Ken Grauer, MD
DECEMBER 12, 2024
I was sent the ECG in Figure-1 initially told only that it was obtained from an older man with palpitations. The cardiology team thought the rhythm was an SVT ( S upra V entricular T achycardia ) with QRS widening as a result of aberrant conduction. QUESTION: Do YOU agree that the rhythm is consistent with an SVT , in which there is QRS widening because of aberrancy?
St. Emlyn
DECEMBER 9, 2024
St.Emlyn's - Emergency Medicine #FOAMed Explore key takeaways from the DAS 2024 meeting, including airway management in obstetrics, ethics of training, challenges in critical care, and international practices. Insights tailored for emergency and anaesthesia professionals. The post Difficult Airway Society Meeting 2024 appeared first on St.Emlyn's.
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The Bottom Line
DECEMBER 11, 2024
Whats new in the Critical Care literature monthly updates
ACEP Now
DECEMBER 7, 2024
As emergency departments (EDs) have become the focus of bottlenecks in the entire health care systemfrom insufficient inpatient beds leading to hospital boarding to dwindling access to primary carea siege atmosphere has developed. Although EDs offer around-the-clock access to highly trained physicians and a full suite of imaging and laboratory services, their very success has led to tremendous overcrowding and enormous strains on staff.
Thinking Critical Care
DECEMBER 8, 2024
Every resus doc needs to have a holistic approach to shock – MAP and forward flow simply isn’t enough. Here, Matt and I chat a bit about recent things we’ve heard in the world around us, as well as how we use and see the use of the interface concept. Don’t forget to come up your game at #HR25!!!
St. Emlyn
DECEMBER 13, 2024
St.Emlyn's - Emergency Medicine #FOAMed In October, I had the opportunity to give a talk on the ethics of Artificial Intelligence at the EUSEM Congress in Copenhagen. My focus was on the ethical implications of […] The post The Promise and Perils of Artificial Intelligence in Emergency Care: Reflections from EUSEM 2024 appeared first on St.Emlyn's.
The Bottom Line
DECEMBER 11, 2024
Whats new in the Critical Care literature monthly updates
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
American Medical Compliance
DECEMBER 13, 2024
By 2050, an alarming 61% of adults in the United States are projected to have some form of cardiovascular disease, according to a report published in the American Heart Association Journals. This statistic shows the urgency of early detection and proactive management to reduce the devastating impact of these conditions. Electrocardiograms (EKGs) are at the top of modern healthcare as indispensable diagnostic tools for identifying arrhythmias, heart attacks, and other cardiac disorders.
Science Based Medicine
DECEMBER 13, 2024
We don't need "spirited debate" about RFK Jr. We've been trying to warn you about him for years. It's not our fault that some people didn't listen. The post Anyone Who Supports Pro-RFK Jr. Doctors, Is Also Pro-RFK Jr. first appeared on Science-Based Medicine.
EMDocs
DECEMBER 11, 2024
Heres 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.
St. Emlyn
DECEMBER 10, 2024
St.Emlyn's - Emergency Medicine #FOAMed A podcast with some of the highlights from the London Trauma Conference 2024 The post Podcast – Reflections from the London Trauma Conference 2024: Insights and Inspiration appeared first on St.Emlyn's.
EMCrit
DECEMBER 13, 2024
I think ICU docs may have developed a bit of an RCT problem; not an addiction, but perhaps a dependency. It all started off fine at first. RCTs are the apex trial design, the only trial capable of proving causality. But we've taken it too far. Currently, a cluster-randomized trial is underway to study whether […] EMCrit Project by Josh Farkas.
ALiEM
DECEMBER 9, 2024
A 25-year-old female with no pertinent past medical history presented to an emergency department in Massachusetts with four days of generalized malaise, myalgias, congestion, low-grade fever, and a rash behind her left knee. The patient denied cough, shortness of breath, chest pain, abdominal pain, nausea, vomiting, and diarrhea. She lives with three roommates, none of whom were sick, and she denied any other known sick contacts.
Core Medical Group
DECEMBER 13, 2024
The holidays are upon us, the end of the year is inching closer and closer, and one question remains top of mind for travelers: how can I set myself up for success in 2025?
ACEP Now
DECEMBER 8, 2024
The Centers for Disease Control and Prevention (CDC) estimates of emergency department (ED) visits for 2022 were recently released. 1 It was the highest volume ever reported by the CDC, at 155.4 million visits, with an all-time high utilization rate of 473 visits per 1,000 populations. This visit rate puts American EDs back on the data line it has followed since World War II.
EM Ottawa
DECEMBER 12, 2024
A 59-year-old man presented to a community Emergency Department with a one-month history of subjective fevers and dyspnea. Due to COVID-19 restrictions, he had only consulted a physician via telephone, during which he was prescribed two courses of antibiotics for presumed pneumonia. Despite treatment, his symptoms persisted. He denied any recent travel, intravenous drug use, […] The post Curious case of the HoCUS PoCUS appeared first on EMOttawa Blog.
