Dr. Smith's ECG Blog

JUNE 17, 2024

Written by Bobby Nicholson, MD 67 year old male with history of hypertension and hyperlipidemia presented to the Emergency Department via ambulance with midsternal nonradiating chest pain and dyspnea on exertion. Pain improved to 1/10 after EMS administers 324 mg aspirin and the following EKG is obtained at triage. What do you think? If this EKG were handed to you to screen from triage without any clinical information, what would you think?

EKG/ECG 141

EKG/ECG Emergency Department Shock Ultrasounds 141

Science Based Medicine

JUNE 17, 2024

A few months ago, I wrote about how antivaxxers misrepresent vaccine safety studies to portray vaccines as dangerous, using a large study of outcomes in adults as an example. They're doing it again, but this time it's a large study of COVID-19 vaccines in children. The post How antivaxxers weaponize vaccine safety studies to falsely portray vaccines as dangerous, part 2: The children first appeared on Science-Based Medicine.

Outcomes 130

Outcomes 130

Sensible Medicine

JUNE 17, 2024

The richer a society gets the higher the rates of atrial fibrillation. Obesity, lack of exercise, alcohol use and advancing age are the main drivers of AF. The AF-treatment market size in the US is measured in the billions of dollars. It’s expected to grow at high rates, powered largely by expansion of catheter ablation. The new technology in ablation of AF is something called pulsed field ablation or PFA.

Shock 130

Shock Stroke Operations Ultrasounds 130

EMCrit

JUNE 17, 2024

introduction Bilevel Sequence Intubation (BSI) refers to initiation of noninvasive bilevel positive pressure ventilation with a backup rate prior to intubation (either using a BiPAP machine or a full-featured mechanical ventilator). BSI is distinct from traditional rapid sequence intubation (RSI), since BSI involves the delivery of machine-initiated, pressure-controlled breaths following administration of sedation and paralytics. […] EMCrit Project by Josh Farkas.

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Administration 123

Don't Forget the Bubbles

JUNE 17, 2024

The Importance of Civility in Critical Care Resuscitation A 3-year-old patient with diabetic ketoacidosis arrives at your ED. While you are leading the resuscitation, one of your senior colleagues belittles a junior staff member for struggling to site an IV line. The team sits down for a hot debrief once the patient is stabilised and transferred to the ICU.

Leadership 105

Leadership Resuscitation Teamwork Patient Safety 105

Emergency Live

JUNE 17, 2024

Unique Context and Specific Challenges Due to its vast territory and dense rainforest, the Amazon presents unprecedented challenges for the emergency healthcare system. The area has a low population density, often accessible only by boat or landing on small airstrips. These logistical limitations make it nearly impossible to provide rapid and effective emergency healthcare services. […] The post The Emergency Health System in the Amazon appeared first on Emergency Live.

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First 10 EM

JUNE 17, 2024

Maximizing your productivity and impact is hard. The A.D.D. framework: Automate, Deprecate, and Delegate, identifies strategies that can be implemented to scale your impact in research and beyond. This is a guest post by Dr. Ross Prager, which was also posted on his blog at resub.app, but that I should would be useful to readers […] The post Improving Productivity: Implementing the A.D.D. framework appeared first on First10EM.

Research 76

Research 76

Emergency Live

JUNE 17, 2024

Tips and Precautions for a Safe Day at the Beach Risks Related to Currents and Waves Currents and waves can pose serious risks during a swim in the sea. Rip currents are particularly treacherous as they can swiftly drag swimmers away from the shore, making it difficult to return. It is essential to recognize these […] The post Key Health Hazards at the Sea appeared first on Emergency Live.

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PEMBlog

JUNE 17, 2024

It used to be ALTE but now it’s BRUE. Brief Resolved Unexplained Event. It is a better name after all. And it makes for better puns. Lyrics Sudden brief resolved single episode baby’s under a year old Cyanosis pallor or breathing and tone change altered responsiveness and no way to explain[chorus] something’s brewing here Brief resolved unexplained event observation’s warranted for high risk infants How these videos were produced This song and video were created using Art

Resuscitation 52

Resuscitation 52

Emergency Live

JUNE 17, 2024

Introduction to Latin American Healthcare Systems Latin America is a region characterized by wide cultural and economic diversity, reflected also in its healthcare systems. Each country has developed its own healthcare model, differing in terms of access, quality, and sources of healthcare financing. This article will describe the healthcare systems of Brazil, Mexico, Argentina, and […] The post An Overview of Healthcare Systems in Latin America appeared first on Emergency Live.

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Ziqitza HealthCare Ltd

JUNE 17, 2024

Approximately 60 percent of the world’s burden of heart disease comes from India. One of the leading causes of deaths in India, heart diseases has become prevalent and is a silent epidemic affecting many. In India, many people have been affected by diabetes, hypertension, smoking and metabolic syndrome. These common risk factors are responsible for heart diseases.

Ambulance Services 52

Ambulance Services Ultrasounds EKG/ECG Wellness 52

Emergency Live

JUNE 17, 2024

Personalized Cancer Therapies One of the most promising advances in cancer treatment is the development of personalized therapies. These therapies will utilize mRNA-based vaccines, similar to those used in COVID-19 vaccines, to combat cancer by stimulating the patient’s immune system to fight against tumor cells. In the UK, extensive clinical trials have been conducted on […] The post Recent Innovations in Oncology appeared first on Emergency Live.

Research 52

Research 52