The Trauma Pro
JULY 30, 2024
There’s a lot of dogma in trauma care, as well as in the field of medicine generally. The knee dislocation dogma is that the incidence of vascular injury is high (around 50%) with posterior dislocation and somewhat lower with non-posterior dislocation. At least, that’s what I learned way back when. After recently finding myself spouting off those numbers, I wondered if it was really true.
St. Emlyn
JULY 30, 2024
St.Emlyn's - Emergency Medicine #FOAMed Listen to the podcast recorded live at the Premier Conference 2024. The post Podcast – Button Battery Ingestion appeared first on St.Emlyn's.
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Emergency Medicine Cases
JULY 30, 2024
In this month's EM Quick Hits podcast: Andrew Petrosoniak on the role of vasopressors in the hemorrhaging trauma patient, Megan Landes on providing HIV PEP and PrEP in the ED, Justin Morgenstern & George Kovacs on the PREOXI trial and evidence for pre-oxygenation with NIPPV before intubation in RSI, Brit Long on recognition and management of blast crisis in the ED, and Leah Flanagan & Liam Loughrey on the rise of nitrous oxide toxicity.
Sensible Medicine
JULY 30, 2024
A pretty good portion of what we post on Sensible Medicine could be considered critical appraisal of the medical literature. Whether it is John Mandrola’s Study of the Week column, my “Improving Your Critical Appraisal Skills” articles, or Vinay Prasad calling out articles that contend something other than what they actually show, this is clearly an interest of ours.
ECG Guru
JULY 30, 2024
The ECG shows an example of a patient with bradycardia/tachycardia syndrome. Initially, a sinus rhythm with a heart rate of approx. 70 bpm is seen. This is followed by my sinus arrest of just under 3000 ms, followed by a junctional escape beat (no preceding P wave, QRS remains narrow). After a further pause of just under 2000 ms, 2 sinus node beats follow, which merge into a sinus tachycardia or atrial tachycardia (heart rate approx. 120 bpm here).
Kings County Downstate EM
JULY 30, 2024
Author: Dante Robinson, MDEditor: Esteban Davila, MDCase:A 77-year-old male with a history of hypertension and diabetes is brought into the ED by EMS after being found unresponsive. According to the patient’s daughter, the patient had been growing weak and complaining of pain on urination along with urinary frequency. While en […] The post AV Dissociation and Complete AV Block: What’s the Difference?
NRC Health
JULY 30, 2024
Imagine navigating the complexities of modern healthcare, constantly adapting to new challenges while striving to provide an exceptional patient experience. This is the journey of Katie Arnett and Janet Hall from UK King’s Daughters. They will share their inspiring story and valuable lessons learned at Human Understanding Beyond | HUB 24 in San Diego, August 21–23.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
Emergency Live
JULY 30, 2024
According to recent research, the weight loss drug Wegovy could be a powerful ally in the fight against smoking A surprising discovery could revolutionize the way we deal with tobacco addiction. According to recent research, the drug Wegovy, heretofore known primarily for its efficacy in treating obesity, may harbor a powerful ally in the fight […] The post Wegovy: from slimming to fighting smoking appeared first on Emergency Live.
ECG Guru
JULY 30, 2024
The first 3 beats are sinus node beats, all have the same morphology of the P wave. This is followed by a PAC, which is conducted via the fast pathway in the AV node. The next PAC is conducted via the slow pathway, then the AV nodal reentry tachycardia (slow/fast) starts. The retrograde P waves are visible at the end of the QRS complex in the lower lead K3.
Emergency Live
JULY 30, 2024
Lorlatinib, a new lung cancer drug. Recorded an 81% reduction in the risk of progression and death A breakthrough drug, lorlatinib, is proving to be a powerful weapon against lung cancer. In particular, it is revolutionizing the treatment of a particularly aggressive form of this cancer characterized by a specific genetic mutation, ALK. This mainly […] The post Breakthrough in the fight against lung cancer: new treatment offers hope appeared first on Emergency Live.
ECG Guru
JULY 30, 2024
The ECG shows an example of a patient with bradycardia/tachycardia syndrome (also called sick sinus syndrome). Initially, a sinus rhythm with a heart rate of approx. 70 bpm is seen. This is followed by sinus arrest of just under 3000 ms, followed by a junctional escape beat (no preceding P wave, QRS remains narrow). After a further pause of just under 2000 ms, 2 sinus node beats follow, which merge into a sinus tachycardia or atrial tachycardia (heart rate approx. 120 bpm here).
Emergency Live
JULY 30, 2024
From beach star to real media phenomenon. But what are the real properties of this exotic fruit? Coconut: superfood or mere fad? A real debate has been created around this tropical fruit, between those who extol its beneficial properties and those who emphasize its potential health risks. But what are the facts? Let’s look in […] The post Coconut: merits and demerits of the ultimate beach fruit appeared first on Emergency Live.
Emergency Medicine Cases
JULY 30, 2024
As a profession, we suck at compassion as it is trained out of us through medical school and beyond. Compassion in not simply innate; like any behaviour, it can be learned through deliberate practice. There is evidence that compassion may improve morbidity and/or mortality in patients after trauma, cardiac events, cancer, diabetes, back pain, migraine headache and other conditions, prevent physician burnout and reduces rates of medical error, reduce the rates of patient complaints and litigation
Emergency Live
JULY 30, 2024
The six-month injection of the new drug Lenacapavir has proven incredibly effective in preventing HIV infection A new chapter in the fight against HIV has opened with the results of the Purpose 1 study, presented at the 25th International AIDS Conference in Munich. The six-month injection of the new drug Lenacapavir proved incredibly effective in […] The post HIV prevention: the new injection every six months is enough appeared first on Emergency Live.
Life in the Fast Lane
JULY 30, 2024
Michelle Johnston Dyshopia mathematica The Crumbling Fabric of Society Gets a Scorecard. Emergency departments are collapsing, buckling over like weary gravity into an event horizon.
ECG Guru
JULY 30, 2024
The first 3 beats are sinus node beats, all have the same morphology of the P-wave. This is followed by a PAC, which is conducted via the fast pathway in the AV node. The next PAC is conducted via the slow pathway, then the AV nodal reentry cardia (slow/fast) starts. The retrograde P waves are visible at the end of the QRS complex in the lower lead K3.
EMergucate
JULY 30, 2024
The following ECG is from a 67-year-old man who presents with dizziness and fatigue. He has a past history of ischaemic heart disease, hypertension and hypercholesterolaemia.
EMDocs
JULY 30, 2024
Authors: Rosa Malloy Post (@postponemyloanz, Emergency Medicine Resident, Atrium Health’s Carolinas Medical Center); Christine Murphy, MD (Emergency Medicine Attending, Medical Toxicologist, Atrium Health’s Carolinas Medical Center) // Reviewed by: Christopher Counts, MD (Medical Toxicology Fellow, Rutgers New Jersey Medical School, Newark, NJ); Cynthia Santos, MD (Emergency Medicine Attending, Medical Toxicologist, Rutgers New Jersey Medical School); James Dazhe Cao, MD (@JamesCaoMD, Associate
EMergucate
JULY 30, 2024
The following chest x-ray is from a 13-year-old with chest pain & dyspnoea. What can be seen?
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