EMCrit 333 – The State of the Fluids Show with the EMCrit Core Team
EMCrit
SEPTEMBER 24, 2022
Where are we on Fluids on 2022? EMCrit Project by Scott Weingart, MD FCCM.
EMCrit
SEPTEMBER 24, 2022
Where are we on Fluids on 2022? EMCrit Project by Scott Weingart, MD FCCM.
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.
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.
EMCrit
SEPTEMBER 30, 2022
All of the resuscitation and acute critical care goodness for Sept 2022. EMCrit Project by Scott Weingart, MD FCCM.
EMergucate
SEPTEMBER 27, 2022
The pelvic x-ray is from a 35 year old with right hip pain following fall from a height.
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.
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Northwestern EM Blog
SEPTEMBER 26, 2022
Written by: Diana Halloran (NUEM ‘24) & Andrew Long (NUEM ‘25) Edited by: Nick Wleklinski (NUEM ‘22) Expert Commentary by : John Bailitz, MD Introduction The Emergency Department is a challenging work environment for a variety of reasons. It is not surprising that unpredictable work hours mixed with frequent interactions with patients undergoing physical and emotional trauma can cause spillover into the personal lives of ED staff.
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.
EMergucate
SEPTEMBER 25, 2022
There is cardiomegaly and enlargement of left atrium as evidenced by splaying of the carina & double right heart border.
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.
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?
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.
EMergucate
SEPTEMBER 25, 2022
The coronal CT image shows orbital blow out fracture.
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.
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.
EMergucate
SEPTEMBER 29, 2022
From the archive Question 1: Hb = 48 g/L, that is severe life threatening anaemia. WCC =14.
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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