ECG of the Week 31 August 2022 – Answer
EMergucate
AUGUST 31, 2022
A 81 year old male presents to a regional ED with chest pain for the last 4 hours.
August, 2022
52 
Ep 173 Febrile Infant – Risk Stratification and Workup
Emergency Medicine Cases
AUGUST 30, 2022
In this main episode podcast on ED risk stratification and workup of the febrile infant, recorded at the CAEP 2022 Conference in Quebec City with Dr. Brett Burstein and Dr. Gary Joubert, we answer such questions as: Which febrile infants require lumbar puncture? How accurate is procalcitonin in identifying low risk febrile infants? What is the difference between serious bacterial infection (SBI) and invasive bacterial infection (IBI) and why is this important in the work up of the febrile infant
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Duration of IVC Collapse
Ultrasound Gel
AUGUST 29, 2022
What do we do with IVC's in kids?! The GEL Jr squad tackles a fascinating article that might have the answer. These authors looked at the Inferior Vena Cava collapse duration in children with dehydration. Will this novel measurement help with figuring out who needs IV fluids? [link] [link] What do we do with IVC's in kids?! The GEL Jr squad tackles a fascinating article that might have the answer.
146. UGIB's: What the heck is a Goody's Powder?!
Board Bombs
AUGUST 21, 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. Have you heard of Goodys or BC powder? Can you guess how much NSAIDs are in each packet!? Its a wonder how few people get GI bleeds when you read the label on these OTC meds. Lets talk UGIB, diagnosis, management, and pearls and pitfalls.
Bridging Innovation & Patient Care: The Growing Role of AI
Speaker: Simran Kaur, Co-founder & CEO at Tattva.Health
AI is transforming clinical trials—accelerating drug discovery, optimizing patient recruitment, and improving data analysis. But its impact goes far beyond research. As AI-driven innovation reshapes the clinical trial process, it’s also influencing broader healthcare trends, from personalized medicine to patient outcomes. Join this new webinar featuring Simran Kaur for an insightful discussion on what all of this means for the future of healthcare!
SGEM Xtra: Are tPA Stroke Trials Really Fragile?
The Skeptics' Guide to EM
AUGUST 20, 2022
Date: August 18th, 2022 Reference: Munn et al. Fragility Index Meta-Analysis of Randomized Controlled Trials Shows Highly Robust Evidential Strength for Benefit of The post SGEM Xtra: Are tPA Stroke Trials Really Fragile? first appeared on The Skeptics Guide to Emergency Medicine. Date: August 18th, 2022 Reference: Munn et al. Fragility Index Meta-Analysis of Randomized Controlled Trials Shows Highly Robust Evidential Strength for Benefit of <3 Hour Intravenous Alteplase.
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Does this ST Depression Maximal in V3 Represent Posterior OMI?
Dr. Smith's ECG Blog
AUGUST 17, 2022
I saw this EKG when reading through the system: What do you think? This is what I wrote: ATRIAL FIBRILLATION WITH RAPID VENTRICULAR RESPONSE RIGHT AXIS DEVIATION [QRS AXIS > 100] RIGHT BUNDLE BRANCH BLOCK MARKED ST DEPRESSION, CONSIDER SUBENDOCARDIAL INJURY "Severe ischemia (STE in I and aVL with reciprocal STD in inferior leads; precordial STD precordial maximal in V3): subendocardial ischemia vs. acute coronary occlusion.
How Senate Bill 1107 Affects Car Insurance Claims
Medical Law
AUGUST 17, 2022
If you’re a California driver, Senator Bill Dodd’s new auto liability insurance reform bill could have a big impact on your life. Signed into law by Governor Newsome on September 28, 2022, Senate Bill 1107 will dramatically increase the minimum levels of auto insurance coverage available for accident victims. This action was long overdue, as these rates haven’t been adjusted for 55 years!
146. UGIB's: What the heck is a Goody's Powder?!
Board Bombs
AUGUST 21, 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. Have you heard of Goody’s or BC powder? Can you guess how much NSAIDs are in each packet!? Its a wonder how few people get GI bleeds when you read the label on these OTC meds. Let’s talk UGIB, diagnosis, management, and pearls and pitfalls.
ECG Cases 34 – ECG Interpretation in Aortic Dissection
Emergency Medicine Cases
AUGUST 16, 2022
Which patients with ECG evidence of coronary occlusion require a CT scan to rule out aortic dissection? What are the range of ECG findings in acute aortic dissection and how do they change management? Dr. Jesse McLaren guides us through 9 cases to answer these and other questions on ECG interpretation in aortic dissection. The post ECG Cases 34 – ECG Interpretation in Aortic Dissection appeared first on Emergency Medicine Cases.
