Ken Grauer, MD

JANUARY 5, 2024

How would YOU interpret the tracing in Figure-1 — that was sent to me without additional information? QUESTIONS: What is the rhythm? Is there AV dissociation? If so — WHY? Clinically — HOW would you approach interpretation of this tracing in optimal time -efficient fashion? Figure-1: The initial ECG in today's case. KEY Clinical Point: If I was the medical provider charged with the care of the patient whose ECG is shown in Figure-1 — I would approach this tracing in the following sequential stag

EKG/ECG 444

EKG/ECG Wellness 444

The Trauma Pro

JANUARY 2, 2024

The use of elevated mean arterial pressure (MAP) to help manage spinal cord injury has been a mainstay of treatment for years. The concept is similar to that used for management of severe traumatic brain injury. The theory is that there may be areas of the brain that are damaged, but not irretrievably so. Increasing MAP should improve perfusion and may protect areas in jeopardy from secondary injury.

Outcomes 264

Outcomes Hospitals 264

Sensible Medicine

JANUARY 2, 2024

I am pleased to introduce Dr. Howard Luks. Howard is an Orthopedic Surgeon in Dobbs Ferry, NY. He authored Longevity Simplified , and works with athletes of all ages—with a focus on metabolic fitness and its role in musculoskeletal health. I’ve never met Howard in real life, but I feel like I know him. He was one of the early adopters of public writing—back in the “blogging” days.

Fractures 144

Fractures Wellness Research 144

Emergency Medicine News

DECEMBER 31, 2023

An abstract is unavailable.

EMS 132

EMS 132

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!

Outcomes

EMCrit

JANUARY 1, 2024

background and general concept My research project in fellowship was the construction of a mathematical model to convert VBG values into ABG values. The fundamental concept for the model was pretty simple: we can approximate the respiratory quotient (RQ) of tissue in the hand as being constant. This indicates that changes in oxygen content and […] EMCrit Project by Josh Farkas.

Research 128

Research 128

The Trauma Pro

JANUARY 4, 2024

Venous thromboembolism (VTE) after trauma in adults has generated a considerable body of literature for guidance. However, there is much less information available regarding pediatric trauma. High-risk criteria for pediatric VTE after trauma have recently been released. These criteria have not yet been evaluated prospectively or coupled with the administration of chemoprophylaxis.

Pediatrics 162

Pediatrics Administration 162

St. Emlyn

DECEMBER 30, 2023

St.Emlyn's - Emergency Medicine #FOAMed We generally try and review studies that are close to use in practice. but occasionally we spot something that is just interesting and which might give us a clue as … JC: Selective aortic arch perfusion. St Emlyn’s Read More » The post JC: Selective aortic arch perfusion. St Emlyn’s appeared first on St.Emlyn's.

127

127

Emergency Medicine News

DECEMBER 31, 2023

An abstract is unavailable.

122

122

The Trauma Pro

JANUARY 5, 2024

One of the potential complications of chest trauma causing hemothorax is the retained hemothorax. In most patients, retained blood slowly lyses and is reabsorbed. But a few do not, and scarring can occur that entraps the lung and interferes with pulmonary function. This can ultimately require a VATS or thoracotomy to resolve. Several protocols have been developed to try to prevent a retained hemothorax.

Hospitals 133

Hospitals Wellness Outcomes 133

Dr. Smith's ECG Blog

JANUARY 5, 2024

Written by Willy Frick A 46 year old man with a history of type 2 diabetes mellitus presented to urgent care with complaint of "chest burning." The documentation does not describe any additional details of the history. The following ECG was obtained. ECG 1 What do you think? The ECG shows sinus bradycardia but is otherwise normal. There is TWI in lead III, but this can be seen in normal ECGs.

EKG/ECG 121

EKG/ECG Burns Urgent Care Documentation/Coding 121

Emergency Medicine Cases

JANUARY 2, 2024

Based on a blend of number of listens, feedback from listeners, website visits and personal faves, EM Cases Best of 2023 Top 10. The post EM Cases Best of 2023 Top 10 appeared first on Emergency Medicine Cases.

EMS 114

EMS Poisoning Shock 114

Emergency Medicine News

DECEMBER 31, 2023

An abstract is unavailable.

116

116

The Trauma Pro

JANUARY 3, 2024

Coagulopathy is the bane of every trauma professional. Trauma patients are bleeding to death until proven otherwise, and once they start bleeding, it only gets worse. A key component of this issue is the presence of fibrinolysis, which commonly occurs after severe trauma. Although the prime objective in managing these patients is definitive control of bleeding, antifibrinolytic therapy such as tranexamic acid (TXA) may be beneficial during the time before that can happen.

