October, 2021

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What is a Doctor’s Role?

33 Charts

This sounds like a crazy question. But it really isn’t. What does a doctor do? What’s my job with my patients. What is a doctor’s role? Some of what I do is transactional. Simple stuff with clear end-points. Some of it involves critical conversations and deeper kinds of thinking, planning, and translating. Breaking my job down into different roles I got to thinking about what I do on a daily basis.

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New California Ballot Initiative in 2022 Adjusts Limitations in Medical Negligence Cases

Medical Law

Medical professionals can be held liable in medical malpractice lawsuits for injuries they cause their patients through negligence. In 1975 California set a cap of $250,000 for medical malpractice noneconomic damages. These types of damages include pain and suffering, mental anguish, emotional trauma, scarring and disfigurement, and diminished quality of life.

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123. Open fractures: “Doc, is it broken or fractured?!?”

Board Bombs

Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here: emrapidbombs.supercast.com We’ve all had this problem before: trying to explain the difference between a fracture and a break is.Well don’t worry, we solve that problem in this podcast! Let’s cover the high yield portions of open fractures, their management, grading scales, and antibiotic selection.

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Video Q&A with Dr. Christopher Walters: The Details Behind Ident-Alert® IV Port Clips

PDC Healthcare

Developed with anesthesiologist Dr. Christopher Walters, Ident-Alert® IV Port Clips are a simple way to help prevent IV medication errors during surgery. The clips are designed specifically for IV injection ports to act as a last step visual cue and reminder for medication warnings or allergies. They help prevent potentially lethal medication administration errors by […].

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Peritonsillar Abscess

Ultrasound Gel

Do you use ultrasound for suspected peritonsillar abscess (PTA)? Some of us probably do, some don't - but what does the evidence say?? Does it help the clinician? and (dare we ask) does it help the patient? This paper is potentially the best data we currently have on the topic. Mike and special guest Kim Fender dive straight into the purulence of this fluctuant topic.

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Angioedema Airway | Inhaled Steroid COVID | Non-op Appendicitis | Part-time MD | Getting WCT Right

JournalFeed

It’s the JournalFeed Podcast for the week of October 18-22, 2021. We cover intubating angioedema patients, inhaled steroids for COVID-19, non-operative management of appendicitis, part-time physician outcomes, and ECG diagnosis of wide complex tachycardia.

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MyChart Messages the Wild West of Patient Communication

33 Charts

Medicine is facing a crisis of information. Beyond the increase of biomedical information are rising demands for physician response to portal messaging (MyChart messages) and review of wearable generated data. More recently health professionals have seen a rise in MyChart messages coming in through the Epic patient portal. According to Epic, the number of patient messages spiked 151 percent nationally from the period covering the first 11 weeks of 2020 through the end of the year.

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122. Uterine Bleeding #ACEP21

Board Bombs

Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here: emrapidbombs.supercast.com We're with everyone in spirit at #ACEP21, but someone had to work in the ED while everyone was in Boston! Let's talk uterine bleeding, a commonly seen, but improperly treated, problem. Want to experience the greatest in board studying?

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ECG Cases 26: Pulmonary Embolism and Acute RV Strain

Emergency Medicine Cases

In this month's ECG Cases Dr. Jesse McLaren runs through 10 cases and explains how the ECG can be integral in the diagnosis and management of pulmonary embolism, even though it is not incorporated into any of the commonly used decision tools for diagnosis of pulmonary embolism. The post ECG Cases 26: Pulmonary Embolism and Acute RV Strain appeared first on Emergency Medicine Cases.

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Don’t forget to resist the phish!

Total Medical ComplianceHIPAA

October is Cybersecurity Awareness Month! October is national #cybersecurity month and we want you to help us celebrate by joining our contest. Follow the link to enter and have the chance to win a Bluetooth speaker. The winner will be announced on November 1st – you won’t want to miss this! Enter to Win!

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EMS Troponin | Distal DVT Risk | POCUS COVID-19 | Antivirals Pedi Flu | D-dimer for VTE COVID-19

JournalFeed

It’s the JournalFeed Podcast for the week of October 11-15, 2021. We cover EMS drawing the first troponin en route, the danger of distal DVT, POCUS for COVID-19, antivirals for sicker children in the hospital, and the utility of D-dimer in COVID-19 patients.

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74: Do 70 year old’s deserve ECPR? A Deep Dive into the Economics of ECPR

ED ECMO

Have you ever pondered whether all the work over ECPR was worth it? Even if you did save a few patients, does this really make sense from a societal standpoint? Am I giving up my life on a project where my efforts could be better elsewhere? Then this episode is for you (and me). This month I talk with Melissa Barnes and Ryan Coute about the economics of cardiac arrest and specifically ECPR.

