Mount Sinai EM
NOVEMBER 14, 2022
Intro Raise your hand if you ever struggled obtaining a CSF sample from a Lumbar Puncture. I “virtually” see that most if not all of you at one point in your career struggled with this. This pearl is inspired by an overnight Elmhurst A-side shift I had several months ago with a patient requiring a Lumbar Puncture. I waved off my senior/attending and told them “No worries, I got this.
PDC Healthcare
NOVEMBER 22, 2022
3 More Efficient Ways to Identify Patients at an ASC According to a recent survey with PDC customers, a majority of Ambulatory Surgery Centers are using a printed label adhered to a paper or plastic wristband as their method of identifying patients. While this method enables them to satisfy the Joint Commission’s Two Patient Identifiers […]. The post 3 More Efficient Ways to Identify Patients at an ASC appeared first on connectID - PDC Healthcare Blog.
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EMCrit
NOVEMBER 3, 2022
SAH and Hypoxic Encephalopathy. EMCrit Project by NeuroEMCrit Team (Casey & Neha).
Total Medical ComplianceHIPAA
NOVEMBER 7, 2022
If you have spent any time on the Internet, you have been asked what you would like a website to do with its cookies. A cookie is information saved by your web browser. Cookies are like flags that allow a website to recognize and remember your device if you return to that site in the future. Some cookies can also keep track of your device over time.
33 Charts
NOVEMBER 7, 2022
Peter Drucker, the father of modern day management, inspired a generation of leaders with his quote, “ One cannot manage change. One can only be ahead of it.” This needs to be reconsidered. Because there’s the fantasy of staying ahead of change and then there’s the modern reality. Early in this century technological progress exceeded the system’s ability to keep up.
University of Maryland CC Project
NOVEMBER 7, 2022
Dr. Paul Marino, Critical Care Specialist at Cayuga Medical Center, and esteemed author of "The ICU Book", the largest-selling textbook on critical care medicine in the United States, presents a lecture entitled Oxygen: Creating a New Paradigm. Dr. Paul Marino, Critical Care Specialist at Cayuga Medical Center, and esteemed author of “The ICU Book”, the largest-selling textbook on Critical Care medicine in the United States, presents a lecture entitled Oxygen: Creating a New Paradigm
RebelEM
NOVEMBER 30, 2022
Take Home Points Consider the diagnosis of testicular torsion in all patients with acute testicular pain Testicular torsion is a surgical emergency that requires immediate urologic consultation to increase the rate of tissue salvage. History, physical examination and ultrasound are all flawed in making the diagnosis. The gold standard is surgical exploration.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
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EMCrit
NOVEMBER 2, 2022
Finally it is here. EMCrit Project by Scott Weingart, MD FCCM.
EMergucate
NOVEMBER 29, 2022
The chest x-ray is from a 60 year old smoker with dyspnea. What can be visualized?
Board Bombs
NOVEMBER 27, 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. Face it, its broken. Your face that is. This epic podcast covers the major facial fractures, when to call a surgeon, and who needs to be seen in emergently in the ED vs outpatient. This is perfect for boards and clinical practice.
EM Updates
NOVEMBER 25, 2022
From Management of Pain & Agitation in Trauma.
RebelEM
NOVEMBER 28, 2022
BACKGROUND: Direct oral anticoagulants (DOACs) such as rivaroxaban [Xarelto] and apixaban [Eliquis] have become more prevalent in the aging population and are associated with intracranial bleeding at rates up to 4.2%. (Xian 2019) 4-Factor Prothrombin Complex Concentrates (4F-PCC), or K-Centra, is a derivative of human plasma and is explicitly used to reverse vitamin K antagonists such as warfarin and non-specifically in the reversal of DOACs.
SCGH ED
NOVEMBER 23, 2022
Currently a work in progress… The post We need to talk about EDDIE appeared first on Charlie's ED.
EMCrit
NOVEMBER 18, 2022
Lumbar Puncture This seemingly simple procedure seems to be the Achilles's heel or many resus docs! If you have a good baseline knowledge of how to do the lumbar puncture correctly, it is super easy. If you have bad habits, then you will make your poor patient look like a pin cushion. EMCrit Project by Scott Weingart, MD FCCM.
