Mount Sinai EM

DECEMBER 27, 2022

Summary Summary The Lisfranc joint is made of the first four metatarsals, cuneiforms and cuboid and associated ligaments A Lisfranc injury is any disruption of the joint The mechanism of injury (axial load on plantarflexed foot, rotational force, crush injury) should increase suspicion for this injury Familiarize yourself with the normal foot x-ray as findings for a Lisfranc injury can be subtle Management depends on the severity of injury and should involve a discussion with your orthopedic sur

Dislocations 130

Dislocations Fractures Operations Radiology 130

EMCrit

DECEMBER 22, 2022

All the resus/acute critical care literature goodness for December 2022. EMCrit Project by Scott Weingart, MD FCCM.

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PDC Healthcare

DECEMBER 22, 2022

Healthcare professionals are faced with many obstacles while administering IV medication to patients, which can lead to medical errors and a risk for patient safety. Nearly 40% of medical errors take place during medication administration as it is one of the most intricate processes for healthcare staff. It is critical to ensure the 5 rights […].

Best Practices 89

Best Practices Administration Patient Safety 89

NRC Health

DECEMBER 29, 2022

NRC Health appreciates the opportunity to guide you in trends and competitive insights to help you engage your patients and employees to drive loyalty and retention. The post 2022 Highlights: Helping you put Human Understanding into practice appeared first on NRC Health.

Pediatrics 52

Pediatrics 52

American Medical Compliance

DECEMBER 29, 2022

A number of dental waterlines have been found to contain waterborne bacteria, infecting children with nontuberculous Mycobacteria (NTM). This caused the Centers for Disease Control and Prevention (CDC) to issue a health advisory on bacteria in the pipes of dental facilities. Dental Waterlines and Infections. Biofilms containing bacteria can easily develop in dental waterlines.

CDC 52

CDC 52

RebelEM

DECEMBER 28, 2022

Background: Urinary tract infection (UTI) is one of the most common reasons for anti-microbial use (Tan, 2016). However, the optimal treatment duration for UTI in men is not well studied, and current practice guidelines are based on historical dogma. One clinical trial demonstrates that afebrile UTI can be treated successfully with antibiotics for seven days in women, but that seven days is inferior to 14 days during short-term follow-up and non-inferior during long-term follow-up (van Nieuwkoop

Outcomes 52

Outcomes Documentation/Coding Hospitals EMS 52

Core Medical Group

DECEMBER 27, 2022

Editor's Note: This post was originally published in April 2017 and has been updated for accuracy and comprehensiveness. These 3 simple lessons will help you land the best travel nursing job ever – whether it’s your first time or fifteenth time!

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Board Bombs

DECEMBER 25, 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. Happy Holidays and New Year’s to our listeners! Thank you for what you do for your patients each day. We appreciate you listening. We decided to re-publish one of our most popular episodes from 2022 as a throw-back.

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Dr. Smith's ECG Blog

DECEMBER 23, 2022

I was working in triage very late when a 30 yo previously completely healthy woman walked in with 30 minutes of central chest pressure. This ECG was recorded: The computer called it "Normal" except for "Possible right ventricular conduction delay" What do you think? I immediately recognized an inferior-posterior-lateral OMI. There are hyperacute T-waves in II, III, and aVF.

EKG/ECG 52

EKG/ECG Documentation/Coding 52

EMergucate

DECEMBER 20, 2022

This ECG was obtained from a 22 year old man who had taken a polypharmacy overdose 24 hours ago. He had suffered a bradycardic / asystolic arrest and is currently in the intensive care unit.

EKG/ECG 52

EKG/ECG EMS 52

Emergency Medicine Cases

DECEMBER 20, 2022

In this month's Waiting to Be Seen blog Dr. Howard Ovens outlines challenges, innovations and coping strategies in the EM Crisis. The post WTBS 28 I’m OK, How Are You? How can we innovate our way out of this crisis in EM and cope until we do? appeared first on Emergency Medicine Cases.

EMS 52

EMS Wellness 52

Core Medical Group

DECEMBER 21, 2022

The job market has been a whirlwind in recent years, so it’s likely affected you in one way or another if you’re in a management or director-level position within the healthcare industry.

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EMCrit

DECEMBER 3, 2022

Rounding up the questions from the past few months. EMCrit Project by Scott Weingart, MD FCCM.

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American Medical Compliance

DECEMBER 20, 2022

Cybersecurity threats against healthcare systems have increased since the beginning of the COVID-19 pandemic due to the adoption of new health technologies. During 2020, cyberattacks against health systems increased by forty-seven percent. Adopting stronger security measures will be essential to protecting patient data moving forward. Causes of Increased Cybersecurity Threats.

