Pediatric Education
AUGUST 27, 2023
Patient Presentation A resident was discussing a newborn who had been transferred from an outside facility for cyanosis. “The baby even had a snowman sign on his x-ray. I’ve only read about that because usually we get an echo so fast and already know what is happening. They think that baby was already having problems in utero so you could see the snowman so quickly after birth,” he said.
Ken Grauer, MD
AUGUST 26, 2023
The ECG in Figure-1 was obtained from a man in his 60s — who described the sudden onset of "chest tightness" that began 20 minutes earlier, but who now ( at the time this ECG was recorded ) — was no longer having symptoms. In view of this history — How would YOU interpret this ECG? Should the cath lab be activated? Figure-1: The initial ECG in today's case. ( To improve visualization — I've digitized the original ECG using PMcardio ).
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The Trauma Pro
SEPTEMBER 1, 2023
In my previous post, I reviewed a recent paper analyzing which geriatric patients were more likely to have care withdrawn after serious injury. The authors noted that those with significant limitations to daily living activities, increasing age and/or frailty, and ventilator dependence were major factors. Today’s paper was written by a multi-institutional group from several Ohio trauma centers.
Pediatric EM Morsels
SEPTEMBER 1, 2023
While the “excitement” of the Emergency Department that is seen on TV may make people think that the only skills we need are those that help us manage Critical Illnesses or Traumatic Injuries , as we have digested in prior Morsels (ex, Developmental Milestones , Formula Primer , Vegan Diets ) all aspects of patient care are important for us to be adept at.
Speaker: Simran Kaur, Co-founder & CEO at Tattva.Health
AI is transforming clinical trials—accelerating drug discovery, optimizing patient recruitment, and improving data analysis. But its impact goes far beyond research. As AI-driven innovation reshapes the clinical trial process, it’s also influencing broader healthcare trends, from personalized medicine to patient outcomes. Join this new webinar featuring Simran Kaur for an insightful discussion on what all of this means for the future of healthcare!
Sensible Medicine
AUGUST 31, 2023
During the COVID19 pandemic, a small handful of drugs and therapeutics helped save lives. RECOVERY showed the value of dexamethasone in patients hospitalized and receiving O2, and those on the vent. Baricitinib also had positive randomized data, and Tocilizumab was validated by the RECOVERY group. Paxlovid only has positive data in unvaccinated high risk people who have not had COVID.
Ken Grauer, MD
SEPTEMBER 1, 2023
The interesting rhythm shown in Figure-1 was obtained after Adenosine was given for a regular SVT ( S upra V entricular T achycardia ). How would YOU interpret this rhythm in Figure-1 ? Why are there so many shapes for the QRS complex in the long lead II rhythm strip? Figure-1: 12-lead ECG and long lead II rhythm strip obtained after Adenosine was given for a regular SVT rhythm.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
Don't Forget the Bubbles
AUGUST 30, 2023
The Choosing Wisely ® campaign is an initiative that promotes collaborative conversations between clinicians and families to safely avoid unnecessary and potentially harmful tests. The American Academy of Paediatrics Section on Emergency Medicine (AAP SOEM) created a list of five key recommendations for Paediatric Emergency Medicine after a structured review process and expert consensus opinion.
Emergency Medicine News
AUGUST 31, 2023
An abstract is unavailable.
Dr. Smith's ECG Blog
SEPTEMBER 1, 2023
A 50-something male had onset of chest pain 1 hour prior to ED arrival. It is constant, 9/10, left-sided CP that radiates into left arm and jaw. Endorses some associated SOB, but denies back pain, fever, cough, chills, leg swelling, or other new symptoms. Has never had this before. Takes metoprolol for HTN. Here is the triage ECG: What do you think?
EM Literature of Note
SEPTEMBER 1, 2023
It’s a trick question – in the end, all of us have already lost. This is a short retrospective report evaluating, primarily, the Epic Sepsis Prediction Model, and the mode in which is deployed. The Epic SPM generates a “prediction of sepsis score”, calculated at 15 minute intervals, providing a continuous risk score for the development of sepsis.
