ECG of the Week – 30th June 2021 – Interpretation
EMergucate
JUNE 30, 2021
A 70 year old male presents with SOB and neck pain.
June, 2021
52 
Journal Jam 18 The Evidence for TXA – Should Tranexamic Acid Be Routine Therapy in the Bleeding Patient?
Emergency Medicine Cases
JUNE 29, 2021
With the help of a special guest, EBM guru Dr. Ken Milne of the The SGEM, Anton and Justin look at all the various potential indications for TXA and review the available evidence. Should we be using TXA for epistaxis, postpartum hemorrhage, hyphema or hemoptysis? Is it a miracle drug that stops all bleeding? Or has it been drastically overhyped? Was CRASH-2 enough to be definitive, or does the classic EBM mantra of "we need more studies" remain true?
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How Independent Medical Reviews Benefits Patients, Payers and the Health Care System
Advanced Medical Reviews
JUNE 28, 2021
The Affordable Care Act (ACA) was enacted in 2010 with three primary goals. First, to make affordable health insurance available to more people; second, to expand the Medicaid program to cover all adults with income below 138% of the federal poverty level; and third, to support innovative medical care delivery methods designed to lower the costs of health care generally.
Who Is Liable for Injuries at a Rental Home?
Medical Law
JUNE 28, 2021
Airbnb and other vacation rental companies have become an increasingly popular way for people to rent out vacation homes, and more people than ever are flocking to the California coast. With the growing usage of these rental companies, there are more injuries than ever before — and these incidents raise important questions about liability that don’t factor into most vacation plans: if a renter is injured while staying at someone else’s home, who is at fault — the renter or the owner?
Acute behavioural disturbance
PHEM Cast
JUNE 27, 2021
Definitions UK definition (RCEM): It describes the sudden onset of aggressive and violent behaviour and autonomic dysfunction, typically in the setting of acute on chronic drug abuse or serious mental illness. Australian definition (NSW Health): Behaviour that puts the patient or others at immediate risk of serious harm and may include threatening or aggressive behaviour, extreme distress, and serious self-harm which could cause major injury or death.
Tom Jones at 81, sings about aging on his new album
CasesBlog
JUNE 27, 2021
NPR and Bob Boilen | June 7, 2021: "We're publishing this Tom Jones Tiny Desk (home) concert on his 81st birthday. It's a poignant moment in the life of a singer whose career spans 56 years and more than 100 million records sold; the passing of his wife, Linda, in 2016 after 59 years of marriage was devastating and resulted in the longest break between recordings of his career.
Imaging Case of the Week 471
EMergucate
JUNE 27, 2021
The following lateral neck x-ray is from a 3 year old with fever and neck swelling. What can be observed?
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OMG, TMI! What does open notes mean for you and your patients?
Downeast Emergency Medicine
JUNE 24, 2021
This lecture was presented at the 2021 Maine Medical Center Winter Symposium. For more information on the symposium click here. In April 2021, provisions against “information blocking” in the 21st Century Cures Act will take effect. For the first time, patients will have easy digital access to their chart in real time via their patient portal. This change was largely driven by the “Open Notes” movement.
The SAEMMIES 2021
Ultrasound Gel
JUNE 21, 2021
This Special Edition podcast covers not one - but 7 really important POCUS articles! These articles were selected by the Academy of Emergency Ultrasound (an academy of the Society of Academic Emergency Medicine) as the top articles from the past year. Here we briefly discuss the winningest articles from each of the categories! [link] This Special Edition podcast covers not one - but 7 really important POCUS articles!
Tasty Morsels of Critical Care 046 | Abdominal Compartment Syndrome
Emergency Medicine Ireland
JUNE 21, 2021
Welcome back to the tasty morsels of critical care podcast. This week we’re looking at the other ACS, the surgical ACS, the old abdominal compartment syndrome. This is common, especially in the surgical population and does not always immediately jump. Read More » Welcome back to the tasty morsels of critical care podcast. This week we’re looking at the other ACS, the surgical ACS, the old abdominal compartment syndrome.
