November, 2021

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Why DotMD Sold Out in Two Days

33 Charts

This past weekend the storied medical meeting DotMD sold out in two days. How did this happen and what does DotMD deliver that no other meeting does? Experiences. People are desperate for experiences. And the future of meetings is about the creation of human experiences. Sound, sensory, and emotion. These define DotMD. Like minds. Beyond the power of the programming and a remarkable culture, DotMD draws the most fascinating people in healthcare.

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EM Quick Hits 34 Carr’s Case, Septic Arthritis vs Transient Synovitis, Managing Tracheostomies, Ethylene Glycol Poisoning, Ketamine for Agitation

Emergency Medicine Cases

In this months EM Quick Hits podcast: The mighty return of Carr's Cases! Sarah Reid on differentiating septic arthritis from transient synovitis in pediatric limp, Anand Swaminathan on managing tracheostomy complications in the ED, Nour Khatib on rural medicine and ethylene glycol poisoning, Justin Morgenstern on RCTs for ketamine in patients with severe agitation.

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HIPAA

Total Medical ComplianceHIPAA

DISCLOSING COVID-19 VACCINATION STATUS. HHS has published an article on the HIPAA Privacy Rule’s effect on the disclosure of COVID-19 vaccination status for healthcare. The following are excerpts from the article. For the full text see: [link]. Remember that HIPAA is not the only set of laws that regulate this information. Does the HIPAA Privacy Rule prohibit businesses or individuals from asking whether their customers or clients have received a COVID-19 vaccine?

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The Return of The Hospitalist & The Resuscitationist: Face2Face (masked faces!) for 2022!

Thinking Critical Care

So after much deliberation, we have decided and are excited to bring the fourth edition of H&R back for 2022 – we had skipped 2021 to focus on some research papers and developing some courses (Flipping the Vent and The VExUS Course), but mostly because the virtual conferencing experience simply did not measure up to the live event. What makes boutique conferences like H&R so different (and awesome) is the similar mind-set of the faculty and the participants, the opportunity to inte

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Isolated Vomiting Peds | Cauda Equina Tips | Rapid MRI Peds HA | Ketorolac 60 or 15mg IM?

JournalFeed

It’s the JournalFeed Podcast for the week of November 22-26, 2021. We cover isolated vomiting in children, clinically diagnosing cauda equina, rapid MRI for pediatric headache, and IM ketorolac dosing for MSK pain.

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7 Tips for a Safe and Healthful Holiday Season

Advanced Medical Reviews

It seems like just yesterday summer was on the scene, bringing warm weather, family vacations and an array of outdoor sporting activities. However, winter will be here soon, with the season starting in the Northern Hemisphere on December 21.

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Goodhart’s law and patient satisfaction

33 Charts

Goodhart’s law suggests that when a measure becomes a target, it ceases to be a good measure. When I first read this I couldn’t help but think of healthcare and the quest for the perfect patient satisfaction score. The problem is that as soon as we steer physician behavior and teach to the test , patient satisfaction scores stop being a valid measure.

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125. Van Gogh Vision: Digoxin Toxicity

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.com Ever get the feeling we live on a yellow submarine? When we’re trapped in the ED with wait times >8 hours, we feel it… Let’s talk digoxin toxicity, perhaps the most classic toxidrome ever told. Want to experience the greatest in board studying?

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SGEM#351: How to Stop Geriatrics from Free Fallin’

The Skeptics' Guide to EM

Date: November 16th, 2021 Reference: Hammouda et al. Moving the Needle on Fall Prevention: A Geriatric Emergency Care Applied Research (GEAR) Network Scoping Review and Consensus Statement. AEM November 2021 Guest Skeptic: Dr. Kirsty Challen (@KirstyChallen) is a Consultant in Emergency Medicine and Emergency Medicine Research Lead at Lancashire Teaching Hospitals Trust (North West England).

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PE in COPD | PECARN Down Under | ?-lactam or Vanc 1st | Abx Over-Rx | HBO for CO

JournalFeed

It’s the JournalFeed Podcast for the week of November 15-19, 2021. We cover proactive PE screening for COPD admissions, PECARN in an external cohort, β-lactam or vancomycin first for bacteremia, downstream effects of antibiotic over-prescribing, and hyperbaric timing in CO poisoning.

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ECG Cases 27 Pericarditis – Diagnosis of Exclusion

Emergency Medicine Cases

Jesse McLaren guides us through 9 cases and explains how pericarditis is a diagnosis of exclusion through 3 simple steps: 1. Exclude more serious causes of chest pain, eg wraparound LAD occlusion, inferior OMI 2. Exclude complications of pericarditis, eg myocarditis, large pericardial effusion 3. Exclude normal variant ST elevation presenting with benign chest pain on this month's ECG Cases blog.

