Ken Grauer, MD
AUGUST 4, 2023
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?
Pediatric EM Morsels
AUGUST 4, 2023
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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Mount Sinai EM
JULY 30, 2023
TR Pearl: Thyroid Storm Management Endocrine emergency: severe clinical manifestations of thyrotoxicosis Mortality rate of thyroid storm is 10-30% Often precipitated in patients with hx of hyperthyroidism by an acute event such as surgery (thyroid or non-thyroidal surgery), trauma, infection, acute iodine load (including amiodarone), or parturition Risk factor includes irregular use or discontinuation of antithyroid drugs Diagnosing Thyroid Storm : The distinction between severe thyrotoxicosis a
The Trauma Pro
AUGUST 4, 2023
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.
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!
Ken Grauer, MD
JULY 29, 2023
The ECG in Figure-1 was obtained from an 18-year old woman — who moments before been resuscitated from out-of-hospital cardiac arrest. QUESTIONS: In light of the above clinical history. How would YOU interpret her post-resuscitation ECG? Does this ECG in Figure-1 provide clue(s) to the etiology of this patient's cardiac arrest? Figure-1: The initial ECG in today's case — obtained following resuscitation from cardiac arrest of an 18-year old woman.
SheMD
JULY 30, 2023
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.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
The Trauma Pro
AUGUST 1, 2023
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.
EM Ottawa
AUGUST 3, 2023
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.
SheMD
AUGUST 3, 2023
Are you applying to medical school? This can be one of the most stressful times of you life, but sheMD is here to help! Student Doctor Andrea D. shares with us some lessons she's learned while applying to medical school! 1) It’s expensive! Applying to medical school is so expensive! You must budget for primary apps (AMCAS, AACOMAS, TMDSAS), secondary apps, transcript fees, MCAT, CASPer (depending on the school), and interview-related expenses.
Emergency Live
AUGUST 3, 2023
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.
Don't Forget the Bubbles
AUGUST 2, 2023
What is Complex Regional Pain Syndrome? Complex regional pain syndrome (CRPS) is a chronic neuropathic pain condition characterized by spontaneous and evoked regional pain disproportionate in magnitude or duration to the typical course of pain after similar tissue trauma. The multifactorial pathophysiology involves pain dysregulation in the sympathetic and central nervous systems, with likely genetic, inflammatory, and psychological contributions.
NRC Health
AUGUST 1, 2023
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.
ACEP Now
AUGUST 1, 2023
In November 2022, the American College of Emergency Physicians sent a letter to President Biden on behalf of 34 organizations, asking to convene stakeholders to identify solutions to address the emergency department (ED) boarding crisis.1 The letter detailed ED physician stories, highlighting the preventable harms from boarding, crowding, long waits, staff shortages, burnout, and the disproportionate impact on behavioral health and pediatric populations.
Emergency Live
AUGUST 2, 2023
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.
EMDocs
AUGUST 3, 2023
Authors: Eric Sabatini Regueira, MD (Emergency Medicine PGY-3, Carolinas Medical Center, Charlotte, NC) and Ann-Jeannette Geib, MD (Emergency Physician/Medical Toxicologist, Carolinas Medical Center, Charlotte, NC)// Reviewed by: James Dazhe Cao, MD (@JamesCaoMD, Associate Professor of EM, Medical Toxicology, UT Southwestern Medical Center, Dallas, TX); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case: A 26-year-old female with history of depression presents to the ED after ingestin
Emergency Medicine News
JULY 31, 2023
An abstract is unavailable.
Don't Forget the Bubbles
JULY 31, 2023
With millions of journal articles published yearly, it is impossible to keep up. Our team have scoured what’s new (well, mostly new!) in the paediatric literature. One reviewer has returned to an oldie but a goodie to answer a clinical question! Article 1: Does rapid diagnostic testing for Malaria work? Bird C, Hayward GN, Turner PJ, Merrick V, Lyttle MD, Mullen N, Fanshawe TR.
Emergency Live
AUGUST 1, 2023
Canada’s fires choke America – the reason why Tragedies can be many things, sometimes even ecological, but sometimes the consequences can be truly dramatic. In this case, we have to talk about the various fires that raged in Canada, and how they choked other American states precisely because of the nature of that fire. It […] The post Devastating Flames, Smoke and Ecological Crisis - An Analysis of Causes and Consequences appeared first on Emergency Live.
PulmCCM
JULY 31, 2023
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.
Sensible Medicine
JULY 30, 2023
This will be a short column about a study that should have never been conceived, performed or published. JAMA-IM published an observational study called: Excess Death Rates for Republican and Democratic Registered Voters in Florida and Ohio during the COVID-19 Pandemic. The conclusion reads: (emphasis mine) In this cross-sectional study, an association was observed between political party affiliation and excess deaths in Ohio and Florida after COVID-19 vaccines were available to all adults.
ACEP Now
AUGUST 1, 2023
Each year, ACEP’s Council elects new leaders for the College at its meeting. The Council, which represents all 53 chapters, 40 sections of membership, the Association of Academic Chairs of Emergency Medicine, the Council of Emergency Medicine Residency Directors, the Emergency Medicine Residents’ Association, and the Society for Academic Emergency Medicine, will elect four members to the ACEP Board of Directors when it meets in October, along with a new President-Elect, Council Speaker and Counc
Emergency Live
AUGUST 1, 2023
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
The Skeptics' Guide to EM
JULY 29, 2023
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.
RebelEM
JULY 31, 2023
Background: The ongoing debate between video laryngoscopy (VL) and direct laryngoscopy (DL) has ignited intense debate within the emergency medicine and critical care communities. A recent pragmatic, randomized, multicenter trial (The DEVICE Trial) compared the two techniques to determine if VL outperformed DL in first-pass success (FPS). In this blog post, we explore the study’s key findings, strengths, and limitations, providing valuable insights while navigating the complexities of airway man
Emergency Live
AUGUST 2, 2023
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.
ECG Guru
JULY 30, 2023
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.
St. Emlyn
JULY 29, 2023
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.
Emergency Live
AUGUST 2, 2023
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.
EMDocs
JULY 29, 2023
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
Sensible Medicine
JULY 31, 2023
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.
Emergency Medicine News
JULY 31, 2023
An abstract is unavailable.
Emergency Live
AUGUST 3, 2023
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.
EMCrit
JULY 30, 2023
Lower dose peripheral infusion for sick pulmonary embolism patients EMCrit Project by Scott Weingart, MD FCCM.
Medagadget
AUGUST 4, 2023
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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