EMergucate
NOVEMBER 28, 2022
Interpretation of ECG from 23 November 2022 The most obvious abnormality is ST segment elevation in leads I and aVL … Continue reading →
Dr. Smith's ECG Blog
NOVEMBER 23, 2022
Case submitted by Rachel Plate MD, written by Pendell Meyers A man in his 70s presented with chest pain which had started acutely at rest and has lasted for 2 hours. The pain was still ongoing at arrival. He also noted a bilateral "odd feeling" in his arms. He stated it was similar to prior heart attacks. He had history of prior MIs and CABG, as well as diabetes, hypertension, and hyperlipidemia.
Dr. Mike Sevilla
NOVEMBER 23, 2022
My father passed away in 2020 right before Thanksgiving, and I admit that holiday time is a difficult time for me. But, what continues to bring be joy are the memories of him carving the turkey every year. For those, who don’t know he was a surgeon who practiced in the Youngstown, Ohio area for years. So, every Thanksgiving, I was impressed by his precision of his turkey carving.
Trigger Lab
NOVEMBER 22, 2022
Instructions for the reader: The text contains elements of the little experience I have. It can, therefore, be perfectly questionable, especially the units and data that emerged from literature. All ventilation settings are under medical supervision and approval (for lovers of nursing diagnosis, this is a collaborative problem). Since certain aspects are strongly linked to … Leggi tutto Noninvasive Ventilation: how to start?
Emergency Medicine Cases
NOVEMBER 22, 2022
In this EM Quick Hits podcast: Justin Morgenstern on fluids in pancreatitis, Leeor Sommer on nasal fractures, Christina Shenvi on delirium, Sheldon Cheskes and Rohit Mohindra on Dose VF, and Noor Khatib and Kari Sampsel on intimate partner violence. The post EM Quick Hits 44 Fluids in Pancreatitis, Nasal Fractures, Delirium, DOSE VF, Intimate Partner Violence appeared first on Emergency Medicine Cases.
EMCrit
NOVEMBER 10, 2022
Oct/Nov 2022. EMCrit Project by Scott Weingart, MD FCCM.
EMergucate
NOVEMBER 28, 2022
A 52 year old woman is triaged as a category 2 after complaining of chest tightness on the background of having previous cardiac history.
Medical Law
NOVEMBER 17, 2022
The power of nature is amazing. It’s hard to believe that a plant could be strong enough to damage a concrete sidewalk, but we see it happening all the time. Over time, steadily growing tree roots can extend underneath a sidewalk. As the roots grow and expand, they will eventually disrupt the surface of the sidewalk. This creates substantially uneven surfaces that may cause pedestrians to fall and be seriously injured.
RebelEM
NOVEMBER 16, 2022
Take Home Points Methemoglobinemia can result from exposure to a number of different medications. The most common are dapsone and topical anesthetic agents (i.e. benzocaine) Consider the diagnosis in any patient with cyanosis and hypoxia that doesn’t respond to oxygen administration Administer methylene blue to any patient with abnormal vital signs, metabolic acidosis, end organ dysfunction or, a serum level > 25% REBEL Core Cast 90.0 – Methemoglobinemia Click here for Direct Download
American Medical Compliance
NOVEMBER 16, 2022
Healthcare worker violence is increasing at an alarming rate, making providers’ jobs of looking after patients incredibly challenging. The pandemic has largely fueled this increase in violence. The uptick in healthcare worker violence has been substantial and affects all types of care providers. Of registered nurses, 44% reported being victims of physical violence, while 68% suffered verbal abuse while on the job.
EM SIM Cases
NOVEMBER 15, 2022
This case comes from Major Alex Koo. Since leaving the military, Dr. Koo works as an Emergency Physician and Assistant Professor of Emergency Medicine at MedStar Health and Georgetown University. He previously served as Deputy Medical Director at Andersen Simulation Center, the largest simulation center in the US Army as well as the Simulation Director for Madigan Army Medical Center’s Department of Emergency Medicine Residency.
