Tue.Feb 06, 2024

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What Would You Do? Nail In The Neck

The Trauma Pro

Here’s a very interesting case for you. A construction worker was carrying an object inside a building WHILE HOLDING HIS NAIL GUN! As he passed through the door, his elbow hit the frame and he brushed his neck with the business end of the gun. Guess what happened? He experienced sharp pain, then noted pain every time he swallowed. He checked himself out in the mirror, and there was a small puncture wound in the right side of his neck.

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Top resus papers for TBS. St Emlyn’s

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed This week I am in Zermatt, Switzerland for ‘The Big Sick’ conference. This is something I have been looking forward to years, but major heart surgery (valves not pipes) and […] The post Top resus papers for TBS. St Emlyn’s appeared first on St.Emlyn's.

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Can We Select “Better” Residents?

Sensible Medicine

Two things are clear about the internal medicine residents I get to work with. First, their qualifications are spectacular: academic accolades, research, publications, clinical medicine experiences prior to residency, even real-life professional experiences. When they enter internship, their CVs dwarf those of my residency colleagues (’93 - ’96).

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A teenager involved in a motor vehicle collision with abnormal ECG

Dr. Smith's ECG Blog

Written by Pendell Meyers A teenager was involved in a motor vehicle collision and presented to the Emergency Department via EMS altered and potentially critically ill. He was intubated for altered mental status. Chest trauma was suspected on initial exam. Here is his initial ECG around 1330: What do you think? The ECG shows sinus tachycardia with RBBB and LAFB, without clear additional superimposed signs of ischemia.

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Opioid Use Disorder Treatment: Opioid Agonist Therapy Induction

Canadian EM

Venus is a 29-year-old female who presents to the ED with tremor and diaphoresis. You learn that she has presented to the ED with similar symptoms before, and has a 5yr history OUD, using about 5 points (0.5 g) a day. She has no other medical conditions and blood work is within normal limits. Venus is tachycardic at 105 bpm, with dilated pupils, piloerection, slight tremors, and flushed face.

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Navigating the complex world of neurology

Emergency Live

Exploring the Nervous System and Its Disorders Neurology, a vital branch of medicine, is dedicated to the study and treatment of disorders affecting the nervous system, both central and peripheral. This medical specialty encompasses a wide range of conditions, from neurodegenerative diseases like Parkinson’s and Alzheimer’s to movement disorders, epilepsy, headaches, and spinal pathologies.

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Imaging Case of the Week 583

EMergucate

The following chest x-ray is from an adult with cough and fever. What can be seen?

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Building better health outcomes by design

NRC Health

Join us as we kick off a new season of NRC Health’s Patient No Longer podcast designed exclusively for healthcare visionaries ready to envision a new era in the healthcare customer journey. The post Building better health outcomes by design appeared first on NRC Health.

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Opioid Use Disorder Treatment: Opioid Agonist Therapy Induction

Canadian EM

Venus is a 29-year-old female who presents to the ED with tremor and diaphoresis. You learn that she has presented to the ED with similar symptoms before, and has a 5yr history OUD, using about 5 points (0.5 g) a day. She has no other medical conditions and blood work is within normal limits. Venus is tachycardic at 105 bpm, with dilated pupils, piloerection, slight tremors, and flushed face.

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Rash Week! At arms length

PEMBlog

Just look at the rash – then scroll down to reveal the diagnosis. That’s it. Nothing fancy. It’s Enterovirus! This rash is from enterovirus. It often looks dramatic like this in teenagers – and it can be painful. Notice the scabbed lesions that are present on the palms. It’s like hand, foot and mouth – but this is the adolescent presentation.

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