Sat.Jan 14, 2023 - Fri.Jan 20, 2023

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The Importance of Standardized Colors for Special Risk Patient Alerts

PDC Healthcare

Healthcare workers care for a variety of patients with special risks and health statuses. Being able to easily differentiate and identify these risks can be the difference in ensuring a patient’s safety and makes fulfilling a patient’s needs easier for healthcare workers. Thousands of healthcare facilities across the country have adopted standardized, color-coded alert wristbands […].

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The RAMPP Trial: Randomised Ambulatory Management of Primary Pneumothorax

RebelEM

Background: Primary spontaneous pneumothorax, by definition, occurs without trauma or any underlying lung pathology. Often patients are otherwise young and healthy. However, management continues to be debated and may lead to unnecessary hospitalization. Previous studies regarding ambulatory management included randomized trials that lacked adequate power, and recently, a 2013 systematic review that, although showed promise in the ambulatory approach, had poor data quality with a high risk of bia

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Allergic Reactions and Anaphylaxis

EB Medicine

Announcements: The interactive Clinical Pathways have launched and they are available for free! — In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the July 2022 Emergency Medicine Practice article on the Management of Allergic Reactions and Anaphylaxis in the Emergency Department. Intro The number of ED visits and hospitalizations Studies show up to 57% of anaphylactic reactions are not recognized, and epinephrine is not administered in up to 80% of cases.

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How to monitor inspiratory effort

Trigger Lab

Quantifying inspiratory effort can be useful in many aspects of assisting a person that is undergoing mechanical ventilation.

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ECG of the Week 11th January 2023 – Interpretation

EMergucate

ECG of the Week 11th January 2023 – Interpretation This is a very ischaemic looking ECG in a high risk … Continue reading →

EKG/ECG 52
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Global EM 2: The Emergency Physician – Global Health’s Missing Piece

Emergency Medicine Cases

Dr. Hiren Patel describes the complexities of being a global health practitioner and the skillset that emergency physicians possess giving them the potential to excel in this role on EM Cases' EM GEM blog on Global Emergency Medicine. The post Global EM 2: The Emergency Physician – Global Health’s Missing Piece appeared first on Emergency Medicine Cases.

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A 60 year old with chest pain

Dr. Smith's ECG Blog

A 60 year old with chest pain presented to the ED. Here is his first ECG: What do you think? It looks bizarre, doesn't it? There are lots of ST-T abnormalities, but they just don't look recognizable. Whenever you see a bizarre ECG, look at leads I, II, and III. See if one of them does NOT look bizarre. In this case, lead I does not look bizarre, but all other leads do.

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ECG of the Week 18th January 2023

EMergucate

The following ECG was obtained from a priority 1 ambulance transfer that arrived at 2245 hours on a weekday.

EKG/ECG 52
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ECG Cases 39 – Transient STEMI Pitfalls and Pearls

Emergency Medicine Cases

In this ECG Cases blog we look at 9 patients with possible transient STEMI and discuss pitfalls and pearls in ECG interpretation and management. The post ECG Cases 39 – Transient STEMI Pitfalls and Pearls appeared first on Emergency Medicine Cases.

EKG/ECG 52
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Security Strengthened at Medical Facilities

American Medical Compliance

Healthcare facilities around the nation are strengthening security protocols. Meritus Medical Center, a hospital in Maryland, has implemented weapon detectors at all entrances to the facility. Why are Stronger Security Protocols Needed? The heightened safety protocols come in response to the epidemic of violence in medical facilities. Healthcare workers are the primary targets of this violence.

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The State of POCUS

Ultrasound Gel

Vicki Noble is a veritable legend of point of care ultrasound. Zach and Mike are lucky enough to sit down with this proverbial fountain of wisdom and scoop some razor insights into the past, present and future of the field. We discuss Vicki's origin story, multi-disciplinary collaboration, hot takes on POCUS research, and the middle-age of POCUS. [link] Vicki Noble is a veritable legend of point of care ultrasound.

