The Trauma Pro
OCTOBER 10, 2023
Oftentimes, trauma patients arrive, are not very responsive, and are not carrying an ID. However, our electronic health record systems have a very difficult time with this. To expedite care, most hospitals developed a system of pseudo-names to be used until the patient can be identified. Originally, these names were often “Doe” names. The classic ones were John Doe and Jane Doe.
Ken Grauer, MD
OCTOBER 13, 2023
The ECG in Figure-1 was obtained from a woman in her 60s — who was seen in the ED ( E mergency D epartment ) as part of her evaluation for trauma following a motor vehicle accident. She was hemodynamically stable — and did not have chest pain, lightheadedness or syncope. QUESTIONS: HOW would you interpret the rhythm in Figure-1 ? Is this " high -grade" AV block?
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EM Ottawa
OCTOBER 12, 2023
I was in the OR for the first day of my anesthesia rotation when suddenly the pain hit me. It was in my left flank, radiating to my back — so much pain I could hardly think. A flurry of tests later, my ultrasound showed good doppler flow, and my lab work was pristine. I had […] The post Experiential learning with a TWIST: Ovarian Torsion appeared first on EMOttawa Blog.
Critical Care North Hampton
OCTOBER 9, 2023
We’ve been busy again to bring you the fastest review of GE’s new offering. The VScan SL probe is due to be released and we were lucky enough to get our hands on this fab device. Was it as good as its sister device, the VSCan Air? Take a look at our 3-person review. Below.
ACEP Now
OCTOBER 13, 2023
The CHRISTUS Health-Texas A&M Spohn Emergency Medicine Residency Program announced Friday that its program will close in June 2026 after the current emergency medicine residents complete their training. An official reason for the closure was not immediately available from the hospital administration, but residents there said they were told the surprise move was likely because of financial reasons.
Science Based Medicine
OCTOBER 9, 2023
Last week, I discussed Dr. William Makis' false claims of "turbo cancers" due to COVID-19 vaccines. Now it's hydroxychloroquine-promoting epidemiologist Harvey Risch's turn. The post He pushed hydroxychloroquine three years ago: Harvey Risch and false claim of “turbo cancers” caused by COVID-19 vaccines first appeared on Science-Based Medicine.
The Trauma Pro
OCTOBER 13, 2023
The September issue of the Trauma MedEd newsletter is now available to everyone! This issue’s theme is Weird Stuff. In this issue, you will learn about: Syndrome Of The Trephined Whaaat? Stuff You Sterilize Other Stuff With May Not Be Sterile?? The Submental Intubation Chest Tube Size: Where Did The French System For Catheter Size Come From? To download the current issue, just click here!
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
ACEP Now
OCTOBER 9, 2023
Each time she moved her hand it caught my eye: the glint of her bejeweled fingers sharply contrasting with the spare gurney and paper-thin blanket. The fat heaviness of her rings seemed startling against her bony fingers, as if they should have shrunk in parallel with her collagen and fat. She fought against the technician removing her belongings while her protestations melded with my trauma survey.
RebelEM
OCTOBER 11, 2023
Take Home Points: Patients with recent onset atrial fibrillation can safely be cardioverted if they are 1) on anticoagulation 2) Low risk based on CHADS-VASC with onset < 48 hours or 3) High risk based on CHADS-VASC with onset < 12 hours. In anaphylaxis, think, “If A, B or C, give E.” If the patient has compromise to airway, breathing or circulation, they should get immediate epinephrine.
Don't Forget the Bubbles
OCTOBER 11, 2023
A curious young girl was playing with rare earth magnets and wondered what they would taste like. She has had no abdominal pain or vomiting, and her observations were normal. Imaging confirmed two spherical magnets stuck together in the stomach. When you review her later in the week, they appear to have moved. Abdominal X-ray AP 12 hours post-ingestion Lateral view 12 hours post-ingestion Abdominal X-ray 24 hours later showed no progression of magnets.
First 10 EM
OCTOBER 9, 2023
Is there anything emergency doctors love to debate more than airway? We have fancy new tools versus old school badassery. I sort of want to fit into both camps. I want to be the doc who has always succeeded with direct laryngoscopy, while also being young enough to adapt to new technology as it comes […] The post The DEVICE trial: Not as convincing as you think?
Emergency Live
OCTOBER 9, 2023
New record for REAS 2023: 29,000 attendees from 33 countries in Europe and around the world REAS 2023 marked a new milestone with an attendance of 29,000 visitors, an increase of 16% compared to the previous edition in 2022. This great success was the result of three intense days dedicated to emergency, first aid and […] The post REAS 2023: an international success for emergency services appeared first on Emergency Live.