Middlescence = time between adolescence and senescence
CasesBlog
JUNE 26, 2021
Middlescence is defined as the time between adolescence and senescence. "It is a paradox of life that we do not begin to live until we begin to die. Death begins at thirty, that is, deterioration of the muscle cells sets in." [link] From the video below: Life begins at 40: the biological and cultural roots of the midlife crisis | The Royal Society. In this lecture, Professor Mark Jackson, winner of the 2018 Wilkins-Bernal-Medawar Medal, explores a rich range of historical sources to argue that t
ECG of the Week – 23rd June 2021 – Interpretation
EMergucate
JUNE 23, 2021
33 y/o female presented with 6 hours history of palpitations and dyspnea. She denied any chest pain.
113. Saddle up: Pulmonary Embolism
Board Bombs
JUNE 20, 2021
Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here: [link] Sometimes when a shift gets tough you just need to saddle up and make a diagnosis…. funny enough saddle PE’s are quite rare…. so let’s dispel the myths and cover what you NEED to know about PEs. Want to experience the greatest in board studying?
POCUS Dyspnea | FQ+Aortic Disease | ASA-only Cervical Arterial Dissection? | CARPE DIEM | BASICS RCT
JournalFeed
JUNE 19, 2021
It’s the JournalFeed Podcast for the week of Jun 14-18, 2021. We cover POCUS for acute dyspnea, risk of fluoroquinolones in known aortic disease, aspirin or oral anticoagulants for cervical arterial dissection, predicting pneumonia severity in children, and endovascular therapy for basilar artery occlusion stroke.
Step-by-step Guide to the Independent Medical Review Process
Advanced Medical Reviews
JUNE 16, 2021
Most businesses have established processes and procedures to ensure employees follow the correct sequence of steps that results in high-quality products or services. Providers of independent medical reviews (IMRs) are no different.
ECG Cases 22: T-wave INVERSION mnemonic
Emergency Medicine Cases
JUNE 15, 2021
The differential for T-wave INVERSION includes: Incorrect lead placement, No bundle (RBBB, LBBB), Ventricular hypertrophy (LVH, RVH), Embolism, Reciprocal/refractory/reperfused occlusion MI, Sudden death (ARVD), Iatrogenic (digoxin), Obtunded (eg SAH), and Normal variant. Jesse McLaren runs through 10 cases of patients who present to the ED who have T-wave inversions on their ECGs.
How to give a talk/present a lecture - by MIT/Patrick Winston
CasesBlog
JUNE 25, 2021
Some goods points in the video below. Quality = f (K P t) -- explained at beginning: Patrick Winston's How to Speak talk has been an MIT tradition for over 40 years. Offered every January, the talk is intended to improve your speaking ability in critical situations by teaching you a few heuristic rules. 00:16 - Introduction 03:11 - Rules of Engagement 04:15 - How to Start 05:38 - Four Sample Heuristics 10:17 - The Tools: Time and Place 13:24 - The Tools: Boards, Props, and Slides 36:30 - Informi
Imaging Case of the Week 469 Answer
EMergucate
JUNE 20, 2021
The frontal & lateral chest x-rays reveal pneumomediastinum & pneumopercardium. The patient was not unstable.
The Emergency Department Admitting Team: A Crisis Response to an Unprecedented Surge of Critically Ill Patients During COVID-19
EM Updates
JUNE 15, 2021
Maimonides Medical Center (MMC) is Brooklyn’s largest hospital, an academic quaternary care center with, in normal times, 711 total beds, 66 intensive care beds, and an Emergency Department that treats approximately 120,000 patients per year. On March 9, the first patient with a novel coronavirus infection was admitted to MMC. At its peak, on April 9, there were 471 patients with confirmed or suspected COVID-19 admitted to the hospital, with 139 patients designated to be occupying a critical car
Tasty Morsels of Critical Care 045 | Chemical Biological Radiological and Nuclear exposures
Emergency Medicine Ireland
JUNE 14, 2021
Welcome back to the tasty morsels of critical care podcast. Oh dedicates an entire chapter, number 88 to CBRN issues. While not commonly seen you can rest assured that critical care will be expected to turn up and manage these. Read More » Welcome back to the tasty morsels of critical care podcast. Oh dedicates an entire chapter, number 88 to CBRN issues.