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Episode 62 - Cervical Spine Injuries- An Interview with Dr. Jara-Alamonte

EB Medicine

EMplify - October 2021 Announcements: The EB Medicine app is live and available for free in the Apple Store. Coming to Google Play soon. It is in Beta and your feedback is welcome. , Also, this month use code SB25 and get a $25 Starbucks gift card when you subscribe at ebmedicine.net Emergency Dept. Management of Cervical Spine Injuries Authors: Geoffrey Jara-Alamonte, MD Chandni Pawar, MD Epidemiology Anatomy (Figure 2 +3) Spinal Cord Injury Injury (Table1) Primary Secondary Differential Diagn

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121. Tacos and Biliary Dilatation

Board Bombs

Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here: [link] They say the craving for Taco Bell worsens after midnight…. while this might be true, we cannot say for sure if Taco Bell is associated with higher rates of cholecystitis. What we CAN tell you is how to not miss this question on the boards.

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EM Quick Hits 33 Polytrauma Tips & Tricks, Toxic Megacolon, ECG in PE, Patch Calls, CT Before LP, Nebulized Ketamine

Emergency Medicine Cases

In this month's EM Quick Hits podcast, Anand Swaminathan on tips and tricks in polytrauma, Rohit Mohindra on diagnosis and management of toxic megacolon, Jesse McLaren on ECG in pulmonary embolism, Victoria Myers on approach to the patch call for cardiac arrest, Brit Long on when to do a CT head before LP, Salim Rezaie on nebulized ketamine - the ketaBAN study.

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October is National Cybersecurity Awareness Month!

Total Medical ComplianceHIPAA

TMC’s Security Scout wants you to be Cyber Savvy! Did you know? 43% of cyber-attacks target small businesses. Here’s how you can be Cyber Savvy: Use long, strong passphrases or passwords and different passwords for different programs and devices. See last month’s Advisor for password tips. Watch out for phishing emails and text messages! Keep practice software and antivirus software up to date.

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PICS | Airway Timing OHCA | Opioids ICU Delirium | US CVC Infx | Finding the Cricothyroid Membrane

JournalFeed

It’s the JournalFeed Podcast for the week of October 4-8, 2021. We cover post-intensive care syndrome, timing of advanced airway in OHCA, opioids and ICU delirium, ultrasound guidance and central line infection risk, and an easier way to find the cricothyroid membrane.

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SGEM#347: It Don’t Matter to Me – Balanced Solution or Saline

The Skeptics' Guide to EM

Date: September 28th, 2021 Reference: Zampieri et al. Effect of Intravenous Fluid Treatment With a Balanced Solution vs 0.9% Saline Solution on Mortality in Critically Ill Patients: The BaSICS Randomized Clinical Trial. JAMA 2021 Guest Skeptic: Dr. Aaron Skolnik is an Assistant Professor of Emergency Medicine at the Mayo Clinic Alix School of Medicine and Consultant in […] The post SGEM#347: It Don’t Matter to Me – Balanced Solution or Saline first appeared on The Skeptics Guide to Emergency Med

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Chest pain in a 30-something: Is it Normal variant STE or OMI? Get the prior ECG, and don't trust Point of Care troponin assays!

Dr. Smith's ECG Blog

Submitted by Benjamin Garbus, MD with edits by Bracey, Meyers, and Smith A man in his early 30s presented to the ED with chest pain described as an “explosion" of left chest pressure. Triage EKG: What do you think? There is STE present in leads V2-V5. The STE and the amplitude of the T wave seems to be proportional relative to the QRS complex. There is J point notching present in lead V5.

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Ask The Expert

ECG Guru

Dr. Jerry W. Jones, MD, FACEP, FAAEM has graciously shared with us his four-part article on the topic of “Delays & Blocks Involving the Bundle Branches”. Dr. Jones is a talented instructor who makes difficult topics easy. Please feel free to post your comments and questions for Dr. Jones and our other ECG Gurus. Click THIS LINK for a downloadable pdf of Part 1: Non-Specific Intraventricular Conduction Delays.

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Journal Jam 19 Therapeutic Hypothermia After Cardiac Arrest – Mixed Evidence

Emergency Medicine Cases

In this Journal Jam podcast, special guest Dr. Mizuho Morrison joins Anton and Justin to clear up the muddy waters of therapeutic hypothermia with a deep dive into the world’s literature. The post Journal Jam 19 Therapeutic Hypothermia After Cardiac Arrest – Mixed Evidence appeared first on Emergency Medicine Cases.

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The Case to Replace Alteplase

Downeast Emergency Medicine

This lecture was presented at the 2021 Maine Medical Center Winter Symposium. For more information on the symposium click here. Pharmacological differences between alteplase and tenecteplase: Alteplase (tPA) is a recombinant version of naturally occurring enzyme called tissue plasminogen activator. Tenecteplase (TNK) is a bioengineered variant of tPA to make it a better lytic by increasing its specificity to fibrin and more resistant to degradation by endogenous enzymes.

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Paratracheal v Cricoid | BVM v ETT Ped OHCA | intubateCOVID | Prehospital Airway | VL Trauma Airways

JournalFeed

It’s the JournalFeed Podcast for the week of September 27-October 1, 2021. We cover paratracheal vs cricoid pressure, BVM or ETT for pediatric OHCA, first pass success in COVID-19 patients, best practices for prehospital airway management, VL and first pass success in trauma airways.

