July, 2021

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SGEM Xtra: Star Trek Made Me A Better Physician

The Skeptics' Guide to EM

Date: July 24th, 2021 Guest Skeptic: Dr. Brain Goldman is an Emergency Medicine physician who works at Mount Sinai hospital in Toronto. He is the host of CBC radio show White Coat Black Art and the podcast The Dose. He is also the author of the bestselling books The Night Shift, Secret language of Doctors, and the Power of […] The post SGEM Xtra: Star Trek Made Me A Better Physician first appeared on The Skeptics Guide to Emergency Medicine.

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Peds DKA | Delirium | Myocarditis Kid and Adult | Better Glottic View

JournalFeed

It’s the JournalFeed Podcast for the week of July 26-30, 2021. We cover pediatric DKA, preventing and treating delirium, myocarditis in adults and children, and how to get a better glottic view.

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Ultrasound

PHEM Cast

Some useful videos: Hopefully you found the podcast interesting, but since this is quite a visual topic we have put together some videos to demonstrate some of the pathologies discussed and what they look like on ultrasound: How does ultrasound work? Want to know how to use ultrasound? This is a whole 45 minute introductory lecture. Although a face-to-face course is really required before you start on patients!

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Ep 158 Management of Primary Spontaneous Pneumothorax

Emergency Medicine Cases

In this main episode podcast we discuss the conservative management of large spontaneous pneumothorax, when a pigtail chest tube with Heimlich valve is indicated, detection of persistent air leak, removal of chest tube, surgical indications for spontaneous pneumothorax, management pitfalls and more. The post Ep 158 Management of Primary Spontaneous Pneumothorax appeared first on Emergency Medicine Cases.

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Imaging Case of the Week 475

EMergucate

The frontal chest x-ray is from a 79 year old septic patient with cough and dyspnoea. What can be noticed? What group of organisms need particular attention with this x-ray appearance?

EMS 52
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Pediatric Intubation

Ultrasound Gel

The GEL Jr. team is back with another great use for pediatric POCUS! You might not have known that you can actually use ultrasound to confirm that your endotracheal tube is in the right place! But how good is it?? [link] [link] The GEL Jr. team is back with another great use for pediatric POCUS! You might not have known that you can actually use ultrasound to confirm that your endotracheal tube is in the right place!

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SGEM#339: I Don’t Need this Pressure On – Chest Wall Thickness at Needle Decompression Site

The Skeptics' Guide to EM

Date: July 29th, 2021 Reference: Azizi et al. Optimal anatomical location for needle decompression for tension pneumothorax: A multicenter prospective cohort study. Injury 2021 Guest Skeptic: Dr. Robert Edmonds is an emergency physician in the Air Force in Ohio. This is Bob’s 14th episode cohosting the SGEM. DISCLAIMER: THE VIEWS AND OPINIONS OF THIS PODCAST DO NOT REPRESENT THE […] The post SGEM#339: I Don’t Need this Pressure On – Chest Wall Thickness at Needle Decompression Site first appear

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THE VExUS Course. Period.

Thinking Critical Care

So it is with gradual amazement and a great sense of accomplishment that we have witnessed the remarkable interest that our field of acute care has taken in VExUS. This has also been tempered by the humility of experience, as all of us have seen fads come and go, and also because an interventional approach based on VExUS is not yet evidence-based, as the studies remain to be done, some being underway.

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Journal Club - Pain management of Renal Colic

Downeast Emergency Medicine

Background Renal colic is a commonly encountered diagnosis in the emergency department that is known to cause significant pain. In clinical practice, the initial goal is prompt pain management while simultaneously working to confirm the suspected diagnosis. Because of the severity and acuity of the pain associated with renal colic, opioid pain management has often been used.

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EM Quick Hits 30 Scaphoid Fracture, Therapeutic Hypothermia, HEADS-ED, Pelvic Trauma, Kratom, Femoral Lines

Emergency Medicine Cases

In this month's EM Quick Hits podcast: Arun Sayal on the nuances of assessment for scaphoid fractures, Justin Morgenstern on the evidence for therapeutic hypothermia post-arrest and the TTM2 trial, Sarah Reid on HEADS-ED mental health screening tool for children, youth and young adults, Andrew Petrosoniak on pelvic trauma and pelvic binder tips and pitfalls, Michelle Klaiman on what we need to know about Kratom and Anand Swaminathan on why femoral lines are often a great central line choice.

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115. Live from the Bayou! Drowning & Submersion injuries

Board Bombs

Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here: [link] This week Iltifat and Blake are reunited in Alabama on the Bayou. When faced with kayaking, camping, and gators, it’s time for us to review myths and proper treat drowning and submersion injuries. Want to experience the greatest in board studying?

