Sat.Sep 17, 2022 - Fri.Sep 23, 2022

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The Pros of Interim Healthcare Management: Choosing the Right Career Path for You

Core Medical Group

Before jumping into any career decision, it’s best to weigh the pros and cons given your lifestyle and unique situation. Interim healthcare management could make sense for you now, or it may be an option you tuck away for a different season of life. No matter which category you fall into, understanding this more flexible career path will be helpful as you plan your future.

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Another Piece of Equipment with Racial Bias

RebelEM

Background: Medical equipment that gives clinicians vital signs or other objective information must be reliable across populations as this data drives medical decisions. Many of these tools were not developed or validated in a racially diverse group of patients. We have already covered issues with pulse oximetry potentially missing hypoxemia in Black patients on REBEL EM ( Link is HERE ).

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Reflections on undertaking qualitative research in emergency care

RCEM Learning

The post Reflections on undertaking qualitative research in emergency care appeared first on RCEMLearning.

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ECG of the Week 21 September 2022 – Answer

EMergucate

A 70 year old male presents to ED complaining of shortness of breath.

EKG/ECG 52
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Posterior leads can give false reassurance

Dr. Smith's ECG Blog

A 40-something woman with diabetes and peripheral vascular disease who frequently needs the ED for chronic pain called 911 for sudden severe chest pain. The patient was very agitated and could not hold still. I greeted medics at the door to view the prehospital ECG. Here it is: It is not normal, but there is no specific evidence of Occlusion MI (OMI) There are some Q-waves in inferior and lateral leads (of uncertain age) and there is some "terminal QRS distortion" in inferior leads and V4-V6, bu

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REBEL Core Cast 86.0 – Hand Nerve Blocks

RebelEM

REBEL Core Cast 86.0 – Hand Nerve Blocks Click here for Direct Download of the Podcast References: Core Ultrasound: Median Nerve Block Core Ultrasound: Radial Nerve Block Core Ultrasound: Ulnar Nerve Block Post Peer Reviewed By: Salim R. Rezaie, MD (Twitter: @srrezaie ) The post REBEL Core Cast 86.0 – Hand Nerve Blocks appeared first on REBEL EM - Emergency Medicine Blog.

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147. Caustic ingestions: hide your kids, hide your bleach

Board Bombs

Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here: emrapidbombs.supercast.com. Hide your kids or hide your bleach. Let's talk about a classic tox presentation this week! Cite this podcast as: Briggs, Blake. Episode 147: Caustic Ingestions: hide your kids, hide your bleach. [link] September 18th, 2022.

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SGEM#376: I Wonder Why She Ran Away from the HINTS Exam

The Skeptics' Guide to EM

Date: September 16th, 2022 Reference: Gerlier C, et al. Differentiating central from peripheral causes of acute vertigo in an emergency setting with the HINTS, STANDING and ABCD2 tests: A diagnostic cohort study. AEM 2021 Guest Skeptic: Dr. Peter Johns has been practicing emergency medicine since 1985 and has been passionate about vertigo education for the last two […] The post SGEM#376: I Wonder Why She Ran Away from the HINTS Exam first appeared on The Skeptics Guide to Emergency Medicine.

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Heads Up! There is No Association with Improved Outcomes for Head Up CPR: Why We Must Read Past the Abstract

RebelEM

Background: There are only two interventions that have been proven in the medical literature to improved outcomes in cardiac arrest: high-quality CPR and early defibrillation. Over the years, we as a scientific community have worked extensively to find other interventions that improve outcomes. Some look promising (ie eCPR and application of US) while others have been considerably less effective or inconsistent (ie epinephrine and targeted temperature management).

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Can a Trespasser Injured on Someone’s Property Pursue Compensation for Personal Injuries?

