Fri.Oct 13, 2023

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ECG Blog #399 — Which Laddergram is Correct?

Ken Grauer, MD

The ECG in Figure-1 was obtained from a woman in her 60s — who was seen in the ED ( E mergency D epartment ) as part of her evaluation for trauma following a motor vehicle accident. She was hemodynamically stable — and did not have chest pain, lightheadedness or syncope. QUESTIONS: HOW would you interpret the rhythm in Figure-1 ? Is this " high -grade" AV block?

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Texas Residency Program Unexpectedly Announces Closure

ACEP Now

The CHRISTUS Health-Texas A&M Spohn Emergency Medicine Residency Program announced Friday that its program will close in June 2026 after the current emergency medicine residents complete their training. An official reason for the closure was not immediately available from the hospital administration, but residents there said they were told the surprise move was likely because of financial reasons.

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HEMS Debrief #7 – Jackie Buckthought

Greater Sydney Area HEMS

(Apologies – re-posting as yesterday did not arrange the podcast link correctly!) In the seventh episode of the Sydney HEMS Debrief series, Sydney HEMS CCP and Educator Jackie Buckthought shares a challenging case from her training. Jackie discusses how this case has affected her work flow, resilience, and more recently her perspective as an educator.

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Hitting Children in School: Bad?

Science Based Medicine

The title of this post is silly. Hitting kids in school is always bad, and there is very good reason to expect the same negative outcomes from school-based corporal punishment as are seen when kids are hit at home. The AAP recently recently released a policy statement calling for a national ban. The post Hitting Children in School: Bad? first appeared on Science-Based Medicine.

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PulmCrit Blogitorial – Why the new brain death guidelines are unacceptable

EMCrit

Hello fellow nerds, let's take a look at the new American Association of Neurology (AAN) brain death guidelines. Instead of a tweetorial, I'll jot my thoughts here, so they're accessible to everyone. Disclaimer: the following discussion applies only to adult medicine. Most of these guidelines are consistent with the 2020 World Brain Death Project, so […] EMCrit Project by Josh Farkas.

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Earthquakes: three seismic events that struck the world

Emergency Live

The devastating consequences of three natural events in India, Russia and Sumatra When the earth shakes, there are very few places that offer fair security. These are usually the open spaces, unless you are always in a valley at risk of landslides. In other cases, it is a good idea to seek protection within suitable […] The post Earthquakes: three seismic events that struck the world appeared first on Emergency Live.

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The September Issue Of The TraumaMedEd Newsletter Is Available!

The Trauma Pro

The September issue of the Trauma MedEd newsletter is now available to everyone! This issue’s theme is Weird Stuff. In this issue, you will learn about: Syndrome Of The Trephined Whaaat? Stuff You Sterilize Other Stuff With May Not Be Sterile?? The Submental Intubation Chest Tube Size: Where Did The French System For Catheter Size Come From? To download the current issue, just click here!

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More Trending

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Does REBOA improve survival in trauma patients?

University of Maryland Department of Emergency Med

This UK study randomized 90 trauma patients suspected of having major life threatening torso hemorrhage to receive standard resuscitative.

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California becomes first state to ban use of ‘excited delirium’ as cause of death | California | The Guardian

PHARM

State prohibits the pseudoscientific diagnosis authorities have frequently cited to justify killings at hands of law enforcement — Read on amp.theguardian.

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Does empiric high dose cryoprecipitate added to MHP improve survival?

University of Maryland Department of Emergency Med

This large UK and US study looked at the addition of high dose cryoprecipitate to mass transfusion protocols and found: “Among pat.

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This ECG was texted to me after the fact with no information. What do you think?

Dr. Smith's ECG Blog

This ECG was texted to me with no other information, with this quote: "You will see this in the Queen of Hearts." I assumed it was in real time. The Queen said "Not OMI with low confidence" What do you think? The conventional algorithm said: SINUS RHYTHM ABNORMAL QRS-T ANGLE [QRS-T AXIS DIFFERENCE > 60] ABNORMAL ECG This was my response: "I am not certain that I agree with the queen on this one.

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Challenges of resuscitation in pediatric trauma

University of Maryland Department of Emergency Med

This excellent review article discussing damage control resuscitation in traumatically injured children highlights several points including: Click to view the rest

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ECMO in Trauma

University of Maryland Department of Emergency Med

This systematic review and analysis found in 1822 trauma patients treated with ECMO: -Overall 66% survival to discharge -VV ECMO was sig.

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