NIOSH Science Blog

SEPTEMBER 17, 2021

Some occupations are known to have higher rates of suicide than others (see related blogs). Job factors – such as low job security, low pay, and job stress – can contribute to risk of suicide, as can easy access to lethal means among people at risk—such as medications or firearms. Other factors that can influence the link between occupation and suicide include gender, socioeconomic status, the economy, cultural factors, and stigma.

58

58

Ultrasound Gel

SEPTEMBER 27, 2021

GEL Jr coming in hot with the latest in neuro-ocular sonography - optic disc elevation! That's right - not optic nerve sheath diameter (ONSD), the actual elevation of the disc as seen on ocular ultrasound. Super cool new idea - lets how how it pans out in this pilot study! [link] [link] GEL Jr coming in hot with the latest in neuro-ocular sonography - optic disc elevation!

Ultrasounds 52

Ultrasounds 52

Trigger Lab

SEPTEMBER 27, 2021

A cura di Susanna Ciraci infermiera terapia intensiva neonatale fondazione poliambulanza di Brescia La ventilazione oscillatoria ad alta frequenza (High Frequency Oscillatory Ventilation, HFOV) rappresenta una strategia ventilatoria protettiva non convenzionale ampiamente utilizzata in neonatologia.

52

52

Board Bombs

SEPTEMBER 26, 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 you can't pick your friends but you can pick their noses- wait, that's just wrong! Let's pick the pearls (hehe) of presentation, diagnosis, and management of epistaxis. Want to experience the greatest in board studying?

52

52

JournalFeed

SEPTEMBER 25, 2021

It’s the JournalFeed Podcast for the week of September 20-24, 2021. We cover EM workforce projections, ETCO2 for OHCA in PEA, NSAIDs and non-union risk, IM droperidol vs olanzapine for agitation, and IM ketamine vs midazolam/haloperidol for agitation.

EMS 52

EMS 52

Emergency Medicine Cases

SEPTEMBER 21, 2021

In this ECG Cases blog we look at 10 patients with potentially ischemic symptoms. Which had a coronary occlusion, and how acute were they? Jesse McLaren explains 'Late STEMI' and how reperfusion strategies should not be based on time of symptom onset. The post ECG Cases 25: ‘Late STEMI’ – How acute is the coronary occlusion? appeared first on Emergency Medicine Cases.

EKG/ECG 52

EKG/ECG EMS 52

The Skeptics' Guide to EM

SEPTEMBER 18, 2021

Date: September 16th, 2021 Reference: Sippola et al. Effect of Oral Moxifloxacin vs Intravenous Ertapenem Plus Oral Levofloxacin for Treatment of Uncomplicated Acute Appendicitis. The APPAC II Randomized Clinical Trial. JAMA 2021 Guest Skeptic: Dr. Rob Leeper is an assistant professor of surgery at Western University and the London Health Sciences Center.

Operations 52

Operations Academics Ultrasounds Hospitals 52

ED ECMO

SEPTEMBER 14, 2021

Crew, We are proud to announce the world’s first ECPR textbook. We partnered with ELSO and 25 of the world’s leaders in ECPR and resuscitative ECMO to create an awesome resource for both in depth learning and on shift quick reference.

Resuscitation 52

Resuscitation 52

EB Medicine

SEPTEMBER 7, 2021

EMplify - September 2021 Announcements: Be on the lookout for an announcement regarding the new EB Medicine app, coming to an App Store near you this month !! Also, this month use code SB25 and get a $25 Starbucks gift card when you subscribe at ebmedicine.net ! Abnormal Uterine Bleeding in the Emergency Department Authors: Tazeen Abbas, MD Abbas Husain, MD, FACEP Physiology review Terminology Differentiating Causes: PALM-COEIN Structural: Polyp, Adenomyosis, Leiomyoma, Malignancy/Hyperplasia No

Documentation/Coding 52

Documentation/Coding Emergency Department 52

JournalFeed

SEPTEMBER 18, 2021

It’s the JournalFeed Podcast for the week of September 13-17, 2021. We cover balanced fluids in the PICU, crystalloids for TBI patients, DKA fluid-dropping sodium-AMS, BaSICS part1, and BsSICS part 2.

