EMergucate

DECEMBER 29, 2021

A 78 year old male presents to ED complaining of chest pain. He has a PPM and ICD in situ. Below are 2 ECG’s of the patient while he is in ED.

EKG/ECG 52

EKG/ECG EMS 52

Northwestern EM Blog

DECEMBER 27, 2021

Congratulations to all of the authors with the most popular posts of 2021! 1. Pill in the Pocket (23,646 views) The runaway favorite of this year was Dr. David Feiger’s (NUEM ’22) and Dr. Jon Andereck’s (NUEM ’19) post reviewed by Dr. Kaustubha Patel of Northwestern's Bluhm Cardiovascular Institute about the “pill-in-the-pocket” approach to treating atrial fibrillation.

Dislocations 52

Dislocations Emergency Department Burns Shock 52

Dr. No

DECEMBER 27, 2021

Let us be clear from the start: the case, the whole case, and nothing but the case for the introduction covid vaccine passports rests on a single premise: that covid vaccination reduces the risk of onward transmission of covid–19 by vaccinated individuals. That is the alpha and the omega in the Empire of the Covid Passport Tsar. If folk, be they vaccinated or unvaccinated, are as likely the catch covid from a vaccinated individual as they to catch it from an unvaccinated individual, then there i

Wellness 52

Wellness 52

JournalFeed

DECEMBER 25, 2021

It’s the JournalFeed Podcast for the week of December 20-24, 2021. We cover Surviving Sepsis 2021, BOUGIE RCT, the role of humor in medical education, the age old question of rocket science vs brain surgery (who is smarter), and a Christmas reflection.

Sepsis 52

Sepsis 52

The Skeptics' Guide to EM

DECEMBER 25, 2021

Date: December 21st, 2021 Guest Skeptic: Dr. Spencer Greaves is an Emergency Medicine resident at Florida Atlantic University. He received his Bachelors in Biomedical Engineering from Marquette University and his Masters in Public Health from Dartmouth College. Spencer completed his medical doctorate at the Medical College of Wisconsin. He and his wife live in Boynton Beach, FL […] The post SGEM#353: At the COCA, COCA for OCHA first appeared on The Skeptics Guide to Emergency Medicine.

CPR 52

CPR Administration Outcomes Hospitals 52

Ultrasound Gel

DECEMBER 20, 2021

Ultrasound in cardiac arrest is a favorite topic of the GEL Team and thus, we are back to crack open a radical new concept in the field. Does the left ventricular function actually matter in patients that are arresting?? Current practice for many is to assess for the binary presence or absence of cardiac activity, but these audacious authors suggest that a higher LV systolic function could be associated with a greater likelihood of return of spontaneous circulation!

Ultrasounds 52

Ultrasounds 52

EMergucate

DECEMBER 26, 2021

The following facial OM x-ray is from an 18 yo with swelling around left cheek post face vs cricket ball … Continue reading →

EMS 52

EMS 52

Dr. No

DECEMBER 19, 2021

It’s not often that Dr No’s flabber gets well and truly ghasted. An extraordinary exchange on twitter (scroll down a page or so to get to the start of the substance, and click here to see the above tweet) has revealed what many have long suspected: SAGE purposely cook the books in its modelling reports. Graham Medley , professor of infectious disease modelling at LSHTM, and chief pongo for the time being of SAGE’s modelling group SPI-M, defends the group’s practice of 

Infectious Diseases 52

Infectious Diseases Outcomes Dehydration Operations 52

Board Bombs

DECEMBER 19, 2021

Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here: emrapidbombs.supercast.com This episode we are jumping into the Holiday Season and New Year with everything you need to know about C-spine injuries. We know this is a slightly longer episode than usual for us at EMBB, but we think this one is a New Year’s Special.

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JournalFeed

DECEMBER 18, 2021

It’s the JournalFeed Podcast for the week of December 13-17, 2021. We cover ETCO2 and trauma outcomes, ORIF vs cast for adult distal radius fractures, high or low/ 3 or 7 day treatment for pediatric community acquired pneumonia, a new pediatric CAP severity prediction tool, and how emergency physicians are coping with COVID stress.

Fractures 52

Fractures Pediatrics Outcomes 52

Downeast Emergency Medicine

DECEMBER 17, 2021

Emergency medicine (EM) was first recognized as a specialty by the American Medical Association (AMA) in 1972. Since that time, EM residencies have grown and evolved to provide academic support and training for graduating medical students interested in pursuing a career in the field. Since its early days of small and scattered residency programs, EM has burgeoned to nearly 3,000 residency positions according to the 2021 Report on Residents published by the Association of American Medical College

EMS 52

EMS Academics Operations Emergency Department 52

EMergucate

DECEMBER 23, 2021

The combined chest & abdominal x-ray in this paediatric patient shows a right middle lobe consolidation silhouetting the right heart … Continue reading →

EMS 52

EMS 52

Critical Care North Hampton

DECEMBER 16, 2021

I’ve been delivering Tweetorials on various aspects of ultrasound over the year. So, here’s a festive Tweet (sad!), for you. All in one post! Enjoy and happy scanning… look after yourselves. Jump links: Heart Lung Diaphragm Liver Gastric Aorta DVT Airway JW HEART 1/13 Today’s Tweetorial for you! We look at basic cardiac #POCUS views?