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Theme Park Accidents Due to COVID Understaffing

Medical Law

Theme parks in Southern California are struggling to find workers to fill open positions as COVID-19 restrictions are lifted, according to The OCR. Like other employers, theme parks are offering higher wages and other incentives to attract the employees they need, but in the meantime, staffing shortages in theme parks can lead to serious injuries for guests.

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The POCUS Manifesto

Critical Care North Hampton

About the author Follow him here: So, a book lands on POCUS! Of course, I’m interested! But, we’ve seen them all before… the ‘how to’ guides, the instructional references. There are plenty of them out there now. So, what’s special about this book then… and it is very special, I hasten to add. Take a look below.

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124. Doughnuts are tasty, but watch out for NSTEMIs

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.com So who else has brought in doughnuts for a shift before? We all have. Lifetime risk of NSTEMI? Let’s not think about it…. Instead, let’s talk about how to never miss atypical acute coronary syndrome.

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Ultrasound of the Month - Is your probe marker switched?

Downeast Emergency Medicine

CASE PRESENTATION A 73 y.o. male with history of diastolic heart failure, type II DM, HTN, and peripheral vascular disease presented to the emergency department via EMS for evaluation of abnormal vital signs. He was found at his living facility to have an oxygen saturations of 57% on room air (RA). EMS found his pulse oximetry to be 80% on RA and he was placed on 5L oxygen via nasal cannula.

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Healing Racism in EM | Dalbavancin Pro-Con | Pregnancy-Adapted Geneva Score

JournalFeed

It’s the JournalFeed Podcast for the week of November 8-12, 2021. We cover how we can address racism in EM, dalbavancin for skin and soft tissue infection and its potential cost impact, and a pregnancy-adapted Geneva score.

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Ep 162 Managing Adversity with Walter Himmel

Emergency Medicine Cases

I asked Dr. Walter Himmel to give a talk at EM Cases Summit 2021 on what he has learned in 40 years of practice. Herein lies his profoundly thoughtful answer, that is especially relevant during the COVID pandemic - a special edition EM Cases video podcast of his live presentation at The Summit. The post Ep 162 Managing Adversity with Walter Himmel appeared first on Emergency Medicine Cases.

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How Inadequate Medical Staffing Ratios Hurt Patient Care

Advanced Medical Reviews

Improving the ratio of healthcare providers to patients at medical facilities does not only benefit the patients but also the people treating them.

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Cottage Rehabilitation Hospital Honored by Mayor Murillo

Medical Law

Cottage Rehabilitation Hospital (CRH) was one of four local organizations honored during the 16 th annual Santa Barbara Mayor’s Award ceremony by Mayor Cathy Murillo on Thursday, October 28, 2021. They were recognized for their outstanding support of people with disabilities. CRH, along with the CRH Foundation, received the 2021 Design/Accessibility Award.

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Episode 63 – Rib Fracture- An Interview with Dr. Patrick Maher

EB Medicine

EMplify – November 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. , Also, this month use code ACEP21! and get 20% of all orders at [link] Emergency Department Management of Rib Fractures Author: Patrick Maher, MD Episode Outline: Why rib fractures?

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Tasty Morsels of Critical Care 053 | Recurrent clotting of the filter

Emergency Medicine Ireland

Welcome back to the tasty morsels of critical care podcast. Usually the topics here follow the well trodden path of Oh’s manual, but we’re looking at something primarily because it is an ideal question for a fellowship exam. In this. Read More » Welcome back to the tasty morsels of critical care podcast. Usually the topics here follow the well trodden path of Oh’s manual, but we’re looking at something primarily because it is an ideal question for a fellowship exam.

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Screen Time Concussion | Handlebar Injury | POCUS Review | REGEN-COV | HEMS Best Practices

JournalFeed

It’s the JournalFeed Podcast for the week of November 1-5, 2021. We cover screen time impact on concussion, bike handlebar injuries in children, a POCUS review, REGEN-COV for COVID-19, and best practices for air ambulance use.

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Ep 161 Red Flag Headaches: General Approach and Cervical Artery Dissections

Emergency Medicine Cases

In this Part 1 or our two part podcast series on Red Flag Headaches we discuss a general approach, tips and tricks to assessing patients who present with headache followed by a deep dive into cervical artery dissections. With the help of Dr. Roy Baskind and Dr. Amit Shah we answers questions such as: what are the big 4 headache diagnoses that are not routinely picked up on plain CT or LP?

