EMCrit

NOVEMBER 3, 2022

SAH and Hypoxic Encephalopathy. EMCrit Project by NeuroEMCrit Team (Casey & Neha).

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97

EMergucate

NOVEMBER 4, 2022

Question 1 PH = 7.47 that is mild alkalaemia. HCO3 = 39.

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Dr. Smith's ECG Blog

NOVEMBER 4, 2022

Case submitted and written by Mazen El-Baba MD, with edits from Jesse McLaren and edits/comments by Smith and Grauer A 90-year old with a past medical history of atrial fibrillation, type-2 diabetes, hypertension, dyslipidemia, presented with acute onset chest/epigastric pain, nausea, and vomiting. BP was 110 and oxygen saturation was normal. What is your ECG interpretation and what would you do next?

EKG/ECG 52

EKG/ECG Shock Sepsis Emergency Department 52

EB Medicine

NOVEMBER 3, 2022

In this episode, Sam Ashoo, MD, interviews Ami Shah, MD, MPH, and Don Walker, MD, about eye injuries in the pediatric population. Why ocular injuries? Why did you pick this topic? What kind of injuries are included and at what age are they most common? Injury zones and terminology Differential Diagnosis What should we keep in mind when we are confronted with an ocular injury?

Pediatrics 52

Pediatrics Fractures EMS Outcomes 52

EMCrit

NOVEMBER 2, 2022

Finally it is here. EMCrit Project by Scott Weingart, MD FCCM.

Resuscitation 87

Resuscitation 87

RebelEM

NOVEMBER 3, 2022

Background: Rapid sequence intubation (RSI) induction agent selection remains a heavily debated matter. Etomidate causes adrenal suppression in critically ill patients triggering a groundswell of support in favor of ketamine. (Albert 2011, Jabre 2009) However, the existing literature comparing etomidate and ketamine is conflicting. In 2017, a single-centered, retrospective study found a lower incidence of clinical hypotension with ketamine compared to etomidate following endotracheal intubation

Outcomes 52

Outcomes Emergency Department Sepsis Hospitals 52

American Medical Compliance

NOVEMBER 3, 2022

Amidst the COVID-19 pandemic, there has been an influx of doctor burnout. A recent study published in the medical journal Mayo Clinic Proceedings found that physician burnout increased during the first two years of the COVID-19 pandemic following a six-year drop that ended in 2020. Helping Doctors Through Extensive Burnout. In a press release, American Medical Association President Dr.

Telemedicine 52

Telemedicine Wellness 52

EMergucate

NOVEMBER 1, 2022

A 55 year old male presents to ED feeling unwell.

EKG/ECG 52

EKG/ECG 52

RebelEM

NOVEMBER 2, 2022

Take Home Points Spontaneous Bacterial Peritonitis (SBP) is a difficult diagnosis to make because presentations are variable. Consider a diagnostic paracentesis in all patients presenting to the ED with ascites from cirrhosis An ascites PMN count > 250 cells/mm 3 is diagnostic of SBP but treatment should be considered in any patient with ascites and abdominal pain or fever Treatment of SBP is with a 3rd generation cephalosporin with the addition of albumin infusion in any patient meeting AAS

EMS 52

EMS Administration Hospitals 52

Dr. Smith's ECG Blog

NOVEMBER 1, 2022

I was reading EKGs on the system and saw this one. What did I put in as my interpretation? Interpretation : "Acute LAD occlusion until proven otherwise. " There is non-diagnostic ST Elevation in V1-V3, with rather large T-waves but in the context of a deep S-wave (high voltage). HOWEVER, lead V4 is diagnostic of OMI. This is massive ST Elevation, huge hyperacute T-wave, and loss of S-wave (which in V4, unlike V2-3, can be normal but should greatly raise suspicion.

EKG/ECG 52

EKG/ECG Research 52

Northwestern EM Blog

OCTOBER 31, 2022

Written by: Mike Tandlich, MD (NUEM ‘24) Edited by: David Feiger, MD (NUEM ‘22) Expert Commentary by : Michael Schmidt, MD Expert Commentary While EMTALA was first enacted to address issues with “patient dumping”, it has had broad influence on how patients are treated, dispositioned, and transferred in emergency department and hospital settings. In addition, EMTALA law has taken on almost mythic proportions among healthcare workers and administrators, likely due to high-profile cases, the fear o

Emergency Department 52

Emergency Department Administration Documentation/Coding Hospitals 52

EMergucate

NOVEMBER 1, 2022

The chest x-ray is from a 14 year old who has presented with dyspnea. What can be seen?

EMS 52

EMS 52

Broome Docs

OCTOBER 31, 2022

Ketamine vs etomidate in ICU intubation ? Matchett G, Gasanova I, Riccio CA, Nasir D, Sunna MC, Bravenec BJ, Azizad O, Farrell B, Minhajuddin A, Stewart JW, Liang LW, Moon TS, Fox PE, Ebeling CG, Smith MN, Trousdale D, Ogunnaike BO; EvK Clinical Trial Collaborators. Etomidate versus ketamine for emergency endotracheal intubation: a randomized clinical trial.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Fluid Resuscitation Seizures Emergency Department 52

The Skeptics' Guide to EM

NOVEMBER 1, 2022

Date: October 27th, 2022 Reference: Hayashi et al. Comparative efficacy of sedation or analgesia methods for reduction of anterior shoulder dislocation: A systematic review and network meta-analysis. AEM October 2022 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called First10EM.com Case: A 19-year-old man presents to the emergency […] The post SGEM#381: Put Your Hand on My Shoulder and Reduce It first appeared on The Skeptics Guide to E

Dislocations 47

Dislocations Ultrasounds Emergency Department 47

Clinical Correlations

NOVEMBER 3, 2022

Chief residents of the NYU Langone Internal Medicine Residency give quick-and-easy, evidence-based answers to interesting questions posed by house staff, both in their clinics and on the wards.

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40

EMergucate

OCTOBER 30, 2022

The knee x-ray shows Segond fracture.

Fractures 52

Fractures EMS 52

JournalFeed

OCTOBER 29, 2022

The JournalFeed podcast for the week of Oct 24-28, 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. Bell’s Roids Spoon Feed There was no statistical difference in 1, 3, or 6 month facial recovery with prednisolone vs placebo for children with Bell's palsy in this underpowered RCT.

Administration 40

Administration Resuscitation Outcomes 40

RebelEM

OCTOBER 31, 2022

Background: Vitamin C dissociates to ascorbate at physiological pH and is not organically synthesized by the human body. Vitamin C can function as an antioxidant and may mitigate endothelial oxidative stress in sepsis. (Amrein 2018) A small, single-center, before-and-after study utilized a sepsis cocktail consisting of IV thiamine, hydrocortisone, and vitamin C and discovered a significant decrease in mortality compared to the control group.

Sepsis 52

Sepsis Outcomes Research Shock 52

EMergucate

OCTOBER 30, 2022

The chest x-ray view shows a widened mediastinum.

EMS 52

EMS 52

EMergucate

NOVEMBER 1, 2022

30 year-old-lady sent by her GP for increasing tiredness over the last few months. She has been under too much stress, due to increasing work demands and hers wedding planning.

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EMergucate

OCTOBER 30, 2022

The forearm x-ray shows lunate dislocation. A dedicated view of the wrist is needed to assess associated wrist injuries.

Dislocations 40

Dislocations EMS 40