Dr. Smith's ECG Blog

NOVEMBER 27, 2024

Pendell and I and the geniuses at Powerful Medical (Producers of the PMCardio Queen of Hearts OMI AI app ) are working on an objective, mathematical definition of hyperacute T-waves , based on real OMI outcomes and hyperacute T-wave annotation that has excellent interrater agreement (between me and Pendell), and it will end up being a logistic regression using these 3 variables: 1) area under the curve (AUC) relative to the QRS size 2) increased symmetry , as defined by time from T-wave onset to

EKG/ECG 132

EKG/ECG Research Outcomes Wellness 132

St. Emlyn

NOVEMBER 6, 2024

St.Emlyn's - Emergency Medicine #FOAMed Creating a learning culture in the emergency department (ED) fosters psychological safety, open communication, and continuous improvement. This approach supports team resilience, enhances patient care, and reduces burnout. Learn practical steps to build a strong learning culture in your ED, promoting growth and collaborative excellence in emergency medicine.

Emergency Department 127

Emergency Department Leadership 127

RebelEM

NOVEMBER 6, 2024

Elbow Dislocation Definition: Disarticulation of the proximal radius & ulna bones from the humerus Epidemiology: Incidence Second most common joint dislocation (after shoulder) in adults Most commonly dislocated joint in children Accounts for 10-25% of all injuries to the elbow ( Cohen 1998 ) Posterolateral is the most common type of dislocation (80%) Demographics Most commonly affects patients between ages 10-20 years old As age increases, elbow dislocation rates tend to d

Dislocations 114

Dislocations Fractures Soft Tissue Injuries Outcomes 114

EMDocs

NOVEMBER 19, 2024

Authors: Bricey Bayonnet, MD ( EM Resident Physician, Atrium Health’s Carolinas Medical Center, Charlotte, NC); Christine Murphy, MD (EM Attending Physician; Medical Toxicologist, Atrium Health’s Carolinas Medical Center, Charlotte, NC) // Reviewed by: James Dazhe Cao, MD (@JamesCaoMD, Associate Professor of EM, Medical Toxicology, UT Southwestern Medical Center, Dallas, TX); Anthony Spadaro MD, (@TSpadaro91, Fellow in Medical Toxicology, Rutgers NJMS); Alex Koyfman, MD (@EMHighAK); Brit Long, M

Poisoning 111

Poisoning Hyperthermia / Hypothermia EKG/ECG Seizures 111

Speaker: Simran Kaur, Co-founder & CEO at Tattva.Health

AI is transforming clinical trials—accelerating drug discovery, optimizing patient recruitment, and improving data analysis. But its impact goes far beyond research. As AI-driven innovation reshapes the clinical trial process, it’s also influencing broader healthcare trends, from personalized medicine to patient outcomes. Join this new webinar featuring Simran Kaur for an insightful discussion on what all of this means for the future of healthcare!

Outcomes

ACEP Now

NOVEMBER 7, 2024

This is the second visit in two weeks for an elderly gentleman who is concerned about his legs being red and swollen. During the first visit, he was diagnosed with cellulitis and placed on cephalexin. Today, he notes worsening swelling and a blister forming near his left ankle. The pain makes it difficult for him to ambulate unassisted through his home.

Burns 97

Burns Documentation/Coding Outcomes Emergency Department 97

The Skeptics' Guide to EM

NOVEMBER 16, 2024

Date: October 28, 2024 Reference: Verma et al. Clinical evaluation of a machine learning–based early warning system for patient deterioration. CMAJ September 2024 Guest Skeptic: Michael Page is currently the Director of Artificial Intelligence (AI) Commercialization at Unity Health Toronto. He leads an AI team intending to improve patient outcomes and healthcare system efficiency.

Emergency Department 110

Emergency Department Administration Outcomes Patient Safety 110

St. Emlyn

NOVEMBER 19, 2024

St.Emlyn's - Emergency Medicine #FOAMed Traditionally, large-bore chest tubes have been standard for managing hemothorax, but smaller tubes are now proving just as effective in stable patients, with added benefits like reduced pain and fewer tube days. This review explores outcomes in drainage efficacy, complication rates, and patient comfort, showing that small-bore thoracostomy may be a reliable alternative for non-emergent cases.

