Sat.Oct 22, 2022 - Fri.Oct 28, 2022

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How Breast Centers are Improving Patient Experience

PDC Healthcare

Due to increasing scrutiny around patient satisfaction and what it may mean for reimbursement, patient volume, and quality standards, it’s no surprise that patient experience is at the forefront of breast centers’ priorities. We spoke with many of our top breast health professionals about the top priorities for their facilities. As expected, improving patient experience […].

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EMCrit Wee – Is there Evidence of Harm for Nitroglycerin in Right Ventricular MI? #Dogmalysis

EMCrit

Is there evidence for the classically taught nix on this medication? EMCrit Project by Scott Weingart, MD FCCM.

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I'm so sorry when medics get abused for activating the cath lab

Dr. Smith's ECG Blog

Cortland Ashbrook from Spokane County, Washington, sent this message: Hey doctor Smith, I wondered if you’d give me your opinion on these ECG tracings I took as a paramedic in the field? Case: The call was an elderly gentleman who was at home when he experienced a sudden onset of vague chest discomfort along with nausea, and left arm aching. It started while walking, and began to decrease at rest but never fully resolved.

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The Hidden Faces in Medicine - Clinical Correlations

Clinical Correlations

By Amber Whitley, MD What comes to mind when you hear the word physician? Male, intelligent, arrogant, medicine, white, surgeon, healer, etc. Do you think of me, a black female physician in medicine? The number.

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6 Reasons to Trust a Staffing Partner to Help You Find Your Interim Healthcare Leadership Position

Core Medical Group

As a leader in healthcare, you’ve climbed the ladder this far, so you’re probably used to finding jobs on your own. Whether you subscribe to career search engines, scroll endlessly on job sites, or rely on your well-connected network to notify you of openings, finding a new position that feels like the right fit in the right location at the right time can be a challenge.

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Reverse Triggering

Trigger Lab

English version edited by Giulia Azzini, Rn, Intensive Care Unit, Department of Anaesthesiology, Emergency and Intensive Care Medicine (DAEICM), Ente Ospedaliero Cantonale (EOC), Bellinzona, Switzerland. In order to understand this asynchrony, it is important to know the meaning of ” Entraiment”.

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Emergency Medicine - AI based ECG interpretation

Eolas Medical

Work illustrations by Storyset" class="hs-featured-image" style="width:auto !important; max-width:50%; float:left; margin:0 15px 15px 0;"> AI in the Emergency Department - past, present and future Since Willem Einthoven stuck his hands and feet into buckets of salty water and began recording the electrics of the heart at the beginning of the 20th century, the ECG has become an indispensable part of emergency medicine.

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Back to basics: what is this rhythm? What are your options for treating this patient?

Dr. Smith's ECG Blog

Written by Bobby Nicholson MD, with edits by Meyers, Smith, Grauer A woman in her early 40s presented to the emergency department for evaluation of palpitations. She reported that she has been experiencing this since she was diagnosed with COVID a little over 1 week ago. She reported a prior history of SVT and has previously performed vagal maneuvers at home with symptom resolution.

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Pneumoperitoneum

Ultrasound Gel

Pneumoperitoneum is usually bad news for patients, and it would be great to have a quick way to make this diagnosis. These authors ingeniously used ultrasound contrast software (without any contrast) to boost the accuracy of ultrasound for this pathology! [link] [link] Pneumoperitoneum is usually bad news for patients, and it would be great to have a quick way to make this diagnosis.

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Emergency Medicine - MDCalc and other must have Apps

Eolas Medical

Our top 5 Apps you should never start an ED shift without Ever yearn for ye olden days of clinical medicine, where every treatment plan read either “chop it off” or “stick leeches on it”? In an age where published medical evidence is growing exponentially, expectations of medical professionals are correspondingly higher. In a modern ED, you can encounter pretty much any ailment known to mankind, and you’re expected to deal with them all quickly and effectively.

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Aerosol terapia durante ventilazione meccanica. Parte 2

Trigger Lab

A cura di Alice Galesi Nella prima parte dell’articolo, (clicca qui per il rimando alla parte 1), sono stati descritti i sistemi di nebulizzazione. Oggi, si presentano i fattori relativi al ventilatore e al circuito del ventilatore per capire come questi influenzano l’erogazione di aerosol durante la ventilazione meccanica. Fattori relativi al ventilatore Le … Leggi tutto Aerosol terapia durante ventilazione meccanica.

