July, 2022

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Nuova collaborazione: infermieristica journal

Trigger Lab

Siamo lieti di annunciare ai lettori di Triggerlab una nuova e preziosa collaborazione con infermieristica journal (ij). Perchè credere in questo nuovo progetto? Di seguito sono spiegati i diversi motivi che ci spingono a collaborare ad un progetto che si prodiga per offrire un grande contributo per la ricerca e la formazione infermieristica italiana.

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SGEM#373: Going Ultrasound for Small Bowel Obstructions

The Skeptics' Guide to EM

Date: July 28th, 2022 Reference: Brower et al. Point-of-Care Ultrasound-First for the Evaluation of Small Bowel Obstruction: National Cost Savings, Length of Stay Reduction, and Preventable Radiation Exposure. AEM July 2022 Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. She is also the creator of all those wonderful Paper in a Pictures. […] The post SGEM#373: Going Ultrasound for Small Bowel Obstructions first appeared on The Skeptics Gu

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The Chicken or the Egg: The Relationship Between Nonalcoholic Fatty Liver Disease and Type 2 Diabetes - Clinical Correlations

Clinical Correlations

By Mahip Grewal Peer Reviewed Nonalcoholic fatty liver disease (NAFLD) is estimated to affect 25% of the world’s population. 1 NAFLD is a spectrum of disease ranging from nonalcoholic fatty liver (NAFL), which is generally nonprogressive isolated.

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Healthcare Disparities in LGBTQ+ Community

American Medical Compliance

Recent research shows that great healthcare disparities exist for members of the LGBTQ+ community. A study produced by the Kaiser Family Foundation found that LGBTQ+ individuals face discrimination and stigma from family and community members. Also, they are more likely to be discriminated against in the workplace, receive substandard healthcare, and be denied healthcare as a result of their sexual orientation or gender identity.

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145. Prolonged QT with Dr. O'Brien

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. We’re about to drop the easiest, coolest way to remember drugs that prolong QT! Have a quick listen to this short episode. Many thanks to Dr. O’Brien for her expertise. Cite this podcast as: Husain, I.

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Update- Where Are We With.

EB Medicine

In this episode of EMplify, Sam Ashoo, MD reviews recent updates on the following topics: COVID-19 Public health emergency extended Cases increasing Medications and Vaccinations available Pharmacists prescribing COVID medications CDC COVID Therapeutics website HHS COVID Therapeutics Locator Monkeypox Cases increasing Vaccination Testing FOAMED post on Diagnosis and Treatment PPE Science Direct article on Monkeypox 3I Tool Medication Shortages Benzodiazepines FOAMED post on benzodiazepine equival

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ECG of the Week 20 July 2022 Answer

EMergucate

A 83 year old male presents to ED after a syncopal episode.

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More Trending

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Evolution and the Vermiform Appendix - Clinical Correlations

Clinical Correlations

By Hannah Kopinsky, MD Peer Reviewed Appendicitis is the most common reason for urgent surgery related to abdominal pain in the US, with a lifetime incidence of 8.6% for men and 6.7% for women. 1 The current standard.

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New COVID-19 Variants and Symptoms

American Medical Compliance

According to Chicago Department of Public Health Commissioner, Dr. Allison Arwady, the BA.4 and BA.5 COVID-19 variants are not presenting drastically different symptoms. However, there are more new symptoms to be aware of. These variants are highly contagious and are associated with cold and flu-like symptoms. These symptoms include night sweats, fever, and sore throat.

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Wide Complex Tachycardia WPW

EM SIM Cases

This case is courtesy of Dr. Kelly Huang. Kelly is a 4th year EM resident at the University of British Columbia – Vancouver Site. She has an interest in medical education and wilderness medicine and is always looking for ways to combine the two together! WHY IT MATTERS Recognition of wide complex rhythms and their treatment options is an important skill, and often results in some anxiety in junior learners due to unfamiliarity and patient decompensation.

EMS 52
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AI In Healthcare: 5 Considerations for Decision-Makers

MDisrupt

How is AI used in Healthcare? Discover how to understand this technology, its challenges, future, and how to effectively use AI for your healthtech solutions.

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Imaging Case of the Week 515

EMergucate

The chest x-ray is from an adult patient with sudden onset of upper abdominal pain. What can be seen?

EMS 52
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EM Quick Hits 40 – GI Balloon Tamponade, SVT and Troponin, Falls in Older Patients, Vertical Vertigo, VAFEI Airway

Emergency Medicine Cases

In this month's EM Quick Hits podcast: Anand Swaminathan on GI balloon tamponade preparation and indications, Jesse McLaren on why troponin is rarely useful in SVT, Christina Shenvi on why we should not use the term "mechanical fall" in older patients, Nour Khatib & Jonathan Wallace on rural vertical vertigo case and Reuben Strayer on VAFEI - Video-Assisted Flexible Endoscopic Intubation for the anatomically challenging airway.

