Sat.Nov 02, 2024 - Fri.Nov 08, 2024

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Everything You Wanted To Know About: Cranial Bone Flaps

The Trauma Pro

Patients with severe TBI frequently undergo surgical procedures to remove clot or decompress the brain. Most of the time, they undergo a craniotomy, in which a bone flap is raised temporarily and then replaced at the end of the procedure. But in decompressive surgery, the bone flap cannot be replaced because doing so may increase intracranial pressure.

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Building a Learning Culture in the ED: Why It Matters and How to Make It Happen.

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed Creating a learning culture in the emergency department (ED) fosters psychological safety, open communication, and continuous improvement. This approach supports team resilience, enhances patient care, and reduces burnout. Learn practical steps to build a strong learning culture in your ED, promoting growth and collaborative excellence in emergency medicine.

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Elbow Dislocations

RebelEM

Elbow Dislocation Definition: Disarticulation of the proximal radius & ulna bones from the humerus Epidemiology: Incidence Second most common joint dislocation (after shoulder) in adults Most commonly dislocated joint in children Accounts for 10-25% of all injuries to the elbow ( Cohen 1998 ) Posterolateral is the most common type of dislocation (80%) Demographics Most commonly affects patients between ages 10-20 years old As age increases, elbow dislocation rates tend to d

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How to Best Inspect, Protect, and Dress Wounds in the Emergency Dept.

ACEP Now

This is the second visit in two weeks for an elderly gentleman who is concerned about his legs being red and swollen. During the first visit, he was diagnosed with cellulitis and placed on cephalexin. Today, he notes worsening swelling and a blister forming near his left ankle. The pain makes it difficult for him to ambulate unassisted through his home.

Burns 97
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Bridging Innovation & Patient Care: The Growing Role of AI

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!

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Intraosseous vs intravenous access: which is better during resuscitation?

PulmCCM

During cardiac arrest, every second matters (at least potentially). For out-of-hospital cardiac arrest in particular, intravenous access can be difficult to establish, delaying the administration of epinephrine and other drugs and possibly worsening outcomes. Intraosseous (IO) devices—inserted by punching a needle loaded on a trocar into the tibia or femur—can be placed more easily than IV catheters, leading to faster injection of epinephrine.

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Podcast – Prehospital eCPR with Alice Hutin at Tactical Trauma 2024

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed At the Tactical Trauma 24 conference in Sundsvall, Sweden, St Emlyn’s hosts Iain Beardsell and Liz Crowe had the opportunity to speak with Alice Hutin, an emergency physician with Service […] The post Podcast – Prehospital eCPR with Alice Hutin at Tactical Trauma 2024 appeared first on St.Emlyn's.

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A Potential Solution to America’s Psychiatric Boarding Crisis

ACEP Now

Dr. Elizabeth Wharff was the director of emergency psychiatry at Boston’s Children’s Hospital in the late 1990s when she became concerned about what was, then, a new problem. The emergency department (ED) was frequently overwhelmed by suicidal adolescents who needed inpatient psychiatric treatment but couldn’t be admitted, because the hospital had no free beds.

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Intense exercise: an elixir against hypertension and dementia

Emergency Live

Vigorous exercise reduces risk of cognitive impairment, study shows A recent study by Wake Forest University has revealed a promising finding: intense physical exercise could be a valuable ally in the fight against dementia, especially in hypertensive people. SPRINT: a groundbreaking study The study is based on data collected in the context of the famous […] The post Intense exercise: an elixir against hypertension and dementia appeared first on Emergency Live.

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OCR’s Expectations for Preventing Ransomware in Healthcare

Total Medical ComplianceHIPAA

Key Lessons from the Cascade Eye and Skin Centers Settlement The recent settlement between the U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) and Cascade Eye and Skin Centers underscores OCR’s expectations for healthcare providers regarding cybersecurity under the HIPAA Security Rule. Following a ransomware attack that compromised nearly 291,000 patient records, Cascade agreed to a $250,000 settlement and a corrective action plan.

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Liberal or restrictive transfusion in brain injury part 2 (The TRAIN trial)

First 10 EM

It is pretty rare for the phrase “we need more research” to be immediately followed by more research, but that seems to have happened here.v On October 7 I published my post about the HEMOTION trial, looking at transfusion thresholds in traumatic brain injury, and concluding that despite being a statistically negative trial, the results […] The post Liberal or restrictive transfusion in brain injury part 2 (The TRAIN trial) appeared first on First10EM.

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When Do Pediatric Ventriculoperitoneal Shunts Fail?