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HIPAA

Total Medical ComplianceHIPAA

DISCLOSING COVID-19 VACCINATION STATUS. HHS has published an article on the HIPAA Privacy Rule’s effect on the disclosure of COVID-19 vaccination status for healthcare. The following are excerpts from the article. For the full text see: [link]. Remember that HIPAA is not the only set of laws that regulate this information. Does the HIPAA Privacy Rule prohibit businesses or individuals from asking whether their customers or clients have received a COVID-19 vaccine?

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Maryland Critical Care Conference 2021

University of Maryland CC Project

Maryland Critical Care Conference 2021 with various talks on the topic of Resuscitation.

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PRINCIPLE Investigators Study Inhaled Budesonide for COVID-19

PulmCCM

Jon-Emile S. Kenny MD [ @heart_lung ] “… Sartre tells us that man makes himself this lack of being in order that there might be being.” -Simone de Beauvoir Background Like many early, proposed therapies for COVID-19, inhaled corticosteroids [ICS] had suggestive, conflicting evidence. For example, in a very large observational investigation – the OpenSAFELY platform – patients with both chronic obstructive pulmonary disease and asthma who received ICS had increased r

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SGEM#350: How Did I Get Epi Alone? Vasopressin and Methylprednisolone for In-Hospital Cardiac Arrests

The Skeptics' Guide to EM

Date: November 10th, 2021 Reference: Andersen, et al: Effect of Vasopressin and Methylprednisolone vs Placebo on Return of Spontaneous Circulation in Patients With In-Hospital Cardiac Arrest. JAMA Sept 2021. Guest Skeptic: Dr. Neil Dasgupta is an emergency physician and ED intensivist from Long Island, NY, and currently an assistant clinical professor and Director of Emergency Critical Care […] The post SGEM#350: How Did I Get Epi Alone?

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Focus On: Gun Shot Wounds in Children

Pediatric Emergency Playbook

[link]

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Sherner – Massive Pulmonary Embolism

University of Maryland CC Project

Dr. John Sherner, board-certified pulmonary and critical care physician at MedStar Washington Hospital Center, where he is currently Chairman of the Department of Medicine presents on management of massive pulmonary embolism as part of the DC5 lecture series. Dr. John Sherner, board-certified pulmonary and critical care physician at MedStar Washington Hospital Center, where he is currently Chairman of the Department of Medicine presents on management of massive pulmonary embolism as part of the

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Badulak – ECMO Indications & Complications

University of Maryland CC Project

Dr. Jenelle Badulak, an emergency physician and intensivist at the University of Washington Medical Center presents a lecture on ECMO indications and complications as part of the DC5 lecture series. Dr. Jenelle Badulak is an emergency physician and intensivist caring for patients in the Emergency Department, Cardiothoracic Intensive Care Unit, Medical Intensive Care Unit and Trauma Intensive Care Unit at the University of Washington Medical Center and Harborview Medical Center.

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Valbuena – Measurement Bias and the Implications of Racialized Medicine

University of Maryland CC Project

Dr. Valeria Valbuena, a general surgery resident at Michigan Medicine presents a lecture on measurement bias and the implications of racialized medicine as part of our DEI lecture series. Dr. Valeria S.M. Valbuena is a general surgery resident at Michigan Medicine. Dr. Valbuena is completing a post graduate research fellowship as part of the National Clinician Scholars Program, a multi-institutional initiative training clinicians as change agents who will drive policy-relevant research and partn

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ICU Physiology in 1000 Words: Phenylephrine Pushes & Stroke Volume

PulmCCM

Jon-Emile S. Kenny MD [ @heart_lung ] About a decade ago, a handful of terrific reviews and investigations about phenylephrine – an alpha1 agonist – were published [1-3]. While this vasoactive medication might be thought only to ‘increase afterload,’ phenylephrine’s hemodynamic effects are knotty and noteworthy. Therefore, this dedicated dispatch delineates the difficulties encountered when predicting the hemodynamics of a phenylephrine bolus ; that is, this piece t

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Boniface – Lung Ultrasound

University of Maryland CC Project

Dr. Keith Boniface, Professor of Emergency Medicine and Chief of Emergency Ultrasound at George Washington University Hospital presents on the essentials of lung ultrasound as part of the DC5 lecture series.

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SGEM#349: Can tPA Be A Bridge Over Trouble Waters to Mechanical Thrombectomy?

The Skeptics' Guide to EM

Date: November 1st, 2021 Reference: Katsanos et al. Utility of Intravenous Alteplase Prior to Endovascular Stroke Treatment: A Systematic Review and Meta-analysis of RCTs. Neurology 2021 Guest Skeptic: Dr. Michal Krawczyk is in his fifth year of neurology residency at Western University in London, Ontario, Canada. He is interested in acute neurological illness, including cerebrovascular disease and epilepsy. […] The post SGEM#349: Can tPA Be A Bridge Over Trouble Waters to Mechanical Thrombectom

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