Sat.Jun 12, 2021 - Fri.Jun 18, 2021

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Step-by-step Guide to the Independent Medical Review Process

Advanced Medical Reviews

Most businesses have established processes and procedures to ensure employees follow the correct sequence of steps that results in high-quality products or services. Providers of independent medical reviews (IMRs) are no different.

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ECG Cases 22: T-wave INVERSION mnemonic

Emergency Medicine Cases

The differential for T-wave INVERSION includes: Incorrect lead placement, No bundle (RBBB, LBBB), Ventricular hypertrophy (LVH, RVH), Embolism, Reciprocal/refractory/reperfused occlusion MI, Sudden death (ARVD), Iatrogenic (digoxin), Obtunded (eg SAH), and Normal variant. Jesse McLaren runs through 10 cases of patients who present to the ED who have T-wave inversions on their ECGs.

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The Emergency Department Admitting Team: A Crisis Response to an Unprecedented Surge of Critically Ill Patients During COVID-19

EM Updates

Maimonides Medical Center (MMC) is Brooklyn’s largest hospital, an academic quaternary care center with, in normal times, 711 total beds, 66 intensive care beds, and an Emergency Department that treats approximately 120,000 patients per year. On March 9, the first patient with a novel coronavirus infection was admitted to MMC. At its peak, on April 9, there were 471 patients with confirmed or suspected COVID-19 admitted to the hospital, with 139 patients designated to be occupying a critical car

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Tasty Morsels of Critical Care 045 | Chemical Biological Radiological and Nuclear exposures

Emergency Medicine Ireland

Welcome back to the tasty morsels of critical care podcast. Oh dedicates an entire chapter, number 88 to CBRN issues. While not commonly seen you can rest assured that critical care will be expected to turn up and manage these. Read More » Welcome back to the tasty morsels of critical care podcast. Oh dedicates an entire chapter, number 88 to CBRN issues.

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Antibiotic Use Sepsis | HEART-EDACS | ED-AWARENESS | Thoracentesis+Coagulopathy | Difficult Airway

JournalFeed

It’s the JournalFeed Podcast for the week of Jun 7-11, 2021. We cover overuse of antibiotics for ED sepsis alerts, HEART or EDACS with hs-cTn 0-1 hour rule outs, ED-AWARENESS - paralysis awareness after RSI, thoracentesis or chest tubes in coagulopathic patients, and a review on managing the difficult airway.

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EM Quick Hits 29 Vasopressor Failure, Asplenic Considerations, Bronchiolitis Update, ICD Electrical Storm, Night Shift Tips

Emergency Medicine Cases

In this month's EM Quick Hits podcast: Anand Swaminathan on vasopressor failure, Brit Long and Michael Gottlieb on aspleic considerations, Sarah Reid on a bronchiolitis update and evolving patterns in the COVID era, Hans Rosenberg and Lindsay Cheskes on ICD electrical storm, Justin Morgenstern on night shift tips. The post EM Quick Hits 29 Vasopressor Failure, Asplenic Considerations, Bronchiolitis Update, ICD Electrical Storm, Night Shift Tips appeared first on Emergency Medicine Cases.

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ECG of the Week – 16th June 2021 – Interpretation

EMergucate

You’re reviewing a 44 year old obese patient whose wife has noticed that he is breathing abnormally at night time.

EKG/ECG 52

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"No Doctor Visit Required - Order Your Own Lab Test" - Quest Diagnostics Google Ad

CasesBlog

Quest Labs is actively advertising on Google with "No Doctor Visit Required - Order Your Own Quest® Lab Test". Anyone can order their own lab test at Quest and LabCorp, including test for COVID antibodies, HIV, etc: [link] [link] This is not new, it but it is still not widely utilized in clinical practice. The likely reason is that the cost of the tests must be paid out of pocket as most insurers do not cover it.

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Nurses Make Care Happen

ER Nurses

As the slow incremental reforms in the American healthcare system amble forward, within the change lies great opportunity. In seeking to avert the collision course of an aging chronically ill population with a financial burden to maintain the current system, policy makers have had to reflect and discover a hitherto unrealized fact: nurses are the backbone of the health care system.

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Imaging Case of the Week 468 Answer

EMergucate

The chest x-ray (AP x-ray done in resus area) shows a widened mediastinum with prominent aortic knuckle.

EMS 52
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Patel – Nutrition Therapy in Critical Illness: Why, When, Where, and What do I Feed my Critically Ill Patient?

University of Maryland CC Project

Dr. Jayshil Patel, MD, Associate Professor of Pulmonary, Critical Care and Sleep Medicine at the Medical College of Wisconsin, discusses nutrition therapy in critical illness. Dr. Jayshil Patel, MD, Associate Professor of Pulmonary, Critical Care and Sleep Medicine at the Medical College of Wisconsin, discusses nutrition therapy in critical illness.

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SGEM#334: In My Life there’s been Earache and Pain I don’t know if it’s IBI again – in an Afebrile Infant with Acute Otitis Media

The Skeptics' Guide to EM

Date: June 11th, 2021 Guest Skeptic: Dr. Dennis Ren is a paediatric emergency medicine fellow at Children’s National Hospital in Washington, DC. Reference: McLaren SH, et al. Invasive bacterial infections in afebrile infants diagnosed with acute otitis media. Pediatrics 2021 Case: You are working with a medical student at the emergency department when a 2-month-old boy is […] The post SGEM#334: In My Life there’s been Earache and Pain I don’t know if it’s IBI again – in an Afebrile Infant with A

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ECG of the Week- 23rd June 2021

EMergucate

33 y/o female presented with 6 hours history of palpitations and dyspnea. She denied any chest pain.

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Imaging Case of the Week 469

EMergucate

The following chest x-ray is from an 18-year old with sudden onset of dyspnoea. What can be seen?

EMS 52
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Lab case 329 interpretation

EMergucate

Question 1: PH = 7.82 that is life threatening alkalemia PaCO2 is 28.7, that is low (<40), so we have respiratory alkalosis. this can be acute or chronic (not clear from the history).

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ECG of the Week – 16th June 2021

EMergucate

You’re reviewing a 45 year old obese patient whose wife has noticed that he is breathing abnormally at night time … Continue reading →

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Lab Case 330

EMergucate

80 year old female presents complaining of increased fatigue.

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