EMCrit

OCTOBER 21, 2022

Every Resus doc should be able to crash a patient on to APRV for lung rescue. EMCrit Project by Scott Weingart, MD FCCM.

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Dr. Smith's ECG Blog

OCTOBER 21, 2022

Submitted by Dr. Arjun J V in India, An elderly patient presented to the ED with multiple complaints. An ECG was recorded in triage: What do you think? Classic for those who have seen it before. The ECG shows a regular narrow complex rhythm which is difficult to see amongst the very severe high voltage artifact which is occurring with a frequency of approximately 300 cycles per minute.

EKG/ECG 52

EKG/ECG Wellness 52

Core Medical Group

OCTOBER 20, 2022

There are many different factors that draw nurses to careers as travelers. However, there are also some aspects of the travel nursing lifestyle that may not be for everyone. While we encourage all nurses interested in travel careers to talk to someone before making a decision, we thought it might be useful to list a few of the so-called pros and cons of travel nursing.

Administration 52

Administration Research 52

PDC Healthcare

OCTOBER 20, 2022

Spread the word and not the flu! PDC’s Flu Shot Stickers can help your facility meet compliance while encouraging staff and patients to get vaccinated annually. Flu season can be a hectic time for healthcare facilities, and a full staff is vital to maintaining an efficient workflow. According to the Centers for Disease Control and […]. The post 5 Ways Flu Shot Stickers Can Help You Prepare for This Flu Season appeared first on connectID - PDC Healthcare Blog.

Patient Safety 52

Patient Safety 52

EM SIM Cases

OCTOBER 19, 2022

This case is courtesy of Dr. Qadeem Salehmohamed. Qadeem is a 4th year EM resident at the University of British Columbia – Kelowna Site. He has an interest in medical education / simulation and critical care. WHY IT MATTERS Heading into the fall season is always a good time to review the management of various pediatric respiratory presentations. Bronchiolitis is no exception.

Pediatrics 52

Pediatrics Emergency Department EMS Resuscitation 52

Dr. Smith's ECG Blog

OCTOBER 19, 2022

Thanks to our Electrophysiologists Omar Iqbal and Rehan Karim for the below strips and the explanations I will be giving on this post. A patient had 3rd degree AV block in the ED. A transvenous pacer was placed in the Emergency Department by the emergency physicians. Capture was obtained and a 12-lead ECG was recorded: What do you see here and what complication can occur?

EKG/ECG 52

EKG/ECG Emergency Department Wellness 52

Clinical Correlations

OCTOBER 19, 2022

By Michael Papazian Peer Reviewed Let’s start with a case. Mr. B is a 67-year-old male with a history of hypertension, type 2 diabetes, and coronary artery disease. As his primary care physician, you.

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EB Medicine

OCTOBER 18, 2022

In this episode of EMplify: Conversation, Sam Ashoo, MD talks with Rob Orman, MD, founder of Orman Physician Coaching , about career disillusionment. Career Disillusionment: What is it? How do we combat it? Should we combat it? A frog in boiling water. Burnout Two questions to ask yourself How coaching can help The advice trap A framework to explore your career and life goals More at Orman Physician Coaching.

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Advanced Medical Reviews

OCTOBER 18, 2022

Research shows that public trust in medical practitioners has fluctuated significantly over the years. Still, these individuals remain some of the most trusted professionals in America. As the focus on patient-centered care in healthcare increases, that confidence is likely to increase even further.

Research 52

Research 52

Dr. Smith's ECG Blog

OCTOBER 17, 2022

This ECG has ST Elevation in multiple leads. Is it normal STE? Or is it ischemic STE? What do you think? This ECG is interesting because it mimics TQRSD. There are no S-waves in V2 and V3. BUT look at the very prominent J-waves (J point notching)!! It is several mm high! This is a normal ECG. This patient had CO poisoning but did not have myocardial injury or OMI.

EKG/ECG 52

EKG/ECG Poisoning Hospitals 52

Board Bombs

OCTOBER 16, 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. Iltifat and Blake tackle this ACEP PEER Board Question on Rhabdomyolysis and simplify this disease into just 2 critical management pearls. It doesn't have to be so complicated. Oh, and mannitol and furosemide aren't part of it in case you were wondering.

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Total Medical ComplianceHIPAA

OCTOBER 15, 2022

The HHS Office for Civil Rights (OCR) recently settled three more investigations in the Right of Access Initiative it started in 2019. All three of the new enforcements involved dental practices, bringing the total number of access initiative enforcements to 41. The enforcements also come with a message directly to all dental practices from the OCR Director, Melanie Fontes Rainer, “These three right of access actions send an important message to dental practices of all sizes that are covered by

Documentation/Coding 52

Documentation/Coding Administration Wellness 52

MDisrupt

OCTOBER 15, 2022

What tools can be used to detect breast cancer? Find how digital health tools are bridging the gap for equity in healthcare. Check out more here.