Outcomes 111

Outcomes 111

American Medical Compliance

NOVEMBER 29, 2024

Continuous Glucose Monitoring (CGM) technology is transforming the approach to diabetes care for healthcare providers, including endocrinologists, diabetes educators, and nurses, as well as for the patients they support. Unlike traditional methods that rely on periodic fingerstick tests, CGM offers real-time insights into glucose levels, trends, and fluctuations, empowering proactive management and improving patient outcomes.

Outcomes 105

Outcomes Wellness Operations Pediatrics 105

Dr. Smith's ECG Blog

NOVEMBER 25, 2024

Introductory Angiography Guide To find the guide later, go to the banner at the top of the blog: This blog is dedicated to improving understanding of ECGs in the context of emergency medicine. A substantial proportion of cases discussed include diagnostic angiography. Attaining expertise in angiography requires dedication and practice. What follows is an introduction to angiography -- a guide meant for people with no prior experience interpreting angiograms.

Documentation/Coding 118

Documentation/Coding EKG/ECG 118

EM Ottawa

NOVEMBER 7, 2024

Inhalational injuries are a critical yet often overlooked aspect of trauma care, with far-reaching consequences in emergency medicine. These injuries can arise from various sources, including thermal injuries from fires, recreational activities such as smoke exposure during camping or outdoor events, and chemical inhalation in both industrial and household settings.

Burns 86

Burns Infectious Diseases Radiology Radiology 86

RebelEM

NOVEMBER 18, 2024

View Course Dates This 2-day course provides an in-depth look at effective surgical airway management techniques that you will actually use in your next emergency airway. There is a unique focus on airway anatomy and imaging combined with one-of-a-kind opportunity to practice the techniques on a large variety of non-embalmed, specially prepared cadavers.

Airway Management 71

Airway Management Military Patient Safety Pediatrics 71

ACEP Now

NOVEMBER 7, 2024

Dr. Elizabeth Wharff was the director of emergency psychiatry at Boston’s Children’s Hospital in the late 1990s when she became concerned about what was, then, a new problem. The emergency department (ED) was frequently overwhelmed by suicidal adolescents who needed inpatient psychiatric treatment but couldn’t be admitted, because the hospital had no free beds.

Psychiatric 59

Psychiatric Pediatrics Hospitals Emergency Department 59

St. Emlyn

NOVEMBER 26, 2024

St.Emlyn's - Emergency Medicine #FOAMed In this podcast, Liz Crowe discusses the effect bad behaviour has on teams and ultimately patient safety. The post Podcast – Bad Behaviour in Teams with Liz Crowe at Tactical Trauma 2024 appeared first on St.Emlyn's.

Patient Safety 109

Patient Safety 109

Broome Docs

NOVEMBER 17, 2024

Palatinus HN, Johnson MA, Wang HE, Hoareau GL, Youngquist ST. Early intramuscular adrenaline administration is associated with improved survival from out-of-hospital cardiac arrest. Resuscitation. 2024 Aug;201:110266. doi: 10.1016/j.resuscitation.2024.110266. Epub 2024 Jun 9. PMID: 38857847 Bottom line: This before and after study demonstrates an association between early IM epinephrine and survival from cardiac arrest.

Administration 61

Administration Resuscitation Radiology Radiology 61

Emergency Live

NOVEMBER 3, 2024

Vigorous exercise reduces risk of cognitive impairment, study shows A recent study by Wake Forest University has revealed a promising finding: intense physical exercise could be a valuable ally in the fight against dementia, especially in hypertensive people. SPRINT: a groundbreaking study The study is based on data collected in the context of the famous […] The post Intense exercise: an elixir against hypertension and dementia appeared first on Emergency Live.

Research 52

Research 52

EM Ottawa

NOVEMBER 14, 2024

Urine drug (or toxicologic) screens are a fairly standard tool used in addictions, psychiatry and the Emergency Department (ED), often employed to detect substance use in patients presenting with altered mental status, trauma, psychiatric or abnormal behaviour. Yet, the reliance on these screens is fraught with inaccuracies, clinical irrelevance, and significant ethical concerns, particularly from […] The post Blurred Lines: The Ethical Pitfalls of Urine Drug Screens appeared first on EMOt

Psychiatric 78

Psychiatric Emergency Department 78

Emergency Medicine Journal

NOVEMBER 21, 2024

This month’s update is by the Emergency Medicine team in South East Scotland. We used a multimodal search strategy, drawing on free open-access medical education resources and literature searches. We identified the five most interesting and relevant papers (decided by consensus) and highlight the main findings, key limitations and clinical bottom line for each paper.

