EMCrit
DECEMBER 10, 2023
Within the past year, two major societies have released guidelines on ARDS: the ATS (American Thoracic Society) and the ESICM (European Society of Intensive Care Medicine). Don’t be fooled by their names – both of these organizations are fundamentally international in scope. Some authors on the ATS document were from Europe, and similarly some authors […] EMCrit Project by Josh Farkas.
SheMD
DECEMBER 10, 2023
Trying to figure out what kind of doctor you should become? Wondering what specialty you should choose? Then SheMD's Why Specialty Series is perfect for you! We're bringing you female physicians sharing WHY they chose their specialty. Today's post is on why Dr. Kuwik chose the Med-Peds! For years, my family and friends were confused every time they heard about me seeing an adult patient.
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ECG Guru
DECEMBER 10, 2023
Why is this a high-grade AV block? If at least 3 P-waves are not conduced and there is nominal AV conduction before and after, this can be considered a high-grade AV block. In this Holter strip, P1, P2 and all P-waves from P6 onwards are conducted, albeit with a prolonged PR interval (first-degree AV block). P3, P4, P5 are not conducted. A junctional escape beat is seen before P5.
ACEP Now
DECEMBER 10, 2023
Boarding in the emergency department is a systemic crisis with emergency physicians at the center. While the challenges related to boarding have persisted for decades, the dangers today are unprecedented, and solutions are beyond any individual physician or hospital effort. ACEP said as much to the White House by writing a powerful letter in November 2022 supported by 34 organizations to show how serious the issue has become.
ECG Guru
DECEMBER 10, 2023
Atrial flutter and atrial fibrillation are 2 different cardiac arrhythmias, but occur frequently side by side in the same patient. Here is an example of how atrial flutter degenerataes into atrial fibrillation. The initially ordered atrial activity (left in the picture) with 2 flutter waves/1 QRS complex changes into irregular atrial activity (right in the picture) and the RR intervals become completely irregular.
ACEP Now
DECEMBER 10, 2023
Yvette Calderon, MD, FACEP, understood health disparities from an early age. Born to Puerto Rican parents who raised her in New York, she saw firsthand how language barriers and a lack of access to health care disadvantaged her family and others in her unprivileged Manhattan neighborhood. That’s when her desire to help people was born, and that desire still motivates her.
ECG Guru
DECEMBER 10, 2023
Why is this a high-grade AV block? If at least 3 P-waves are not conduced and there is nominal AV conduction before and after, this can be considered a higher-grade AV block. in this Holter strip, P1, P2 and all P-waves from P6 onwards are conduced, albeit with a prolonged PR interval (first-grade AV block). P3, P4, P5 are not conducted. A junctional escape beat is seen before P5.
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Life in the Fast Lane
DECEMBER 10, 2023
Michael Gibbs MD Pediatric Ortho Cases 007 December 2022; Elbow injuries.
ACEP Now
DECEMBER 10, 2023
QUESTION: Which plant‘s sap causes severe contact dermatitis and must be washed off skin immediately after contact? Click here to see the answer. The post Toxicology Question: Which Plant’s Sap Causes Severe Contact Dermatitis? appeared first on ACEP Now.
Mind The Bleep
DECEMBER 10, 2023
Background Autism Spectrum Disorder (ASD) is a neurodevelopmental condition that affects around 1.76% of school-age children in the UK. Multiple factors have been proposed in the aetiology of ASD, including various biological and psychological factors. Biological factors include: Genetic factors (supported by the high heritability rate) Maternal health and medication use (including the use of valproate in pregnancy) Neuroanatomical differences (i.e. differences in brain structure and function).
ACEP Now
DECEMBER 10, 2023
IMAGE 1. Click to enlarge. Milkweed, genus Asclepias, (named by Linnaeus as Asclepius (Ἀσκληπιός) in 1753) is a plant widely distributed across the United States containing about 140 species. The name pays homage to the Greek god Asclepius, the deity associated with medicine and symbolized by the wand of Asclepius. This plant has everything—ecological importance, toxic constituents, historical medical uses, human toxicity, and plays a role in the defense mechanisms of several insects, especially
PulmCCM
DECEMBER 10, 2023
Piperacillin-tazobactam, marketed as Zosyn, has been one of the most-prescribed broad spectrum antibiotics for many years, used for its bactericidal activity against most gram-negative and anaerobic bacteria, including Pseudomonas. Cefepime has similar antibacterial activity, and both are widely used in the ICU as empiric coverage in patients with potentially serious gram-negative infections.
RebelEM
DECEMBER 10, 2023
Background: The use of ultrasound is well established for trauma patients in the emergency department, with almost every patient receiving a FAST (Focused Assessment with Sonography in Trauma) examination as part of the “ABC’s” of trauma. Though the initial focus of the FAST exam was for detection of abdominal free fluid, the eFAST (Extended FAST) is more commonly used and adds thoracic windows helping to identify pneumothorax ( Musthafa 2014 ).
Pediatric Education
DECEMBER 10, 2023
Patient Presentation A pediatrician received an unexpected autopsy report in her electronic medical record inbox. It was for a 3 week old infant that she had taken care of in the newborn nursery several weeks before but who had been cared for by a different outpatient group practice since discharge. The history was that the infant was found in the parents’ bed, lying between the parents with soft bedding over the infant.
Stop and Think
DECEMBER 10, 2023
The purpose of this note is twofold. One is to remind everyone that I do a weekly recap of cardiology news on a podcast hosted by Medscape called This Week in Cardiology. It’s intended for medical professionals but it’s not too technical. I include the links at the end of this post. The second reason to write is to alert you to the new American atrial fibrillation guidelines released on November 30.
ACEP Now
DECEMBER 10, 2023
A middle-aged male with squamous cell carcinoma and extensive metastases is brought to the emergency department (ED) after being found unresponsive following a believed suicide attempt (SA) by methadone ingestion. He had a recent month-long hospital stay complicated by severe cancer-related pain. Though paramedics administered naloxone, he remained somnolent.
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