Mount Sinai EM

JANUARY 11, 2023

Why should I care about this? Ok, so it may not be that interesting, however, we should still review how to responsibly remove a helmet. In NYC, we very rarely encounter injured patients with a helmet on and that’s probably because they were never wearing one to begin with, the patient removed it, or EMS removed it. So depending on the practice setting and local EMS protocols, patients may arrive with a helmet in place and it will fall on you as the EM doc to safely remove the helmet without cau

EMS 130

EMS 130

Total Medical ComplianceHIPAA

JANUARY 12, 2023

It is a safe bet that the title of this article would come in last place for the “most popular topic” award. The start of a new year is always a good time to reflect and also look ahead and do our best to prepare. Last year, the U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) had its busiest year with the announcement of its 22 nd enforcement settlement on December 15, 2022.

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Operations Best Practices Documentation/Coding Administration 104

The Bottom Line

JANUARY 13, 2023

Effect of Fluid Bolus Administration on Cardiovascular Collapse Among Critically Ill Patients Undergoing Tracheal Intubation @DerekRussellMD. JAMA; 328(3):270-279. doi:10.1001/jama.2022.9792 Clinical Question In critically ill adult patients undergoing tracheal intubation and positive pressure ventilation, does intravenous infusion of a 500ml fluid bolus vs no fluid bolus, decrease the incidence of cardiovascular collapse during, or shortly after the procedure?

Administration 52

Administration 52

Medical Law

JANUARY 12, 2023

Renée Nordstrand-Black and Doug Black of NordstrandBlack PC feel truly thankful for all the good fortune in our lives. One of our greatest pleasures is living in such a beautiful community. The Santa Barbara area isn’t just a gorgeous place to live – the people here are so warm and giving that Renée and Doug can’t imagine living anywhere else. Renée and her family gladly welcome the opportunity to give back to the local community when they can.

Operations 52

Operations 52

Mount Sinai EM

JANUARY 11, 2023

Anatomy First, we’ll refresh our bony anatomy to contextualize the radiographic images. The ankle is composed of the distal tibia and fibula and the superior talus, which is stabilized by several ligaments and the fibrous syndesmosis. Image source: Sports Medicine for the Emergency Physician A Practical Handbook The standard ankle radiographic series consists of the AP, mortise and lateral views.

Radiology 130

Radiology Radiology Fractures Dislocations 130

Dr. Smith's ECG Blog

JANUARY 12, 2023

Written by Pendell Meyers, edits by Smith Two patients presented with acute chest pain/pressure. Here are their ECGs: Patient 1: Patient 2: See below for "answers", and below that for both cases. "Answers": Patient 1 shows very subtle high lateral OMI, South African flag sign. She had an acute LAD OMI in the process of reperfusion, see case below. Patient 2 has a normal variant ECG which mimics high lateral OMI, and ruled out for MI, see case below.

EKG/ECG 52

EKG/ECG Outcomes 52

American Medical Compliance

JANUARY 12, 2023

Certain website technologies may be at risk of sharing protected health information. The Office of Civil Rights at the U.S. Department of Health and Human Services (HHS) released a bulletin warning that certain website tracking technologies may violate the Health Insurance Portability and Accountability Act (HIPAA). Tracking technologies include but are not limited to cookies, replay software, and tracking pixels.

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NRC Health

JANUARY 11, 2023

It’s no secret that patient volumes in 2022 were below expectations. The post Financial Concerns Causing Patients to Defer Care appeared first on NRC Health.

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RCEM Learning

JANUARY 10, 2023

The post How to present your research in style appeared first on RCEMLearning.

Research 52

Research 52

EMergucate

JANUARY 10, 2023

ECG of the Week 4th December 2022 – Interpretation There are P waves with an atrial rate of approximately 75.

EKG/ECG 52

EKG/ECG EMS 52

Core Ultrasound

JANUARY 10, 2023

Airway ultrasound is something that can be quite complex but at its most basic, it can be used to help determine if you have endotracheal versus endobronchial intubation. This is definitely not something that needs to be done all the time, but is a great adjunct in the appropriate clinical setting!

Ultrasounds 52

Ultrasounds 52

Dr. Smith's ECG Blog

JANUARY 9, 2023

Sent by anonymous, written by Pendell Meyers A male in his teens presented with complaints of chest discomfort and dyspnea beginning while exercising but without obvious injury. He immediately stopped exercising and symptoms started to improve. Later that evening he felt recurrent central chest discomfort, shortness of breath, and vomited. Symptoms have been constant since this second episode, and are still present on arrival, which seems to have been less than 1 to 2 hours from onset of symptom

EKG/ECG 52

EKG/ECG Wellness Ultrasounds Outcomes 52

Board Bombs

JANUARY 8, 2023

Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here: emrapidbombs.supercast.com. He’s backkkkkkkkkk! If you missed seeing lots of flu, you’re in luck. In this episode, Shad Baab joins Iltifat and talks about viral testing, post-flu complications, and of course, simplifying tamiflu.

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EMergucate

JANUARY 10, 2023

The following ECG was obtained from a 61 year old man with coronary artery disease and previous coronary stents.

EKG/ECG 52

EKG/ECG EMS 52

EMCrit

JANUARY 8, 2023

Shadow Boxing Respiratory Failure Case EMCrit Project by Scott Weingart, MD FCCM.

