Wed.Sep 18, 2024

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The Dirty Adrenaline (Epi) drip.

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed Case series of dirty epi drips in Australia. A potentially useful tool in austere/remote settings, but lots of caveats and cautions before we all start doing this! Be careful, but do learn about this potential therapy. #FOAMed @stemlyns The post The Dirty Adrenaline (Epi) drip. appeared first on St.Emlyn's.

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Dynamic OMI ECG. Negative trops and negative angiogram does not rule out coronary ischemia or ACS.

Dr. Smith's ECG Blog

By Smith, peer-reviewed by Interventional Cardiologist Emre Aslanger Submitted by anonymous A 53 y.o. male presents to the ED at 6:45 AM with left sided chest dull pressure that woke him up from sleep at 3am. The pain radiated to both shoulders. He arrived to the ED at around 6:45am, and stated the pain has persisted. He has had similar pain in recent weeks that has occurred at rest, but it typically goes away after about an hour.

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Why Is ADHD On The Rise

Science Based Medicine

Attention-deficit/hyperactivity disorder (ADHD) is one of the most commonly diagnosed neurodevelopment disorders and seems to be on the rise, in both children and adults. The diagnosis in children requires having various symptoms of attention deficit or hyperactivity which is functionally impairing with onset by age 12. Recognition of the disorder actually goes back farther than you might think – the observation that […] The post Why Is ADHD On The Rise first appeared on Science-Base

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Even with AI, healthcare must be in ‘the humanity business’

NRC Health

In a joint discussion, they offered their perspectives on AI’s potential, the need for ethical safeguards and building trust in AI. The post Even with AI, healthcare must be in ‘the humanity business’ appeared first on NRC Health.

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REBEL Core Cast 127.0 – Penetrating Neck Injuries

RebelEM

Take Home Points Anticipate anatomically challenging airways and consider early intubation prior to loss of airway anatomy. Skip the zones of the neck and focus on hard signs of vascular ( Shock w/o another source, Pulsatile bleeding, Expanding hematoma, Audible bruit, Signs of stroke) or aerodigestive (Airway compromise, Bubbling wound, Extensive SubQ air, Stridor, Significant hemoptysis/hematemesis).

Stroke 94
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Immunodeficiencies Module

Don't Forget the Bubbles

Topic Immunodeficiencies Author Ravi Mistry Expert Reviewer Sanjay Patel Facilitator Level ST4+ Learner level Case 1: Foundation doctors, paediatric trainees, paediatric nurses, GPs; Cases 2+3: Paediatric trainees. Equipment Required None Outline Pre-reading for learners Background Case 1 Case 1: Discussion Case 2 Case 2: Discussion Case 3 Discussion Quiz Take home tips References (Bibliography) ● Background – setting the scene and objectives for this module ● Main session – 3 x 10-15 minute cas

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Syncope while on a treadmill

Dr. Smith's ECG Blog

A 60-something ow healthy male had syncope while on treadmill. 911 was called and the patient was found by medics to be diaphoretic and hypotensive. This strip was obtained: Apparent Wide Complex Tachycardia at a rate of 280 What do you think? What do you want to do? Appropriately, the medics electrically cardioverted immediately. They did not feel they had time to sedate.

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WHO Climate change: a health hazard

Emergency Live

About one quarter of global disease is directly attributable to environmental factors The warning from the World Health Organization is clear: about one quarter of global diseases are directly related to environmental factors. This fact calls for a profound reflection on our lifestyle and habits, and makes the need for an interdisciplinary approach to health […] The post WHO Climate change: a health hazard appeared first on Emergency Live.

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Ottawa POCUS Symposium – 2025

EM Ottawa

Ottawa POCUS Symposium – Mastering the Pulse FEB 14, 2025 7:30AM-5PM University of Ottawa Skills and Simulation Centre, 725 Parkdale Ave, Ottawa, Ontario Who should attend: Staff and resident physicians and other practitioners who take care of acutely unwell patients. Choose 4 of 6 selectives: Optimizing Heart Views: Tips for Subxiphoid, Parasternal, and […] The post Ottawa POCUS Symposium – 2025 appeared first on EMOttawa Blog.

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Is Your Head Spinning? The Sudbury Vertigo Risk Score

Taming the SRU

Ohle R, Savage DW, Roy D, et al. Development of a Clinical Risk Score to Risk Stratify for a Serious Cause of Vertigo in Patients Presenting to the Emergency Department. Ann Emerg Med 2024 Aims The authors cite a wide variation in practice, particularly in obtaining neuro-imaging in patients presenting with vertigo. Many patients are imaged and subjected to a longer length of stay, and on the other side of the coin, some patients with serious pathology fall through the cracks.

Stroke 86