Sat.Jul 29, 2023 - Fri.Aug 04, 2023

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ECG Blog #389 — A Quote from Sherlock Holmes

Ken Grauer, MD

The long lead II rhythm strip shown in Figure-1 — was obtained from a previously healthy 30-year old woman, who presented with new abdominal pain. Her vital signs were stable — and she did not have an acute abdomen. QUESTIONS: Is there complete AV block? If not — How would YOU interpret this rhythm? What is unusual about this conduction disturbance?

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Superior Mesenteric Artery Syndrome (SMA Syndrome) in Children

Pediatric EM Morsels

In the age of Ozempic, everyone seems to be losing weight! This seems to have had an overall positive benefit on the health of many. Losing weight is a good thing, until it is a bad thing! Too much of a good thing is a bad thing. Of course, there can be many complications of rapid weight loss including gallstones , malnutrition , and electrolyte imbalances.

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What The Heck! You Make The Diagnosis

The Trauma Pro

Please help figure out what is wrong here. I’m not going to give you much information, though. This male patient was brought to the trauma center after a high-speed car crash. He was unresponsive with GCS 3. A bleeding facial laceration was present, as was vomitus in the airway. Prehospital providers rapidly intubated the patient and inserted an orogastric tube.

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Medical School Application Letters of Recommendation

SheMD

Disclaimer: This post was written before the COVID-19 pandemic. Some of the interview information may not be relevant during the 2020-2021 & 2021-2022 academic years. Hello premeds! ,, AMCAS , ,, AACOMAS , and ,, TMDSAS all opened in the beginning of May. We are kicking it into high-gear with premeds so they can turn in their medical school applications as soon as they are able.

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Pneumonia: symptoms, causes, diagnosis and treatment

Emergency Live

Pneumonia is inflammation of one or both lungs that is associated with an infection. Here's everything you need to know about this disease The post Pneumonia: symptoms, causes, diagnosis and treatment appeared first on Emergency Live.

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What’s really in that sports supplement?

Science Based Medicine

A new analysis of sports supplements shows that you cannot trust the label to tell you what's actually in the bottle. The post What’s really in that sports supplement? first appeared on Science-Based Medicine.

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Novel Hip Reduction Technique: The Captain Morgan

The Trauma Pro

I wrote about posterior hip dislocation and how to reduce it using the “standard” technique quite some time ago (see link below). Emergency physicians and orthopedic surgeons at UCSF-Fresno have published their experience with a reduction technique called the Captain Morgan. Named after the pose of the trademark pirate for Captain Morgan rum , this technique simplifies the task of pulling the hip back into position.

More Trending

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Bridgestone and Italian Red Cross together for road safety

Emergency Live

Project ‘Safety on the Road – Life is a journey, let’s make it safer’ – Interview with Dr. Silvia Brufani, HR Director of Bridgestone Europe The project ‘Safety on the road – Life is a journey, let’s make it safer’ is launched As promised in the first part of the report dedicated to the project […] The post Bridgestone and Italian Red Cross together for road safety appeared first on Emergency Live.

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BHP Corner: Decision Points in Cardiac Arrest

EM Ottawa

Case You and your partner arrive at a scene where a 67-year-old male had a witnessed collapse 5 minutes ago and CPR is in progress; he is in cardiac arrest. The initial rhythm is ventricular fibrillation. You continue CPR with a King LT and provide 3 shocks, along with a dose of epinephrine remembering that […] The post BHP Corner: Decision Points in Cardiac Arrest appeared first on EMOttawa Blog.

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Building Loyalty into the Patient Experience

NRC Health

In this episode we talk with John Berg, Marketing Director and AVP of UF Health, and Ryan Donohue, Strategic Advisor at NRC Health. The post Building Loyalty into the Patient Experience appeared first on NRC Health.

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Forget IV vs. IO in Cardiac Arrest

Emergency Medicine News

An abstract is unavailable.

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Hydrogeological Disaster Preparedness and Response - Special Means

Emergency Live

Flood in Emilia Romagna (Italy), rescue vehicles Even though the last disaster to hit Emilia Romagna (Italy) was of a particular magnitude, it was not the only event to damage that territory. If we consider the data available since 2010, this region has in fact suffered as many as 110 disasters, all of course of […] The post Hydrogeological Disaster Preparedness and Response - Special Means appeared first on Emergency Live.