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University of Maryland Department of Emergency Med

JANUARY 13, 2023

Humor me and imagine that your birth certificate vanished, and your age was based on the way you feel inside. How old would you say you ar.

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CasesBlog

JANUARY 13, 2023

People in some southern states can expect to die 8 years younger than the average American, according to a data compilation that highlights the disparities in US life expectancy. While Americans lived for 79 years on average in 2020, those in Mississippi can expect to reach just 71. For comparison, people in Hawaii — which has the highest life expectancy — live to 80 on average.

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EMergucate

JANUARY 10, 2023

The following chest x-ray is from a 45 year old with chest pain. What can be noticed?

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EMS 52

The Bottom Line

JANUARY 12, 2023

What’s new in the Critical Care literature – monthly updates

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EMCrit

JANUARY 11, 2023

Today, we speak about a mode of NIPPV that you should know about (but probably don't): AVAPS EMCrit Project by Scott Weingart, MD FCCM.

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CasesBlog

JANUARY 12, 2023

The Food and Drug Administration (FDA) has approved the following new medication for the treatment of Helicobacter pylori (H. pylori) infection in adults.: - Voquezna Triple Pak (vonoprazan, amoxicillin, clarithromycin) - Voquezna Dual Pak (vonoprazan, amoxicillin) Vonoprazan, which gives the name of the medication, is an oral small molecule potassium-competitive acid blocker.

Administration 40

Administration Infectious Diseases 40

EMergucate

JANUARY 9, 2023

The hand X-ray shows- dislocated thumb carpometacarpal joint.

Dislocations 52

Dislocations EMS 52

The Bottom Line

JANUARY 12, 2023

What’s new in the Critical Care literature – monthly updates

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EM SIM Cases

JANUARY 10, 2023

This case comes from Dr. Mark McKinney from the University of Ottawa. He completed a fellowship in simulation through the U of O Skills and Simulation Centre. His academic interests are in education, simulation, and translational simulation; including where simulation can improve hospital and emergency department preparedness. WHY IT MATTERS We recognized a gap in the opportunities and cases available for residents to work through penetrating extremity trauma algorithms acutely.

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Academics Emergency Department Hospitals Resuscitation 40

University of Maryland Department of Emergency Med

JANUARY 9, 2023

Title: The Impact of Thoracic Ultrasound on Clinical Management of Critically Ill Patients (UltraMan): An International Prospective Observational.

Ultrasounds 40

Ultrasounds 40

EMergucate

JANUARY 9, 2023

The hand x-ray shows: evidence of impaction fracture in the distal radius.

Fractures 52

Fractures EMS 52

University of Maryland CC Project

JANUARY 9, 2023

Dr. Jan Fouad is a recent graduate of the Pulmonary, Critical Care, and Sleep Medicine Fellowship at the Yale School of Medicine and is currently an Interventional Pulmonology Fellow at the University of Maryland. He presents a lecture entitled "Managing Massive Hemoptysis" as part of the DC5 lecture series. Dr. Jan Fouad is a recent graduate of the Pulmonary, Critical Care, and Sleep Medicine Fellowship at the Yale School of Medicine and is currently an Interventional Pulmonology Fellow at the

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JournalFeed

JANUARY 7, 2023

The JournalFeed podcast for the week of Jan 2-6, 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. Best of Resus 2022 Spoon Feed Here are the latest evidence updates on basic, advanced, and pediatric life support - and more - from this expert literature review.

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Pediatrics Outcomes Hospitals 40

The Skeptics' Guide to EM

JANUARY 7, 2023

Date: January 4th, 2023 Reference: Hasbrouck et al. Acute management of atrial fibrillation in congestive heart failure with reduced ejection fraction in the emergency department. AJEM 2022 Guest Skeptics: Dr. Timlin Glaser currently a fourth-year resident in emergency medicine at Lehigh Valley Health Network and future medical toxicology fellow at the University of Arizona College of Medicine – […] The post SGEM#388: It Makes No Difference Now- Calcium Channel Blocker or Beta Blocker for Atrial

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Emergency Department Research Shock EKG/ECG 40

EMergucate

JANUARY 10, 2023

PH = 7.28, that is moderate acidaemia. PCO2 = 73 mmHg. This means we have respiratory acidosis.

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University of Maryland CC Project

JANUARY 9, 2023

Dr. Van Holden is an Associate Professor and Program Director of the Pulmonary and Critical Care Medicine Fellowship Program at the University of Maryland, School of Medicine. She presents a lecture entitled "Pleural Disorders" as part of the DC5 lecture series. Dr. Van Holden is an Associate Professor and Program Director of the Pulmonary and Critical Care Medicine Fellowship Program at the University of Maryland, School of Medicine.

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EMergucate

JANUARY 10, 2023

14-year-old girl, COVID day 2, presented with delirium. Her venous blood gases showed the following: Ph = 7.

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University of Maryland CC Project

JANUARY 9, 2023

Darryl Abrams, MD is an Associate Professor of Medicine and a medical intensivist and ECMO attending at NewYork-Presbyterian/Columbia University Irving Medical Center. He is the Associate Medical Director and Director of Research of the Medical ECMO Program at the Center for Acute Respiratory Failure, as well as Medical Director of Intermediate Care and Pre-Critical Care Services.

Research 40

Research Wellness Airway Management 40