Dr. Smith's ECG Blog
OCTOBER 8, 2023
Imagine you just started your ED shift. It's a busy Friday afternoon. Triage is backed up, and 10 minutes into your shift one of the ED nurses brings your several ECG s that has not been overread by a physician. All of the patients presented with chest pain , and they are all in triage. Which, if any, of these patients has OMI, with myocardium at risk and need for emergent PCI?
EMCrit
OCTOBER 13, 2023
Hello fellow nerds, let's take a look at the new American Association of Neurology (AAN) brain death guidelines. Instead of a tweetorial, I'll jot my thoughts here, so they're accessible to everyone. Disclaimer: the following discussion applies only to adult medicine. Most of these guidelines are consistent with the 2020 World Brain Death Project, so […] EMCrit Project by Josh Farkas.
SheMD
OCTOBER 8, 2023
Disclaimer: This post was written before the COVID-19 pandemic. Some of the interview information may not be relevant during the 2020-2021 & 2021-2022 academic years. This post contains affiliate links. SheMD will make a commission at no extra cost to you should you click the link and make a purchase. Read , our disclosure for more info. As a fourth-year medical student on the interview trail, I honestly did NOT realize that there were questions that people should not ask me.
Emergency Live
OCTOBER 12, 2023
The story of a vintage vehicle that travelled across Europe to serve the community Every vehicle has a story to tell, and that of the Mercedes 250 W123 Binz 1982 trim is no exception. A top product of the renowned German car manufacturer Mercedes, this special model, built by Carrozzeria Binz, found its way into […] The post Mercedes 250 W123 Binz: A Historic Journey between Germany and Italy appeared first on Emergency Live.
Science Based Medicine
OCTOBER 11, 2023
The New York Times and Ted Kaptchuk feed into more confusion about placebo effects. The post Placebo Effect Revisited first appeared on Science-Based Medicine.
Dr. Smith's ECG Blog
OCTOBER 12, 2023
B elow are 4 ECGs from the same patient. Accompanying the ECGs is some clinical information. Look at the ECGs and consider the timeline and other information. At the bottom will be five alternative clinical scenarios to explain the findings. Which one do you think fits better with the ECGs and their timeline? The patient is a 60 something female. She was admitted to the hospital with clinical signs of infection.
Total Medical ComplianceHIPAA
OCTOBER 7, 2023
In the rapidly evolving world of technology, cybersecurity has emerged as a critical issue, particularly in the healthcare sector. Cybersecurity isn’t just an optional add-on but rather an essential component of a successful and compliant healthcare practice. Why is Cybersecurity Important in Healthcare? Healthcare practices handle a lot of sensitive and confidential data.
Emergency Live
OCTOBER 13, 2023
The devastating consequences of three natural events in India, Russia and Sumatra When the earth shakes, there are very few places that offer fair security. These are usually the open spaces, unless you are always in a valley at risk of landslides. In other cases, it is a good idea to seek protection within suitable […] The post Earthquakes: three seismic events that struck the world appeared first on Emergency Live.
Science Based Medicine
OCTOBER 13, 2023
The title of this post is silly. Hitting kids in school is always bad, and there is very good reason to expect the same negative outcomes from school-based corporal punishment as are seen when kids are hit at home. The AAP recently recently released a policy statement calling for a national ban. The post Hitting Children in School: Bad? first appeared on Science-Based Medicine.
ECG Guru
OCTOBER 11, 2023
The patient: This ECG was obtained from a 91-year-old woman who was complaining of weakness. Unfortunately, we have no other information. The ECG: This ECG has something for your basic students, and even more for the more advanced learners. The first thing that anyone should notice is the slow rate. The ventricular rate is around 35 bpm, and regular.
EMCrit
OCTOBER 8, 2023
The first version of the first guideline in the foundational stabilization project - post-intubation sedation EMCrit Project by Scott Weingart, MD FCCM.
Emergency Live
OCTOBER 10, 2023
Innovative use of drones for security: a global trend touches the New Jersey coastline The sun-soaked beaches of Atlantic City and the Jersey Shore, while a magnet for summer thrill-seekers, harbor perilous secrets beneath their waves. The unfortunate incidents of drownings and the increasing reports of shark encounters have painted a stark reality: the enchanting […] The post Drones: A Modern Lifeguard’s Aerial Ally appeared first on Emergency Live.
PEMBlog
OCTOBER 11, 2023
Traumatic bladder rupture is a rare yet serious injury observed in children who have experienced blunt trauma. Signs include lower abdominal pain, ecchymosis across the abdomen, bloody urine, and the presence of free fluid on abdominal imaging following a high-energy impact. The bladder is a hollow organ and therefore is relatively protected when empty, which makes rupture uncommon.