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Imaging Case of the Week 484

EMergucate

The following right wrist x-rays are from a skeletally immature patient with wrist pain & swelling after a fall on … Continue reading →

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The Importance of Risk Management in Healthcare

Advanced Medical Reviews

Strong risk management strategies can help healthcare facilities operate better while also improving the care they provide to their patients.

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The TOGETHER Trial Evaluates Fluvoxamine for COVID-19

PulmCCM

Jon-Emile S. Kenny MD [ @heart_lung ] “In those years, truth was elusive – as was my own faith that I could recognize and contain it.” -Mary Oliver Previously , the very basic underpinnings of fluvoxamine as a pharmacological method to quell cytokine unruliness was outlined. In brief, fluvoxamine is a sigma-1-receptor [S1R] agonist – an effect that opposes inositol-requiring enzyme 1 alpha [IRE1].

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Sonti – Acute Respiratory Distress Syndrome

University of Maryland CC Project

Dr. Rajiv Sonti, Assistant Professor and Assistant Program Director of the Pulmonary Critical Care Fellowship at Medstar Georgetown University Hospital presents a discussion on current research and guidelines for ARDS. Dr. Rajiv Sonti, Assistant Professor and Assistant Program Director of the Pulmonary Critical Care Fellowship at Medstar Georgetown University Hospital presents a discussion on current research and guidelines for ARDS.

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Don’t forget to resist the phish!

Total Medical ComplianceHIPAA

October is Cybersecurity Awareness Month! October is national #cybersecurity month and we want you to help us celebrate by joining our contest. Follow the link to enter and have the chance to win a Bluetooth speaker. The winner will be announced on November 1st – you won’t want to miss this! Enter to Win!

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Continuous or 30:2 | PECARN < 3 mo | POCUS for Appy | TOMAHAWK RCT | Vasopressin-Steroid IHCA

JournalFeed

It’s the JournalFeed Podcast for the week of October 25-29, 2021. We cover continuous compressions vs 30:2, PECARN under 3 months, POCUS for appendicitis, immediate vs delayed cardiac catheterization post-OHCA, and adding vasopressin and steroids for IHCA.

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ECG of the Week 27th October 2021 Interpretation

EMergucate

A 81 year old male presents to a regional emergency department, 4 hours away from a cath lab, complaining of chest pain.

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Intermediate-Value CTCA?

EM Literature of Note

Pervasive use of CT coronary angiography has been an unnecessary feature of the evaluation of patient with low-risk chest pain for the better part of a decade now. The argument behind its use – a normal examination confers a durable protective effect – is obviously nonsensical, as this bestows agency upon the test itself. Obviously, in a low-risk population with rare adverse outcomes, there can be no reasonable expectation of value in testing.

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SGEM Xtra: From EBM to FBM – Gender Equity in the House of Medicine

The Skeptics' Guide to EM

Date: October 7th, 2021 This is an SGEM Xtra episode. I had the honour of co-presenting at the Renaissance School of Medicine, Stony Brook University, Department of Emergency Medicine Grand Rounds. The title of the talk “From EBM to FBM – Gender Equity in the House of Medicine. You may be wondering: why is a middle […] The post SGEM Xtra: From EBM to FBM – Gender Equity in the House of Medicine first appeared on The Skeptics Guide to Emergency Medicine.

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Karvellas – Current Evidence for Extracorporeal Liver Support

University of Maryland CC Project

Dr. Constantine Karvellas, MD, MsC, FRCPC, FCCM Professor of Medicine (Critical Care Medicine and Gastroenterology/Hepatology) at the University of Alberta and Adjunct Professor in the School of Public Health Sciences presents on Critical Care Grand Rounds on "Current Evidence for extracorporeal liver support in acute and acute-on-chronic liver failure" Dr.

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VExUS Pearls Q&A

Thinking Critical Care

So we had a blast with the VExUS Course a few weeks ago, it was really great to see how much enthusiasm and actual clinical use it is getting all over the world. Humbled, grateful and certainly feeling like the hard work was worth it to have this impact. So even after the workshop, there was a lot of questions, and some take more than a few lines to dig into, and since one participant, Dr.

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October is National Cybersecurity Awareness Month!

Total Medical ComplianceHIPAA

TMC’s Security Scout wants you to be Cyber Savvy! Did you know? 43% of cyber-attacks target small businesses. Here’s how you can be Cyber Savvy: Use long, strong passphrases or passwords and different passwords for different programs and devices. See last month’s Advisor for password tips. Watch out for phishing emails and text messages! Keep practice software and antivirus software up to date.

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Imaging Case of the Week 483

EMergucate

The following hand x-rays are from a 30 year old who has fallen from a roof sustaining hand injury.

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Syndromes You Should Know

Pediatric Emergency Playbook

PEMplaybook.

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