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The Latest in Critical Care, 7/31/23 (Issue #10)

PulmCCM

New Practice Guidelines for Diagnosis and Management of Acute Respiratory Distress Syndrome As mentioned here previously , a group of U.S. and European experts arrived at a consensus of new recommendations for the management of acute respiratory distress syndrome (ARDS), now publishing their guidance in JAMA. The highlights include: A trial of high-flow nasal cannula oxygen was advised before intubating patients.

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COVID-19 has exposed the toothlessness of state medical boards

Science Based Medicine

A report in The Washington Post last week revealed just how badly state medical boards have been failing when dealing with physicians spreading COVID-19 misinformation and using quackery to prevent and treat the disease. None of this is anything new, unfortunately. The pandemic has merely stress tested state medical boards, and most have failed because of political choices made long ago.

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The Golden Rule of EM

Emergency Medicine News

An abstract is unavailable.

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New Frontiers for Fast Response Times and Effective Training

Emergency Live

How Artificial Intelligence is Revolutionising First Aid Artificial Intelligence (AI) is showing enormous promise in making first aid interventions easier, faster and more effective. Using smartphones and road accident detection systems, AI can automatically notify help, reducing critical response times. This innovative technology could have a significant impact on the survival of victims of severe […] The post New Frontiers for Fast Response Times and Effective Training appeared first on

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VT or SVT? Here, Both!

ECG Guru

Complex ECGs like this one have to be approached systematically. Firstly, we can see a normal sinus rhythm. A is the first beat of a wide complex tachycardia. This must be a ventricular tachycardia. Although there is a P-wave before the first beat of the tachycardia, it is not premature. Therefore, there is no SVT with aberrant conduction. The first beat of the tachycardia looks different from the subsequent beats because there is a fusion beat present.

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The Most Important Trial in Modern Cardiology

Sensible Medicine

In Chapter 1 of this mini-series, I explained the disruption wrought by the COURAGE trial. Seriously? Stenting severe coronary lesions did not improve survival over simple tablets? Chapter 2 added to the oodles of studies showing how much doctors can be fooled by the placebo effect. The ORBITA trial demonstrated that the caring signal of placing a stent is massive.

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Don't Count REBOA Out Yet

Emergency Medicine News

An abstract is unavailable.

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Crab lice: causes and treatment of pubic lice

Emergency Live

Crab lice, or pubic lice, are very small insects that infest the genital area. Typically, they live on pubic hair and are spread through intimate or sexual contact The post Crab lice: causes and treatment of pubic lice appeared first on Emergency Live.

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Structural Energetic Therapy

Science Based Medicine

SET appears to be another form of massage therapy with unsupported claims. The post Structural Energetic Therapy first appeared on Science-Based Medicine.

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Is Shortness of Breath Due to Heart Failure Different from Shortness of Breath Due to Asthma?

Sensible Medicine

There are articles that change your practice. There are articles that clarify your understanding of medicine. There are articles that are great examples of study types, bias, and design errors. And then there are the articles that are just so interesting that although they don’t really impact the medicine you practice you find yourself referencing them every few months.

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TXA Should be Urgently and Broadly Adopted for Brain Bleeds

Emergency Medicine News

An abstract is unavailable.

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Italian Red Cross and Bridgestone together for road safety

Emergency Live

Project ‘Safety on the Road – Life is a journey, let’s make it safer’ – Interview with Dr. Edoardo Italia Vice-President of the Italian Red Cross The project ‘Safety on the road – Life is a journey, let’s make it safer’ is launched Road safety, road-related behaviour and respect for the environment are always extremely […] The post Italian Red Cross and Bridgestone together for road safety appeared first on Emergency Live.

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Visually Guided Uterine Biopsies in Physician’s Office: Interview with Allison London Brown, CEO of LUMINELLE

Medagadget

LUMINELLE , a medtech company based in North Carolina, has developed a suite of endoscopic tools that allow clinicians to perform visually guided gynecological procedures right from their office. At present, the majority of uterine biopsies taken to investigate the cause of abnormal uterine bleeding are taken blind, with no visual guidance at all. This leads to suboptimal outcomes, and the frequent need to repeat the biopsy procedure because the first attempt did not yield an adequate sample.

