Sat.Aug 14, 2021 - Fri.Aug 20, 2021

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The Illusion of Eye Contact with Telemedicine

33 Charts

I’m big on eye contact with patients. It’s how we show ourselves as humans. The eyes are the windows to the soul. Through them, we build trust, empathy and reciprocity. When I’m with a patient face-to-face it isn’t always possible but I do my best. Like the IRL experience I try to achieve some level of eye contact during telemedicine encounters. But care through a screen presents challenges to eye contact.

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ECG of the Week 18th August 2021

EMergucate

A 65 year old male presents with SOB over the last 2 days.

EKG/ECG 52
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Emergency Late Breaker! Flipping the Vent: The APRV-TCAV(TM) Course, September 23rd, 2021, 1200-1500 EST.

Thinking Critical Care

While the last few months had quieted down, the last few weeks have seen a serious resurgence in COVID cases, particularly in the southern US and in south and southeast Asia. I cam across several really disturbing posts and tweets across medical SoMe about the lack of ECMO beds and cases of refractory hypoxia. While TCAV(TM) will not save every COVID ARDS patient, in our experience it helps significantly, ideally from the get-go, but also in rescue after failure of traditional modes.

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Epi Frequency PALS | Pressors in Trauma | CAM v Cast Toddler's | PEM Malpractice | eFONA Anatomy

JournalFeed

It’s the JournalFeed Podcast for the week of August 9-13, 2021. We cover frequent epinephrine dosing in pediatric arrest, pressors for trauma patients, CAM boot or cast for toddler’s fracture, why PEM physicians are sued, and emergency cricothyrotomy anatomy and angles.

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SGEM#340: Andale, Andale Get An IO, IO for Adult OHCA?

The Skeptics' Guide to EM

Date: August 12th, 2021 Reference: Daya et al. Survival After Intravenous Versus Intraosseous Amiodarone, Lidocaine, or Placebo in Out-of-Hospital Shock-Refractory Cardiac Arrest. Circulation 2020 Guest Skeptic: Missy Carter is a PA practicing in emergency medicine in the Seattle area and an adjunct faculty member with the Tacoma Community College paramedic program.

Shock 52
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Imaging Case of the Week 478

EMergucate

75 year old with abdominal pain. Stent patent or not? Answer will be posted in a few days.

EMS 52
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Audit Logs

Total Medical ComplianceHIPAA

August 2021. A covered entity recently discovered that a former employee had “snooped” (inappropriately accessed) over 10,000 patient records almost 4 years after the snooping began. The employee accessed the records in the EHR over a period of about 14 months. That’s over 700 records per month. The snooping went undetected until the former employee was referenced in an unrelated subpoena received by the entity.

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Imaging Case of the Week 477 Answer

EMergucate

The frontal chest radiograph shows hyperinflated right lung.

EMS 52
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ECG of the Week 18 August 2021

EMergucate

A 65 year old male presents with SOB over the last 2 days.

EKG/ECG 40
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Lab case 336

EMergucate

4 year old girl stopped eating and drinking due to sore throat.

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