Ken Grauer, MD

APRIL 29, 2023

The patient whose initial ECG is shown in Figure-1 — is a middle-aged man who presented to the ED ( E mergency D epartment ) for new-onset CP ( C hest P ain ). He was hemodynamically stable at the time this tracing was done. The patient was still having CP at the time ECG #1 was obtained — although the severity of his CP was unclear ( ie, It is not known IF this patient’s CP was increasing — the same — or decreasing — at the time the ECG in Figure-1 was recorded ).

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EKG/ECG Wellness 195

EMCrit

MAY 4, 2023

My attempt to model my empirical experience with Burnout EMCrit Project by Scott Weingart, MD FCCM.

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Pediatric EM Morsels

MAY 5, 2023

Our world has become inundated with the newest food and diet crazes. It seems like every social media persona provides “expert” opinions on the best way to nourish our bodies. Adults are one thing, but how does that translate to our growing, developing pediatric patients? Today we are focusing on vegan diets in children , and which nutritional deficiencies we need to remain vigilant to spot!

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The Trauma Pro

MAY 5, 2023

Some trauma centers receive a significant number of transfers from referring hospitals. Much of the time, a portion of the workup has already been done by the outside hospital. If the patient meets one or more of your trauma activation criteria, do you still need to activate your team when they arrive? And the answer is: sometimes. But probably not that often.

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PDC Healthcare

MAY 1, 2023

Patient tracking during large-scale events is a challenge. Patients may be passed between first responders, ground transport, air transport, and then transferred from one facility to another. For routine calls with individual patients, it’s feasible to track who transported the patient and where they ended up. But in mass-casualty incidents and large-scale hazards, chaotic scenes […] The post PDC Partners with Pulsara to Streamline Communication Between EMS, Hospital Personnel, and Emergen

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Science Based Medicine

MAY 5, 2023

None of us have to fantasize what we would have done during a pandemic. What you actually did the past three years is exactly what you would have done. The post Letter to a Medical Student: There Is No Elite RCT Strike Force first appeared on Science-Based Medicine.

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Taming the SRU

MAY 5, 2023

National Heart, Lung, and Blood Institute Prevention and Early Treatment of Acute Lung Injury Clinical Trials Network, Shapiro NI, Douglas IS, et al. Early Restrictive or Liberal Fluid Management for Sepsis-Induced Hypotension. N Engl J Med. 2023;388(6):499-510. doi:10.1056/NEJMoa2212663 BACKGROUND Sepsis, including severe sepsis and septic shock, is a frequently encountered condition in the emergency department and carries a high mortality rate.

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Life in the Fast Lane

MAY 5, 2023

Michael Gibbs MD Neuroimaging Cases 001 April 2022 neuromaging cases and interpretation with Andrew Perron, Faith Meyers MD and Steven Perry MD and Professor Michael Gibbs.

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Radiology Radiology 52

EMergucate

MAY 5, 2023

The neck x-ray shows Prevertebral soft tissue swelling, raising suspicion for a retropharyngeal inflammatory process (cellulitis/abscess).

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Dr. Smith's ECG Blog

MAY 5, 2023

= Case Presentation by K EN G RAUER, MD ( 5/5 /2023 ): — Edits by Drs. Meyers & Smith. = Dr. Smith was reading ECGs — and he sent myself and Dr. Meyers the tracing shown in Figure-1. At the time we did not yet know the history. What do YOU think? Figure-1: The initial ECG in today's case. No history yet. Our Initial Thoughts on the ECG in Figure-1: Dr.

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EKG/ECG Stroke Operations 52

ACEP Now

MAY 5, 2023

A 32-year-old man presents in police custody for bizarre behavior. He was the driver of a vehicle which struck a telephone pole. He was reportedly singing and dancing naked in the street following the motor vehicle collision. The police would like to ask him some questions about what happened. Should the patient talk with the police? What is your role as the emergency physician?

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Emergency Department Documentation/Coding 52

Life in the Fast Lane

MAY 5, 2023

James Miers, John Mackenzie and Daniel Khamoudes Emergency Procedure: Lumbar Puncture Emergency Procedure: Lumbar Puncture. This core skill is worth knowing inside out. You need the confidence to put the patient at ease and perform it well.

