Total Medical ComplianceHIPAA
JANUARY 1, 2022
Dealing with a minor’s medical records can be a minefield when a child is from a blended family or the parents have a contentious divorce going. Things get especially sticky when you add in stepparents and grandparents, and when a minor controls all or a portion of their own records. It’s a good time to review the basics. Custody versus Parental Rights: Don’t confuse custody with parental rights.
JournalFeed
JANUARY 29, 2022
It’s the JournalFeed Podcast for the week of January 24-28, 2022. We cover the EvK RCT - etomidate vs ketamine for RSI, PE-SARD - predicting major bleed in PE treatment, a major update on antithrombotics for VTE, HEP-COVID - anticoagulation for COVID patients, and a new PE rule out pathway.
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The Skeptics' Guide to EM
JANUARY 29, 2022
Date: January 25th, 2022 Reference: Beyde et al. Efficacy of empiric antibiotic management of septic olecranon bursitis without bursal aspiration in emergency department patients. AEM January 2022 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. Case: You’re working in your busy freestanding emergency department […] The post SGEM#358: I Would Do Anything for Septic Olecranon Bursitis But I Won’t Tap That fir
Northwestern EM Blog
JANUARY 24, 2022
Written by: Elizabeth Stulpin, MD (NUEM ‘23) Edited by: Aaron Wibberly, MD (NUEM ‘22) Expert Commentary by : Joshua Zimmerman, MD (NUEM ‘17) Non-Response to Vasopressors Shock is defined as a state of cellular and tissue hypoxia resulting in end organ dysfunction. This state may arise due to impaired oxygen delivery to tissues, impaired oxygen utilization by the tissues themselves, increased oxygen consumption, or a combination of these mechanisms.
Advanced Medical Reviews
JANUARY 19, 2022
A new study published by the Association of American Medical Colleges (AAMC) found that the United States could see an estimated shortage of between 37,800 and 124,000 physicians by 2034, including shortfalls in both primary and specialty care. Years before this study was conducted, telemedicine was being utilized to treat patients living in remote communities or areas with a shortage of doctors.
Emergency Medicine Cases
JANUARY 18, 2022
A few select videos from EM Cases Summit 2021 have been made FOAMed and available here and on our youtube channel. The latest release is with Dr. Rob Simard who explains the failings of the ACLS protocol for PEA arrest, how PoCUS pulse checks can help us differentiate true PEA from pseudoPEA, and how to integrate this information and our PoCUS skills into the flow of our cardiac arrest management.
Dr. No
JANUARY 18, 2022
It has been a long time coming, as we enter the final stages of the rollout of the NHS (Self-Destruction) Regulations 2022. After a two year period unlike anything ever seen before in the NHS, with a seriously demoralised and depleted workforce, NHS managers are gearing up to fire many tens of thousands of NHS frontline staff. The managers and their staff are, of course, just following orders, following in the footsteps of others who, at times of moral darkness, just followed orders, and removed
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
Dr. Mike Sevilla
JANUARY 17, 2022
As an Asian-American man, I do not pretend to know what it’s like to be a Black man today. And, I do not pretend to know what it was like to be Dr. Martin Luther King, Jr in the 1950s and 1960s. All I know about that time is what I have seen in television and on the internet. So, on this national holiday, where we, as a nation, are asked to remember this man and his message.
Board Bombs
JANUARY 16, 2022
Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here: emrapidbombs.supercast.com Welcome to EM Board Bombs Happy Hour. Let’s talk smoke and mirrors in anaphylaxis, why its critical to concentrate on only one treatment that helps these patients, and how to make a dirty Epi drip.
Northwestern EM Blog
JANUARY 10, 2022
Written by: Jim O’Brien, MD (NUEM ‘23) Edited by: David Kaltman, MD (NUEM ‘20) Expert Commentary by : Sarah Dhake, MD (NUEM ‘19) & Josh Waitzman, MD, PhD Expert Commentary Thanks for a great review on hyponatremia by Drs. O’Brien & Kaltman. I’ve recruited the expert insight from one of my favorite colleagues and fellow Northwestern University Feinberg School of Medicine graduate Joshua Waitzman, MD PhD, Instructor of Nephrology at Beth Israel Deaconess Medical Center in Boston, MA.
Emergency Medicine Cases
JANUARY 18, 2022
In this months EM Quick Hits podcast: Ken Milne expertly walks us through the 10 biggest EM papers of 2021, Brit Long on a careful structured approach to Febrile Neutropenia to improve outcomes, Catherine Varner on how not to miss Peripartum Cardiomyopathy, Joe Nemeth on Anaphylaxis update and Anand Swaminathan gives us his approach to the Crashing Asthmatic.
Stop and Think
JANUARY 9, 2022
Let’s start with the easy decisions: sick patients who are asking for our help. When someone falls and breaks a hip, the decision is easy. You fix it. When someone presents in shock because of AV block and a low heart rate, you place a pacemaker. When someone presents with bacterial infection, you use antibiotics. It gets trickier when we consider preventive interventions.