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151. Ectopic Pregnancy: Ticking Timebomb

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. Marlena joins us again, but to NOT talk about parasites. Don't worry. Its time to cover an absolute classic women's health pathology, one of the top 10 can't-miss-diagnoses in the ED. We cover risks, presentation, diagnosis, and management.

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What Causes Carbon Monoxide Poisoning?

Medical Law

According to the CDC, over 400 people die every year from unintentional Carbon monoxide poisoning. It also results in over 20,000 emergency rooms visits. Carbon monoxide (CO) is a poisonous gas that can be fatal when inhaled. CO has no odor. The only way to know if CO is present is by installing an electronic CO detector. CO is produced whenever a material burns.

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SGEM#380: OHCAs Happen and You’re Head Over Heels – Head Elevated During CPR?

The Skeptics' Guide to EM

Date: October 18th, 2022 Reference: Moore et al. Head and thorax elevation during cardiopulmonary resuscitation using circulatory adjuncts is associated with improved survival. Resuscitation 2022 Guest Skeptic: Clay Odell is a Paramedic, Firefighter, and registered nurse (RN). Case: You are the Chief of your local Fire and EMS Department, and an individual contacts you saying […] The post SGEM#380: OHCAs Happen and You’re Head Over Heels – Head Elevated During CPR?

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Lab case 383 interpretation

EMergucate

Question 1: Ph = 7.549, that is alkalaemia. pCO2 = 24.1 mmHg, then it is respiratory alkalosis. Next, we will calculate the compensation. From the story, the condition is acute.

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Chief’s Inquiry Corner 10/27/22 - Clinical Correlations

Clinical Correlations

Bellevue Inpatient: Is there a role for acetazolamide in acute decompensated heart failure with volume overload? Bellevue Outpatient: Who should undergo screening for Barrett's Esophagus? VA Inpatient: How do you treat aspiration pneumonia?

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Understand risk better by using "micromort" unit

CasesBlog

A micromort (from micro- and mortality) is a unit of risk defined as a one-in-a-million chance of death. Micromorts can be used to measure the riskiness of various day-to-day activities. Activities that increase the death risk by roughly one micromort, and their associated cause of death: Traveling 250 miles by car (collision) Travelling 1,000 miles (1,600 km) by jet (collision) Travelling 6,000 miles (9,656 km) by train (collision) Increase in death risk for other activities on a per event basi

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Emergency Medicine - A brief history of ACEP

Eolas Medical

Reviews, research, articles, tools & Apps - Join us in chatting about everything Health I.

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30 yo woman with trapezius pain. HEART Pathway = 0. Computer "Normal" ECG. Reality: ECG is Diagnostic of LAD Occlusion.

Dr. Smith's ECG Blog

This is a repost of this amazing case: Echocardiography, even (or especially) with Speckle Tracking, can get you in trouble. The ECG told the story. A completely healthy 30-something year old woman with no cardiac risk factors had sudden onset of bilateral trapezius pain that radiated around to her throat. It resolved after about 5 minutes, but then recurred and was sustained for over an hour.

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Peds MTP | Tega-don’t

JournalFeed

The JournalFeed podcast for the week of Oct 17-21, 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. Peds MTP Spoon Feed: A transfusion threshold of 20 ml/kg of any blood product during the first hour of pediatric trauma resuscitation maximizes sensitivity and specificity for in-hospital mortality, need for intervention, and additional bleeding episodes and may identify children in nee

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Imaging Case of the Week 526

EMergucate

70 year old with syncope & hypotension. Answer will be posted in a few days.

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Emergency Medicine - A brief history of RCEM

Eolas Medical

Reviews, research, articles, tools & Apps - Join us in chatting about everything Health I.

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Dopamine elevation after a cold bath

CasesBlog

Dopamine elevation after cold bath is due to stimulation of pain receptors in the skin, at 2 minutes in the video below: [link] Norepi, Epi and dopamine were all increased with cold water exposure. Dopamine increased 250% over baseline and that increase was sustained after the exposure for up to 3 hours. The sweet spot is alert but calm. That was achieved via the cold exposure.

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ECG of the Week 26 Oct 2022

EMergucate

A 37 year old male presents to ED complaining of central chest pain.

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