ACEP Now

The best questions often stem from the inquisitive learner. As educators, we love—and are always humbled—by those moments when we get to say “I don’t know.” For some of these questions, you may already know the answers. For others, you may never have thought to ask the question. For all, questions, comments, concerns, and critiques are encouraged. Welcome to the Kids Korner.

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Sepsis: a silent enemy of newborns

Emergency Live

If not recognized and treated promptly, it can lead to irreversible organ damage and death Sepsis, an extreme inflammatory response of the body to an infection, is a serious threat to the health of infants, especially those born prematurely. This condition, if not recognized and treated promptly, can lead to irreversible organ damage and, in […] The post Sepsis: a silent enemy of newborns appeared first on Emergency Live.

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November 8, 1895

Life in the Fast Lane

Mike Cadogan November 8, 1895 On November 8, 1895 Wilhelm Röntgen, chair of physics at Würzburg, noted an unusual phenomenon, that would change the world of medicine

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“Talk Dirty to Me”: Bedside Testing for Necrotizing Fasciitis

Kings County Downstate EM

Case Author: Ryan Pang, MD Editor: Philippe Ayres, MD A 72-year-old male with a past medical history of hypertension, diabetes, and hyperlipidemia presents to the ED with 3 months of chronic, progressively worsening swelling of his left arm. He also reports an inability to move his left arm and […] The post “Talk Dirty to Me”: Bedside Testing for Necrotizing Fasciitis appeared first on County EM.

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Compassionate Care for Neurodivergent Patients in the Emergency Dept.

ACEP Now

The quick-moving, high-stress practice of emergency medicine means health care professionals need to be prepared for anything. Among emergency physicians’ diverse patient populations, neurodivergent individuals represent a unique group with distinct challenges and requirements. Neurodivergence is an umbrella term that refers to a variety of neurological differences (not deficits), including autism spectrum disorder (ASD), attention deficit hyperactivity disorder (ADHD), and dyslexia, among other

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Global Medical Response expands fleet with Airbus

Emergency Live

Global Medical Response expands fleet with Airbus Global Medical Response (GMR) has ordered 28 Airbus helicopters, including six H125s, five H130s, fourteen H135s, and three H145s, to continue expanding its medical airlift fleet. Following an order for five Airbus helicopters in early 2024, GMR will operate a fleet of nearly 200 Airbus helicopters, strengthening its […] The post Global Medical Response expands fleet with Airbus appeared first on Emergency Live.

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Waiting Room Medicine

Life in the Fast Lane

Mike Cadogan Waiting Room Medicine With exponential Emergency Department over-crowding and spiraling waiting times, the Utopian College has produced a series of guidelines to assist fondling members.

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Cardiac arrest and IO

Emergency Medicine Education

I personally believe that having a secure line, whether a peripheral IV or central line, is essential for resuscitating a patient. However, this is just my opinion. A recent article in NEJM highlighted that the drug administration route—IV versus IO—matters in terms of successful resuscitation, return of spontaneous circulation (ROSC), and favorable neurological outcomes.

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Current Extraglottic Airway Devices and Prehospital Practices

ACEP Now

Airway management remains a fundamental skill for all emergency physicians. Extraglottic airway devices (EGAs) have become a widely accepted means of airway management along with rescue airway devices. We aim to clarify the role of these devices in the prehospital setting and discuss considerations surrounding the most frequently used devices in current practice.

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What Are Some Complications of Mitral Valve Prolapse?

Pediatric Education

Patient Presentation A 17-year-old male came to clinic for his annual examination and sports physical. He ran cross country and track, and had sustained an ankle sprain over the past year which had healed. The past medical history included mitral valve prolapse which had been noted 2 years previously because of an echocardiogram done as part of a long-QT syndrome evaluation in a maternal aunt.

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Funtabulously Frivolous Friday Five 361

Life in the Fast Lane

Mark Corden Funtabulously Frivolous Friday Five 361 Funtabulously Frivolous Friday Five 360 - Just when you thought your brain could unwind, enter the medical trivia of FFFF.

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Azithromycin and Myocardial Infarction

Emergency Medicine Education

The overuse of azithromycin during COVID-19 led to several issues, including increased resistance to the medication. Initially, concerns centered around QT prolongation, but a recent retrospective study published in JACC: Advances discusses additional risks associated with azithromycin exposure, including ‘long-term subsequent MI,’ ’30-day hospital readmissions,’ and ’30-day incident heart failure among MI patients.

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A Chat with Native American Emergency Physicians

ACEP Now

Native American emergency physicians make up 0.1 percent of physicians in U.S. emergency departments, according to research published in 2020 in Annals of Emergency Medicine. Three Native American emergency physicians in Oklahoma—three of five in the state—discussed with ACEP Now their approach to health care and how their careers in medicine began.