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OMI Pocket Guide

Dr. Smith's ECG Blog

? OMI Pocket Guide The OMI Pocket Guide ( [link] ) is a user-friendly online resource designed to help healthcare professionals learn how to recognize subtle signs of acute coronary occlusion on the ECG which represent occlusion myocardial infarctions (OMI). Learning to recognize OMIs is an important clinical skill because it helps identify the subpopulation of "NSTEMIs" who are likely to be found with total thrombotic occlusion at the time of cardiac catherization.

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EMCrit 354 – Reduced-Dose Systemic Peripheral Fibrinolysis in Massive Pulmonary Embolism

EMCrit

Lower dose peripheral infusion for sick pulmonary embolism patients EMCrit Project by Scott Weingart, MD FCCM.

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Parotitis: symptoms, causes, diagnosis and treatment

Emergency Live

Parotitis is also known as "mumps" as the ears appear larger than normal (the swelling rotates the pinnae forward and out) or "crawling" due to the resemblance to a cat with a deformed face, precisely due to swelling affecting the salivary glands The post Parotitis: symptoms, causes, diagnosis and treatment appeared first on Emergency Live.

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Training for HALO procedures. Part 3: The Team. St Emlyn’s

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed Our third blog on teaching HALO procedures. This week we focus on team training and performance. @stemlyns #FOAMed The post Training for HALO procedures. Part 3: The Team. St Emlyn’s appeared first on St.Emlyn's.

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Should Protein Powder Have a Warning Label?

Science Based Medicine

The unfortunate death of a teen in London has some experts calling for new warning labels on products containing large amounts of protein. But would that work? The post Should Protein Powder Have a Warning Label? first appeared on Science-Based Medicine.

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Above Elbow Amputee Controls Individual Bionic Fingers

Medagadget

Researchers at Chalmers University of Technology in Sweden have developed a new technique that could allow above-elbow amputees to better use robotic prostheses, including making individual finger movements. Unlike below-elbow amputees, these patients have a more limited number of remnant muscles with which to produce fine control of multiple bionic structures, such as bionic fingers.

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Couple infertility: let's talk about oligospermia

Emergency Live

Oligospermia represents about 30-50% of the causes of couple infertility, a problem that afflicts about 15% of Italian couples The post Couple infertility: let's talk about oligospermia appeared first on Emergency Live.

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SGEM#411: Heads Won’t Roll – Prehospital Cervical Spine Immobilization

The Skeptics' Guide to EM

Date: July 21, 2023 Reference: McDonald et al. Patterns of change in prehospital spinal motion restriction: a retrospective database review. AEM July 2023 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. He is also an avid FOAM supporter/producer through various online outlets including TheSGEM.

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EM@3AM: Suppurative Parotitis

EMDocs

Authors: Veronica Morgan, MD (EM Resident Physician: UTSW – Dallas, TX); Andrew Stricklin, MD (Assistant Professor of EM/Attending Physician: UTSW – Dallas, TX) // Reviewed by: Sophia Görgens, MD (EM Resident Physician, Zucker-Northwell NS/LIJ, NY); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Alex Koyfman, MD (@EMHighAK) ; Brit Long, MD (@long_brit) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providing an exp

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Navigating the World of Healthcare Recruitment: Insights from Drew

Core Medical Group

The ever-changing landscape of healthcare recruitment presents new challenges and opportunities daily. With a spirit fueled by his dedication and guided by the wisdom of his experiences, Drew eagerly anticipates his ongoing pursuit of creating a meaningful impact in the lives of healthcare professionals and the industry at large.

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Circulatory assistance to the left ventricle: the intra-aortic counterpulsation

Emergency Live

The aortic counterpulsator is a device that is used in cardiology because it is capable of providing temporary circulatory assistance The post Circulatory assistance to the left ventricle: the intra-aortic counterpulsation appeared first on Emergency Live.

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Artificial Muscle Changes Stiffness with Voltage

Medagadget

Scientists at Queen Mary University of London have developed an artificial muscle that can change from soft to hard in response to a voltage change. The technology aims to mimic human muscles in both its movements and in its ability to sense forces and deformation. The muscle is made using carbon nanotubes that have been coated with silicone to form a cathode that can also sense forces, and an anode made from a soft metal mesh, forming an actuation layer between the anode and cathode.