Ultrasounds 52

Ultrasounds 52

Emergency Medicine Cases

DECEMBER 15, 2021

In this Part 1 of our two-part series on acute heart failure, Anton is joined by Dr. Tarlan Hedayati and Dr. Bourke Tillman to answer such questions as: how does PoCUS compare with clinical assessment and CXR in diagnostic accuracy for acute heart failure? How do we best integrate PoCUS in the our assessment and management of the patient with acute heart failure?

EMS 52

EMS 52

Medical Law

DECEMBER 14, 2021

Trauma to the head is common in motor vehicle, bicycle accidents, and falls. A person may suffer injury to the brain that goes undetected by medical professionals, with symptoms that begin to appear during the first 72 hours after the injury. This condition, known as subtle brain injury (SBI), can have life-altering consequences for victims and their families.

Head Injuries 52

Head Injuries Shock 52

Dr. No

DECEMBER 12, 2021

Covid — the perfect public health emergency that just keeps on giving. Each new scariant is only ever one step away from the next new scariant — an endless flow of new worries, Fergie forecasts and government responses, forever clogging up the mainstream media, like logs in a log jam. Behind the puppetry, for an authoritarian government hell bent on passing draconian laws and regulations with the minimum of scrutiny, covid is the perfect enabling epidemic, because it allows the government to get

Administration 52

Administration Hospitals Wellness 52

JournalFeed

DECEMBER 11, 2021

It’s the JournalFeed Podcast for the week of December 6-10, 2021. We cover patient-centered diagnostic excellence, alteplase before endovascular stroke treatment, steroids for pediatric retropharyngeal abscess, LP for febrile seizure, and the new AHA chest pain guideline.

Seizures 52

Seizures Stroke Pediatrics 52

EMergucate

DECEMBER 21, 2021

The following x-ray is from a 3 year old with chief complaint of abdominal pain. What can be seen?

EMS 52

EMS 52

Critical Care North Hampton

DECEMBER 11, 2021

Here is another in our review series, and one with the most reviews we’ve ever had! 6 clinicians rate the device. There are 2 detailed reviews from myself and then the fantastic Philipe Rola (he of VExUS fame and top Ultrascoundrel). We then get overall thoughts from us all (Myself, Philipe Rola, Segun Olusanya, Adrian.

Ultrasounds 52

Ultrasounds 52

Downeast Emergency Medicine

DECEMBER 9, 2021

Case presentation A 37-year-old female with a history of mild intermittent asthma, hepatitis C, and opioid abuse disorder (in remission for the past year being maintained on buprenorphine) presents to the emergency department after being called due to positive blood cultures. She was seen at urgent care the day prior for a worsening progressive cough, shortness of breath, and pleuritic right anterolateral chest pain.

Ultrasounds 52

Ultrasounds Urgent Care Emergency Department Sepsis 52

Board Bombs

DECEMBER 5, 2021

Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here: emrapidbombs.supercast.com Why does America still use Fahrenheit? We don’t know, and we are starting to get upset.Let’s review some hypothermia pearls, from ACEP’s PEERCert Q bank! Want to experience the greatest in board studying?

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia 52

Dr. No

DECEMBER 6, 2021

There have been some crackles in recent days on twitter, as the Bangladeshi mask trial caught light again. The crackling started with the publication of a ‘ short note ‘ that provided a ‘simple analysis’ of the recently released raw data from the Bangladeshi trial that claimed that, given the new ‘simple analysis’, the trial failed to show any covid protection benefit from mask wearing.

Academics 52

Academics Outcomes Shock Wellness 52

ED ECMO

DECEMBER 3, 2021

In this short episode, Zack makes two points. One, it was tough to get to where we are with ECMO acceptance. Two, cardiac arrest patients in PEA should be considered for ECPR. Below is the full editorial Zack and Alice did recently in the Journal of Resuscitation on the topic. It was born out of a fantastic German article centered looking at registry outcomes for PE and ECMO.

Resuscitation 52

Resuscitation Outcomes 52

EB Medicine

DECEMBER 1, 2021

EMplify – December 2021 Announcements: The EB Medicine app is live and available for free in the Apple Store. Coming to Google Play soon. It is in Beta and your feedback is welcome. , This month get a $50 Amazon Gift Card with all orders over $300 at [link] Check out the newly redesigned FOAMed blog at [link] Thoracic Aortic Syndromes in The Emergency Department: Recognition and Management Interview with author: Anthony Hackett, MD Thoracic Aortic Syndromes Dissection, Intramural Hematoma, and P

EKG/ECG 52

EKG/ECG Emergency Department EMS Shock 52

PulmCCM

DECEMBER 31, 2021

Jon-Emile S. Kenny MD [ @heart_lung ] “It was after this realization that I began trying to find the ‘point’ of California, to locate some message in its history.” -Joan Didion Background A few months ago, I found myself in one of my favourite places – the American Museum of Natural History in New York City. Meandering through the levels of skeletons, taxidermy and peculiar dioramas plucked from distant North American epochs, I reflected.

