necessary change in response to decreasing ITE scores and first-time board pass rates The written exam will still be required and is not changing The new certifying exam will be offered in-person in Raleigh, North Carolina
Pediatric Education
AUGUST 11, 2024
Patient Presentation An 8-year-old male came to clinic for the first time with his mother for his health maintenance visit. They raised no concerns until discussing school. They noted that he was getting some extra help with reading and also some therapy that was going to stop over the summer break. The school therapy occurred weekly and was for hearing voices.
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