Tue.Jan 09, 2024

article thumbnail

Best Of EAST 2024 #6: Pan-Scans In the Elderly

The Trauma Pro

Injured older adults typically sustain those injuries from blunt mechanisms. Radiographic evaluation, particularly CT scans, does not have good supporting literature to dictate which exams should be used in particular patients. There is a long-standing debate on the merits of pan-scan vs. selective scans when using CT. EAST sponsored a multicenter study to look for specific history and physical exam findings that could help direct CT evaluation.

147
147
article thumbnail

A fascinating electrophysiology case. What is this wide complex tachycardia, and how best to manage it?

Dr. Smith's ECG Blog

The patient is female in her 80s with a medical hx of previous MI with PCI and stent placement. She also has a hx of paroxysmal atrial fibrillation and is on oral anticoagulant treatment. She had a single chamber ICD/Pacemaker implanted several years prior due to ventricular tachycardia. The last echocardiography 12 months ago showed HFmrEF. She presented to the emergency department after a couple of days of chest discomfort.

EKG/ECG 107
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Clinical Conundrums: Should You Give the First Dose of Antibiotics IV Before Discharging Home on Oral Antibiotics?

RebelEM

Bottom Line Up Top: In patients with infectious processes that are stable for discharge home, there is no role for giving a first dose of antibiotics IV in the ED. Clinical Scenario: A 45-year-old woman with hypertension presents with a productive cough and fever. Her vitals are: HR 115, BP 120/80, Temp 102.8, O2 Sat 99% on RA, RR 18. A CXR demonstrates a right middle lobe opacity.

article thumbnail

North Fire Reveals New Factory with Headquarters in Calder Valley

Emergency Live

North Fire Engineering Unveils Advanced Manufacturing Hub in Mytholmroyd, Boosting UK’s Firefighting Vehicle Production North Fire Engineering, a manufacturer of firefighting vehicles, unveiled its new manufacturing facility in Mytholmroyd, Calder Valley, which opened during the Christmas season. Following the announcement in late 2023 of the acquisition of Venari Group’s firefighting division by industry veteran Oliver […] The post North Fire Reveals New Factory with Headquart

98
article thumbnail

emDOCs Podcast – Episode 92: Marine Ingested Poisons and Infections

EMDocs

Today on the emDOCs cast, we have a special guest, Alexis Koda, core faculty at the Nazareth Emergency Medicine Residency program in Philadelphia, PA. Alexis takes us through marine ingested poisons and infections. Episode 92: Marine Ingested Poisons and Infections Scombroid Pathophysiology: Fish from family Scombroidae Tuna , mackerel, skipjack, bonito Dark-meat fish Herring, bluefish , anchovy, sardine, amberjack, black marlin, and mahi mahi Histidine decarboxylase produces histamine and hista

article thumbnail

Jack Barnes and the Irukandji Enigma

Life in the Fast Lane

Chris Nickson Jack Barnes and the Irukandji Enigma In 1961, Jack Handyside Barnes, his nine year-old son, and a local surf lifesaver were rushed to Cairns Base Hospital after developing Irukandji syndrome.

article thumbnail

Case Report: A Child with a Rash and Lead Poisoning History

ACEP Now

A 3-year-old male was brought to the emergency department (ED) by his mother, who reported the sudden onset of a rash (hives) covering his entire body, with no rash on his palms and soles. No other complaints were noted. The child’s skin appeared warm and dry. A review of systems revealed no abnormal findings. Vitals were within normal limits, with a pulse of 129, respiratory rate of 25, and oxygen saturation of 98 percent.

More Trending

article thumbnail

Lab case 434

EMergucate

20 year old epileptic woman presented to the emergency department after polypharmacy overdose.

article thumbnail

Safeguarding Against Medical Identity Theft Training

American Medical Compliance

When someone uses your personal information, such as your name, Social Security number, or Medicare number, to make false claims to Medicare and other health insurers without your consent, it is known as medical identity theft. This wastes taxpayer money and interferes with your medical care. It’s important to protect your personal data, review your medical records and bills, and report any dubious or fraudulent charges.

article thumbnail

Improving Emergency Care For Individuals Experiencing Homelessness

Canadian EM

Editor’s Note: This is part 1 of a 2 part series on patients with homelessness. Stay tuned for Part 2 which will deal with the intersection of homelessness and opiate drug use. A 29-year-old male named Billy presents to your emergency department with a 4-day history of progressive leg tenderness. On exam, you note a poorly demarcated area of erythema on the leg which is warm and tender to the touch, suggestive of.

article thumbnail

Comprehensive Suicide Prevention for Healthcare Providers Training

American Medical Compliance

Suicide is one of the leading causes of death for people of all ages worldwide and a global public health concern. Suicide is the second most common cause of death for young people in the United States between the ages of 10 and 24, raising serious concerns about public health. The Centers for Disease Control and Prevention (CDC) reported that over 47,000 people took their own lives in 2019.

CDC 52
article thumbnail

Comparison of Hodgkin's and Non-Hodgkin's Lymphoma: What is Essential to Know

Emergency Live

Essential Information for Understanding and Managing Key Differences Introduction to Hodgkin’s and Non-Hodgkin’s Lymphomas Lymphoma is a type of cancer that develops in the cells of the lymphatic system, known as lymphocytes, which play a crucial role in the body’s immune system. There are two main types of lymphoma: Hodgkin‘s Lymphoma and Non-Hodgkin‘s Lymphoma.

52
article thumbnail

Achieving a Restraint-Free Environment in Healthcare Training

American Medical Compliance

In a medical setting, restraints are devices that limit a patient’s movement. Restraints can help keep a person from hurting themselves or causing harm to others, especially caretakers. Additionally, there are a variety of devices used to restrain a patient. These include belts, vests, jackets, and mitts for the patient’s hands. These devices also typically prevent people from being able to move their elbows, knees, wrists, and ankles.

article thumbnail

Insulin and diabetes balance between risks and benefits

Emergency Live

A Comprehensive Overview for Informed Choice Introduction Since its discovery in 1921, insulin has revolutionized the treatment of diabetes, a chronic disease that affects millions of people worldwide. While it is an essential component in diabetes management, it comes with a series of complex considerations. In this article, we examine not only the vital benefits […] The post Insulin and diabetes balance between risks and benefits appeared first on Emergency Live.

52
article thumbnail

Diabetic Retinopathy

Mind The Bleep

Overview Diabetes mellitus can cause both macrovascular (e.g., myocardial infarction, peripheral vascular disease, stroke ) and microvascular (e.g., nephropathy, neuropathy, retinopathy) complications. Diabetic retinopathy is the most common microvascular complication of diabetes and is one of the most common causes of blindness in working-aged adults globally.

Stroke 52
article thumbnail

The health workforce crisis in Europe: an in-depth analysis

Emergency Live

A Detailed Look at the Shortage of Nurses and Doctors in Germany, England, and Ireland The Situation in Germany: A Critical Shortage In Germany, the shortage of nursing staff continues to worsen, with a demand for approximately 150,000 foreign nurses needed by 2025. This shortage has been evident for years, and as a result, German […] The post The health workforce crisis in Europe: an in-depth analysis appeared first on Emergency Live.

52
article thumbnail

What it Takes to Actually Achieve Shared Decision Making.

Sensible Medicine

James McCormack has written on Sensible Medicine in the past. He is a Doctor of Pharmacy in the Faculty of Pharmaceutical Sciences at the University of British Columbia. Last month he reached out to me to let me know he thought I gave short shrift to a discussion of shared decision-making in one of my articles. Not only was his email a particularly kind and Canadian one, but he was also completely correct.

Stroke 91