EMCrit

SEPTEMBER 24, 2022

Where are we on Fluids on 2022? EMCrit Project by Scott Weingart, MD FCCM.

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Clinical Correlations

SEPTEMBER 29, 2022

By Luke Bonanni Peer Reviewed Theobroma, literally “food of gods” in Greek, is an apt description of chocolate. Made from the fermented seeds of the Theobroma cacao tree, chocolate is an immensely popular food, with worldwide.

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RebelEM

SEPTEMBER 29, 2022

Background: Standard emergency department management of acute pancreatitis has focused on aggressive hydration, analgesia and investigation for an underlying reversible cause (eg gallstones). Recent evidence has challenged the routine use of aggressive hydration as unnecessary. There are also potential harms to large volume fluid resuscitation including progression of pancreatitis and fluid overload with or without respiratory failure.

Administration 52

Administration Fluid Resuscitation Resuscitation Outcomes 52

Ultrasound Gel

SEPTEMBER 28, 2022

New idea alert! Should we be using POCUS to guide nasogastric tube placement? Crazy? Unnecessary, you say? Well listen in to the discussion of this interesting randomized controlled trial designed to answer this burning question. [link] [link] New idea alert! Should we be using POCUS to guide nasogastric tube placement? Crazy? Unnecessary, you say? Well listen in to the discussion of this interesting randomized controlled trial designed to answer this burning question.

Burns 52

Burns Wellness 52

EMCrit

SEPTEMBER 30, 2022

All of the resuscitation and acute critical care goodness for Sept 2022. EMCrit Project by Scott Weingart, MD FCCM.

Resuscitation 69

Resuscitation 69

ETM Course

SEPTEMBER 27, 2022

On the ETM Course we teach intraosseous needle insertion using the EZIO system. EZIO essentially has a monopoly on intraosseous access, being used in almost all Emergency Departments and ambulance/pre-hospital systems around Australia and New Zealand. The main downside however is that the proprietary drill is non-rechargeable. These drills cost $380.00 (AUD) each to purchase, and we go through several each year on our courses.

Emergency Department 52

Emergency Department Hospitals Shock 52

Emergency Medicine Cases

SEPTEMBER 27, 2022

Emergency Medicine has undergone many changes over the last couple of decades and especially during the COVID pandemic. Most of these changes have been very positive, but increasing volumes, staff shortages, aging populations, increasing breadth of responsibilities and better access to more imaging have made some of us question how we should define the scope of our practices.

EMS 52

EMS 52

RebelEM

SEPTEMBER 26, 2022

Background: Thromboelastography (TEG) is a reliable, comprehensive non-invasive hemostatic assay that measures the ability of whole blood to form a clot. TEG analyzes the interaction between platelets and the coagulation cascade. It provides highly descriptive, real-time information on clot formation, clot strength, platelet function, and fibrinolysis, which is superior to traditional coagulation tests such as INR, aPTT, and platelet count.

Resuscitation 52

Resuscitation Blood Transfusions Outcomes Hospitals 52

American Medical Compliance

SEPTEMBER 25, 2022

On July 27th, 2022, the House implemented a bill to further expand Telehealth services. During the COVID-19 pandemic, most medical providers transitioned into online consultations with patients using Telehealth with the help of Medicare. In an effort to continue the policies, the introduction of this bill will support these services to provide accessible care through 2024.

Telemedicine 52

Telemedicine Wellness 52

EMergucate

SEPTEMBER 25, 2022

There is cardiomegaly and enlargement of left atrium as evidenced by splaying of the carina & double right heart border.

EMS 52

EMS 52

Clinical Correlations

SEPTEMBER 28, 2022

Bellevue Outpatient: What is the optimal duration of therapy for bisphosphates in osteoporosis? Bellevue Inpatient: What is the role of aggressive fluid resuscitation in acute pancreatitis? VA Inpatient: What is the treatment for allergic bronchopulmonary aspergillosis?

Fluid Resuscitation 40

Fluid Resuscitation Resuscitation 40

JournalFeed

SEPTEMBER 24, 2022

The JournalFeed podcast for the week of Sept 19-23, 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. No Dizzy Answers Spoon Feed We cannot rely on neuroimaging (CT, CTA, MRI or MRA) alone to effectively rule out stroke in patients presenting to the ED with acute dizziness or vertigo.

Stroke 40

Stroke 40

Downeast Emergency Medicine

SEPTEMBER 29, 2022

Ijeoma Oluo, author of "So You Want to Talk About Race" Background In the United States, racism is a critical public health problem, permeating everyday systems including educational and health care systems; criminal justice and legal systems; financial, housing, and economic systems; environmental issues and beyond to create differential health outcomes that adversely affect Black, Indigenous, and other people of color.

Research 52

Research Outcomes Operations 52

EMergucate

SEPTEMBER 27, 2022

An 82 year old man presents to your ED after a syncopal episode. He complains of abdominal pain and diarrhoea. On examination he has a heart rate of 105/min and a BP of 95/65.

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The Skeptics' Guide to EM

SEPTEMBER 24, 2022

Date: September 20th, 2022 Reference: Menon et al. Intravenous tenecteplase compared with alteplase for acute ischaemic stroke in Canada (AcT): a pragmatic, multicentre, open-label, registry-linked, randomised, controlled, non-inferiority trial. The Lancet 2022 Guest Skeptic: Professor Daniel Fatovich is an emergency physician and clinical researcher based at Royal Perth Hospital, Western Australia.

Stroke 40

Stroke Research Hospitals 40

EMergucate

SEPTEMBER 27, 2022

The pelvic x-ray is from a 35 year old with right hip pain following fall from a height.

EMS 52

EMS 52

EMergucate

SEPTEMBER 25, 2022

The coronal CT image shows orbital blow out fracture.

Fractures 52

Fractures EMS 52

EMergucate

SEPTEMBER 29, 2022

From the archive Question 1: Hb = 48 g/L, that is severe life threatening anaemia. WCC =14.

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