Hospitals 52

Hospitals Wellness 52

Dr. Smith's ECG Blog

DECEMBER 22, 2022

by Emre Aslanger Dr. Aslanger is our newest editorial member. He is an interventional cardiologist in Turkey. Dr. Aslanger is also the author of the DIFFOCULT study: Emre K. Aslanger , a, ⁎ Özlem Yıldırımtürk , b Barış Şimşek , c Emrah Bozbeyoğlu , c Mustafa Aytek Şimşek , a Can Yücel Karabay , b Stephen W. Smith , d and Muzaffer Değertekin a DIFOCCULT: DIagnostic accuracy oF electrocardiogram for acute coronary OCClUsion resuLTing in myocardial infarction.

EKG/ECG 52

EKG/ECG 52

Ultrasound Gel

DECEMBER 19, 2022

This episode has been a long time coming! We're talking ultrasound-guided subclavian central lines, and a lot of people have opinions. Are they better than landmark? What should we teach learners? The GEL team discusses through the lens of this fascinating RCT. [link] [link] This episode has been a long time coming! We're talking ultrasound-guided subclavian central lines, and a lot of people have opinions.

Ultrasounds 52

Ultrasounds 52

Emergency Medicine Cases

DECEMBER 20, 2022

Dr. Jesse McLaren discusses some key aspects of cocaine chest pain ECG interpretation in this month's blog including: Patients with cocaine-associated chest pain require benzodiazepines +/- nitroglycerine for symptom relief, aspirin and ECG to look for signs of occlusion and reperfusion. In patients with chest pain + ST elevation, consider false positive STEMI including early repolarization, LVH and Brugada-pattern.

EKG/ECG 52

EKG/ECG EMS 52

The Bottom Line

DECEMBER 19, 2022

In adults with an expected ICU stay of > 72 hours, does the provision of enteral melatonin compared to placebo increase the number of delirium-free assessments within 14 days or before ICU discharge?

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EMCrit

DECEMBER 17, 2022

Making good decisions is the heart of Emergency Medicine and Critical Care. EMCrit Project by Scott Weingart, MD FCCM.

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Board Bombs

DECEMBER 18, 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. It lives in our nightmares. On this special holiday episode, Blake and Iltifat share the pearls and pitfalls of aortic dissection presentation, diagnosis, and management. You won't want to miss this high yield year's end conclusion.

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The Skeptics' Guide to EM

DECEMBER 17, 2022

Date: December 16th, 2022 Reference: Hohle et al. Massive Blood Transfusion Following Older Adult Trauma: the Effect of Blood Ratios on Mortality. AEM December 2022 Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. She is also the wonderful educator that creates the Paper in a Pic infographics summarizing each SGEM episode.

Blood Transfusions 52

Blood Transfusions Fractures EMS Emergency Department 52

Dr. Smith's ECG Blog

DECEMBER 16, 2022

This 39 year old patient presents with syncope. What do you think? There appears to be RBBB with excessively discordant ST depression (2-2.5 mm) in V2 and V3, suggestive of RBBB with posterior OMI Whenever you see abnormal ST-T (ST elevation, ST depression, hyperacute T-waves), you MUST look at the entire ECG (rhythm, rate, P-waves, intervals, and QRS) to see if there is some abnormality among these which can explain the ST-T.

EKG/ECG 52

EKG/ECG 52

Emergency Medicine Cases

DECEMBER 20, 2022

In this main episode podcast Anton discusses with world expert and bronchiolitis researcher Dr. Suzanne Schuh, the challenges of the diagnosis and management of bronchiolitis during a time of crisis in pediatric emergency medicine and offers some evidence-based solutions to improving outcomes while minimizing valuable resources, as part of our 'Best of University of Toronto EM' series.

Pediatrics 52

Pediatrics EMS Research Outcomes 52

NRC Health

DECEMBER 15, 2022

The NRC Health 2023 Pediatric Collaborative is truly a can’t-miss experience, with exceptional presentations that will stir innovative ideas. The post Pediatric Collab preview: Support employees and deliver better care appeared first on NRC Health.

Pediatrics 52

Pediatrics 52

EMCrit

DECEMBER 29, 2022

For this last podcast of the year, I had a couple of pieces that were going to become Wees, but I thought I would combine them for synergistic goodness and make this end-of-year podcast. Today, we speak about some tips from a EM Surgical Intensivist and discussion of a brand new sedative, Remimazolam. EMCrit Project by Scott Weingart, MD FCCM.

EMS 52

EMS 52

Medical Law

DECEMBER 14, 2022

When you’ve suffered serious injuries caused by somebody’s careless behavior, you’ll probably want to resolve the matter quickly. After all, you have other things to focus on — overcoming the trauma, getting back to work, and resuming your daily activities. There’s a natural desire to finalize the legal process and start putting your life back together.

