EMCrit 335 – APRV TCAV for Lung Rescue Made Simple with Rory Spiegel
EMCrit
OCTOBER 21, 2022
Every Resus doc should be able to crash a patient on to APRV for lung rescue. EMCrit Project by Scott Weingart, MD FCCM.
October, 2022
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How Breast Centers are Improving Patient Experience
PDC Healthcare
OCTOBER 26, 2022
Due to increasing scrutiny around patient satisfaction and what it may mean for reimbursement, patient volume, and quality standards, it’s no surprise that patient experience is at the forefront of breast centers’ priorities. We spoke with many of our top breast health professionals about the top priorities for their facilities. As expected, improving patient experience […].
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EMTALA and Patient Transfers
Northwestern EM Blog
OCTOBER 31, 2022
Written by: Mike Tandlich, MD (NUEM ‘24) Edited by: David Feiger, MD (NUEM ‘22) Expert Commentary by : Michael Schmidt, MD Expert Commentary While EMTALA was first enacted to address issues with “patient dumping”, it has had broad influence on how patients are treated, dispositioned, and transferred in emergency department and hospital settings. In addition, EMTALA law has taken on almost mythic proportions among healthcare workers and administrators, likely due to high-profile cases, the fear o
First10EM Journal Club: October 2022
Broome Docs
OCTOBER 31, 2022
Ketamine vs etomidate in ICU intubation ? Matchett G, Gasanova I, Riccio CA, Nasir D, Sunna MC, Bravenec BJ, Azizad O, Farrell B, Minhajuddin A, Stewart JW, Liang LW, Moon TS, Fox PE, Ebeling CG, Smith MN, Trousdale D, Ogunnaike BO; EvK Clinical Trial Collaborators. Etomidate versus ketamine for emergency endotracheal intubation: a randomized clinical trial.
Imaging Case of the Week 525 Answer
EMergucate
OCTOBER 30, 2022
The knee x-ray shows Segond fracture.
I'm so sorry when medics get abused for activating the cath lab
Dr. Smith's ECG Blog
OCTOBER 28, 2022
Cortland Ashbrook from Spokane County, Washington, sent this message: Hey doctor Smith, I wondered if you’d give me your opinion on these ECG tracings I took as a paramedic in the field? Case: The call was an elderly gentleman who was at home when he experienced a sudden onset of vague chest discomfort along with nausea, and left arm aching. It started while walking, and began to decrease at rest but never fully resolved.
EMCrit 334 – CV-EMCrit – Concise HeartMate 3 LVAD Overview
EMCrit
OCTOBER 7, 2022
A review on dealing with HeartMate 3 (most common LVAD you will see) Emergencies. EMCrit Project by Katrina Augustin.
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6 Reasons to Trust a Staffing Partner to Help You Find Your Interim Healthcare Leadership Position
Core Medical Group
OCTOBER 27, 2022
As a leader in healthcare, you’ve climbed the ladder this far, so you’re probably used to finding jobs on your own. Whether you subscribe to career search engines, scroll endlessly on job sites, or rely on your well-connected network to notify you of openings, finding a new position that feels like the right fit in the right location at the right time can be a challenge.
Reverse Triggering
Trigger Lab
OCTOBER 25, 2022
English version edited by Giulia Azzini, Rn, Intensive Care Unit, Department of Anaesthesiology, Emergency and Intensive Care Medicine (DAEICM), Ente Ospedaliero Cantonale (EOC), Bellinzona, Switzerland. In order to understand this asynchrony, it is important to know the meaning of ” Entraiment”.
Imaging Case of the Week 526 Answer
EMergucate
OCTOBER 30, 2022
The chest x-ray view shows a widened mediastinum.
Emergency Medicine - A brief history of ACEP
Eolas Medical
OCTOBER 25, 2022
Reviews, research, articles, tools & Apps - Join us in chatting about everything Health I.
NeuroEMCrit – Team NeuroEMCrit’s H&R Conference Talk, Part 1
EMCrit
OCTOBER 3, 2022
3 great cases from the NeuroEMCrit Team. EMCrit Project by NeuroEMCrit Team (Casey & Neha).
Ep 175 Emergency Orthopedics Differential: SCARED OF Mnemonic – When X-rays Lie
Emergency Medicine Cases
OCTOBER 25, 2022
In this main episode podcast, Dr. Arun Sayal creator of the CASTED course and Dr. Yatin Chadha a radiologist with a fellowship in MSK radiology, join Anton for Part 1 of 2 podcasts on Emergency Orthopedic Injuries. This episode focuses on a differential diagnosis of MSK injuries that are occult to X-ray with the help of the SCARED OF mnemonic. It ensures we pick up all the “can’t miss” diagnoses that can be easily overlooked when we do not integrate a pointed history and physical exam with the X
Back to basics: what is this rhythm? What are your options for treating this patient?