Administration 52

Administration Outcomes 52

ACEP Now

NOVEMBER 7, 2024

The best questions often stem from the inquisitive learner. As educators, we love—and are always humbled—by those moments when we get to say “I don’t know.” For some of these questions, you may already know the answers. For others, you may never have thought to ask the question. For all, questions, comments, concerns, and critiques are encouraged. Welcome to the Kids Korner.

Pediatrics 59

Pediatrics Poisoning Research Outcomes 59

St. Emlyn

NOVEMBER 19, 2024

St.Emlyn's - Emergency Medicine #FOAMed All the best from the blog from August 2024, in our easy to digest podcast. The post September 2024 Round-Up – Patient Experience in the ED, Dirty Adrenaline, and More! appeared first on St.Emlyn's.

Emergency Department 99

Emergency Department 99

The Skeptics' Guide to EM

NOVEMBER 9, 2024

Date: October 28, 2024 Reference: Woelfle T et al. Benchmarking Human–AI collaboration for common evidence appraisal tools. J Clin Epi Sept 2024. Guest Skeptic: Dr. Laura Walker is an Associate Professor of Emergency Medicine and the vice chair for digital emergency medicine at the Mayo Clinic. In addition to finding ways to use technology in emergency department (ED) care, she is interested in how health systems work and how patients move through the healthcare system.

Research 59

Research Emergency Department Outcomes Hospitals 59

Total Medical ComplianceHIPAA

NOVEMBER 8, 2024

Key Lessons from the Cascade Eye and Skin Centers Settlement The recent settlement between the U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) and Cascade Eye and Skin Centers underscores OCR’s expectations for healthcare providers regarding cybersecurity under the HIPAA Security Rule. Following a ransomware attack that compromised nearly 291,000 patient records, Cascade agreed to a $250,000 settlement and a corrective action plan.

Risk Management 59

Risk Management Best Practices Documentation/Coding 59

Emergency Medicine Cases

NOVEMBER 12, 2024

Dr. Sara Alavian describes some of the challenges of providing palliative care in low-income/low resource settings and offers some simple solutions in this Global EM column. The post Global EM 6 Palliative Care in Low-Resource Settings: Challenges and Solutions appeared first on Emergency Medicine Cases.

EMS 52

EMS 52

Emergency Medicine Journal

NOVEMBER 21, 2024

I read with interest the frailty practice review by Van Oppen et al in which they suggest that existing emergency department (ED) guidelines and protocols poorly represent older people living with frailty. They recommend that clinicians caring for these patients should not only appraise the available evidence in the context of an individual’s situation and values but also consider the person’s personal preferences to truly deliver person-centred care. 1 They highlight the fact that e

Emergency Department 52

Emergency Department Wellness 52

ACEP Now

NOVEMBER 8, 2024

The quick-moving, high-stress practice of emergency medicine means health care professionals need to be prepared for anything. Among emergency physicians’ diverse patient populations, neurodivergent individuals represent a unique group with distinct challenges and requirements. Neurodivergence is an umbrella term that refers to a variety of neurological differences (not deficits), including autism spectrum disorder (ASD), attention deficit hyperactivity disorder (ADHD), and dyslexia, among other

Emergency Department 52

Emergency Department Leadership Research 52

St. Emlyn

NOVEMBER 19, 2024

St.Emlyn's - Emergency Medicine #FOAMed Traditionally, large-bore chest tubes have been standard for managing hemothorax, but smaller tubes are now proving just as effective in stable patients. Dive in to explore the latest evidence in trauma management and see if small-bore thoracostomy is suitable for your practice’s patient population. The post Small Bore vs Large Bore Thoracostomy for Traumatic Haemothorax. appeared first on St.Emlyn's.