JournalFeed
JANUARY 15, 2022
It’s the JournalFeed Podcast for the week of January 10-14, 2022. We cover the gender pay gap in EM leadership, subsegmental PE anticoagulation or not, a point/counterpoint on etomidate or ketamine firstline for RSI, and ketamine nebs for pain control.
Dr. Mike Sevilla
JANUARY 16, 2022
It’s so interesting, because this photo was taking this very week in 2019, otherwise known as Pre-Pandemic times. I’ve been looking at the forecast over the past couple of days, and some people are saying that for around here, we may expect 12 inches of snow or more. Monday is a holiday for a lot of people out there (not me). But, when snow is forecast like this, it really makes me think back to “back in the day” when I was hoping, as a little kid, for that snow day.
The Skeptics' Guide to EM
JANUARY 8, 2022
Date: December 28th, 2021 Reference: Kulvatunyou et al. The small (14 Fr) percutaneous catheter (P-CAT) versus large (28–32 Fr) open chest tube for traumatic hemothorax: A multicenter randomized clinical trial. J Trauma and Acute Care Surgery. November 2021. Guest Skeptic: Dr. Chris Root is a second-year resident physician in the Department of Emergency Medicine at the University […] The post SGEM#355: Bigger Isn’t Better When It Comes to Chest Tubes first appeared on The Skeptics Guide to Emerg
Dr. No
JANUARY 7, 2022
As the stain of compulsory vaccination and its dystopian paperwork paraphernalia spreads across many European states, extinguishing the lights of individual freedom, and paving a way for a return to the dark days of totalitarianism, we in Britain, and particularly England, find ourselves standing alone in resisting the clamour for ever tighter controls.
EB Medicine
JANUARY 6, 2022
Interview with author: Rachel Sullivan, MD Why joint pain ? Differential Diagnosis Mono vs Poly Articular Presentation? Figure 1 Infectious, degenerative, autoimmune, crystal deposition, reactive, traumatic Septic Arthritis- Bimodal incidence Risks Septic arthritis is polyarticular in 15% to 20% of cases, and in these cases, the mortality is high Gonococcal Highest risk Commonly affected joints Symptomatic or asymptomatic infection Lyme Arthritis Viral – Zika, chikungunya, human parvovirus B
Emergency Medicine Cases
JANUARY 4, 2022
What is the preferred order of vasopressors and ionotropes in the management of cardiogenic shock? In which patients would dobutamine be preferred over milrinone and vice versa? How can we best pick up occult cardiogenic shock before it floured shock kicks in? What are the best strategies to efficiently get the patient in cardiogenic shock to definitive care, whether that be the cath lab or the operating room?
JournalFeed
JANUARY 8, 2022
It’s the JournalFeed Podcast for the week of January 3-7, 2022. We cover POCUS for pyloric stenosis, deaths from OTC cough medicine in children, ED sepsis teams reduce mortality, dispo times early vs late in your shift, and new ASA 2022 difficult airway guidelines.
Dr. Mike Sevilla
JANUARY 14, 2022
Yes, our weather friends are giving us the heads-up that we may be getting some snow going into early Monday morning. You know what that means? Yes, people just go nuts and crazy for the coming snowstorm or the cute name that they will call this on social media, whether it be “snowpocalypse” or “snowmageddon” or whatever. I don’t want to be all snarky (but I know that’s why you love me) but let me be the first to say (again), “Hey people, it’s January and we live in Ohio.
Dr. Smith's ECG Blog
JANUARY 3, 2022
This fantastic case and post was written by Jesse McLaren (@ECGcases), edited by Smith Case You’re shown an ECG from a patient in the waiting room with chest pain. What do you think? Sinus bradycardia, normal conduction, normal axis, normal R wave progression, no hypertrophy. There’s primary ST depression in the precordial leads maximal in V3-4, and an inverted T wave in V2.
Dr. No
JANUARY 3, 2022
Those familiar with the Hitch-Hiker’s Guide to the Galaxy will know that the number 42 is the ‘Answer to the Ultimate Question of Life, the Universe, and Everything’; it necessarily follows that it must also be the answer to today’s ultimate question, how to end the covid pandemic. Dr No has spent the New Year break trying to get to the bottom of this cryptic answer.
The Skeptics' Guide to EM
JANUARY 1, 2022
Date: December 21st, 2021 Guest Skeptic: Dr. Howard “Howie” Mell began his career as a firefighter / paramedic in Chicago. He became double board certified in Emergency Medicine (EM) and Emergency Medical Services (EMS). Howie also has a Master of Public Health. Reference: Grotta JC et al. Prospective, multicenter, controlled trial of mobile stroke units.
