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Intro For this week’s teaching pearl, I wanted to go back and cover a medical pearl. We always hear the word “ECMO” thrown around but I want to today go into a very brief overview of what ECMO is and why it is being used more commonly. I am going to provide the pearl in a Q/A format to make it easier to process. Disclaimer : This is only a very brief overview of ECMO just so everyone at least has a basic understanding of what the technology is and what the circuit looks like.
Lumbar Puncture This seemingly simple procedure seems to be the Achilles's heel or many resus docs! If you have a good baseline knowledge of how to do the lumbar puncture correctly, it is super easy. If you have bad habits, then you will make your poor patient look like a pin cushion. EMCrit Project by Scott Weingart, MD FCCM.
The power of nature is amazing. It’s hard to believe that a plant could be strong enough to damage a concrete sidewalk, but we see it happening all the time. Over time, steadily growing tree roots can extend underneath a sidewalk. As the roots grow and expand, they will eventually disrupt the surface of the sidewalk. This creates substantially uneven surfaces that may cause pedestrians to fall and be seriously injured.
Take Home Points Methemoglobinemia can result from exposure to a number of different medications. The most common are dapsone and topical anesthetic agents (i.e. benzocaine) Consider the diagnosis in any patient with cyanosis and hypoxia that doesn’t respond to oxygen administration Administer methylene blue to any patient with abnormal vital signs, metabolic acidosis, end organ dysfunction or, a serum level > 25% REBEL Core Cast 90.0 – Methemoglobinemia Click here for Direct Download
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!
Intro Raise your hand if you ever struggled obtaining a CSF sample from a Lumbar Puncture. I “virtually” see that most if not all of you at one point in your career struggled with this. This pearl is inspired by an overnight Elmhurst A-side shift I had several months ago with a patient requiring a Lumbar Puncture. I waved off my senior/attending and told them “No worries, I got this.
Healthcare worker violence is increasing at an alarming rate, making providers’ jobs of looking after patients incredibly challenging. The pandemic has largely fueled this increase in violence. The uptick in healthcare worker violence has been substantial and affects all types of care providers. Of registered nurses, 44% reported being victims of physical violence, while 68% suffered verbal abuse while on the job.
The following ECG was obtained from an independent 78 year old woman at 11pm who complained of left sided shooting jaw ache that had commenced earlier that morning.
The following ECG was obtained from an independent 78 year old woman at 11pm who complained of left sided shooting jaw ache that had commenced earlier that morning.
This case comes from Major Alex Koo. Since leaving the military, Dr. Koo works as an Emergency Physician and Assistant Professor of Emergency Medicine at MedStar Health and Georgetown University. He previously served as Deputy Medical Director at Andersen Simulation Center, the largest simulation center in the US Army as well as the Simulation Director for Madigan Army Medical Center’s Department of Emergency Medicine Residency.
Oggi abbiamo il piacere di proporre un contributo offerto a Triggerlab da un caro collega, Sergio Calzari, che lavora nella terapia intensiva dell’Istituto Cardiocentro del Ticino, Lugano (CH). Sergio è impegnato nell’umanizzazione delle cure in terapia intensiva e nella ricerca di strumenti in grado di combattere la Post Intensive Care Syndrome (PICS).
Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here: emrapidbombs.supercast.com. What lurks beneath? Scary, scary infections. Time to change the way you think about Nec/Fas! Sobering stats, key pitfalls, but some really great learning points on this episode. Cite this podcast as: Briggs, Blake.
The following CT abdomen axial slice is from a 55 year old with sudden onset of left loin pain. CT was done to rule out a ureteric stone. What can be seen?
Written by Emre Aslanger. Emre is a new Editor of the Blog. He is an interventionalist in Turkey. A 50 something-year-old man with a history of newly diagnosed hypertension and diabetes, for which he did not take any medication, presented a non-PCI-capable center with a vague, but central chest pain. His vitals were normal and his first ECG was as shown below: There is obvious ST segment elevation (STE) in anterior leads.
Date: November 10th, 2022 Reference: de-Madaria E et al. Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis (WATERFALL). 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.
Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here: emrapidbombs.supercast.com. What lurks beneath? Scary, scary infections. Time to change the way you think about Nec/Fas! Sobering stats, key pitfalls, but some really great learning points on this episode. Cite this podcast as: Briggs, Blake.
Several studies have explore the effects of religious changes, such as OM, on physiological parameters such as heart rate, blood pressure and heat rate variability (HRV). Overall, the effects were considered beneficial. For example, a brief chanting of OM (5 min) might enhance parasympathetic nervous system activity, promote relaxation, and provide calmness.
The JournalFeed podcast for the week of Nov 7-11, 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. Cranial EZ-IO Spoon Feed The EZ-IO may be considered as a temporizing measure for trepanation of an epidural hematoma (EDH) in rural ED settings.
This case as written by Drs. Stephen Jensen, Brandon Bowdoin, and Kristen Whitworth as well as Spring Lutzen. Stephen Jensen is a third-year emergency medicine resident at Spectrum Health Lakeland. He is completing a longitudinal track in Medical Education during his residency with a focus in simulation and curriculum development. Brandon Bowdoin is the Chief Resident at Spectrum Health Lakeland.
85 years old lady with history of COPD, brought to ED with low GCS after VF cardiac arrest followed by return of spontaneous circulation after 3 minutes of CPR and a single DC shock.
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