EM Ottawa

OCTOBER 7, 2024

Methodology: 2.5/5 Usefulness: 3.5/5d Gaudreau-Simard M, et al. Ultrasound J. 2024 Feb 22;16(1):15. doi: 10.1186/s13089-023-00352-3. Question and Methods: The authors aimed to determine the test characteristics of point-of-care ultrasonography (POCUS) for detecting hydronephrosis in acute kidney injury. Findings: From 65 patients, POCUS had a sensitivity of 85% (95% CI 71-94%), specificity of 78% (95% CI […] The post Test characteristics of point-of-care ultrasonography in patients with ac

Ultrasounds 106

Ultrasounds 106

Life in the Fast Lane

OCTOBER 7, 2024

Jeremy Rogers and Mike Cadogan Blood Gas Interpretation The blood gas is used to rapidly assess ventilatory function and identify acid-base disorders – and will also generally provide point-of-care testing of a number of values such as electrolytes, blood glucose and haemoglobin.

Point-of-Care Testing 98

Point-of-Care Testing 98

PulmCCM

OCTOBER 7, 2024

Midodrine A 75-year-old woman seems to have recovered from septic shock, but each time her norepinephrine infusion is reduced from 0.05 to 0.04 mcg/kg/min, her mean arterial pressure falls below 65 mm Hg. Midodrine is started at 10 mg orally t.i.d. Later, the patient’s daughter asks the physician, “What is that new medicine Mom’s on?

Shock 98

Shock Outcomes 98

EB Medicine

OCTOBER 7, 2024

In this episode, Dr. Julia Draper shares her firsthand account of managing a crisis during a hurricane in Asheville, North Carolina. As the area faced unprecedented flooding, Dr. Draper describes the challenges faced at Mission Hospital, including loss of power and water. She details the innovative solutions the hospital implemented and highlights the tireless efforts of staff during a natural disaster of this magnitude. 00:00 Introduction to Dr.

Hospitals 90

Hospitals 90

Science Based Medicine

OCTOBER 7, 2024

Antivax is more ideology and conspiracy than science. The recent accusation that antivax influencers are running "limited hangouts" as part of "controlled opposition helps illustrate this characteristic, in which the insufficiently radical are portrayed as useful idiots for the enemy or even heretics. The post Antivax as ideology: “Limited hangouts” run by “controlled opposition” first appeared on Science-Based Medicine.

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First 10 EM

OCTOBER 7, 2024

How much blood people need in their body is an ongoing question. Physicians have moved beyond the days of removing blood from their patients, but we still aren’t totally sure when we are supposed to put blood back in. Most studies suggest we should transfuse less, but there are specific populations who, at least theoretically, […] The post Liberal or restrictive transfusion in brain injury (The HEMOTION trial) appeared first on First10EM.

EMS 83

EMS 83

Don't Forget the Bubbles

OCTOBER 7, 2024

Electrical injuries can range from something minor that needs no medical input to tetany of respiratory muscles through to cardiac arrest secondary to dysrhythmia (VF, VT or asystole). Up to 5% of burns occur secondary to electrical injuries, and this rises to 27% in developing countries. There are two periods of peak incidence in children – under six years and adolescents aged between 13-18 years.

Burns 80

Burns Fluid Resuscitation Shock Resuscitation 80

ALiEM

OCTOBER 7, 2024

A 52-year-old female with a past medical history of hypertension and prediabetes presented to the emergency department with double vision that started one day prior to arrival. She stated that her double vision improved when she closed one eye. She denied trauma, headache, neck pain, dizziness, dysphagia, numbness, tingling, weakness, or gait instability.

Academics 64

Academics Emergency Department Pediatrics Wellness 64

Taming the SRU

OCTOBER 7, 2024

Venous thromboembolism (VTE) is the number one cause of mortality in pregnant patients, and therefore it is critical for emergency physicians to understand how to appropriately work up and manage this condition. The diagnostic pathway has key differences from the general population given the risks of radiation to the fetus and the physiologic changes associated with pregnancy that naturally make these patients higher risk.

Ultrasounds 63

Ultrasounds CDC Research Stroke 63

Emergency Live

OCTOBER 7, 2024

Salmonellosis resolves spontaneously in a few days, but in some cases it can be more serious and require medical treatment Salmonella is a bacterium that can cause salmonellosis, an infectious disease which mainly affects the digestive tract. Although it may seem like a distant problem, salmonella is present worldwide and is one of the main […] The post Salmonella: what it is and how to avoid infection appeared first on Emergency Live.

Infectious Diseases 52

Infectious Diseases 52

PEMBlog

OCTOBER 7, 2024

Children with Hemophilia who present to the ED need to get a dose of Factor First! Don’t delay and give their home factor if they have it. Lyrics Factor First! Factor First! Bleeding hemophiliac What’s the plan of attack? Factor first! Factor first! Factor VIII or Factor IX Use home factor everytime Factor first! Factor first! IV access nice and quick Hopefully one needle stick Factor first!

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EMergucate

OCTOBER 7, 2024

An 8yr old female presents with heart palpitations, she is hemodynamically stable and talking to you.

EKG/ECG 52

EKG/ECG EMS 52

Emergency Live

OCTOBER 7, 2024

Only 60% of 15-year-olds report using condoms, down from 70% in 2014 The World Health Organisation (WHO) has issued an alarm: over the last ten years, condom use among European adolescents has dropped dramatically. Only 60% of 15-year-olds report using it during their last sexual intercourse, down from 70% in 2014. An increasing risk This […] The post WHO Alert: fewer adolescents use condoms appeared first on Emergency Live.

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