98

98

Emergency Live

NOVEMBER 6, 2024

Global Medical Response expands fleet with Airbus Global Medical Response (GMR) has ordered 28 Airbus helicopters, including six H125s, five H130s, fourteen H135s, and three H145s, to continue expanding its medical airlift fleet. Following an order for five Airbus helicopters in early 2024, GMR will operate a fleet of nearly 200 Airbus helicopters, strengthening its […] The post Global Medical Response expands fleet with Airbus appeared first on Emergency Live.

Operations 52

Operations 52

EMCrit

NOVEMBER 15, 2024

Medtwitter was great. We met amazing people and exchanged ideas. There were endless arguments about electrolytes and intubation. But the strength of Medtwitter was never the platform – it was the people. Twitter has been deteriorating for years. For example, the algorithm is horrific, the blocking feature has been largely removed, posts from paid users […] EMCrit Project by Josh Farkas.

120

120

The Bottom Line

NOVEMBER 16, 2024

What’s new in the Critical Care literature – monthly updates

117

117

PEMBlog

NOVEMBER 21, 2024

I am excited to share the recording of the AAP Section on Emergency Medicine Fall Virtual Education Session , originally held on Tuesday, November 19, 2024 focused on delivering timely and actionable feedback, along with strategies to develop and implement sustainable feedback programs. PEM educators shared their experiences and provided practical strategies to strengthen evaluation processes and initiatives in this multidisciplinary, interactive session.

Documentation/Coding 52

Documentation/Coding Pediatrics Emergency Department 52

ACEP Now

NOVEMBER 8, 2024

Airway management remains a fundamental skill for all emergency physicians. Extraglottic airway devices (EGAs) have become a widely accepted means of airway management along with rescue airway devices. We aim to clarify the role of these devices in the prehospital setting and discuss considerations surrounding the most frequently used devices in current practice.

Airway Management 40

Airway Management EMS Hospitals Administration 40

St. Emlyn

NOVEMBER 5, 2024

St.Emlyn's - Emergency Medicine #FOAMed At the Tactical Trauma 24 conference in Sundsvall, Sweden, St Emlyn’s hosts Iain Beardsell and Liz Crowe had the opportunity to speak with Alice Hutin, an emergency physician with Service […] The post Podcast – Prehospital eCPR with Alice Hutin at Tactical Trauma 2024 appeared first on St.Emlyn's.

Emergency Department 102

Emergency Department 102

Emergency Medicine Journal

NOVEMBER 21, 2024

Clinical introduction A 71-year-old man presented to the ED with progressive headache and neck pain. The patient had no visual, neurological, chest or abdominal symptoms. Temperature was 38.8°C, he was fully conscious with no signs of meningeal irritation. C reactive protein was 85 mg/L. CXR and brain CT were unremarkable; cerebrospinal fluid analysis was normal.

Fractures 52

Fractures 52

EMCrit

NOVEMBER 28, 2024

I discussed the reasons for migrating to BlueSky here. I've received positive feedback from several FOAMed expats who migrated to Bluesky and enjoy it there. I've also received some questions about getting started on BlueSky, so here is a brief guide to moving into MedSky. [1] Set up your account & profile This is essentially […] EMCrit Project by Josh Farkas.

117

117

Emergency Live

NOVEMBER 17, 2024

Prolonged exposure to fine dust significantly increases the risk of developing type 2 diabetes A recent study has revealed a worrying link between air pollution and type 2 diabetes. Researchers have found that prolonged exposure to fine dust, those tiny invisible particles that pollute the air we breathe, Significantly increases the risk of developing this […] The post Air pollution: a silent enemy for our health appeared first on Emergency Live.

Research 52

Research 52

First 10 EM

NOVEMBER 4, 2024

It is pretty rare for the phrase “we need more research” to be immediately followed by more research, but that seems to have happened here.v On October 7 I published my post about the HEMOTION trial, looking at transfusion thresholds in traumatic brain injury, and concluding that despite being a statistically negative trial, the results […] The post Liberal or restrictive transfusion in brain injury part 2 (The TRAIN trial) appeared first on First10EM.

Research 69

Research EMS 69

JournalFeed

NOVEMBER 23, 2024

The JournalFeed podcast for the week of Nov 18-22, 2024. These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member. Monday Spoon Feed : Most of the time, targeting a hemoglobin threshold of 7 – 8 g/dL in critically-ill patients is recommended, with acute coronary syndrome as the exception to the rule.

52

52