EMS 52
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The POCUS Manifesto Part 1

Ultrasound Gel

In this Special Edition episode, Mike and Creagh interview physician, entrepreneur, and author Larry Istrail discussing his recent book The POCUS Manifesto! Awesome discussion of the ups and downs of implementing, teaching, and researching POCUS. Part 1 of 2. [link] In this Special Edition episode, Mike and Creagh interview physician, entrepreneur, and author Larry Istrail discussing his recent book The POCUS Manifesto!

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New COVID-19 Variants and Symptoms

American Medical Compliance

According to Chicago Department of Public Health Commissioner, Dr. Allison Arwady, the BA.4 and BA.5 COVID-19 variants are not presenting drastically different symptoms. However, there are more new symptoms to be aware of. These variants are highly contagious and are associated with cold and flu-like symptoms. These symptoms include night sweats, fever, and sore throat.

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Announcement of a New Venture called Sensible Medicine

Stop and Think

Dear readers, First of all, thank you for subscribing to my newsletter. I will continue to write here at Stop and Think, but I am also joining a new venture called Sensible Medicine. Thanks for reading Stop and Think ! Subscribe for free to receive new posts and support my work. In the past decade, my writing, podcasting and public speaking has been for healthcare professionals.

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Tasty Morsels of Critical Care 063 | Respiratory Compliance

Emergency Medicine Ireland

Welcome back to the tasty morsels of critical care podcast. Today we’re not so much looking at a chapter of Oh’s manual but at the physiologic concept of respiratory compliance. I approach this with a degree of trepidation as the probability of screwing this up is infinitely higher than simply translating Oh’s manual into podcast form.

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Imaging Case of the Week 513 Answer

EMergucate

There is right paratracheal density on this rotated frontal chest x-ray.

EMS 52
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A Middle Aged Male diagnosed with Gastroesophageal Reflux

Dr. Smith's ECG Blog

This middle aged male with h/o GERD but also h/o stents presented to the ED with chest pain. He had been at a clinic that day where he had complained of worsening GERD. An EKG was reco rded and interpreted as normal by the computer, the clinician, and by the overreading cardiologist. He received a workup by an NP with a diagnosis of GERD, in spite of the fact that 8-10 TUMS daily were not working.

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Top Ten Tips | Back to BaSICS

JournalFeed

The JournalFeed podcast for the week of July 11-15th, 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. Top Ten Tips Spoon Feed: Here are the top 10 points for optimizing vasopressor use in critically ill patients. Back to BaSICS Spoon Feed: There have been multiple publications since the original SMART and SALT-ED trials, including this Brazilian RCT that initially said fluid choice d

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Does Someone You Love Suffer from Aphasia?

Medical Law

Aphasia is a neurological condition that impairs your ability to speak or understand others. Strokes and traumatic brain injury (TBI) are the two leading causes of aphasia. TBI results from a blunt force trauma to the head, and it may result from an automobile collision or other type of accident such as a fall. Aphasia can also be a sign of serious medical disorders such as dementia, infection, or Alzheimer’s Disease.

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Data Breaches in Healthcare Companies

American Medical Compliance

In the past months, there have been several data breaches at a variety of healthcare companies. These companies include hospitals and health systems. Even though online networks are typically prone to cybersecurity threats, the number of breaches in the healthcare industry have been notable. Kaiser Permanente Incident. On April 5th, a data breach incident occurred at the Kaiser Foundation Health Plan of Washington.

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SGEM Xtra: Here Comes the NINDS Again

The Skeptics' Guide to EM

Date: July 1st, 2022 Guest Skeptic: Dr. Ravi Garg is a Neurologist in the Department of Neurology, Division of Neurocritical Care at Loyola University Chicago. Reference: Garg R, Mickenautsch S. Risk of selection bias assessment in the NINDS rt-PA stroke study. BMC Med Res Methodol. 2022 Jun 15;22(1):172. This is an SGEM Xtra episode. Dr. Garg […] The post SGEM Xtra: Here Comes the NINDS Again first appeared on The Skeptics Guide to Emergency Medicine.

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Imaging Case of the Week 514 Answer

EMergucate

The forearm AP x-ray shows fracture of upper third of ulna with an impacted radial neck fracture.

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L’ASPIRAZIONE DELLA VIA AEREA ARTIFICIALE – UPGRADE 2022

Trigger Lab

Matteo Manici – Infermiere di Terapia Intensiva, AOU Parma – IT Stefano Parise – Infermiere Specialista Clinico di Cure Intense, Ospedale Regionale di Lugano, EOC – CH Stefano Bambi – Professore Associato Med.