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Lab case 395

EMergucate

72 year old man with history of COPD presented with shortness of breath. His chest auscultation revealed bilateral wheezes.

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JJ 22 Laceration Repair – Glue vs Strips vs Staples vs Sutures

Emergency Medicine Cases

In this Part 2 of our 3-part Journal Jam series on Laceration Management we dive into the evidence for the choice of material to close lacerations. Which is best for which kind of laceration? Surgical skin glue? Wound adhesive strips? Surgical staples? Absorbable sutures? Nonabsorbable sutures? The post JJ 22 Laceration Repair – Glue vs Strips vs Staples vs Sutures appeared first on Emergency Medicine Cases.

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NeuroResus: 23-24 March 2023

Intensive Care Network

A 3 day neurocritical care extravaganza in Sydney! Nov 14/15/16 2018. One Day Neuro symposium with top notch international faculty, followed by first ever ENLS course in Australia on 15/16th, with hi fidelity neurocritical care sims. Don't miss it! The post NeuroResus: 23-24 March 2023 appeared first on Intensive Care Network.

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OMI can be very subtle and easy to miss, but be a very large infarction.

Dr. Smith's ECG Blog

I was reading ECGs on the system and came across this one. There is minimal STE in II, III, with an inverted T-wave in aVL. There is a very flat ST segment in V2, with 0.5 mm of STD, highly suspicious for posterior OMI. We showed in this paper that ANY amount of STD maximal in V1-V4 (especially in V2) in a patient with chest symptoms is posterior OMI until proven otherwise I knew that if this is a patient with chest discomfort, that it is an infero-posterior OMI.

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Imaging Case of the Week 537

EMergucate

The ankle x-rays are from a 12 year old who twisted their ankle and now unable to weight bear.

EMS 52
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160. ED Acute Agitation: the REAL Slim Shady

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. Will the REAL Slim Shady, please stand up, please stand up? Let’s talk acute agitation in the ED. You will absolutely have to sedate patients as an ED physician, and know how to de-escalate situations.

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BRAIN 2023 – March 22, Sydney

Intensive Care Network

A one day neurocritical care symposium at the Kolliung Institute, Sydney. For all who manage neurological emergencies.

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SGEM#389: Does Dex, Dex, Dex, Dexamethasone Help with Renal Colic?

The Skeptics' Guide to EM

Date: January 13, 2023 Reference: Razi et al. Dexamethasone and ketorolac compare with ketorolac alone in acute renal colic: A randomized clinical trial. AJEM 2022 Guest Skeptic: Dr. Kevan Sternberg is a urologist/endourologist. His focus is on the medical and surgical management of kidney stone disease. Dr. Sternberg did his medical school and residency training at […] The post SGEM#389: Does Dex, Dex, Dex, Dexamethasone Help with Renal Colic?

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Advanced airway management in pediatric prehospital cardiac arrest

University of Maryland Department of Emergency Med

Should EMS place an advanced airway in out of hospital cardiac arrests? Current studies suggest that advanced airway management is not sup.

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Lab case 394 Interpretation

EMergucate

Answers: Question 1: PH = 7.475, that is mild alkalaemia. pCO2 = 24 mmHg. So, we have respiratory alkalosis.

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Nitro For SCAPE | Hi-Fid Sim

JournalFeed

The JournalFeed podcast for the week of Jan 9-13, 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. Nitro For SCAPE Spoon Feed This study suggests that high-dose nitroglycerin infusion may be a safe alternative to intermittent bolus dosing for SCAPE, but prospective trials are needed to determine optimal initial rates and titration strategies, as well as the proper use of other adjunct

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Should we be giving antibiotics prior to or after chest tube insertion

University of Maryland Department of Emergency Med

A systemic review and meta-analysis revealed that the literature and science surrounding timing and effectiveness of prophlactic antibiotic.

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