Shock 113

Shock Operations Administration Hospitals 113

Dr. Smith's ECG Blog

JANUARY 1, 2024

This was contributed by Co-editor Emre Aslanger, an interventional cardiologist in Turkey. @AslangerE A 65-year-old gentleman presented to the emergency department after experiencing two recent ICD shocks in the preceding hours. His medical history includes hypertension, a decade-long battle with diabetes, ischemic heart disease, a coronary bypass graft surgery ten years ago, a diagnosis of congestive heart failure for the last five years, and a prior ICD implantation five years ago.

EKG/ECG 112

EKG/ECG Shock Emergency Department Administration 112

Emergency Live

JANUARY 4, 2024

From Origins to the Sophisticated Care Systems for Legionaries Origins and Development of Roman Military Medicine Medicine in the Roman army underwent significant evolution over the centuries. During the time of Julius Caesar and the conquest of Gaul (58-51 BC), wounded soldiers were left in the camp while the army continued its march. With the […] The post Medicine in the Roman Army: A Journey Through History appeared first on Emergency Live.

Military 111

Military 111

St. Emlyn

JANUARY 3, 2024

St.Emlyn's - Emergency Medicine #FOAMed Just before midnight at the NYE dinner party I was hosting the guests started to ask around the table “what are your New Year’s resolutions?”. Many people disclosed that they … Resolutions or Habits? St Emlyn’s Read More » The post Resolutions or Habits? St Emlyn’s appeared first on St.Emlyn's.

110

110

Emergency Medicine News

DECEMBER 31, 2023

An abstract is unavailable.

Administration 105

Administration 105

Dr. Smith's ECG Blog

JANUARY 3, 2024

Written by Pendell Meyers A woman in her 70s had acute chest pain and called EMS. On arrival, EMS recorded relatively normal vital signs and this EMS ECG: What do you think? Interpretation : diagnostic of acute anterior OMI with STE less than STEMI criteria in V1-V4, hyperacute T waves in V2-V4, and suspiciously flat isoelectric ST segments in III and aVF suspicious for reciprocal findings.

EMS 103

EMS EKG/ECG Wellness Outcomes 103

Emergency Live

JANUARY 2, 2024

The latest news on the earthquake that struck Japan A devastating earthquake Dramatic start to the year in Japan, where a series of quakes struck much of the western part of the country, with the strongest quake reaching a magnitude of 7.6 on the Richter scale. These seismic events caused significant damage in several areas, […] The post Japan earthquake: overview of the situation appeared first on Emergency Live.

111

111

EM Ottawa

JANUARY 2, 2024

Methodology: 4/5 Usefulness: 2/5 Liu L, et al. BMJ. 2023 Oct 9;383:e076448. Question: Do early vs delayed blood pressure management in patients with mild-moderate acute ischemic strokes decrease death or dependency at 90 days? Methods: Randomization to early (24 hrs) vs delayed treatment (after 7 days) of blood pressure. They monitored BP at baseline, during […] The post Early versus delayed antihypertensive treatment in patients with acute ischaemic stroke: multicentre, open label, rando

Stroke 98

Stroke 98

Stop and Think

JANUARY 1, 2024

My friend Dr. Andrew Foy had this idea: during rounds in the hospital with learners, Foy noticed that many things get done (drugs prescribed, tests ordered) as a matter of culture or history. As in…we do this because that is what we do. It’s what everyone does. Well, that can be a problem. Established patterns of practice don’t just come from thin air.

Documentation/Coding 98

Documentation/Coding Wellness EKG/ECG Hospitals 98

Emergency Medicine News

DECEMBER 31, 2023

An abstract is unavailable.

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96

Emergency Live

JANUARY 4, 2024

From Egyptian Papyri to Modern Oncology Early References to Cancer The earliest known descriptions of cancer appear in seven papyri discovered and deciphered in the late 19th century, providing the first direct knowledge of Egyptian medical practice. Among these, the Edwin Smith and George Ebers Papyri contain descriptions of cancer dating back to around 1600 […] The post The History of Cancer Diagnosis appeared first on Emergency Live.

105

105

Taming the SRU

JANUARY 1, 2024

Establishing reliable vascular access is absolutely critical for ED patients requiring resuscitation, airway management, or medication administration. However, in at least 10% of patients, blind insertion of a peripheral IV may be unsuccessful for a variety of reasons including obesity, edema, IV drug use, surgical scars, dialysis, burns, and others (1,2).