Dr. Smith's ECG Blog
OCTOBER 25, 2022
Written by Bobby Nicholson MD, with edits by Meyers, Smith, Grauer A woman in her early 40s presented to the emergency department for evaluation of palpitations. She reported that she has been experiencing this since she was diagnosed with COVID a little over 1 week ago. She reported a prior history of SVT and has previously performed vagal maneuvers at home with symptom resolution.
Pneumoperitoneum
Ultrasound Gel
OCTOBER 24, 2022
Pneumoperitoneum is usually bad news for patients, and it would be great to have a quick way to make this diagnosis. These authors ingeniously used ultrasound contrast software (without any contrast) to boost the accuracy of ultrasound for this pathology! [link] [link] Pneumoperitoneum is usually bad news for patients, and it would be great to have a quick way to make this diagnosis.
ECG of the Week 26 Oct 2022
EMergucate
OCTOBER 25, 2022
A 37 year old male presents to ED complaining of central chest pain.
Emergency Medicine - A brief history of RCEM
Eolas Medical
OCTOBER 25, 2022
Reviews, research, articles, tools & Apps - Join us in chatting about everything Health I.
EMCrit Wee – Is there Evidence of Harm for Nitroglycerin in Right Ventricular MI? #Dogmalysis
EMCrit
OCTOBER 26, 2022
Is there evidence for the classically taught nix on this medication? EMCrit Project by Scott Weingart, MD FCCM.
Aerosol terapia durante ventilazione meccanica. Parte 2
Trigger Lab
OCTOBER 24, 2022
A cura di Alice Galesi Nella prima parte dell’articolo, (clicca qui per il rimando alla parte 1), sono stati descritti i sistemi di nebulizzazione. Oggi, si presentano i fattori relativi al ventilatore e al circuito del ventilatore per capire come questi influenzano l’erogazione di aerosol durante la ventilazione meccanica. Fattori relativi al ventilatore Le … Leggi tutto Aerosol terapia durante ventilazione meccanica.
What Causes Carbon Monoxide Poisoning?
Medical Law
OCTOBER 24, 2022
According to the CDC, over 400 people die every year from unintentional Carbon monoxide poisoning. It also results in over 20,000 emergency rooms visits. Carbon monoxide (CO) is a poisonous gas that can be fatal when inhaled. CO has no odor. The only way to know if CO is present is by installing an electronic CO detector. CO is produced whenever a material burns.
151. Ectopic Pregnancy: Ticking Timebomb
Board Bombs
OCTOBER 23, 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. Marlena joins us again, but to NOT talk about parasites. Don't worry. Its time to cover an absolute classic women's health pathology, one of the top 10 can't-miss-diagnoses in the ED. We cover risks, presentation, diagnosis, and management.
Imaging Case of the Week 526
EMergucate
OCTOBER 25, 2022
70 year old with syncope & hypotension. Answer will be posted in a few days.
Emergency Medicine - AI based ECG interpretation
Eolas Medical
OCTOBER 25, 2022
Work illustrations by Storyset" class="hs-featured-image" style="width:auto !important; max-width:50%; float:left; margin:0 15px 15px 0;"> AI in the Emergency Department - past, present and future Since Willem Einthoven stuck his hands and feet into buckets of salty water and began recording the electrics of the heart at the beginning of the 20th century, the ECG has become an indispensable part of emergency medicine.
SGEM#380: OHCAs Happen and You’re Head Over Heels – Head Elevated During CPR?
The Skeptics' Guide to EM
OCTOBER 22, 2022
Date: October 18th, 2022 Reference: Moore et al. Head and thorax elevation during cardiopulmonary resuscitation using circulatory adjuncts is associated with improved survival. Resuscitation 2022 Guest Skeptic: Clay Odell is a Paramedic, Firefighter, and registered nurse (RN). Case: You are the Chief of your local Fire and EMS Department, and an individual contacts you saying […] The post SGEM#380: OHCAs Happen and You’re Head Over Heels – Head Elevated During CPR?
What is this rhythm? Back to basics.
Dr. Smith's ECG Blog
OCTOBER 21, 2022
Submitted by Dr. Arjun J V in India, An elderly patient presented to the ED with multiple complaints. An ECG was recorded in triage: What do you think? Classic for those who have seen it before. The ECG shows a regular narrow complex rhythm which is difficult to see amongst the very severe high voltage artifact which is occurring with a frequency of approximately 300 cycles per minute.
Pros and Cons of Travel Nursing in 2022
Core Medical Group
OCTOBER 20, 2022
There are many different factors that draw nurses to careers as travelers. However, there are also some aspects of the travel nursing lifestyle that may not be for everyone. While we encourage all nurses interested in travel careers to talk to someone before making a decision, we thought it might be useful to list a few of the so-called pros and cons of travel nursing.
