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.
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 Live
AUGUST 4, 2023
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.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
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.
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.
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.
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.
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.
Science Based Medicine
AUGUST 3, 2023
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.
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.
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.
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.
Science Based Medicine
JULY 31, 2023
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.
EB Medicine
AUGUST 1, 2023
In this episode, Sam Ashoo, MD, and TR Eckler, MD, interview Al Sacchetti, MD, about the August 2023 Emergency Medicine Practice article, Evidence-Based Management of Pulmonary Embolism in the Emergency Department Etiology/pathophysiology Risk factors Differential diagnosis Prehospital care ED history and physical exam Diagnostic scoring systems Pregnant patients Diagnostic studies ECG D-Dimer Troponin & BNP Chest x-ray CT V/Q scans MRI US Treatment IV fluids Anticoagulation Vasopressor
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 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
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
Medagadget
AUGUST 4, 2023
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.
Sensible Medicine
AUGUST 1, 2023
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.
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.
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.
Medagadget
AUGUST 2, 2023
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.
Science Based Medicine
AUGUST 2, 2023
SET appears to be another form of massage therapy with unsupported claims. The post Structural Energetic Therapy first appeared on Science-Based Medicine.
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.
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.
Medagadget
AUGUST 1, 2023
Researchers at the University of Hong Kong have developed a microneedle patch for the drug-free treatment of skin infections, such as acne. Acne is often treated using antibiotics, but these have limited effectiveness over the long term and can result in drug-resistant bacteria. In an effort to develop a drug-free alternative, these researchers have created a microneedle patch that is ultrasound responsive.
Core Medical Group
AUGUST 4, 2023
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.
Emergency Live
JULY 31, 2023
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.
Dr. Smith's ECG Blog
AUGUST 3, 2023
? 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.
Medagadget
AUGUST 4, 2023
Researchers at Duke University have developed a gravity-powered microfluidic device that is intended for use as a diagnostic technology in low-resource areas. Microfluidics have enormous potential for point-of-care diagnostics, but the inclusion of tiny pumps and other sophisticated electronic components dramatically increases the complexity and cost of such devices.
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
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