Hospitals 52

Hospitals 52

EMergucate

DECEMBER 13, 2022

The following ECG was obtained in a 38 year old Indigenous man with a history of ischaemic cardiomyopathy at a regional hospital. He did not have a history of left bundle branch block previously.

EKG/ECG 52

EKG/ECG Hospitals 52

Dr. Smith's ECG Blog

DECEMBER 14, 2022

Sent by Drew Williams, written by Pendell Meyers A man in his 50s with history of hypertension was standing at the bus stop when he developed sudden onset severe pressure-like chest pain radiating to his neck and right arm, associated with dyspnea, diaphoresis, and presyncope. EMS arrived and administered aspirin and nitroglycerin. He reported several weeks of intermittent chest pain similar to the active pain, worsening over the past 2-3 days, some of them as long as an hour, but all spontaneou

EKG/ECG 52

EKG/ECG EMS Documentation/Coding Emergency Department 52

Clinical Correlations

DECEMBER 14, 2022

By: Michael Moore Peer Reviewed “Too many complex back surgeries are being performed and patients are suffering as a result” wrote National Public Radio health science journalist Joanne Silberner in her 2010 article “Surgery May Not.

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RebelEM

DECEMBER 14, 2022

Take Home Points Perichondritis is an infection of the cartilage and connective tissue of the ear Perichondritis can be recognized clinically by erythema, swelling and tenderness of the auricle. The most common organism in perichondritis is P. aeruginosa and antibiotics should be tailored to cover this organism REBEL Core Cast 92.0 – Perichondritis Click here for Direct Download of the Podcast Background Perichondritis may appear to be a simple cellulitis of the ear but, in fact, it repres

EMS 52

EMS 52

NRC Health

DECEMBER 13, 2022

Health organizations that are already overwhelmed by challenges must find a way to implement simple but systematic tools that will support a deep transformation from transactions to transcendental relations.  The post Understanding the Fifth Revolution as a key competitive advantage appeared first on NRC Health.

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EB Medicine

DECEMBER 12, 2022

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the December 2022 Evidence-Based Urgent Care article on Influenza in Urgent Care. Epidemiology Historical data Since COVID, tracking "influenza-like illness" has been complicated Influenza deaths and age Annual mortality  Outbreaks Transmission Classification Influenza A, B, and C Hemagglutinin and neuraminidase subgroups Antigenic drift and shift Pathophysiology Transmission Incubation Secondary infection H3N2 Vaccines Egg-based,

Urgent Care 52

Urgent Care CDC Documentation/Coding 52

Board Bombs

DECEMBER 11, 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. Is your ED crowded? Sick of the RSV? Let’s review with an expert Pediatric EM specialist and our Lead Editor on PEM, Dr. Shad Baab! We will set you straight. Want to experience the greatest in board studying?

Pediatrics 52

Pediatrics EMS 52

Dr. Smith's ECG Blog

DECEMBER 12, 2022

Written by Pendell Meyers I was reading ECGs in a database (without any clinical information) when I came to this one: What do you think? Seeing only this ECG with no context, I thought this ECG was within normal limits. The upright and large T wave in V1 is unusual, but if it were hyperacute, I did not see reciprocal findings in V6 which would be concerning for LAD OMI pattern (we call that "precordial swirl").

EKG/ECG 52

EKG/ECG EMS 52

Dr. Mike Sevilla

DECEMBER 11, 2022

What a beautiful day here in northeastern Ohio. It was a crisp 39 degrees at Beaver Creek State Park today as we hiked close to sunset. This hike really reminded me of the time when my father was sick two years ago. In the past few weeks, I’ve seen on by feed that there are many of my Facebook friends have experienced loss with the passing of a family member recently.

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The Skeptics' Guide to EM

DECEMBER 10, 2022

Date: November 30th, 2022 Reference: Johnson et al. One-year outcome of surgery compared with immobilization in a cast for adults with an undisplaced or minimally displaced scaphoid fracture: A meta-analysis of randomized controlled trials. Bone Joint J 2022 Guest Skeptic: Dr.Matt Schmitz is an Orthopaedic Surgeon specializing in Adolescent Sports Medicine and Young Adult Hip Preservation. […] The post SGEM#385: If the Bones are Good, the Rest Don’t Matter – Operative vs Non-Operative Management

Operations 52

Operations Fractures Military Emergency Department 52

The Bottom Line

DECEMBER 9, 2022

Early Active Mobilization during Mechanical Ventilation in the ICU @chodgsonANZICRC @TEAMtrialICU. NEJM 2022; 387:1747-58 doi:10.1056/NEJMoa2209083 Clinical Question In mechanically ventilated adult patients does the provision of early mobilisation when compared to standard care increase the number of days alive and out of hospital at 180 days?

Hospitals 52

Hospitals 52