Trigger Lab
NOVEMBER 14, 2022
Oggi abbiamo il piacere di proporre un contributo offerto a Triggerlab da un caro collega, Sergio Calzari, che lavora nella terapia intensiva dell’Istituto Cardiocentro del Ticino, Lugano (CH). Sergio è impegnato nell’umanizzazione delle cure in terapia intensiva e nella ricerca di strumenti in grado di combattere la Post Intensive Care Syndrome (PICS).
EMergucate
NOVEMBER 21, 2022
Interpretation of ECG from 16 November 2022 The most obvious abnormality is ST segment elevation inferiorly (II, III, aVF) in … Continue reading →
Dr. Smith's ECG Blog
NOVEMBER 13, 2022
Written by Emre Aslanger. Emre is a new Editor of the Blog. He is an interventionalist in Turkey. A 50 something-year-old man with a history of newly diagnosed hypertension and diabetes, for which he did not take any medication, presented a non-PCI-capable center with a vague, but central chest pain. His vitals were normal and his first ECG was as shown below: There is obvious ST segment elevation (STE) in anterior leads.
Board Bombs
NOVEMBER 13, 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. What lurks beneath? Scary, scary infections. Time to change the way you think about Nec/Fas! Sobering stats, key pitfalls, but some really great learning points on this episode. Cite this podcast as: Briggs, Blake.
The Skeptics' Guide to EM
NOVEMBER 12, 2022
Date: November 10th, 2022 Reference: de-Madaria E et al. Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis (WATERFALL). NEJM 2022. Guest Skeptic: Dr. Salim R. Rezaie completed his medical school training at Texas A&M Health Science Center and continued his medical education with a combined Emergency Medicine/Internal Medicine residency at East Carolina University.
Total Medical ComplianceHIPAA
NOVEMBER 10, 2022
HIPAA: True or False: If a practice has a website, a current copy of its HIPAA Notice of Privacy Practices (NPP) must be available there. True. The HIPAA Privacy Rule requires covered entities to post the current version of its NPP at a prominent location on their website. The Office for Civil Rights (OCR) clarified “prominent location” by providing two examples: Through a drop-down menu on the home page.
Emergency Medicine Cases
NOVEMBER 8, 2022
While most of us have a clear algorithm in our minds for the management of life-threatening hyperkalemia, the same may not be said about the other life-threatening electrolyte abnormalities. In this ECG Cases blog Dr. Jesse MacLaren gives us an approach to potassium, calcium and magnesium abnormalities including risk factor assessment, ECG interpretation and management pearls.
EMergucate
NOVEMBER 21, 2022
The following ECG was printed when the ST segment alarm on the cardiac monitor started alarming: It is after hours … Continue reading →
Dr. Smith's ECG Blog
NOVEMBER 11, 2022
Written by Pendell Meyers Family of an elderly woman with many comorbidities called EMS when she suddenly experienced shortness of breath, nausea, vomiting, and near syncope. She was alert and oriented and hypotensive with initial BP 70/50. A 12 lead ECG was obtained by EMS and is shown below: What do you think? There is sinus tachycardia (do not be fooled into thinking this is VT or another wide complex tachycardia!
Dr. Mike Sevilla
NOVEMBER 8, 2022
Just wanted to encourage everyone to get out there and vote today. I know that the news usually says that it’s always, “The most important election in our lifetime,” at least until the next election. I just read a local news article saying that the local board of elections is only expecting about 60% turnout today. We have got to do better than that.
Clinical Correlations
NOVEMBER 8, 2022
By Kathryn Hockemeyer Peer Reviewed I caught up with a friend who works in environmental, social, and corporate governance investing during a lull in the COVID-19 pandemic. Seconds into the conversation, he asked, “I hear the.
Ultrasound Gel
NOVEMBER 7, 2022
Another Bonus Cuts author interview - this time with Amy Zhou, Pediatric Emergency Medicine specialist and first author of the recently reviewed article on IVC collapse duration. Zach and Mike ask the hard questions about how this paper came to be and how we should be thinking about the IVC in our pediatric patients. [link] Another Bonus Cuts author interview - this time with Amy Zhou, Pediatric Emergency Medicine specialist and first author of the recently reviewed article on IVC collapse durat
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