33 Charts
OCTOBER 19, 2021
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.
Medical Law
OCTOBER 5, 2021
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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Board Bombs
OCTOBER 31, 2021
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.
PDC Healthcare
OCTOBER 29, 2021
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 […].
Ultrasound Gel
OCTOBER 25, 2021
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.
33 Charts
OCTOBER 2, 2021
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.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
EMergucate
OCTOBER 27, 2021
A 81 year old male presents to a regional emergency department, 4 hours away from a cath lab, complaining of chest pain.
Board Bombs
OCTOBER 25, 2021
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?
The Skeptics' Guide to EM
OCTOBER 23, 2021
Date: October 20th, 2021 Reference: Talan et al. Pathway with single-dose long-acting intravenous antibiotic reduces emergency department hospitalizations of patients with skin infections. AEM October 2021 Guest Skeptic: Dr. Lauren Westafer an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School – Baystate.
Advanced Medical Reviews
OCTOBER 19, 2021
Strong risk management strategies can help healthcare facilities operate better while also improving the care they provide to their patients.
Total Medical ComplianceHIPAA
OCTOBER 19, 2021
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!
Emergency Medicine Cases
OCTOBER 18, 2021
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.
EMergucate
OCTOBER 24, 2021
The following right wrist x-rays are from a skeletally immature patient with wrist pain & swelling after a fall on … Continue reading →
JournalFeed
OCTOBER 16, 2021
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.
ED ECMO
OCTOBER 13, 2021
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.
Board Bombs
OCTOBER 10, 2021
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.
Total Medical ComplianceHIPAA
OCTOBER 7, 2021
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.
Emergency Medicine Cases
OCTOBER 18, 2021
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.
EMergucate
OCTOBER 23, 2021
The frontal hand x-ray shows a Bennett’s fracture.
JournalFeed
OCTOBER 9, 2021
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.
EB Medicine
OCTOBER 3, 2021
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
The Skeptics' Guide to EM
OCTOBER 3, 2021
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
Dr. Smith's ECG Blog
OCTOBER 2, 2021
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.
Emergency Medicine Cases
OCTOBER 5, 2021
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.
EMergucate
OCTOBER 19, 2021
The ECG below is from a 66 year old diabetic man who has presented with sepsis.
JournalFeed
OCTOBER 2, 2021
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.
ECG Guru
OCTOBER 1, 2021
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.
Downeast Emergency Medicine
OCTOBER 1, 2021
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.
University of Maryland CC Project
OCTOBER 31, 2021
Dr. Lydia Chelala, Assistant Professor of Radiology at the University of Chicago presents on the golden rules and critical diagnoses of chest radiology.
PulmCCM
OCTOBER 31, 2021
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].
EMergucate
OCTOBER 18, 2021
The following hand x-rays are from a 30 year old who has fallen from a roof sustaining hand injury.
JournalFeed
OCTOBER 30, 2021
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.
Total Medical ComplianceHIPAA
OCTOBER 19, 2021
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!
EM Literature of Note
OCTOBER 18, 2021
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.
University of Maryland CC Project
OCTOBER 19, 2021
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.
The Skeptics' Guide to EM
OCTOBER 10, 2021
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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