EMCrit 333 – The State of the Fluids Show with the EMCrit Core Team
EMCrit
SEPTEMBER 24, 2022
Where are we on Fluids on 2022? EMCrit Project by Scott Weingart, MD FCCM.
September, 2022
128 
Is Cocoa the New Aspirin 81? - Clinical Correlations
Clinical Correlations
SEPTEMBER 29, 2022
By Luke Bonanni Peer Reviewed Theobroma, literally “food of gods” in Greek, is an apt description of chocolate. Made from the fermented seeds of the Theobroma cacao tree, chocolate is an immensely popular food, with worldwide.
Join 5,000+
Insiders
Sign Up for our Newsletter
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Trending Sources
Less is More. Again: Speed of IV Fluid Administration in Pancreatitis (WATERFALL Trial)
RebelEM
SEPTEMBER 29, 2022
Background: Standard emergency department management of acute pancreatitis has focused on aggressive hydration, analgesia and investigation for an underlying reversible cause (eg gallstones). Recent evidence has challenged the routine use of aggressive hydration as unnecessary. There are also potential harms to large volume fluid resuscitation including progression of pancreatitis and fluid overload with or without respiratory failure.
Nasogastric Tube Placement
Ultrasound Gel
SEPTEMBER 28, 2022
New idea alert! Should we be using POCUS to guide nasogastric tube placement? Crazy? Unnecessary, you say? Well listen in to the discussion of this interesting randomized controlled trial designed to answer this burning question. [link] [link] New idea alert! Should we be using POCUS to guide nasogastric tube placement? Crazy? Unnecessary, you say? Well listen in to the discussion of this interesting randomized controlled trial designed to answer this burning question.
Imaging Case of the Week 522
EMergucate
SEPTEMBER 27, 2022
The pelvic x-ray is from a 35 year old with right hip pain following fall from a height.
EZIO Drill Recycling
ETM Course
SEPTEMBER 27, 2022
On the ETM Course we teach intraosseous needle insertion using the EZIO system. EZIO essentially has a monopoly on intraosseous access, being used in almost all Emergency Departments and ambulance/pre-hospital systems around Australia and New Zealand. The main downside however is that the proprietary drill is non-rechargeable. These drills cost $380.00 (AUD) each to purchase, and we go through several each year on our courses.
EMCrit 332 – Procedural Errors I See at the REANIMATE ECPR Course and How to Place an Intra-Arrest Femoral Arterial Line
EMCrit
SEPTEMBER 12, 2022
Today, the errors and procedural missteps I commonly observe while teaching 100 docs per year how to cannulate for ECMO (but the lessons are not about ECMO, they are about all vascular access in the femoral vessels.). EMCrit Project by Scott Weingart, MD FCCM.
Sign up to get articles personalized to your interests!
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
More Trending
Debriefing in the ED
Northwestern EM Blog
SEPTEMBER 26, 2022
Written by: Diana Halloran (NUEM ‘24) & Andrew Long (NUEM ‘25) Edited by: Nick Wleklinski (NUEM ‘22) Expert Commentary by : John Bailitz, MD Introduction The Emergency Department is a challenging work environment for a variety of reasons. It is not surprising that unpredictable work hours mixed with frequent interactions with patients undergoing physical and emotional trauma can cause spillover into the personal lives of ED staff.
TEG-Guided Resuscitation of Patients with Cirrhosis and Non-Variceal Bleeding
RebelEM
SEPTEMBER 26, 2022
Background: Thromboelastography (TEG) is a reliable, comprehensive non-invasive hemostatic assay that measures the ability of whole blood to form a clot. TEG analyzes the interaction between platelets and the coagulation cascade. It provides highly descriptive, real-time information on clot formation, clot strength, platelet function, and fibrinolysis, which is superior to traditional coagulation tests such as INR, aPTT, and platelet count.
Imaging Case of the Week 520 Answer
EMergucate
SEPTEMBER 25, 2022
There is cardiomegaly and enlargement of left atrium as evidenced by splaying of the carina & double right heart border.
Expansion of COVID-Era Telehealth Services
American Medical Compliance
SEPTEMBER 25, 2022
On July 27th, 2022, the House implemented a bill to further expand Telehealth services. During the COVID-19 pandemic, most medical providers transitioned into online consultations with patients using Telehealth with the help of Medicare. In an effort to continue the policies, the introduction of this bill will support these services to provide accessible care through 2024.
EMCrit RACC-Lit Review for September 2022
EMCrit
SEPTEMBER 30, 2022
All of the resuscitation and acute critical care goodness for Sept 2022. EMCrit Project by Scott Weingart, MD FCCM.
The Pros of Interim Healthcare Management: Choosing the Right Career Path for You
Core Medical Group
SEPTEMBER 23, 2022
Before jumping into any career decision, it’s best to weigh the pros and cons given your lifestyle and unique situation. Interim healthcare management could make sense for you now, or it may be an option you tuck away for a different season of life. No matter which category you fall into, understanding this more flexible career path will be helpful as you plan your future.