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Downeast Emergency Medicine

DECEMBER 1, 2021

Background Recent data from the National Center for Health Statistics reveal that in the 12-month period ending in April 2021, more than 100,000 Americans died of an overdose, a staggering increase of nearly 30% the prior year. While the ongoing COVID-19 pandemic has contributed to overdose deaths and taxed constrained Emergency Department (ED) resources, it has also clarified the important role that emergency physicians have in expanding access to life-saving medications to treat opioid use dis

Emergency Department 52

Emergency Department Documentation/Coding Leadership Hospitals 52

EMergucate

DECEMBER 29, 2021

A 36 year old male BIBA as a priority 1 with altered GCS of 9. Patient is a known diabetic who received COVID vaccine 1 day prior and was vomiting.

EMS 40

EMS 40

Dr. No

DECEMBER 1, 2021

Correction 0848 02/12/21: The 45-64 age band chart lost the 2020 line – Dr No apologises. Now corrected, and with marginally better colours. This styling will also be applied to other charts in due course. One phrase, ‘unlike the all ages and older ages charts’, removed from chart commentary ONS’s weekly mortality reports have rather gone off the rails for the last two weeks.

Forensics 52

Forensics Wellness Operations 52

Emergency Medicine Ireland

DECEMBER 27, 2021

Welcome back to the tasty morsels of critical care podcast. This time round we’ll look at an oldie but a goodie: salicylate poisoning. I have not seen one of these in quite some time but it is a classic tox. Read More » Welcome back to the tasty morsels of critical care podcast. This time round we’ll look at an oldie but a goodie: salicylate poisoning.

Poisoning 40

Poisoning Seizures EMS 40

The Skeptics' Guide to EM

DECEMBER 18, 2021

Date: December 13th, 2021 Reference: Lee et al. Addressing gender inequities: Creation of a multi-institutional consortium of women physicians in academic emergency medicine. AEM December 2021 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called First10EM.com Case: At the completion of her 1-month elective in your rural emergency department […] The post SGEM#352: Amendment – Addressing Gender Inequities in Academic Emergency Medicine first

Academics 40

Academics Leadership Emergency Department Documentation/Coding 40

Dr. Wes

DECEMBER 6, 2021

In late July 2021, the Federation of State Medical Boards (FSMB), a non-profit self-selected lobbying organization for US state medical boards, issued a press release threatening suspension or revocation of medical licenses for physicians that “generate and spread COVID-19 vaccine misinformation or disinformation.

Pediatrics 40

Pediatrics 40

ER Nurses

DECEMBER 6, 2021

There was a time when nursing shoes were a distinct white flat. Before that, a distinct white mid-low heels. Crocs may be comfortable but who wants an open toe anyways? What shoe do you use at work? The popular choice is of course the day long sneaker. The choice of footwear is important since you're on your feet all day (plus it saves your back). Choices?

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EMergucate

DECEMBER 27, 2021

A 36 year old male BIBA as a priority 1 with altered GCS of 9. Patient is a known diabetic who received COVID vaccine 1 day prior and was vomiting.

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Pediatric Emergency Playbook

DECEMBER 1, 2021

[link]

Pediatrics 40

Pediatrics 40

Emergency Medicine Ireland

DECEMBER 13, 2021

Welcome back to the tasty morsels of critical care podcast. This time round we’re going to have a look at some chest wall injuries you should know about. The main reference here is Oh’s manual chapter 79. The vast majority. Read More » Welcome back to the tasty morsels of critical care podcast. This time round we’re going to have a look at some chest wall injuries you should know about.

Fractures 40

Fractures Hospitals 40

The Skeptics' Guide to EM

DECEMBER 11, 2021

Date: December 10th, 2021 Guest Skeptic: Dr. Carly Eastin is an Associate Professor, Division of Research and Evidence Based Medicine, Department of Emergency Medicine, University of Arkansas for Medical Sciences. She is also the Chair of the SAEM Evidence Based Healthcare and Implementation (EBHI) Interest Group. Carly was a guest skeptic on the SGEM two years […] The post SGEM Xtra: Change the World – Honoring Dr.

Sepsis 40

Sepsis Shock Outcomes Research 40

EMergucate

DECEMBER 27, 2021

A 78 year old male presents to ED complaining of chest pain. He has a PPM and ICD in situ. Below are 2 ECG’s of the patient while he is in ED.

EKG/ECG 40

EKG/ECG 40