Emergency Live
SEPTEMBER 1, 2023
Drones and VTOLs to the Rescue: The Future of Medical Emergencies Urban Air Mobility (UAM) is ushering in a new era in the fields of medical response, parcel delivery, and passenger transport by harnessing the potential of advanced air vehicles like drones and Vertical Take-Off and Landing (VTOL) aircraft. These innovative technologies offer faster and […] The post Urban Air Mobility (UAM): Transforming Healthcare and Beyond appeared first on Emergency Live.
Emergency Medicine News
AUGUST 31, 2023
An abstract is unavailable.
Medagadget
AUGUST 30, 2023
Researchers at New York University have developed a new method to target many viruses that cause disease. For viruses with a lipid membrane, which includes many that commonly cause disease, this new technique could prove to be fatal. By targeting the lipid membrane, the approach may circumvent the treatment resistance that arises when viruses mutate to alter their surface proteins, which are the most common targets for conventional anti-viral drugs.
NIOSH Science Blog
AUGUST 31, 2023
As the occupational safety and health community continues to combat very real and serious hazards, we are closing out the summer with a little fun. This summer Barbie and friends have recaptured national attention breaking box office records with movie ticket sales exceeding one billion dollars in just a few weeks. While Barbie’s first “job” in 1960 was as a fashion designer, she went on to hold over 200 jobs[1] across various industries (of course with the corresponding outfits and accessories)
Emergency Live
AUGUST 31, 2023
Rapid H2O Flood Barriers: A New and Innovative Solution to Flood Control They say that sometimes you have to fight fire with fire. But what about fighting water with water? In the realm of innovative flood control, the Rapid H2O flood barriers are making waves in the UK market. This ingenious system utilizes water as […] The post Fighting Water with Water: A Revolutionary Solution to Flooding appeared first on Emergency Live.
Emergency Medicine News
AUGUST 31, 2023
An abstract is unavailable.
SheMD
AUGUST 31, 2023
When I started looking at where I wanted to spend my residency during the fourth year of medical school, I considered numerous factors, as every student does. Many of them are quite similar: location, quality or style of learning, fellowship options, benefits, personality fit, etc. However, not everyone is at the same place in life when they are matching.
St. Emlyn
AUGUST 30, 2023
St.Emlyn's - Emergency Medicine #FOAMed Journal Club review of the ARREST trial showing that bypass to a cardiac arrest centre in London does not improve outcomes. #FOAMed #cardiology @stemlyns The post JC: The ARREST trial. Does bypass to cardiac arrest centres save lives? St Emlyn’s appeared first on St.Emlyn's.
Emergency Live
AUGUST 30, 2023
Takotsubo syndrome, also known as stress cardiomyopathy, is a temporary non-ischaemic cardiomyopathy that results from stressful and emotionally intense situations The post Stress cardiomyopathy: broken heart syndrome (or Takotsubo syndrome) appeared first on Emergency Live.
Emergency Medicine News
AUGUST 31, 2023
An abstract is unavailable.
Sensible Medicine
AUGUST 29, 2023
Listen now | An introduction to a podcast series comparing US and Danish public policy, with a focus on the many differences in COVID-19 response and vaccination policies
Don't Forget the Bubbles
AUGUST 29, 2023
This post accompanies Dani’s talk at DFTB23 in Adelaide It was Winter 2021—the height of the COVID-19 pandemic. We were in lockdown. In the emergency department, we were working our way through tonnes of PPE, masks, aprons, and gloves. We were exhausted. Our patients were scared. Headlines were terrifying. One of our nurses worked on her days off in the vaccination centre.
Emergency Live
AUGUST 30, 2023
The UK’s leading business event for the rotorcraft industry After the success of Helitech Expo 2022 which saw over 3,000 key buyers in attendance and 50 hours worth of unmissable content, we can now confirm the show will be returning on the 26th & 27th of September at the ExCeL London and we have some […] The post Helitech Expo 2023: Shaping the Future of Air Mobility appeared first on Emergency Live.
