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.
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
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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.
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.
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!
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.
Northwestern EM Blog
DECEMBER 20, 2021
Written by: Tommy Ng, MD (NUEM ‘24) Edited by: Patricia Bigach, MD (NUEM ‘22) Expert review by : Terese Whipple, MD '20 So your kid won’t walk One of the most common complaints in a pediatric Emergency Department is a child refusing or inability to ambulate. For normal development, a child is typically able to stand at 9 months, walk at 12 months, and run at 18 months.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
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.
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
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?
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?
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.
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
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.
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.
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.
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?
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.
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.
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
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
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 →
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.
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.
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.
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
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.
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.
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?
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.
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.
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 →
EMergucate
DECEMBER 21, 2021
The following x-ray is from a 3 year old with chief complaint of abdominal pain. What can be seen?
EMergucate
DECEMBER 2, 2021
Conservative versus Interventional Treatment for Spontaneous Pneumothorax Bottom line Conservative management of stable unilateral, spontaneous primary pneumothorax, is not inferior … Continue reading →
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.
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.
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