International Medical Corps, Ukraine
EB Medicine
AUGUST 15, 2022
In this episode of EMplify: Conversation – Sam Ashoo, MD, and TR Eckler, MD, speak with John Roberts, MD, MPH, about his work with the International Medical Corps and his efforts in Ukraine. Topics include: What is the International Medical Corps (IMC) and what does it do? What has IMC been doing in the U.S.? What is involved in disaster response? What has IMC been doing in Ukraine?
Imaging Case of the Week 517 Answer
EMergucate
AUGUST 28, 2022
The pelvic x-ray shows an avulsion fracture of anterior superior iliac spine (ASIS avulsion).
Statin Use in Young People: A Missed Opportunity? - Clinical Correlations
Clinical Correlations
AUGUST 10, 2022
By Akshay N. Pulavarty MPH Peer Reviewed A quick look into the medicine cabinet of anyone sixty or older will likely reveal a statin. Primary prevention with high-intensity statins has substantially reduced the risk of atherosclerotic.
ALERT – Phishing Campaign
Total Medical ComplianceHIPAA
AUGUST 10, 2022
These phishing emails are targeting healthcare providers. The email has a subject of “(Victim Organization) (Date) Business Review” and utilizes a Secure Message theme. Inside of the email is a malicious link that takes the recipient to an Evernote site that looks like it belongs to the Victim Organization. On that site is an HTML download that is Trojan malware that steals usernames and passwords and other sensitive credentials and information.
Monkeypox Outbreak Facts
American Medical Compliance
AUGUST 8, 2022
Recently, monkeypox has been announced as an international public health emergency by the World Health Organization. However, many are unfamiliar with what the virus is and why this outbreak is so concerning. Scientists have been apprehensive about a monkeypox outbreak for over a decade, and this concern is becoming relevant as more and more cases are reported worldwide.
EM Quick Hits 41 – IO Limitations, Missed Ectopic Pregnancy, Bronchiolitis O2 Monitoring, DRE in Cauda Equina Syndrome, Withdrawal of Life Sustaining Care
Emergency Medicine Cases
AUGUST 16, 2022
In this EM Quick Hits podcast: Anand Swaminathan on limitations and practical tips on intraosseus access,Tahara Bhate QI corner on missed ectopic pregnancy, Sarah Reid from EM Cases Summit on oxygen saturation monitoring in bronchiolitis and management of infant gastro-esophageal reflux, Brit Long on the value of rectal exam in diagnosis of cauda equina syndrome, Hans Rosenberg & Ariel Hendin on withdrawal of life-sustaining care in the ED.
Valvular Emergencies
EB Medicine
AUGUST 6, 2022
In this episode, Sam Ashoo, MD interviews Adam Sigal, MD and Stephanie Costa, MD - the authors of the August 2022 EMP article on Managing Acute Cardiac Valvular Emergencies in the Emergency Department. Listen to the discussion to hear more about the emergency medicine approach to valvular emergencies. Managing Acute Cardiac Valvular Emergencies in the Emergency Department EMplify - August 2022 Episode Outline: Why Valvular disease?
Imaging Case of the Week 517
EMergucate
AUGUST 18, 2022
The pelvic x-ray is from a 15 year old footie player with sudden pain in the right hip during a … Continue reading →
What happens if you don't recognize Hyperacute T-waves?
Dr. Smith's ECG Blog
AUGUST 3, 2022
The origin of these ECGs cannot be revealed. Time 0: Sinus rhythm with an intraventricular conduction delay (QRS is about 120 ms) Hyperacute T-waves in V2-V5, Diagnostic of Proximal LAD occlusion, but without ANY ST Elevation except for less than 1 mm in aVL, and 0.25 mm in lead I. There is also minimal STE in aVL with reciprocal STD in II, III, aVF.
First10EM Journal Club: July 2022
Broome Docs
AUGUST 2, 2022
Welcome to another episode of the Journal Club with Dr Justin Morgenstern. This one is a bit epic and we start with a really important discussion around diagnostic strategies for palliative patients in the ED. There are a bunch of papers around PE and some interesting old school stuff that you likely would never consider unless you read it here! As always the articles are linked to free PDFs so you can make your own decisions.
The POCUS Manifesto Part 2
Ultrasound Gel
AUGUST 1, 2022
Part 2 of this Special Edition episode with Larry Istrail, author of the POCUS Manifesto. More great talk about POCUS, the physical exam, and ultrasound research. [link] Part 2 of this Special Edition episode with Larry Istrail, author of the POCUS Manifesto. More great talk about POCUS, the physical exam, and ultrasound research.
Ep 172 Syncope Simplified with David Carr
Emergency Medicine Cases
AUGUST 2, 2022
In this main episode podcast, Dr. David Carr joins Anton to give us his simplified approach to syncope based solely on history, physical and ECG to help guide disposition decisions. We answer questions such as: What features have the best likelihood ratios to help distinguish syncope from seizure? What key clinical features on history and physical exam can help us distinguish orthostatic and reflex syncope from the more sinister cardiac syncope?