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Ep 171 Posterior Stroke, EP Lead, HEAR Score, Ketamine for Suicidal Ideation, Peer Support Workers – Highlights from Calgary EM Hodsman Lecture Day

Emergency Medicine Cases

In this special edition main EM Cases podcast episode we feature the highlights from live podcasts recorded at Calgary EM during their annual Hodsman Lecture Day, covering a variety of current EM topics: The challenges of posterior circulation stroke (PCIS); Emergency Physician Lead to improve ED overcrowding, access block and job satisfaction; When not to order a troponin - The HEAR Score; Ketamine to relieve suicidal ideation and reduce acute risk; Peer Support Workers for ED patients with men

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144. Anticholinergic poisoning: LIVE from the wilderness!

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. Iltifat Husain and Blake Briggs team up in the wilderness to deliver content on anticholinergic poisoning LIVE from Linville Gorge, a National Forest wilderness area in North Carolina. Name a single EM podcast that records LIVE from a campfire.

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C-Collar Adherence | Diagnostic Traps

JournalFeed

The JournalFeed podcast for the week of July 25-29th, 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. C-Collar Adherence Spoon Feed: Many children discharged from the emergency department with minor traumatic cervical spine injury do not adhere to recommendations for cervical immobilization or outpatient follow-up, with no significant clinical consequences observed.

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Demonstrating the Ability to Protect Healthcare Personnel from COVID-19 in High-Risk Settings

NIOSH Science Blog

This content can also be found on CDC’s Safe Healthcare Blog. The COVID-19 pandemic brought about stresses to the U.S. healthcare workforce never seen before. Since early in the pandemic, reports have abounded of healthcare personnel (HCP) being infected, sometimes resulting in severe outcomes and death. As of July 20, 2022, there have been nearly 1 million COVID-19 cases and over 2,000 deaths reported to CDC among U.S.

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ECG of the Week 13 July 2022 Answer

EMergucate

A 53 year old male presents to ED complaining of chest pain.

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Effect of IV or IO Calcium in cardiac arrest

Emergency Medicine Education

There are bunch of rumors that come to play regarding what other medications we can use in cardiac arrest patient, Calcium, Sodium Bicarb, tPA,… A study published in JAMA tried to answer part of this question: “Effect of Intravenous or Intraosseous Calcium vs Saline on Return of Spontaneous Circulation in Adults With Out-of-Hospital Cardiac Arrest, A Randomized Clinical Trial” The study did not show any significant improvement on ROSC.

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SGEM#371: All My LOVIT, Vitamin C Won’t Work for You

The Skeptics' Guide to EM

Date: July 16th, 2022 Reference: Lamontagne F et al. Intravenous Vitamin C in Adults with Sepsis in the Intensive Care Unit. NEJM 2022. Guest Skeptic: Dr. Salim R. Rezaie completed his medical school training at Texas A&M Health Science Center and continued his medical education with a combined Emergency Medicine/Internal Medicine residency at East Carolina University.

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HR2022 Lectures: Casey & Neha on Neuro-Emergencies. #FOAMed

Thinking Critical Care

So I’m finally getting around to listening to the #HR2022 lectures I hadn’t had a chance to prior to the conference – it gets busy – that so many are raving about, and this was a really good one. This dynamic NeuroCrit duo hit on a lot of really important principles, including one of my favorite myths, that of neuroprognosticating based on an ICH score.

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Very Sensitive Trops | Seaman’s Sign

JournalFeed

The JournalFeed podcast for the week of July 18-22, 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. Very Sensitive Trops Spoon Feed A single high sensitivity cardiac troponin T (hs-cTnT) measurement* less than the limit of quantitation (the lowest reportable concentration) appears to be sufficient in ruling out acute MI in a low risk population.

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Rivosecchi & Sanchez – Anticoagulation Controversies and Future Directions in Extra-corporeal Life Support

University of Maryland CC Project

Dr. Ryan Rivosecchi, Pharm D Unit Based Clinical Pharmacist at UPMC and Dr. Pablo Sanchez, MD, PhD, FACS, Associate Professor of Cardiothoracic Surgery, Vice Chairmen, Benign Lung Diseases, Chief, Division of Lung Transplant and Lung Failure, Surgical Director of Lung Transplantation and ECMO, Director of Lung Transplant Research, and Director of Ex Vivo Lung Perfusion Program all within the Department of Cardiothoracic surgery at the University of Pittsburgh presents a lecture entitled "Anticoa

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Imaging Case of the Week 514

EMergucate

The following elbow x-rays are from a 5 year old who has sustained elbow injury after a fall on outstretched … Continue reading →

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Navigating Social Media, Online Reviews, & HIPAA

Total Medical ComplianceHIPAA

No one likes a bad review. It is much more common for an unsatisfied customer to post a negative review than it is for a happy customer to post a positive review. Most business advice sites recommend responding to both good and bad reviews because it helps resolve issues and actually wins back customers. However, HIPAA is a tricky and sometimes complicated topic healthcare entities must consider compared to other industries, like foodservice, when replying to an online review.