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EMCrit RACC Lit Review – October/November 2024

EMCrit

All the RACC Literature Goodness for November 2024 EMCrit Project by Scott Weingart, MD FCCM.

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A Global Review of Advanced Practice Nursing in the Emergency Department

AENJ: Current Issue

As demands in the way of healthcare delivery increase, nurse practitioners have become essential components in optimizing access to healthcare and improving outcomes around the globe. The authors recognize the vital role nurse practitioners play globally and that education, practice, and credentialing differ significantly across countries. Many countries have a wide variation in educational requirements, resulting in a lack of adequate advanced practice nursing training and regulation of practic

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Grand Rounds Recap 10.30.24

Taming the SRU

Leadership curriculum - Airway academy - R1 Core Content - R3 Small Groups leadership curriculum WITH drs. jarrell, leenellett and lafollette Our workforce is changing and our interactions with our colleagues are changing as well. We will review how you may view differences in gender and generation to lead effectively. Stereotype: An over-generalized belief about a particular category of people Meta-stereotype: When you make an assumption of a member of one group based on a stereotypical view of

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Neonatal Resuscitation Tips

ACEP Now

A gravid woman presents to your emergency department (ED). Before you can obtain any history, she gives birth in your waiting room. The neonate is apneic and has a heart rate of 48. How do you stabilize this patient? Neonatal resuscitation is common; 10 percent of the four million newborns in the U.S. each year will require at least some intervention. 1 However, one percent of births will require advanced interventions, including chest compressions, intubation, and medications. 2 These rare scen

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Building a Learning Culture in the ED: Why It Matters and How to Make It Happen.

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed Creating a learning culture in the emergency department (ED) fosters psychological safety, open communication, and continuous improvement. The post Building a Learning Culture in the ED: Why It Matters and How to Make It Happen. appeared first on St.Emlyn's.

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10th Anniversary of the American Academy of Emergency Nurse Practitioners

AENJ: Current Issue

No abstract available

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5 Min Sono: The VExUS Score (2024)

Core Ultrasound

In this Five Minute Sono video we provide a streamlined, step-by-step walkthrough on how to accurately conduct the VEXUS Score, perfect for clinicians who are already familiar with its purpose and clinical applications. IVC VTI Courses The post 5 Min Sono: The VExUS Score (2024) first appeared on Core Ultrasound.

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AHA and Red Cross Life Support Certifications Should Both Be Accepted

ACEP Now

For decades, only one major organization—the American Heart Association (AHA)—provided standardized training and certifications in Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS). This changed in 2019 when the American Red Cross rolled out a suite of courses that teach the same science and skills in a more learner-centered way.

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Screening Can Do Silent Harm Part II

Sensible Medicine

I was pretty proud of my post last Friday, Screening Can Do Silent Harm. I described five cases that demonstrated the silent harms of screening. Unfortunately, unless you were both REALLY clued into the potential harms of screening AND basically live inside my head, the post left something to be desired. Reactions on twitter and in the comments were well-represented by these two: “It’s an odd article as people not already in the know won’t realise what it’s about !

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Historical Evolution of Emergency Nurse Practitioner Education: A Comprehensive Review

AENJ: Current Issue

No abstract available

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COVID-19 Resources

Life in the Fast Lane

Sheralyn Guilleminot and Mike Cadogan COVID-19 Resources The COVID-19 resource pack you need to keep up with the constant stream of new variants, new research, and changing guidelines!

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Pain Management of Common Chief Complaints in the ED

EMDocs

Authors: Nikhil B. Bhana, MD (EM Resident Physician, University of Massachusetts/UMass Chan Medical School); Clarence Kong, MD (Pain Fellow, Eastern Virginia Medical School – Virginia Health Sciences at Old Dominion University); Mani Hashemi, MD (EM Attending, HCA Florida Mercy Hospital); S.M. Jafar Mahmood, MD (Pain Medicine Attending, Paincare Medical Practice) // Reviewed by: Jessica Pelletier, DO, MHPE (EM Attending, APD, University of Missouri-Columbia), Marina Boushra, MD (EM-CCM Attending

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Bubble Wrap PLUS – November 2024

Don't Forget the Bubbles

Cant get enough of Bubble Wrap? The Bubble Wrap Plus is a monthly paediatric Journal Club reading list from Professor Jaan Toelen (University Hospitals Leuven) and Dr Anke Raaijmakers (Sydney Childrens Hospital). This comprehensive list is developed from 34 journals, including major and subspecialty paediatric journals. We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research.