52

52

Emergency Medicine Cases

SEPTEMBER 21, 2021

In this EM Quick Hits: Walter Himmel on new diseases associated with immune checkpoint inhibitors, Leeor Sommer on the evolution of epiglottitis - adult epiglottitis clinical pearls, Sarah Reid on how to pick up HSP, Anand Swaminathan on an approach to management of heat stroke, Justin Morgenstern on the association between pediatric Bell's palsy and leukemia.

Stroke 52

Stroke EMS Pediatrics Resuscitation 52

The Skeptics' Guide to EM

SEPTEMBER 11, 2021

Date: September 8th, 2021 Reference: Desch et al. The TOMAHAWK Investigators. Angiography after Out-of-Hospital Cardiac Arrest without ST-Segment Elevation. NEJM 2021. Guest Skeptic: Dr. Stephen Meigher is the EM Chief Resident training with the Jacobi and Montefiore Emergency Medicine Residency Training Program. He heads curriculum and conference for the academic year and is passionate about resident […] The post SGEM#344: We Will…We Will Cath You – But should We After An OHCA Without ST Elevat

EKG/ECG 52

EKG/ECG Academics EMS CPR 52

Board Bombs

SEPTEMBER 5, 2021

Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here: [link] Time for a magic trick. What causes headache, vision changes, hemiplegia, vomiting, and even abdominal pain?? Migraines. Really? Let’s talk about the greatest neurologic mimicker- how to treat them, and which ones need further workup.

52

52

33 Charts

SEPTEMBER 21, 2021

Since the pandemic healthcare has undergone a remarkable transformation. Before COVID dropped in as our latest wicked problem, technology was upending everything we do. I’ve been thinking a lot about the burnout, confusion, uncertainty, and exhaustion that we’re facing. I’ve been thinking about the conditions that define healthcare. When we talk about these challenges that we’re facing there’s a tendency to blame isolated issues — we believe that our problems can be solved with targe

Leadership 57

Leadership Operations Hospitals Wellness 57

EMergucate

SEPTEMBER 29, 2021

The following ECG is from an 83 year old lady who has presented with new renal impairment following a fall (Na 134 K5.4 Ur 12.4 Cr 164 from a baseline of 110).

EKG/ECG 52

EKG/ECG 52

JournalFeed

SEPTEMBER 4, 2021

It’s the JournalFeed Podcast for the week of August 30 - September 3, 2021. We cover ondansetron impact in children, a case of pediatric ROSC post withdrawal of care and ethical issues, C. difficile testing in babies, how to really change physician behavior, and the landmark AAP guidelines for febrile neonates/infants.

Ethical Issues 52

Ethical Issues Pediatrics 52

Emergency Medicine Cases

SEPTEMBER 7, 2021

In Geriatric Trauma Part 2 we answer questions such as: what are the indications for transfer to a trauma center in older patients with rib fractures and why? Can we accurately prognosticate older trauma patients in the ED? How can we best engage family members in goals of care discussions for the older trauma patient? What are the risk factors for elder abuse that we need to be aware of in the ED?

Elder Abuse 52

Elder Abuse Fractures EMS 52

ER Nurses

SEPTEMBER 29, 2021

In the hardest hit regions of COVID-19, mostly due to bad public health policies, redeployment of nursing staff is one tool to staff ICUs. ER nurses are often the first to moved. But the skills aren't interchangeable. Each discipline has very specific competencies. Care suffers when different disciplines need to extend themselves. Here's another thread on the subject.