Point-of-care ultrasound in critical care
Critical Care North Hampton
AUGUST 1, 2022
Edited by Luke Flower and Pradeep Madhivthanan I am at the beginning of my critical care POCUS journey, but I am starting to think about all the applications of POCUS I may need to be fluent in during my career in ICM. How can I integrate it into my ward rounds when I am a.
ECG of the Week – 17th August 2022 – Interpretation
EMergucate
AUGUST 16, 2022
You are reviewing the ECG of a man who has had an intermittent history of chest pain during exercise. His PMH includes being an active smoker but he has no other cardiac risk factors.
Bystander Intervention Training for Healthcare Providers
American Medical Compliance
AUGUST 1, 2022
Bystander Intervention Training for Healthcare providers is designed to educate healthcare personnel (HCP) on how to intervene when witnessing sexual harassment in the workplace. Sexual harassment occurs when a person is subject to unwelcome sexual advances, requests for sexual favors, or other verbal or physical conduct of a sexual nature to such an extent that it alters the conditions of the person’s employment and creates an abusive working environment.
Pre-pandemic Mental Health and Well-being of Healthcare Workers
NIOSH Science Blog
AUGUST 29, 2022
Even before the COVID-19 pandemic, healthcare workers faced substantial work-related stress. Most research on the mental health and well-being of healthcare workers has focused on physicians and nurses, with less attention paid to other healthcare occupations. Recent research from the National Institute for Occupational Safety and Health (NIOSH) evaluated the pre-pandemic mental health and well-being of a broad range of healthcare workers, including lower-wage healthcare support workers with pat
Monkey Pox Risk | EpisTXAis
JournalFeed
AUGUST 27, 2022
The JournalFeed podcast for the week of August 22-26, 2022. These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member. Monkey Pox Risk Spoon Feed: The current monkeypox outbreak is characterized by sexual transmission and presents with a flu-like prodrome followed by characteristic rash.
SGEM#374: Bad Habits – Medications for Opioid Use Disorder in the Emergency Department
The Skeptics' Guide to EM
AUGUST 27, 2022
Date: August 23rd, 2022 Reference: Schoenfeld et al. “Just give them a choice”: Patients’ perspectives regarding starting medications for opioid use disorder in the ED. AEM August 2022 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. He is also an avid FOAM supporter/producer through various online outlets including TheSGEM. […] The post SGEM#374: Bad Habits – Medications for Opioid Use Disorder in the Emergency Department fir
Welcome
PulmCCM
AUGUST 23, 2022
This is PulmCCM , a newsletter about critical care and pulmonary medicine.
Imaging Case of the Week 516 Answer
EMergucate
AUGUST 14, 2022
The mortise view of ankle shows a faint vertical lucency through the distal tibial epiphysis.
Bystander Intervention Training
American Medical Compliance
AUGUST 1, 2022
Bystander Intervention Training is designed to educate employees on how to intervene when witnessing sexual harassment in the workplace. Sexual harassment occurs when a person is subject to unwelcome sexual advances, requests for sexual favors, or other verbal or physical conduct of a sexual nature to such an extent that it alters the conditions of the person’s employment and creates an abusive working environment.
TMC Security Scout on Phishing
Total Medical ComplianceHIPAA
AUGUST 12, 2022
Of all the known cyberattacks that cause a data breach, phishing is the most expensive to remedy. A successful phishing attack most commonly reveals usernames and passwords, which paves the way to the data breach resulting in an average cost of $4.9m for victim organizations worldwide. The costs remain the highest in the healthcare industry for the 12th year in a row.
Non-Op Stabbings | Adult Epiglottitis
JournalFeed
AUGUST 20, 2022
The JournalFeed podcast for the week of August 15-19, 2022. These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member. Non-Op Stabbings Spoon Feed: In abdominal stab wound patients without criteria for immediate operative intervention, 24 hours of observation was sufficient to identify a failure of conservative management.
SGEM Xtra: The SGEM Goes to Eleven – for Kids
The Skeptics' Guide to EM
AUGUST 7, 2022
Date: August 7th, 2022 Host Skeptic: Dr. Dennis Ren is a pediatric emergency medicine attending at Children’s National Hospital in Washington, DC. You might remember him from the SGEM episodes on febrile infants, aseptic meningitis, and community acquired pneumonia. This is an SGEM Xtra episode. Season 10 is coming to an end. We want to thank all our listeners […] The post SGEM Xtra: The SGEM Goes to Eleven – for Kids first appeared on The Skeptics Guide to Emergency Medicine.
Vertigo, Benzodiazepines or Antihistamines?
Emergency Medicine Education
AUGUST 3, 2022
A Systematic Review and Meta-analysis published in JAMA focusing on choice of medication for patient with vertigo.
ECG of the Week – 10th August 2022 Interpretation
EMergucate
AUGUST 10, 2022
You are reviewing a 16 year old girl who has taken an estimated 66-222mg/Kg overdose of her grandmothers SR Theophylline … Continue reading →
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