Emergency Department 92

Emergency Department Ultrasounds Administration Burns 92

Canadian EM

JANUARY 2, 2024

In our 2023 year in review, CanadiEM celebrates its 8th birthday! Does CanadiEM continue to serve an important role in the medical education community? This year is an opportunity for those who value this virtual community of practice to get involved, especially for those who are interested in a leadership role. If that interests you, please reach out at CanadiEMblog@gmail.com. 2023 was another busy year for CanadiEM!

Leadership 80

Leadership 80

First 10 EM

DECEMBER 31, 2023

This is the first edition of a new, recurrent post format. The First10EM monthly wrap up is a place for me to share updates about the website, about my academic life, and also interesting content, such as books, podcasts, and other FOAMed, that I have encountered in the prior month. It is sort of my […] The post The First10EM monthly wrap-up for December 2023 appeared first on First10EM.

Academics 78

Academics 78

Emergency Live

JANUARY 4, 2024

A Look Inside: Understanding Endoscopy and Its Use in Medicine The Essence of Endoscopy Endoscopy is a revolutionary medical technique that has transformed the way doctors examine and treat internal conditions. Using an endoscope, a flexible probe equipped with a camera and light source, doctors can visually access internal organs such as the stomach, esophagus, […] The post Exploring the Invisible: The Crucial Role of Endoscopy appeared first on Emergency Live.

105

105

EM Ottawa

JANUARY 4, 2024

What exactly is an EPA, really? EPAs, or Entrustable Professional Activities, are the basic building blocks of assessment within many models of Competency-Based Medical Education, such as Competency By Design. In theory, EPA assessments are supposed to serve as a collection of observations that put together a cohesive high-resolution picture from many little data […] The post Factors Affecting the EPA Experience appeared first on EMOttawa Blog.

73

73

ALiEM

JANUARY 5, 2024

Dr. Sara Krzyzaniak (podcast host and Stanford University PD) and Dr. Michelle Lin (ALiEM Founder/UCSF) are joined by Dr. Aaron Kraut (University of Wisconsin PD) in this insightful, rapid-fire, practical episode through the lens of experienced residency program directors. What does the Electronic Residency Application Service (ERAS) preliminary data show just far for the 2024 residency application season?

EMS 70

EMS 70

Emergency Medicine News

DECEMBER 31, 2023

An abstract is unavailable.

Poisoning 69

Poisoning Resuscitation 69

Emergency Live

JANUARY 3, 2024

A Journey through Medical History from Ancient Europe to the Modern World The Role of Barbers in the Middle Ages In the Middle Ages, barber-surgeons were central figures in the European medical landscape. Emerging around 1000 AD, these individuals were renowned for their dual expertise in grooming and medical procedures, often being the sole source […] The post The Rise and Decline of Barber-Surgeons appeared first on Emergency Live.

105

105

Sensible Medicine

JANUARY 5, 2024

I don’t think it is possible to care for people with chronic diseases and not appreciate the waxing and waning of symptoms and the effect of placebo interventions of all kinds. The last year, once again, showed me examples of placebo use in medicine. Sometimes their use was in the patient’s best interest. At other times, their used seemed mostly for the financial gain of a practitioner.

54

54

Emergency Medicine Cases

JANUARY 2, 2024

Triquetrum chip fractures, scapholunate injuries, hook of the hamate fractures, and of course, scaphoid fractures can be easily missed with serious consequences for our patients. In this part 2 of our 2-part podcast series on wrist injuries we highlight the "Big 4" most commonly missed and mismanaged carpal bone injuries, elucidating the key historical, physical exam and x-ray findings, as well as management strategies.

Fractures 52

Fractures Wellness Dislocations EMS 52

Emergency Medicine News

DECEMBER 31, 2023

An abstract is unavailable.

69

69

Emergency Live

JANUARY 3, 2024

Exploring Innovations in Rescue Vehicles and Technologies Technological Advancements in Rescue Vehicles Recent international exhibitions have highlighted significant technological advancements in the field of rescue vehicles. Particular attention has been given to the integration of advanced electronic controls, such as touchscreens and digital control panels.

Operations 105

Operations 105

AED Leader

JANUARY 5, 2024

Former F1 driver Wilson Fittipaldi Jr suffered a cardiac arrest after choking on Christmas dinner in December 2023. The 80-year-old Brazilian man was resuscitated, after which he was sedated and intubated in the hospital. He was still in the hospital as of 5 January 2024 when his family was waiting hopefully for him to wake up. The fast action of the people who witnessed the incident was no doubt critical in bringing him this far.

Resuscitation 52

Resuscitation Hospitals 52