40

40

University of Maryland CC Project

SEPTEMBER 26, 2021

Dr. Ajeet G. Vinayak, Associate Professor of Medicine and Director of the Medical Intensive Care Unit at MedStar Georgetown University presents on right ventricular physiology and acute right heart syndromes.

40

40

The Skeptics' Guide to EM

SEPTEMBER 25, 2021

Date: September 20th, 2021 Reference: Litell et al. Most emergency department patients meeting sepsis criteria are not diagnosed with sepsis at discharge. AEM 2021. Guest Skeptic: Dr. Jess Monas is a Consultant in the Department of Emergency Medicine at the Mayo Clinic Hospital, Phoenix, Arizona. She is also an Assistant Professor, Department of Emergency Medicine Mayo […] The post SGEM#346: Sepsis – You Were Always on My Mind first appeared on The Skeptics Guide to Emergency Medicine.

Sepsis 40

Sepsis Emergency Department COPD Hospitals 40

EMergucate

SEPTEMBER 25, 2021

The x-rays show a posteriorly dislocated left shoulder. The frontal shoulder x-ray shows 3 signs of posterior shoulder dislocation.

Dislocations 52

Dislocations EMS 52

Emergency Medicine Ireland

SEPTEMBER 20, 2021

Welcome back to the tasty morsels of critical care podcast. There’s not a huge amount of notes on procedural stuff that I accumulated for the exams but I did collect some interesting bits on bronchoscopy, particularly because it was so. Read More » Welcome back to the tasty morsels of critical care podcast. There’s not a huge amount of notes on procedural stuff that I accumulated for the exams but I did collect some interesting bits on bronchoscopy, particularly because it was so novel to

EMS 40

EMS Hospitals Wellness 40

PulmCCM

SEPTEMBER 13, 2021

Jon-Emile S. Kenny MD [ @heart_lung ] The relative simplicity of extending one’s finger onto the tissue overlaying a major artery belies the complicated forces generating an arterial pulse. Descriptions and physiological elucidations have been put forth across the decades, yet even today the machinations relating cardiac contraction to a waxing and waning arterial wall are a bit obstruse.

Burns 40

Burns Stroke Ultrasounds Wellness 40

EM Literature of Note

SEPTEMBER 12, 2021

A couple months back, this little report – MaRISS – was published with minimal fanfare in Stroke. Considering the effort necessary to fund and conduct a prospective study, it’s rather remarkable these data are so uninformative. The stated purpose of this study: “The objective of this study is to describe multidimensional outcomes, identify predictors of worse outcomes, and explore the effect of thrombolysis in this population.” Reading between the lines – and considering the st

Stroke 40

Stroke Outcomes Hospitals 40

University of Maryland CC Project

SEPTEMBER 17, 2021

Dr. Anantha K. Mallia, Assistant Professor of Emergency Medicine and Associate Program Director of the Pulmonary and Emergency Medicine-Critical Care Fellowship at MedStar Washington Hospital presents on critical care ultrasound and the volume resuscitation dilemma as part of the DC5 lecture series.

Resuscitation 40

Resuscitation Ultrasounds Hospitals Sepsis 40

JournalFeed

SEPTEMBER 11, 2021

It’s the JournalFeed Podcast for the week of September 6-10, 2021. We cover discharging intermediate risk HEART score patients, efficacy of COVID vaccines, CXR vs POCUS for CHF, POCUS for ectopic, and the DOREMI RCT milrinone vs dobutamine.

40

40

EMergucate

SEPTEMBER 14, 2021

This ECG is from a 65 year old man who has presented with central chest pain after a history of … Continue reading →

EKG/ECG 52

EKG/ECG 52

Emergency Medicine Ireland

SEPTEMBER 6, 2021

Welcome back to the tasty morsels of critical care podcast. Sometimes the tasty morsels are exam sized snippets of my knowledge on a given topic. More frequently they are literally all I know on the subject. Today’s topic of parenteral. Read More » Welcome back to the tasty morsels of critical care podcast. Sometimes the tasty morsels are exam sized snippets of my knowledge on a given topic.