Medagadget
OCTOBER 11, 2023
Scientists at the University of Galway in Ireland and MIT have collaborated to create a soft robotic implant that can work to fight fibrotic encapsulation and deliver drugs despite the presence of fibrous scar tissue. The device, which the researchers have termed the FibroSensing Dynamic Soft Reservoir (FSDSR), is designed to reside in the body for extended periods and deliver drugs.
AED Leader
OCTOBER 7, 2023
On August 15, 20-year-old Hayden McWhorter went into cardiac arrest while washing dishes in his Broomfield apartment. His two roommates, Logan Arnold and Ian Fenn, gave him CPR until paramedics arrived. Doctors think that Mr. McWhorter died for 23 minutes before he was eventually revived. The quick action of his roommates in calling 9-1-1 and performing CPR was credited with saving his life.
Emergency Live
OCTOBER 11, 2023
Magnitude, victims and consequences of three events that shocked the world Of all the disasters that can happen worldwide, we must never forget the tremendous effect an earthquake can have. It comes in two versions, and both can be very dangerous. What definitively decides the severity of these tragedies are the scales, ranging from the […] The post Earthquakes: Three of the most devastating seismic events in history appeared first on Emergency Live.
ALiEM
OCTOBER 11, 2023
What is the most common primary cause of death from ingesting the pictured marine animal? Acute liver failure Acute renal failure Coagulopathy and DIC Respiratory failure Status epilepticus [Image from Canstockphoto] Reveal the Answer 4. Respiratory Failure The pufferfish, considered a delicacy in multiple countries, contains tetrodotoxin which causes sodium channel blockade and can lead to muscle paralysis, respiratory failure, and death.
Medagadget
OCTOBER 11, 2023
Researchers at the University of Washington have developed a technique to make saliva collection for diagnostic purposes a little less disgusting and a little more fun and pleasant. Saliva collection often acts as a less invasive alternative than throat swabs in the detection of a variety of pathogens, such as that causing streptococcal soar throat (strep throat).
EMDocs
OCTOBER 9, 2023
Author: Michael J. Yoo, MD (Assistant Professor/Core Faculty, San Antonio, TX) // Reviewed by Brit Long, MD (@long_brit) Case An 18-year-old man with a history of asthma and medication noncompliance presents to the emergency department (ED) with acute onset shortness of breath. He states that he recently moved to Texas from Colorado. His initial vital signs are 126/83 mmHg, heart rate of 104 beats per minute, respiratory rate of 32 breaths per minute, and saturation of 92% on room air.
Emergency Live
OCTOBER 10, 2023
Over 200 participants to discuss training, civil protection and Universal Civil Service On 14 October, at the Auditorium of the Ferrero Foundation in Alba, in the heart of Piedmont, an event of great resonance in the world of voluntary health work will take place: the Stati Generali delle Pubbliche Assistenze Anpas. With more than 200 […] The post Anpas Piemonte: States General for the future of voluntary health work appeared first on Emergency Live.
Science Based Medicine
OCTOBER 12, 2023
Misinformation drove 1 in 20 Americans to use useless therapies like ivermectin and hydroxychloroquine to treat COVID-19 infections. The post Misinformation, Trust, and Non-Evidence-Based COVID-19 Treatments first appeared on Science-Based Medicine.
St. Emlyn
OCTOBER 11, 2023
St.Emlyn's - Emergency Medicine #FOAMed Our regular round up of the best of the blog from September 2023. Top Conferences, Top Papers, Deep Reflections and more with Iain and SImon. The post September Podcast. St Emlyn’s appeared first on St.Emlyn's.
Core Medical Group
OCTOBER 13, 2023
In the world of staffing and healthcare solutions, CoreMedical group has shined throughout the years, earning recognition and accolades from SIA (Staffing Industry Analysts). Our recent achievements in the SIA's lists not only highlight our excellence but also sheds light on the role that SIA plays in shaping the industry. Let's dive into these achievements and explore the significance of SIA's work in the staffing landscape and how we have made our mark in the industry.
American Medical Compliance
OCTOBER 9, 2023
The crux of exemplary healthcare delivery pivots around equitable service, where every individual, regardless of their background, is met with consistent, high-quality care. Implicit bias in healthcare can inadvertently sculpt a chasm, impacting patient outcomes, satisfaction, and overall health disparities. Recognizing and addressing these biases through comprehensive training becomes pivotal.
EMDocs
OCTOBER 11, 2023
Here’s another case from Medical Malpractice Insights – Learning from Lawsuits , a monthly email newsletter for ED physicians. The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. To opt in to the free subscriber list, click here. Stories of med mal lawsuits can save lives.
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