Reflections on undertaking qualitative research in emergency care
RCEM Learning
SEPTEMBER 21, 2022
The post Reflections on undertaking qualitative research in emergency care appeared first on RCEMLearning.
Another Piece of Equipment with Racial Bias
RebelEM
SEPTEMBER 22, 2022
Background: Medical equipment that gives clinicians vital signs or other objective information must be reliable across populations as this data drives medical decisions. Many of these tools were not developed or validated in a racially diverse group of patients. We have already covered issues with pulse oximetry potentially missing hypoxemia in Black patients on REBEL EM ( Link is HERE ).
Imaging Case of the Week 521 Answer
EMergucate
SEPTEMBER 25, 2022
The coronal CT image shows orbital blow out fracture.
Posterior leads can give false reassurance
Dr. Smith's ECG Blog
SEPTEMBER 21, 2022
A 40-something woman with diabetes and peripheral vascular disease who frequently needs the ED for chronic pain called 911 for sudden severe chest pain. The patient was very agitated and could not hold still. I greeted medics at the door to view the prehospital ECG. Here it is: It is not normal, but there is no specific evidence of Occlusion MI (OMI) There are some Q-waves in inferior and lateral leads (of uncertain age) and there is some "terminal QRS distortion" in inferior leads and V4-V6, bu
147. Caustic ingestions: hide your kids, hide your bleach
Board Bombs
SEPTEMBER 18, 2022
Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here: emrapidbombs.supercast.com. Hide your kids or hide your bleach. Let's talk about a classic tox presentation this week! Cite this podcast as: Briggs, Blake. Episode 147: Caustic Ingestions: hide your kids, hide your bleach. [link] September 18th, 2022.
SGEM#376: I Wonder Why She Ran Away from the HINTS Exam
The Skeptics' Guide to EM
SEPTEMBER 17, 2022
Date: September 16th, 2022 Reference: Gerlier C, et al. Differentiating central from peripheral causes of acute vertigo in an emergency setting with the HINTS, STANDING and ABCD2 tests: A diagnostic cohort study. AEM 2021 Guest Skeptic: Dr. Peter Johns has been practicing emergency medicine since 1985 and has been passionate about vertigo education for the last two […] The post SGEM#376: I Wonder Why She Ran Away from the HINTS Exam first appeared on The Skeptics Guide to Emergency Medicine.
Can a Trespasser Injured on Someone’s Property Pursue Compensation for Personal Injuries?
Medical Law
SEPTEMBER 17, 2022
Property owners are required to take reasonable care to ensure that any visitors on their property are kept safe from injuries. If the property owner does not maintain the property in a reasonably safe condition for visitors, they can be held liable if someone is injured on their property. Generally, a property owner must keep their property in a reasonably safe condition for all people who enter their property, regardless of their status.
REBEL Core Cast 86.0 – Hand Nerve Blocks
RebelEM
SEPTEMBER 21, 2022
REBEL Core Cast 86.0 – Hand Nerve Blocks Click here for Direct Download of the Podcast References: Core Ultrasound: Median Nerve Block Core Ultrasound: Radial Nerve Block Core Ultrasound: Ulnar Nerve Block Post Peer Reviewed By: Salim R. Rezaie, MD (Twitter: @srrezaie ) The post REBEL Core Cast 86.0 – Hand Nerve Blocks appeared first on REBEL EM - Emergency Medicine Blog.
ECG of the Week 21 September 2022 – Answer
EMergucate
SEPTEMBER 21, 2022
A 70 year old male presents to ED complaining of shortness of breath.
Myths of Grieving
Dr. Mike Sevilla
SEPTEMBER 14, 2022
For the fall issue of the Ohio Family Physician magazine , I wrote the following essay. The theme of the issue was the topic of Health Myths……. When people typically hear the term “Health Myths” they typically think of things having to do with misinformation on the internet, misinformation about COVID-19, and other ideas. You probably have never thought about health myths following the end of someone’s life.
ECG Cases 35 – ECG Approach to Takotsubo Syndrome
Emergency Medicine Cases
SEPTEMBER 13, 2022
Takotsubo Syndrome is usually triggered by an emotional or physical stress leading to acute catecholaminergic myocardial stunning. The initial ST elevation phase of Takotsubo Syndrome mimics Occlusion MI, can not be distinguished by patient factors or POCUS findings, and requires immediate angiogram. The subsequent phase of Takotsubo Syndrome has T wave inversion in an apical distribution, which can mimic reperfusion, but often has very deep T wave inversions and a very long QT interval.
Ultrasound-Guided Arthrocentesis
Ultrasound Gel
SEPTEMBER 12, 2022
In our second in the series of Bonus Cuts, Zach and Mike interview the illustrious Ryan Gibbons for his take on arthrocentesis and a discussion of his research in the field. What an exciting joint venture! [link] In our second in the series of Bonus Cuts, Zach and Mike interview the illustrious Ryan Gibbons for his take on arthrocentesis and a discussion of his research in the field.