Medical Law

Property owners are required to take reasonable care to ensure that any visitors on their property are kept safe from injuries. If the property owner does not maintain the property in a reasonably safe condition for visitors, they can be held liable if someone is injured on their property. Generally, a property owner must keep their property in a reasonably safe condition for all people who enter their property, regardless of their status.

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Wyatt – Systems are Divisive…Especially in Research

University of Maryland CC Project

Dr. Tasha R. Wyatt PhD, Associate Director, Center for Health Professions Education (CHPE) and Associate Professor, Department of Medicine at the F. Edward Hebert School of Medicine, Uniformed Services University of the Health Sciences presents a lecture titled "Systems are Divisive.Especially in Research" as part of the DEI lecture series. Dr. Tasha R.

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ECG of the Week 21 September 2022

EMergucate

A 70 year old male presents to ED complaining of shortness of breath.

EKG/ECG 40
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Chiefs’ Inquiry Corner – 9/20/2022 - Clinical Correlations

Clinical Correlations

Gouverneur Outpatient: What are indications for treatment in essential thrombocythemia? Bellevue Inpatient: Are patients with discoid lupus erythematosus at risk for systemic lupus erythematosus? VA Inpatient: What is the risk of and differential diagnosis for recurrent Bell’s Palsy?

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Infant hypothermia | Non-sterile Lac Repair

JournalFeed

The JournalFeed podcast for the week of Sept 12-16, 2022. These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member. Infant hypothermia Spoon Feed There is significant practice pattern variation in the ED management of infants ≤90 days of age with hypothermia.

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Sassoon – Reverse Triggering: Impact on the Lungs and Diaphragm

University of Maryland CC Project

Dr. Catherine D. Sassoon, Professor in Residicine in Medicine, School of Medicine at the University of California, Irvine, and Chief of Pulmonary & Critical Care Medicine at the VA Medical Center, Long Beach presents Critical Care Grand Rounds, a lecture entitled "Reverse Triggering: Impact on the Lungs and Diaphragm". Dr. Catherine D.

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Lab case 379

EMergucate

50 year old lady presented with fever and diarrhoea after returning from overseas trip.

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Schmidt – ECMO for Severe ARDS Associated with COVID-19

University of Maryland CC Project

Dr. Matthieu Schmidt, MD, PhD, Assistant Professor of Intensive Care Medicine at the University of Paris, Pierre et Marie Curie, Paris 6 and senior intensivist in the Medical intensive care, PitiĂ©-SalpĂªtrière hospital in Paris presents our Critical Care Grand Rounds. His lecture is entitled "ECMO for Severe Acute Respiratory Distress Syndrome Associated with COVID-19".

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Leekha – Updates on Central Line-associated Bloodstream Infection Prevention

University of Maryland CC Project

Dr. Surbi Leekha, MBBS, MPh, Associate Professor of Epidemiology & Public Health, Associate Professor of Medicine at the University of Maryland School of Medicine, and Medical Director of Infection Prevention and Hospital Epidemiology at UMMC presents at Critical Care Grand Rounds. Her lecture is entitled, "Updates on CLABSI Prevention". Dr. Surbi Leekha, MBBS, MPh, Associate Professor of Epidemiology & Public Health, Associate Professor of Medicine at the University of Maryland School

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Galvagno – Full Spectrum Sedation for Critically Ill Patients

University of Maryland CC Project

Dr. Samuel M. Galvagno, D.O, PhD, FCCM, Professor of Anesthesiology, Executive Vice Chair of Anesthesiology at the University of Maryland, School of Medicine, and Medical Director of the Statewide Critical Care Coordination Center presents as part of the Critical Care Curriculum. His lecture is entitled "Full Spectrum Sedation for Critically Ill Patients: Science vs Mythology".

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Lab case 378 interpretation

EMergucate

Answers Question 1: PH = 7.42, that is within normal range, more to the alkalotic side. HCO3 = 36.8 mmol/L that is consistent with metabolic alkalosis. Next we will calculate the compensation.

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