Cook County EM Blog
APRIL 27, 2022
Background : Droperidol is primarily D2 antagonist used for nausea/vomiting, agitation, headache, and pain. Previously droperidol was a commonly used medication in the ED until it received a black box warning for concerns related to QT-prolongation and risk of potential fatal arrhythmias. Shortly after, the use of droperidol greatly decreased, however there is continued debate over its safety.
Emergency Medicine Cases
APRIL 26, 2022
Computer interpretation of the ECG has been called a double-edged sword: when correct, it increases physician accuracy, but when incorrect it increases errors. This is especially problematic in the emergency department, where computer accuracy drops as clinical significance increases—with common errors for arrhythmias and ischemia. Jesse McLaren guides us through 10 cases where the computer interpretation misguides us and how to avoid these pitfalls.
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Critical Care Now
APRIL 26, 2022
Reading Time: 3 minutes Mohamed Hagahmed, MD, EMT-P Mohamed is an Emergency Medicine Physician and EMS director. His main areas of interest are Critical Care, Ultrasound, Prehospital Resuscitation, and Medical Education. Find him on Twitter @HagahmedMD The Pre-brief A 19-year-old female suddenly collapsed at the mall where she was in the company of her friends.
Northwestern EM Blog
APRIL 25, 2022
Written by: Parisa Kermani, MD (NUEM ‘23) Edited by: Alex Herndon, MD (NUEM ‘21) Expert Commentary by : Matt Levine, MD Case: A 25-year-old male comes into the ER after a saw accident at work. The patient was using a circular saw to cut wood when it slipped and the saw touched up against his knee. The patient has a 10cm linear vertical laceration over the anterior surface of his left knee (Figure 1).
Dr. Smith's ECG Blog
APRIL 24, 2022
Case sent by Magnus Nossen MD, edits by Meyers A previously healthy woman in her 60s presented to an outpatient clinic for palpitations. Vitals were within normal limits other than heart rate. The ECG there reportedly showed an irregular tachycardia, and the patient was immediately referred to the emergency room. Here is her ECG on arrival: There is a wide complex tachycardia that is irregularly irregular (this is difficult to determine at these very high rates).
Emergency Medicine Cases
APRIL 26, 2022
In this episode we discuss how to earn, spend, save and invest wisely and answer questions such as: What is time affluence and how should it guide our financial planning? Why should our goal be financial independence rather than retirement? What are the 4 evidence-based cornerstones for financial planning for happiness? What is the 4% rule for figuring out how much money one needs to be happy?
Board Bombs
APRIL 24, 2022
Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here: emrapidbombs.supercast.com. Why doesn’t a BMP or CMP come with a magnesium level? And who do you order these magnesiums on? Let’s talk about how hypomagnesemia is more hidden than you think… Cite this podcast as: Husain, I.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
EMergucate
APRIL 29, 2022
The wrist x-ray shows 2 injuries. Radial styloid fracture (Chauffeur’s fracture) & scapholunate dissociation (Terry Thomas Sign).
EB Medicine
APRIL 27, 2022
The first episode of Conversation, an EMplify podcast series. Episodes are shorter, more conversational, and cover a single topic relevant to practice in Emergency Medicine. Take the listener survey: [link] More on the Dr Lorna Green Legislation here: [link] The first episode of Conversation, an EMplify podcast series. Episodes are shorter, more conversational, and cover a single topic relevant to practice in Emergency Medicine.
Emergency Medicine Education
APRIL 25, 2022
Does Anterior-Posterior electrode pad work better than the Anterior-Lateral position? A multicenter Danish study in 468 patients with atrial fibrillation showed the Ant-Lat position was more effective than AP for biphasic cardioversion and converting to sinus rhythm. There was no safety concern between these 2 methods.
ER Nurses
APRIL 24, 2022
Are you overworked? Working double 12 hour shifts? COVID got you working 2 years of overtime? What are you doing, or your unit, to ensure nurses and doctors are well rested and prepared for their shifts? Or what could be done to improve work place conditions?
EMergucate
APRIL 29, 2022
The chest x-ray shows The PA chest x-ray shows obscuration of the right heart border by a density.
JournalFeed
APRIL 23, 2022
The JournalFeed podcast for the week of April 18-22, 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. RV Assessment in PE Spoon Feed: Among patients with symptomatic PE who are low risk by sPESI, the addition of right ventricular assessment predictors (echo, CT, troponin, and BNP) significantly improved prognostication for clinical deterioration within 5 days.
EMergucate
APRIL 25, 2022
Question 1: PH = 7.38, that is within the normal range, toward the acidotic side. pCO2 is 62 mmHg, that is high. Usually this number is associated with respiratory acidosis.
EMergucate
APRIL 26, 2022
The chest x-ray is from a 40 year old with runny nose & dry cough. What can be observed?
EMergucate
APRIL 27, 2022
A 53 year old male presents to ED complaining of chest pain.
EMergucate
APRIL 26, 2022
78 year old diabetic man, presented to ED feeling unwell. His venous blood gases showed the following: PH = 7.
EMergucate
APRIL 26, 2022
A 53 year old male presents to ED complaining of chest pain.
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