Antibiotic Use Sepsis | HEART-EDACS | ED-AWARENESS | Thoracentesis+Coagulopathy | Difficult Airway
JournalFeed
JUNE 12, 2021
It’s the JournalFeed Podcast for the week of Jun 7-11, 2021. We cover overuse of antibiotics for ED sepsis alerts, HEART or EDACS with hs-cTn 0-1 hour rule outs, ED-AWARENESS - paralysis awareness after RSI, thoracentesis or chest tubes in coagulopathic patients, and a review on managing the difficult airway.
EM Quick Hits 29 Vasopressor Failure, Asplenic Considerations, Bronchiolitis Update, ICD Electrical Storm, Night Shift Tips
Emergency Medicine Cases
JUNE 15, 2021
In this month's EM Quick Hits podcast: Anand Swaminathan on vasopressor failure, Brit Long and Michael Gottlieb on aspleic considerations, Sarah Reid on a bronchiolitis update and evolving patterns in the COVID era, Hans Rosenberg and Lindsay Cheskes on ICD electrical storm, Justin Morgenstern on night shift tips. The post EM Quick Hits 29 Vasopressor Failure, Asplenic Considerations, Bronchiolitis Update, ICD Electrical Storm, Night Shift Tips appeared first on Emergency Medicine Cases.
LBBB: Using the (Smith) Modified Sgarbossa Criteria would have saved this man's life
Dr. Smith's ECG Blog
JUNE 11, 2021
Case submitted and written by Dr. Jesse McLaren (@ECGcases), of Emergency Medicine Cases Reviewed by Pendell Meyers and Steve Smith An 85yo with a history of hypertension developed chest pain and collapsed, and had bystander CPR. The paramedics found the patient with ROSC and a GCS 7, and an ECG showing LBBB with possible lateral ST elevation. The patient was brought to the ED as a possible Code STEMI and was seen directly by cardiology.
Imaging Case of the Week 470
EMergucate
JUNE 20, 2021
The elbow x-rays are from a 11 year old with swollen elbow following a fall on outstretched hand.
Not a Stab in the Dark - Mastering the Ultrasound Guided Peripheral IV
Downeast Emergency Medicine
JUNE 7, 2021
This lecture was presented at the 2021 Maine Medical Center Winter Symposium. For more information on the symposium click here. Key concepts for Ultrasound Guided IV placement LENGTH Always use long IV (1.88 inches) catheters or it will pull out of the vessel. FLASH Do NOT look for flash, you should watch the needle all the way into the vessel to ensure your location.
Tasty Morsels of Critical Care 044 | Calcium Disorders
Emergency Medicine Ireland
JUNE 7, 2021
Welcome back to the tasty morsels of critical care podcast. It is with trepidation that I approach any topic that involves the negative feedback loops of endocrine control as I really struggle to keep it all straight in my head, Read More » Welcome back to the tasty morsels of critical care podcast. It is with trepidation that I approach any topic that involves the negative feedback loops of endocrine control as I really struggle to keep it all straight in my head, but today I’m going to t
SpO2 Black Patients | AHA Opioid OHCA | EMS Ped C-spine | CTA Penetrating Neck | Podcasts While Driving
JournalFeed
JUNE 5, 2021
It’s the JournalFeed Podcast for the week of May 31 - Jun 4, 2021. We cover pulse oximeter inaccuracies in Black patients, the AHA statement on opioid-associated OHCA, EMS predictors of c-spine injury, usefulness of CTA to diagnose aerodigestive tract injury in penetrating neck trauma, and the efficacy of listening to educational podcasts while driving vs with no distractions.
SGEM#333: Do you gotta be starting something – like tPA before EVT?