Emergency Medicine News
AUGUST 31, 2023
An abstract is unavailable.
Sensible Medicine
AUGUST 30, 2023
Last week a friend sent me a link to an article in The Financial Times titled, MRI scan more accurate than blood test at diagnosing prostate cancer, UK study finds. I read the article, skeptically, thinking MRI as a screening test, come on. I thought it was a piece of churnalism until I read the study itself from BMJ oncology and realized that the real story was research article.
ECG Guru
AUGUST 26, 2023
Does something about this ECG look "different" to you? This ECG shows a “classic” presentation of inferior-posterior M.I. when it is caused by a lesion in the right coronary artery (RCA). There are ST elevations in leads II, III, and aVF. Reciprocal ST depression is seen in Leads I and aVL. There is also reciprocal ST depression in Leads V1 – V3.
Emergency Live
AUGUST 29, 2023
Emergency Response Driver Simulator: A Safe and Effective Way to Train for Intersection Dangers Intersections contain several potential hazards and risks for an emergency driver. The driver must assess and negotiate an intersection without risking an accident. Potential hazards, which may be pedestrians or other road users hiding behind vehicles, can stress drivers when an […] The post Intersection Dangers – Emergency Response Drive Training With A Simulator appeared first on Emergency Liv
Sensible Medicine
AUGUST 28, 2023
This weekend at the European Society of Cardiology, I watched Professor Paulus Kirchhof present results of the NOAH AFNET 6 trial, which is also published in the New England Journal of Medicine. I describe it here for two reasons: it is an example of well-conducted unbiased study, and it deals with an increasingly common problem of short-duration episodes of atrial fibrillation.
Don't Forget the Bubbles
AUGUST 28, 2023
Depending on the location of the mediastinal mass, lying a child flat or using a rapid sequence induction protocol may cause cardiorespiratory arrest. As clinicians, we need to be prepared. What causes a mediastinal mass? The mediastinum is the segment of the thorax that includes structures vital to life – the heart, major blood vessels, and the airway.
Emergency Live
AUGUST 28, 2023
Renewing Air Rescue in Ireland: Bristow and the New Era of Search and Rescue for the Coastguard On 22 August 2023, Bristow Ireland officially signed a contract with the Irish government to provide search and rescue (SAR) services using helicopters and turboprop aircraft to serve the Irish Coast Guard. Starting in the fourth quarter of […] The post Bristow signs search and rescue contract in Ireland appeared first on Emergency Live.
The Bottom Line
AUGUST 26, 2023
What’s new in the Critical Care literature – monthly updates
St. Emlyn
AUGUST 29, 2023
St.Emlyn's - Emergency Medicine #FOAMed Part 2 of our introduction to ultrasound use in the paediatric emergency department with @Dr_Pete_EmMed #USS @FOAMed #paediatrics The post Paediatric Point of care ultrasound: Big Kids playing with toys or the future of Paediatric emergency medicine? Part II appeared first on St.Emlyn's.
EMDocs
AUGUST 31, 2023
Authors: Sean Trostel, MD (EM Resident Physician, Carolinas Medical Center, Charlotte, NC); Kathryn T Kopec, DO (@KopecToxEM, EM Attending Physician, Medical Toxicologist, Carolinas Medical Center, Charlotte, NC) // Reviewed by: James Dazhe Cao, MD (@JamesCaoMD, Associate Professor of EM, Medical Toxicology, UT Southwestern Medical Center, Dallas, TX); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Please see Part 1 of this series for guidance on the management of the crotalid envenoma
Emergency Live
AUGUST 28, 2023
Wolff Parkinson White syndrome is a cardiac pathology due to an abnormal transmission of the electrical impulse between the atria and ventricles which can cause tachyarrhythmias and palpitations The post Abnormalities in the transmission of electrical impulses: Wolff Parkinson White Syndrome appeared first on Emergency Live.
Emergency Medicine News
AUGUST 31, 2023
An abstract is unavailable.
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