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Wellness 52

EMergucate

MAY 5, 2023

The facial x-ray (OM view) shows Irregularity of the left infra-orbital wall.

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EMS 52

SheMD

MAY 4, 2023

Here at sheMD, we believe in the importance of practicing Evidence-Based Medicine. We believe the same principles apply to discussing Gender and Medical Education. Therefore, we are bringing you an entire Journal Club series! Our series will focus on foundational and new literature within the gender and medicine space. Today, we will be discussing the article entitled, Here to chair: Gender differences in the path to leadership.

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Leadership Academics Operations Administration 52

Core Ultrasound

MAY 4, 2023

In this 5 Minute Sono video, we’ll guide you through the process of using ultrasound imaging to identify and diagnose inguinal and femoral hernias. Hernias can be difficult to identify with physical examination alone (and may actually be missed on CT!), but with ultrasound imaging, healthcare professionals can detect hernias at the bedside with greater accuracy and confidence.

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Ultrasounds Wellness 52

Life in the Fast Lane

MAY 4, 2023

Andrew Davies Mastering Intensive Care 079 Run Larapinta Mastering Intensive Care 079 Run Larapinta with fellow intensivist Ed Litton who shares his passion for adventure and ultra-endurance exercise.

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EMergucate

MAY 5, 2023

The knee x-ray shows a bipartite patella.

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ACEP Now

MAY 4, 2023

Case A 37-year-old white male with no past medical history presented to the emergency department (ED) for left testicular pain, redness, and swelling. He had presented to urgent care for the same complaint a week before, but did not seek follow-up at an ED despite their recommendation. The pain and swelling returned days later, which prompted the patient to present to the ED.

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Urgent Care Ultrasounds Sepsis Emergency Department 52

NRC Health

MAY 4, 2023

OSF HealthCare aimed to improve awareness, preference, image, reputation, and advertising recall—testing five service lines simultaneously and against each other. The post Innovative advertising testing research shows valuable results for OSF HealthCare appeared first on NRC Health.

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Research 52

Taming the SRU

MAY 3, 2023

CLINICAL CASE: History of Present Illness: An elderly female initially presented to an outside hospital with a variety of respiratory symptoms and was subsequently diagnosed with COVID-19 pneumonia. During her hospitalization, her respiratory status gradually deteriorated and five days into her hospitalization, she unfortunately required endotracheal intubation.

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Wellness Hospitals Shock Outcomes 52

Science Based Medicine

MAY 3, 2023

Australia's planned ban on recreational vaping has a solid base in current evidence. The post Is Australia’s Planned Vaping Ban A Good Idea? first appeared on Science-Based Medicine.

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ACEP Now

MAY 4, 2023

Case FIGURE 1: Chest X-ray of multiple rib fractures (arrows). (Click to enlarge.) A 58-year-old male with a history of alcohol abuse presented to the emergency department (ED) as a category 2 trauma for a fall with a reported flail chest. The patient had been drinking with friends when he was witnessed to trip and fall a distance of one step. His right chest wall struck a protuberance, initially reported to be the edge of a stair and later noted to be tree stump.

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Greater Sydney Area HEMS

MAY 3, 2023

Visit the post for more.

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EB Medicine

MAY 3, 2023

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the May 2023 Emergency Medicine Practice article on Emergency Department Management of Gastrointestinal Foreign Body Ingestion Epidemiology Etiology - types of ingestions Anatomy - common locations by age Food impaction Sharp objects Button batteries Magnets Colorectal foreign bodies Prehospital care History and Physical Imaging Expectant management Endoscopic removal Non-endoscopic techniques Body Packing Glucagon Gastric button batt

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Emergency Department 52

EMergucate

MAY 2, 2023

The following left knee x-rays are from a 60 year old with mild knee pain following a fall.

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EMS 52

ACEP Now

MAY 3, 2023

Question: A 22-year-old man presents with chest pain. He has a history of sickle cell anemia. Vital signs are: Temperature, 38.6 C; Heart rate, 118; BP 96.5; Respiratory rate, 36. What is the diagnosis? Acute chest syndrome Aspiration pneumonia Community acquired pneumonia Tuberculosis See the answer here. The post Visual Dx Question: Patient Presents with Chest Pain + Sickle Cell Anemia appeared first on ACEP Now.