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Dr. Smith's ECG Blog

OCTOBER 15, 2022

Pendell (Pendell Meyers, of course), with a little help from Smith, coined a new LAD Occlusion pattern "Precordial Swirl," in which there is rightward STE vector, with STE in V1 and aVR, with reciprocal STD in V5 and V6. It is due to transmural ischemia not only of the anterior wall and apex, but due to transmural ischemia of the septum, usually due to occlusion proximal to the first septal perforator.

EKG/ECG 52

EKG/ECG 52

CasesBlog

OCTOBER 21, 2022

The first use of the hastag #MedTwitter was in 2009 by one of my accounts @DrVes, did not know about this until this year. @blogborygmi "should the Twitter awards be a series of tweets" -Twitter structure is not suitable for that, although #MedTwitter can be used — Ves Dimov, M.D. (@DrVes) January 6, 2009 More: Did you know that the first medical journal club on Twitter was started by an allergist/immunologist @DrVes ?

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Emergency Medicine Education

OCTOBER 19, 2022

Based on this European study that involved colleagues from France, Italy, Switzerland included 2164 patients, 69% needed emergency hemorrhage control, 6 % received prehospital PRBC transfusion, 25% had massive transfusion. They concluded that “early norepinephrine infusion was not associated with 24-hour or in-hospital mortality among patients with blunt trauma and hemorrhagic shock.

Shock 40

Shock Hospitals 40

EM Literature of Note

OCTOBER 20, 2022

Spring is here down in this nuclear-free hemisphere. This blog is still effectively in stasis – but the productivity continues elsewhere! Don’t forget the Annals of Emergency Medicine Podcast , a lighthearted feel-good romantic comedy with Rory Spiegel, available for free on your choice of streaming platforms: Apple Podcasts Google Podcasts Soundcloud Bimonthly #FOAMed in ACEPNow : Updates from the 2022 International Stroke Conference A skeptical look at new tools for diagnosing sepsis An

Stroke 40

Stroke Sepsis Pediatrics Resuscitation 40

EMergucate

OCTOBER 17, 2022

Answers: Question 1: PH = 7.49 (> 7.45) so we have alkalaemia HCO3 = 41 (> 24) so we have metabolic alkalosis. Next we look at compensation, Expected PCO2 for metabolic alkalosis = 0.

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Emergency Medicine Ireland

OCTOBER 17, 2022

Welcome back to the tasty morsels of critical care podcast. This time we look at Oh Chapter 52, focused on cerebral protection. There is, I must admit some repetition and cross over here, particularly with tasty morsels 20 and 39 respectively which cover more with regards to TBI. But in all honesty a little repetition is often very helpful for such subjects.

Outcomes 40

Outcomes Wellness 40

JournalFeed

OCTOBER 15, 2022

The JournalFeed podcast for the week of Oct 10-14, 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. Pax in the Vaxed Spoon Feed Nirmatrelvir (Paxlovid) use in a population of largely immune outpatients ≥65 years old, during the omicron variant era, was significantly associated with reduction in hospitalization and death. 29-60 Day LP Spoon Feed Febrile infants 29-60 days with a positi

Hospitals 40

Hospitals 40

The Skeptics' Guide to EM

OCTOBER 15, 2022

Date: October 5th, 2022 Reference: Top Gun 1986 Guest Skeptic: Dr. Chris Carpenter is Professor of Emergency Medicine in the Department of Emergency Medicine at Washington University in St. Louis and co-wrote the book on “Evidence-Based Emergency Care: Diagnostic Testing and Clinical Decision Rules”. Chris will be moving to Rochester, Minnesota soon to become the Vice Chair of […] The post SGEM Xtra: Lead Me On – What I Learned from Top Gun first appeared on The Skeptics Guide to Emergency Medi

Critical Access 40

Critical Access Hospitals 40

EMergucate

OCTOBER 17, 2022

A 58 year old male presents to ED complaining of a headache and weakness to his left side.

EKG/ECG 52

EKG/ECG 52

Emergency Medicine Ireland

OCTOBER 17, 2022

Welcome back to the tasty morsels of critical care podcast. The subject of solid tumours in the ICU gets a whole chapter in Oh’s hallowed pages, number 46. I suppose the term solid is in place to distinguish it from the “liquid” tumours of the bone marrow and domain of the haematologists, something we covered in tasty morsel number 58 Historically the idea of admitting people to the ICU with malignancy was somewhat unusual and the idea of admitting someone with some degree of m

Blood Transfusions 40

Blood Transfusions Sepsis 40

EMergucate

OCTOBER 18, 2022

The following knee x-ray is from a patient who has fallen from a height. What can be seen?

EMS 52

EMS 52

EMergucate

OCTOBER 17, 2022

A 72 year old female presents with a 5 week history of atypical chest pain.

EKG/ECG 52

EKG/ECG 52

EMergucate

OCTOBER 18, 2022

50-year-old man presented to the emergency department after syncopal episode. His venous blood gases showed the following: PH = 7.

Emergency Department 40

Emergency Department 40