The Skeptics' Guide to EM
JUNE 5, 2021
Date: May 25th, 2021 Guest Skeptic: Dr. Garreth Debiegun is an emergency physician at Maine Medical Center in Portland, ME and clinical assistant professor with Tufts University School of Medicine. He also works at an urgent care and a rural critical access hospital. Garreth is interested in wilderness medicine and is the co-director of the […] The post SGEM#333: Do you gotta be starting something – like tPA before EVT?
How to Know If a Pool Is Safe
Medical Law
JUNE 2, 2021
As the weather heats up, a lot of us are looking forward to fun get-togethers over the summer months. Backyard barbeques, visits to the beach, family road trips, and lots of pool parties. While “going to the pool” conjures up visions of fun with family and friends, it is important for everyone to keep pool safety in mind before going in for that swim.
ECG of the Week- 23rd June 2021
EMergucate
JUNE 18, 2021
33 y/o female presented with 6 hours history of palpitations and dyspnea. She denied any chest pain.
Episode 58 – Syncope – An Interview With Dr. James Morris
EB Medicine
JUNE 1, 2021
EMplify - June 2021 Announcements: The Clinical Decision Making in the Emergency Department conference is June 23-27 live and virtual. More information here: [link] Be on the lookout for an announcement regarding the new EB Medicine app, coming to an App Store near you this summer !! Syncope- An Interview With Dr. James Morris See the EB Medicine Article @ [link] Why syncope?
Ep157 Neuromuscular Disease for Emergency Medicine
Emergency Medicine Cases
JUNE 1, 2021
There is a long list of rare neuromuscular diseases. Nonetheless, there are a few that you are likely to see in the ED, that are relevant to Emergency Medicine because they require timely diagnosis and treatment. In this Part 2 of our 2-part series on acute motor weakness with Roy Baskind and George Porfiris, we keep it short and simple by limiting our discussion to the key clinical clues and management strategies of two of the more common acute life-threatening neuromuscular diseases, myastheni
Tasty Morsels of Critical Care 047 | Haemostatic failure
Emergency Medicine Ireland
JUNE 28, 2021
Welcome back to the tasty morsels of critical care podcast. This week we’ll make a fly by at part of Oh Chapter 100 looking at haemostatic failure. The understanding of the haemostatic system seems a little like the universe at. Read More » Welcome back to the tasty morsels of critical care podcast. This week we’ll make a fly by at part of Oh Chapter 100 looking at haemostatic failure.
Ischemic ST depression maximal in V1-V4 (vs. V5-V6), even if less than 0.1 millivolt, is specific for Occlusion Myocardial Infarction (vs. subendocardial non-occlusive ischemia)
Dr. Smith's ECG Blog
JUNE 27, 2021
This is a case from many years ago that I discovered recently. The patient has heart failure as a result of this event. A 50-something man with history only of alcohol abuse and hypertension (not on meds) presented with sudden left chest pain, sharp, radiating down left arm, cramping, that waxes and wanes but never goes completely away. There was SOB at the start and increased work of breathing.
SGEM#335: Sisters are Doin’ It for Themselves…Self-Obtained Vaginal Swabs for STIs
The Skeptics' Guide to EM
JUNE 26, 2021
Date: June 25th, 2021 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. He is also an avid FOAM supporter/producer through various online outlets including TheSGEM. Reference: Chinnock et al. Self-obtained vaginal swabs are not inferior to provider-performed endocervical sampling for emergency department diagnosis of Neisseria gonorrhoeae and Chlamydia […] The post SGEM#335: Sisters are Doin’ It for Themselves…Self-Obtained Vag
ECG of the Week – 16th June 2021 – Interpretation
EMergucate
JUNE 16, 2021
You’re reviewing a 44 year old obese patient whose wife has noticed that he is breathing abnormally at night time.
Fuori binario. Consapevolezza della diversità ed elogio della soggettività in Medicina d’Urgenza “street level”
MEDEST118
JUNE 26, 2021
An original post by Mario Rugna
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