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NRC Health

MAY 2, 2023

At HUB23, you’ll find expanded, dynamic programming focused on bringing impact to your organization. The post HUB23 Preview: Jason A. Wolf, PhD, CPXP appeared first on NRC Health.

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EMCrit

MAY 1, 2023

Are you saying? EMCrit Project by Scott Weingart, MD FCCM.

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Life in the Fast Lane

MAY 1, 2023

Ciselle Meier and Mike Cadogan Edward Both Edward Thomas (Ted) Both (1908-1987) was an Australian engineer, known as the ‘Edison of Australia’.

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ACEP Now

MAY 3, 2023

Answer: The correct answer is acute chest syndrome (a). Acute chest syndrome (ACS) is a potentially life-threatening complication of sickle cell disease characterized by lung infiltrates, fever, and respiratory symptoms, including cough, tachypnea, wheeze, increased work of breathing or shortness of breath, and reduced oxygen saturation. ACS is the second most common reason for hospitalization in children and adults with sickle cell disease and is their leading cause of mortality.

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Blood Transfusions Hospitals 52

Taming the SRU

MAY 1, 2023

CPC WITH Dr. Davis and Dr. Paulsen - Taming the SRU: ETHYLENE GLycol POISONING WITH Dr. KletseL - R1 CLinical DIAGNOSTICS: Toxic Plants WITH Dr. Arnold - Quick Hit: FASCICULAR Blocks WITH Dr. Baez - Research Lit Blitz WITH Dr. Wosiski-Kuhn and Dr. Zalesky - Oral Boards CPC WITH Dr. Davis and Dr. Paulsen Patient is a teenager with a history of a seizure disorder… The patient is presenting for concerns of a midline neck mass that is 2-3cm that is tender to palpation and mobile with swallowing Note

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Poisoning Hyperthermia / Hypothermia Emergency Department Seizures 52

PHARM

MAY 1, 2023

Abbey Wrathall / ACCS (EM) CT2 / North Wales The Mountain Leader (ML) award is the qualification for leading groups of people walking in the UK hills… Thinking outside the box for diversifying medical work

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First 10 EM

MAY 1, 2023

Although incredibly nerdy and somewhat difficult to digest, I think the EBM bibliography might be the most valuable resource I have created, at least for those with any interest in learning about evidence based medicine. I continue to (slowly) update this resource. These are the new papers that I have added in the past few […] The post EBM bibliography updates – April 2023 appeared first on First10EM.

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ACEP Now

MAY 3, 2023

Dr. Charlotte Yeh’s day-to-day work as the CMO of AARP Services, Inc. is a bit like emergency medicine, she says: “Every day is different with a different set of circumstances and range of problems to be solved.” When she took the role in 2008, it was a newly created job tasked with expanding AARP’s approach to making health products and services available to its members from third party companies.

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EMS Outcomes Emergency Department Hospitals 52

Dr. Smith's ECG Blog

MAY 1, 2023

Case written by Brandon Friedman M.D., edits by Meyers A woman in her 60s with a history of chronic atrial fibrillation on Eliquis, ESRD on hemodialysis, type-II diabetes mellitus, prior CVA, hypertension, and hyperlipidemia presented to the emergency department with multiple complaints after missing dialysis. She described a feeling of general unwellness, diarrhea, right-sided abdominal pain, bilateral leg pain, bilateral leg swelling, and diffuse itching.

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EKG/ECG Wellness Emergency Department 52

Core Ultrasound

MAY 1, 2023

In this Five Minute Sono video, Paul Khalil (with the help of Rob Farrow), walks us through the bedside diagnosis of testicular torsion. This disease is quite important to diagnose as early as possible and using this tool may dramatically increase the chance of testicular salvage. Hydronephrosis Bladder Vol. Meas.

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Cook County EM Blog

MAY 1, 2023

The Case: A 56-year-old male with no significant past medical history presents to the emergency department with worsening swelling, pain, and erythema of the right elbow. The patient had been seen two days earlier at an outside hospital, where he received an aspiration of his right elbow out of concern for septic arthritis, though the aspirated fluid demonstrated no organisms.

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Ultrasounds Emergency Department Hospitals Outcomes 52