Proper Preparation for Mass Casualty Incidents
Northwestern EM Blog
SEPTEMBER 12, 2022
Written by: August Grace, MD (NUEM ‘24) Edited by: Andrew Rogers, MD, MBA (NUEM ‘22) Expert Commentary by : Andra Farcas, MD (NUEM ‘21) Introduction In the setting of trauma, most hospitals are adept at treating and managing patients with a variety of injuries. However, the ability of a hospital to handle a mass casualty incident (MCI) requires a completely different approach and, most importantly, adequate triage and pre-planning.
Heads Up! There is No Association with Improved Outcomes for Head Up CPR: Why We Must Read Past the Abstract
RebelEM
SEPTEMBER 19, 2022
Background: There are only two interventions that have been proven in the medical literature to improved outcomes in cardiac arrest: high-quality CPR and early defibrillation. Over the years, we as a scientific community have worked extensively to find other interventions that improve outcomes. Some look promising (ie eCPR and application of US) while others have been considerably less effective or inconsistent (ie epinephrine and targeted temperature management).
Imaging Case of the Week 521
EMergucate
SEPTEMBER 20, 2022
The following coronal CT face slice is from an 8 year old who was elbowed in the face. What radiological sign can be seen? What are the clinical features of this injury in paediatric population?
September Check-In
Dr. Mike Sevilla
SEPTEMBER 12, 2022
Happy September! Yes, where has the year gone? And, yes, I realize that is has been a few months since I wrote here. You know how it goes, when a new year starts, you have all kinds of plans to do this and to do that, and then February comes, and then, you get back to the status quo. Why does this happen? Anyway, I was biking riding recently, and I decided that I had to write a post here.
EM Quick Hits 42 – Subsegmental PE, Trauma Analgesia, Drowning, Polio, Head-up CPR
Emergency Medicine Cases
SEPTEMBER 13, 2022
In this EM Quick Hits podcast: Salim Rezaie on venous thromboembolism recurrence in subsegmental pulmonary embolism, Andrew Petrosoniak on pain management in the polytrauma, Nour Khatib on a rural EM case on management of near-drowning patient, Sara Reid delivers a polio primer, Anand Swaminathan on head-up CPR. The post EM Quick Hits 42 – Subsegmental PE, Trauma Analgesia, Drowning, Polio, Head-up CPR appeared first on Emergency Medicine Cases.
Getting Your Flu Shot This Year
American Medical Compliance
SEPTEMBER 12, 2022
Medical experts are proposing that a noticeable increase in flu cases could occur in the United States this year. This means that getting a flu shot this year is extremely important. Flu season has been different from its usual patterns due to COVID-19, meaning this year’s season is likely to be unpredictable. Influenza rates were extremely low in 2021 due to protective measures relating to COVID-19.
SGEM#375: Only One versus Two-Dose Dexamethasone for Mild to Moderate Pediatric Asthma Exacerbations
The Skeptics' Guide to EM
SEPTEMBER 10, 2022
Date: August 25th, 2022 Reference: Martin et al. Single-dose dexamethasone is not inferior to 2 doses in mild to moderate pediatric asthma exacerbations in the emergency department. Pediatr Emerg Care. 2022 Guest Skeptic: Dr. Harrison Hayward is a Pediatric Emergency Medicine fellow at Children’s National Hospital. He finished his General Pediatrics residency at Yale-New Haven Hospital.
The ADVOR Trial: Acetazolamide in Acute Decompensated Heart Failure
RebelEM
SEPTEMBER 15, 2022
Background: Patients presenting with acute exacerbations of congestive heart failure are frequently treated with intravenous loop diuretics. Despite being treated with loop diuretics, the problem is many are discharged from the hospital with residual clinical signs of volume overload despite optimal treatment. One option to improve diuresis may be the addition of acetazolamide, however evidence supporting this strategy is sparse.
ECG of the Week 14 September 2022 Answer
EMergucate
SEPTEMBER 14, 2022
A 64 year old male presents to ED after multiple seizure episodes that day. It was reported that the patient would have 20 seconds of seizure activity and then make a full recovering.
Conversation - Artificial Intelligence and EM Coach
EB Medicine
SEPTEMBER 8, 2022
In this episode of EMplify: Conversation, Sam Ashoo, MD talks with Andrew Phillips, MD, MEd, founder of EM Coach , about artificial intelligence and emergency medicine education. EM/Critical care practice - what’s that like? EM Coach - what is it? Artificial Intelligence - What is it and how does EM Coach use it? The algorithm How did you create it?
REVERSE TRIGGERING
Trigger Lab
SEPTEMBER 6, 2022
Prima di approfondire questa asincronia è necessario comprendere il significato di “entrainment”. In fisica questo termine si riferisce all’allineamento della fase e del periodo di un sistema oscillatorio non lineare, con la fase e il periodo di un input esterno periodico.
A Report from Barcelona
Stop and Think
SEPTEMBER 2, 2022
Medical meetings have a buzz about them. The bright lights, the masses of people, and in Europe, the different languages. Virtual meetings don’t come close. I just returned from the ESC meeting in Barcelona and have a brief report. The first thing to say is how nice it was to see (and sometimes hug) friends and colleagues from all over the world.
Let's personalize your content