5 Ways Flu Shot Stickers Can Help You Prepare for This Flu Season
PDC Healthcare
OCTOBER 20, 2022
Spread the word and not the flu! PDC’s Flu Shot Stickers can help your facility meet compliance while encouraging staff and patients to get vaccinated annually. Flu season can be a hectic time for healthcare facilities, and a full staff is vital to maintaining an efficient workflow. According to the Centers for Disease Control and […]. The post 5 Ways Flu Shot Stickers Can Help You Prepare for This Flu Season appeared first on connectID - PDC Healthcare Blog.
Bronchiolitis
EM SIM Cases
OCTOBER 19, 2022
This case is courtesy of Dr. Qadeem Salehmohamed. Qadeem is a 4th year EM resident at the University of British Columbia – Kelowna Site. He has an interest in medical education / simulation and critical care. WHY IT MATTERS Heading into the fall season is always a good time to review the management of various pediatric respiratory presentations. Bronchiolitis is no exception.
Emergency Medicine - MDCalc and other must have Apps
Eolas Medical
OCTOBER 25, 2022
Our top 5 Apps you should never start an ED shift without Ever yearn for ye olden days of clinical medicine, where every treatment plan read either “chop it off” or “stick leeches on it”? In an age where published medical evidence is growing exponentially, expectations of medical professionals are correspondingly higher. In a modern ED, you can encounter pretty much any ailment known to mankind, and you’re expected to deal with them all quickly and effectively.
The Medicare Part D Coverage Gap (“Donut Hole”) Explained - Clinical Correlations
Clinical Correlations
OCTOBER 19, 2022
By Michael Papazian Peer Reviewed Let’s start with a case. Mr. B is a 67-year-old male with a history of hypertension, type 2 diabetes, and coronary artery disease. As his primary care physician, you.
Emergency (ED placement) Transvenous Pacer appears to be working perfectly. What might go wrong?
Dr. Smith's ECG Blog
OCTOBER 19, 2022
Thanks to our Electrophysiologists Omar Iqbal and Rehan Karim for the below strips and the explanations I will be giving on this post. A patient had 3rd degree AV block in the ED. A transvenous pacer was placed in the Emergency Department by the emergency physicians. Capture was obtained and a 12-lead ECG was recorded: What do you see here and what complication can occur?
REBEL Core Cast 88.0 – Hypocalcemia
RebelEM
OCTOBER 19, 2022
Take Home Points Severe hypocalcemia can cause hypotension and QTc prolongation leading to Torsades de Pointes. Treat moderate to severe symptoms and any EKG changes with IV calcium salts Always search for and treat the underlying cause of hypocalcemia REBEL Core Cast 88.0 – Hypocalcemia Click here for Direct Download of the Podcast Definition: A serum calcium level < 8.5 mg/dL or an ionized calcium level < 2.0 mEq/L Background Exists in two states Free ionized form (approx.
Career Disillusionment
EB Medicine
OCTOBER 18, 2022
In this episode of EMplify: Conversation, Sam Ashoo, MD talks with Rob Orman, MD, founder of Orman Physician Coaching , about career disillusionment. Career Disillusionment: What is it? How do we combat it? Should we combat it? A frog in boiling water. Burnout Two questions to ask yourself How coaching can help The advice trap A framework to explore your career and life goals More at Orman Physician Coaching.
Imaging Case of the Week 525
EMergucate
OCTOBER 18, 2022
The following knee x-ray is from a patient who has fallen from a height. What can be seen?
What Does Patient-Centered Care Matter in Healthcare?
Advanced Medical Reviews
OCTOBER 18, 2022
Research shows that public trust in medical practitioners has fluctuated significantly over the years. Still, these individuals remain some of the most trusted professionals in America. As the focus on patient-centered care in healthcare increases, that confidence is likely to increase even further.
150. Rhabdomyolysis: it doesn't have to be complicated
Board Bombs
OCTOBER 16, 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. Iltifat and Blake tackle this ACEP PEER Board Question on Rhabdomyolysis and simplify this disease into just 2 critical management pearls. It doesn't have to be so complicated. Oh, and mannitol and furosemide aren't part of it in case you were wondering.
Is there Terminal QRS Distortion?
Dr. Smith's ECG Blog
OCTOBER 17, 2022
This ECG has ST Elevation in multiple leads. Is it normal STE? Or is it ischemic STE? What do you think? This ECG is interesting because it mimics TQRSD. There are no S-waves in V2 and V3. BUT look at the very prominent J-waves (J point notching)!! It is several mm high! This is a normal ECG. This patient had CO poisoning but did not have myocardial injury or OMI.
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