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SGEM#338: Are Children with CAP Safe and Sound if Treated for 5d Rather than 10d of Antibiotics?

The Skeptics' Guide to EM

Date: July 14th, 2021 Reference: Pernica et al. Short-Course Antimicrobial Therapy for Pediatric Community-Acquired Pneumonia: The SAFER Randomized Clinical Trial. JAMA Pediatr. 2021. Guest Skeptic: Dr. Andrew (Andy) Tagg is an Emergency Physician with a special interest in education and lifelong learning. He is the co-founder of website lead of Don’t Forget the Bubbles (DFTB).

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Pediatric Bruising | UA Spec Grav + Accuracy | Afib Management | NPO Post Formula Feed | TTM2 RCT

JournalFeed

It’s the JournalFeed Podcast for the week of July 12-16, 2021. We cover high risk pediatric bruising, urine concentration and UA accuracy, atrial fibrillation management, shorter NPO time for formula fed infants, and TTM2, which showed normothermia was as good as hypothermia post-arrest.

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A child with biphasic T waves in V1-V2

Dr. Smith's ECG Blog

Case submitted by Dr. Mike Runyon, written by Meyers, Grauer, and Smith A child between the ages of 5 and 10 was brought in by parents for new onset recurrent episodes that were interpreted as most likely panic attacks. Before arriving at that diagnosis, the providers wanted to make sure all other diagnosable causes were ruled out. An ECG was ordered and is shown below.

EKG/ECG 52
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NIV, come iniziare?

Trigger Lab

Istruzioni per il lettore: nel testo si riportano accorgimenti maturati nella mia piccola esperienza (quindi perfettamente opinabili), unita a dati emersi dalla letteratura. Qualsiasi impostazione ventilatoria è su indicazione e condivisione medica (per gli amanti delle diagnosi infermieristiche si tratta di un problema collaborativo). Non si discuteranno le prestazioni, tipologie di interfaccia e modelli di … Leggi tutto NIV, come iniziare?

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ECG Cases 23 – Wellens syndrome, reperfusion and reocclusion MI

Emergency Medicine Cases

Eight patients presented with potentially ischemic symptoms and T-wave inversions. Which had occlusion MI, which were reperfused and which were reoccluded? Jesse McLaren helps you discover the nuances of Wellens syndrome and T-wave inversions on this month's ECG Cases blog. The post ECG Cases 23 – Wellens syndrome, reperfusion and reocclusion MI appeared first on Emergency Medicine Cases.

EKG/ECG 52
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114. TACO Tuesday: transfusion reactions

Board Bombs

Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here: emrapidbombs.supercast.tech All aboard the TRALI, its time for TACO Tuesday. Wow how often can you fit the entirety of our podcast in one catchy sentence?? Let’s dig into these commonly tested transfusion reactions. Want to experience the greatest in board studying?

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SGEM#336: You Can’t Always Get What You Want – TTM2 Trial

The Skeptics' Guide to EM

Date: July 1st, 2021 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called First10EM.com. Reference: Dankiewicz et al: TTM2 Trial Investigators. Hypothermia versus Normothermia after Out-of-Hospital Cardiac Arrest. NEJM 2021 Case: A 58-year-old man collapsed in front of his family. When paramedics arrived, they found him to be in […] The post SGEM#336: You Can’t Always Get What You Want – TTM2 Trial first appeared on The Skeptics Guide to E

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Physician Payment and Rx | NoPAC TXA RCT | LP or No LP for SAH? | STYLETO RCT

JournalFeed

It’s the JournalFeed Podcast for the week of July 5-9, 2021. We cover the impact of pharmaceutical company payments on physician prescribing behavior, NoPAC RCT on TXA for epistaxis, a point-counterpoint on LP vs no LP after negative head CT for potential SAH, and the STYLETO RCT on using an ETT stylet vs none in critically ill patients.

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Episode 59 – HIV – An Interview With Dr. Daniel Egan

EB Medicine

EMplify – July 2021 Announcements: Be on the lookout for an announcement regarding the new EB Medicine app, coming to an App Store near you this month !! HIV- An Interview With Dr. Daniel Egan See the EB Medicine Article @ [link] Why HIV? 2018 , 1,2 million people living with HIV, almost 40k new infections People living with HIV visit the ED 3 x per year on average HIV infected patients accounted for 6 in 1000 ED visits in 2017 New Transmission of HIV, Figure 1 What does acute infection look li

COPD 52
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Imaging Case of the Week 472

EMergucate

The ankle x-rays are from a 21 year old with painful & swollen right ankle and inability to weight bear after fall from a height. What can be seen?