Sepsis 40

Sepsis Wellness 40

PulmCCM

SEPTEMBER 9, 2021

Jon-Emile S. Kenny MD [ @heart_lung ] “He walked away across the room, his cowboy boots echoing like pistol shots." -Sylvia Plath Background Implicit in resuscitation is speed. Throughout training we are zealously instructed that ‘time is tissue’ for all manners of compromised perfusion. We envision spendthrift mitochondria chewing through oxygen without regard to withering supply; as such, when confronted with signs and/or symptoms of dwindling blood flow, our therapeutic refl

Resuscitation 40

Resuscitation Fluid Resuscitation Sepsis Outcomes 40

The Skeptics' Guide to EM

SEPTEMBER 4, 2021

Date: August 31st, 2021 Reference: McLean et al. Interphysician weight bias: A cross-sectional observational survey study to guide implicit bias training in the medical workplace. AEM Sept 2021 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. Case: You are working in the emergency department […] The post SGEM#343: Doctors are Doctors So Why Should It Be, You and I Should Get Along So Awfully – Weight Bias in

Academics 40

Academics Emergency Department Research 40

University of Maryland CC Project

SEPTEMBER 9, 2021

Dr. Chee Chan, a Pulmonary Critical Care physician and Medical Director of the Medical Intermediate Care Unit at MedStar Washington presents an interactive discussion on shock as part of the DC5 lecture series.

Shock 40

Shock Blood Transfusions Sepsis 40

NIOSH Science Blog

SEPTEMBER 2, 2021

Home healthcare workers provide healthcare services to millions of Americans who need assistance at home. Home healthcare workers work closely with patients and often are in close contact with the public while they provide healthcare services to patients. Both situations can pose increased risks for exposure to workplace violence [1],[2]. The issue of violence in home healthcare will likely increase as the industry is projected to grow dramatically in the coming years.

Telemedicine 40

Telemedicine 40

EMergucate

SEPTEMBER 11, 2021

The foot x-ray images show Lisfranc fracture. There is lateral subluxation of 2 nd and 3 rd metatarsal bases.

Fractures 52

Fractures EMS 52

Total Medical ComplianceHIPAA

SEPTEMBER 2, 2021

The FBI and the federal Cybersecurity and Infrastructure Security Agency (CISA) have issued a ransomware awareness alert for the upcoming holiday weekend. The FBI and CISA have observed a trend of increased attacks around U.S. holidays. Businesses are more vulnerable when there are fewer workers in the office or workers are more distracted than usual before a long weekend.

40

40

Pediatric Emergency Playbook

SEPTEMBER 1, 2021

Hernia Myth: “ If it’s not strangulated, it’s elective” Reality: Unlike in adults, all hernias in children are repaired at the time of diagnosis because: The risk of incarceration and strangulation is high There is a 30% risk of testicular infarction due to pressure on the gonadal vessels It is not worth messing around and “trying to navigate the system” Most groin hernias in children are indirect inguinal hernias (incomplete closure of processus vaginalis).

Pediatrics 40

Pediatrics Wellness 40

Trigger Lab

SEPTEMBER 10, 2021

A cura di Enrico Bulleri Quantificare lo sforzo inspiratorio può essere utile in molti aspetti dell’assistenza alla persona in ventilazione meccanica.

40

40

PulmCCM

SEPTEMBER 23, 2021

Jon-Emile S. Kenny MD [ @heart_lung ] The left ventricular ejection fraction [LVEF] is a commonly-sought cardiac measure. With the explosion of bedside ultrasound and automated methods to capture LVEF, the ejection fraction will grow in clinical prominence and affect decisions for the acutely-ill. Asked the meaning of the LVEF, many clinicians might describe it as a ‘measure of cardiac function’ – but this is a nebulous answer.

Stroke 40

Stroke Sepsis Shock Ultrasounds 40