Sat.Oct 08, 2022 - Fri.Oct 14, 2022

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Eolas Journeys - From Emergency Department to a Medical Tech Company

Eolas Medical

Hi, I’m Luke. I am the Chief Medical Officer at Eolas Medical. That might sound like a very fancy title but any of you who have worked in a tech startup before will know that titles often don’t mean much! Order of the day is often wearing many different hats and working on a range of different tasks within the business.

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Chest pain and anterior ST depression. What’s the cause(s)?

Dr. Smith's ECG Blog

Written by Jesse McLaren, with edits from Smith and Grauer A 60 year old with no past medical history presented with two hours of chest pain radiating to the left arm, with normal vitals. What do you think? I sent this to Dr. Meyers without any other information, and he responded, “do you have a prior to make sure that it is all just because of the delta wave?

EKG/ECG 52
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ECG Cases 36 – PACER Mnemonic for Approach to Pacemaker Patients

Emergency Medicine Cases

In this month's ECG Cases blog Dr. McLaren explains the PACER mnemonic approach to patients with pacemakers: Pacemaker spike: is it appropriately presence/absent, is there pacemaker-mediated tachycardia (apply magnet) or is there failure to pace (apply magnet to stop sensing, cardio consult)? Aware (sensing): is it normal, is there oversensing (underpacing: apply magnet) or undersensing (treat reversible causes, cardio consult).

EKG/ECG 52
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SGEM #379 Heigh Ho High Flow versus CPAP in Acutely Ill Children

The Skeptics' Guide to EM

Date: September 15, 2022 Reference: Ramnarayan P et al. Effect of high-flow nasal cannula therapy vs continuous positive airway pressure therapy on liberation from respiratory support in acutely ill children admitted to pediatric critical care units: a randomized clinical trial. JAMA July 2022 Guest Skeptic: Dr. Spyridon Karageorgos is a Pediatric Resident at Aghia Sophia […] The post SGEM #379 Heigh Ho High Flow versus CPAP in Acutely Ill Children first appeared on The Skeptics Guide to Emerge

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ECG of the Week 5th October 2022 Answer

EMergucate

A 17 year old female presents to ED complaining of chest pain and SOB on a background of ILI symptoms for the last 2 days. Vitals: HR 138 BP 110/70 Temp 37.7 RR 24.

EKG/ECG 52
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A man in his 30s with cardiac arrest and STE on the post-ROSC ECG

Dr. Smith's ECG Blog

Written by Pendell Meyers and Peter Brooks MD A man in his 30s with no known past medical history was reported to suddenly experience chest pain and shortness of breath at home in front of his family. He reportedly told his family "I think I'm having a heart attack", then they immediately drove him to the ED, and he was able to ambulate into the triage area before he collapsed and became unresponsive.

EKG/ECG 52
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EM Quick Hits 43 Pediatric Cannabis Poisoning, Esophageal Perforation, Brugada, Career Transitions in EM

Emergency Medicine Cases

On this month's EM Quick Hits podcast: Best of University of Toronto EM with Yaron Finkelstein on pediatric cannabis poisoning pitfalls, Brit Long on recognition and management of esophageal perforation, Jesse McLaren on 3 questions to diagnose Brugada Syndrome, Tahara Bhate on QI Corner, Constance Leblanc on maintaining wellness in career transitions from CAEP 2022.

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Imaging Case of the Week 522 Answer

EMergucate

The pelvic x-ray shows right inferior pubic ramus fracture as well as right acetabular fracture.

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VExUS Demystified: Hangin’ with Korbin & Rory.

Thinking Critical Care

It’s always a good time hanging with these guys (@khaycock2 and @Emnerd). Over the years I’ve learned a ton from them. Even if I thought I was pretty solid on something, they almost always have the ability to shed some additional light on it in a particularly useful way. So I always look forward to these discussions. Today we took some time to flesh out some of the questions and statements that came up about VExUS in the last few days on medtwitter.

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More Paralysis | Burnout = Bad Outcomes

JournalFeed

The JournalFeed podcast for the week of Oct 3-7, 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. More Paralysis Spoon Feed In this single center cohort of 886 patients, 5 patients had definite awareness during paralysis. However, there were 61 patients determined to have possible awareness, meaning upwards of 7.4% of patients could have been aware.

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Imaging Case of the Week 523 Answer

EMergucate

The chest x-ray shows features of left main bronchus foreign body.

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Lab case 382

EMergucate

A middle aged man with history of hypertension and GORD, presented to the emergency department with epigastric pain.

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Lab Case 381 Interpretation

EMergucate

Answers: Question 1: PH = 7.22, that is moderate acidaemia. HCO3 = 17 mmol/L, then we have metabolic acidosis.

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Imaging Case of the Week 524

EMergucate

The request form for the left forearm x-ray is as follows: fall on outstretched left hand.? fracture.

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ECG of the Week 12th October 2022

EMergucate

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

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