EMS 52
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Tasty Morsels of Critical Care 049 | Candida

Emergency Medicine Ireland

Welcome back to the tasty morsels of critical care podcast. Today we’ll look at everyone’s favourite yeast – Candida. Firstly, remember the distinction between yeasts and moulds. Yeasts, like Candida species are single celled critters whereas moulds like aspergillus are. Read More » Welcome back to the tasty morsels of critical care podcast. Today we’ll look at everyone’s favourite yeast – Candida.

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Diabetes App Security Advisory from CISA

Total Medical ComplianceHIPAA

Patients and physicians who have the devices listed below and use the mylife Cloud and/or mylife Mobile Application should update to the current version of the application and update account passwords ASAP. The app is not sufficiently protecting usernames and passwords making their data vulnerable to exposure/hacking. [link]. mylife website: [link]. mylife Diabetescare devices: Ypsomed mylife YpsoPump.

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Focus On: Breath Holding Spells

Pediatric Emergency Playbook

PEMplaybook.

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POCUS Diverticulitis | Postpartum Bleed | Physician Age-Gender | PCT vs MASCC | Subtle ST Elevation

JournalFeed

It’s the JournalFeed Podcast for the week of Jun 28-Jul 2, 2021. We cover POCUS for diverticulitis, postpartum hemorrhage, impact of physicians age and gender on patient perception, procalcitonin vs MASCC score for febrile neutropenic patients, and parsing ST elevation from benign early repolarization or early STEMI.

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116. Opioid Overdose- NarCAN!

Board Bombs

Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here: [link] "Everybody counts or nobody counts". The motto of Harry Bosch is strong in this episode as we discuss how to best manage patients with opioid overdose in the ED. How to best approach these patients and promote staff and patient safety, and how to recognize opioid overdose.

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Imaging Case of the Week 471 Answer

EMergucate

The lateral neck x-ray shows- There is significant widening of prevertebral soft tissue space anterior to upper cervical vertebrae (C1-C5).

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Tasty Morsels of Critical Care 048 | Anaphylaxis

Emergency Medicine Ireland

Welcome back to the tasty morsels of critical care podcast. Today we look at anaphylaxis. Oh’s Manual 67 forms the basis for most of this. In many ways this is fairly straightforward. You give adrenaline and they get better. However. Read More » Welcome back to the tasty morsels of critical care podcast. Today we look at anaphylaxis. Oh’s Manual 67 forms the basis for most of this.

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SGEM#337: Amazing GRACE-1 How Sweet the Guidelines – Recurrent, Low Risk Chest Pain in the Emergency Department

The Skeptics' Guide to EM

Date: July 1st, 2021 Guest Skeptic #1: Dr. Chris Carpenter is Professor of Emergency Medicine at Washington University in St. Louis and a member of their Emergency Medicine Research Core. He is a member of the SAEM Board of Directors and the former Chair of the SAEM EBM Interest Group and ACEP Geriatric Section. He is […] The post SGEM#337: Amazing GRACE-1 How Sweet the Guidelines – Recurrent, Low Risk Chest Pain in the Emergency Department first appeared on The Skeptics Guide to Emergency Medic

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ECG of the Week – 7th July 2021

EMergucate

You have been asked to review an ECG for a 57 year old lady who has presented with chest heaviness … Continue reading →

EKG/ECG 52
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ECG of the Week 28th July 2021 – Interpretation

EMergucate

You are reviewing the ECG of a 65 year old man who has presented with a one week history of chest tightness and shortness of breath.

EKG/ECG 52
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Imaging Case of the Week 470 Answer

EMergucate

The elbow x-rays show a displaced fracture of the medial epicondyle and an elbow effusion in this skeletally immature patient.

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ECG of Week – 14th July 2021 – Interpretation

EMergucate

47 y/o male presented with upper abdominal pain. A routine ECG was performed. Describe and interpret the ECG?

EKG/ECG 52
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Imaging Case of the Week 474

EMergucate

The frontal chest x-ray is from a 58 year old with left sided pleuritic chest pain. What can be seen?

EMS 52
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Imaging Case of the Week 474 Answer

EMergucate

The chest x-ray shows a peripheral pleural based irregular pulmonary opacity in the left upper lobe.

EMS 52
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Lab Case 332 – Interpretation

EMergucate

A 4 week old is brought to ED post cardiac arrest – the child was found in her cot not breathing. The parents performed CPR immediately and on arrival the child had ROSC.

CPR 40
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Lab Case 332

EMergucate

A 4 week old is brought to ED post cardiac arrest – the child was found in her cot not breathing. The parents performed CPR immediately and on arrival the child had ROSC.

CPR 40