Pediatric Emergency Playbook
JANUARY 1, 2022
Myth: “No olive, no problem” Reality: Rare finding, since we diagnose earlier Pyloric stenosis occurs in young infants because the pyloric sphincter hypertrophies, causing near-complete obstruction of the gastric outlet. More common in boys, preterm babies, first-born. Less common in older mothers. Association with macrolide use. Presentation Young infant arrives with forceful vomiting, but can’t quite get enough to eat “the hungry, hungry, not-so-hippo”.
JournalFeed
JANUARY 1, 2022
It’s the JournalFeed Podcast for the week of December 27-31, 2021. We cover calcium for OHCA, NEAR4KIDS, Canadian Syncope Calculator, limiting cardiac testing in low risk patients, and the top articles of 2021.
Dr. Mike Sevilla
JANUARY 13, 2022
I’m going to do something I’ve never done before. I’m going to ask you, the reader, to give me a review on Google. I have to tell you, this is a big risk, because I have no idea what is going to happen here. Why now? Well, let me ask you, how many time have you read the reviews on Amazon before you make a purchase? How about this? How many times have you read the reviews of a doctor before you made a decision whether to pick a new doctor.
EMergucate
JANUARY 29, 2022
Original paper here What is this study about Authors hypothesized that given intramuscularly, Ketamine would work quicker (and safer) when … Continue reading →
EM Updates
JANUARY 4, 2022
pdf Paxlovid Patient/Caregiver Fact Sheet Paxlovid Healthcare Professionals Fact Sheet Paxlovid FDA Checklist [updated Oct 2022] molnupiravir EUA & patient info
The Skeptics' Guide to EM
JANUARY 15, 2022
Date: January 16th, 2022 Reference: Matchett, G. et al. Etomidate versus ketamine for emergency endotracheal intubation: a randomized clinical trial. Intensive Care Med 2021 Guest Skeptic: Missy Carter, former City of Bremerton Firefighter/Paramedic, currently a professor of Emergency Medical Services at Tacoma Community College’s paramedic program.
PulmCCM
JANUARY 29, 2022
Jon-Emile S. Kenny MD [ @heart_lung ] “… but prejudices, like odorous bodies, have a double existence, both solid and subtle – solid as the pyramids, subtle as the twentieth echo of an echo, or as the memory of hyacinths which once scented the darkness.” -Mary Ann Evans Background As previously described , the SARS-CoV-2 main protease inhibitor [Mpro] is an existential feature of the virus.
Stop and Think
JANUARY 26, 2022
There was big news in the AF world: JAMA has published a major paper on screening for atrial fibrillation. The 16-person United States Preventive Services Task Force ( USPSTF ) authored the review and concluded that the current evidence is insufficient to assess the balance of benefits and harms of screening for AF. USPSTF is a notable group because they are independent experts in critical appraisal.
Dr. Mike Sevilla
JANUARY 12, 2022
Just another day for a health care worker in America. I was driving to work this morning, and my mind was wandering all over the place thinking about work and life. And, then I turn the corner, and I see the sunrise, and I had to stop. And, sometimes life does that to you. We’re knee deep every day in our usual day-to-day things, and then something happens to just stop you in your tracks.
EMergucate
JANUARY 29, 2022
The following chest x-ray is from an 88 year old who has presented with acute onset left sided chest pain followed by diaphoresis and dyspnoea. Patient is afebrile.
JournalFeed
JANUARY 22, 2022
It’s the JournalFeed Podcast for the week of January 17-21, 2022. We cover a neonatal invasive HSV risk score, high-flow oxygen for COVID, long-term follow up of antibiotics vs surgery for appendicitis, the PE-SCORE, and the high accuracy of multislice CT for SAH out to 24 hours.
Medical Law
JANUARY 19, 2022
With lockdowns and more people working from home, the global pandemic significantly reduced traffic in California and across the nation. You would expect bicycle accidents and traffic deaths to decrease accordingly. In fact, the reverse occurred. Traffic fatalities have actually increased during the Covid crisis. Bicycle Accident Statistics During the Pandemic.
PulmCCM
JANUARY 29, 2022
Jon-Emile S. Kenny MD [ @heart_lung ] “When she smiles without her teeth in place she looks like a witch. But with them in her mouth she’s very pretty.” -Judy Blume Basic Biology The SARS-CoV-2 genome encodes structural proteins [i.e., spike, envelope, membrane, nucleocapsid] and polyproteins [i.e., pp1a and pp1ab]. When the guts of SARS-CoV-2 spew into a cell, viral mRNA acts as a template for polyprotein inception.
Emergency Medicine Ireland
JANUARY 10, 2022
Welcome back to the tasty morsels of critical care podcast. Today we look at everyone’s favorite mould – aspergillus. We see a number of fungal infections in the ICU, most commonly it’ll be the yeasts – forms of candida. Yeasts. Read More » Welcome back to the tasty morsels of critical care podcast. Today we look at everyone’s favorite mould – aspergillus.
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