Sensible Medicine
DECEMBER 13, 2024
Last week, I expanded on my nine pieces of “Advice for Internship.” As I noted, a little over a year ago I updated this list after an inpatient attending block during which I was reminded just how hard it is to be an intern. Part II is a bit less pithy, more parochial, but maybe more useful than Part I. The advice might be a bit internal medicine oriented, but I do think it is broadly applicable.
ALiEM
DECEMBER 13, 2024
An 87-year-old female with a history of hypertension, hyperlipidemia, chronic kidney disease stage IIIB, type 2 diabetes mellitus, and schizophrenia presented for evaluation due to sudden visual loss in her right eye, which began 12 hours before she arrived at the emergency department. She has experienced a sudden loss of vision in her right eye for more than six hours.
ACEP Now
DECEMBER 7, 2024
Approximately 60,000 to 100,000 patients die from pulmonary embolism (PE) each year in the United States, and PE is the third leading cause of cardiovascular mortality. 1 A wide spectrum of severity exists in PE presentations, ranging from mild shortness of breath to cardiac arrest. A PE is classified into one of three categories: low risk, submassive, and massive.
PulmCCM
DECEMBER 12, 2024
Adjunctive embolization in subacute or chronic subdural hematoma (EMBOLISE trial) Middle meningeal artery (MMA) embolization can reduce the blood supply to dural vascular membranes, theoretically reducing the rate of subdural hematoma expansion or recurrence. Among 400 patients, those randomized to surgical evacuation plus MMA embolization with Medtronic’s Onyx™ liquid embolic product had a lower rate of hematoma recurrence or progression leading to repeat surgery (4%), compared to 1
EMergucate
DECEMBER 10, 2024
A 23yr presents following a syncope, he denies chest pain. The following ECG is taken: What does this ECG demonstrate?
Greater Sydney Area HEMS
DECEMBER 10, 2024
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ACEP Now
DECEMBER 7, 2024
A 28-year-old female is brought to the emergency department (ED) by police after a sexual assault. She is visibly anxious and tearful. The police officer is waiting for the sexual assault evidence kit. What is the trauma-informed approach to care for this patient? Introduction The Substance Abuse and Mental Health Services Administration (SAMHSA) defines trauma as an event, series of events, or set of circumstances that is experienced by an individual as physically or emotionally harmful or life
EMergucate
DECEMBER 10, 2024
PH = 6.782, that is severe acidaemia. HCO3 = 2.5 mmol/L, that is extremely low. So we have metabolic acidosis.
PulmCCM
DECEMBER 11, 2024
An excellent review article titled “Sepsis and Septic Shock” was published 4 December 2024 in the New England Journal of Medicine. It’s a wonderful contribution to the literature and well worth reading. But it feels like something important was missed, or misplaced. Here’s a complementary take from a community physician’s perspective.
NRC Health
DECEMBER 11, 2024
The integration of digital health technologies is revolutionizing patient care and healthcare delivery. This transformation is not about merely adopting new tools, but enhancing the patient experience while maintaining a strong focus on the human element. The post AI and digital solutions to address healthcare challenges appeared first on NRC Health.
Core Ultrasound
DECEMBER 12, 2024
Expand your expertise in ultrasound-guided nerve blocks with Part 2 of this comprehensive tutorial series. In this video, we delve into advanced techniques, exploring brachial plexus blocks, fascia iliaca compartment blocks, and the erector spinae plane block (both in the thoracic and lumbar regions). Nerve Blocks, Pt 1 Courses The post Mastering Ultrasound-Guided Nerve Blocks Basics, Part 2 first appeared on Core Ultrasound.
EMergucate
DECEMBER 10, 2024
2-year-old boy brought to ED by ambulance as category 1 for severe croup. His blood gases showed the following.
Sensible Medicine
DECEMBER 12, 2024
The American health care system is profoundly broken. We spend more than any peer nation, and have worse outcomes. Worse, for what we pay, the system is not even user friendly. I am a practicing oncologist, health policy expert and professor , and I have difficulty navigating the complex world of in-network, co-pays and billing. Toss on training modules and EPIC, and I get pissed off trying to provide care, receive care, and study health care.
ACEP Now
DECEMBER 7, 2024
The use of thrombolytics for acute ischemic stroke may be one of the most controversial topics in emergency medicine during the last several decades. This debate recurs in multiple forums including many previous pieces in ACEP Now. 1 The reason is understandablethrombolytics in stroke is a high-risk, higher-reward treatment. If the potential for harm were absent, or if the benefit of thrombolytics was only marginal, there would be no controversy.
The Trauma Pro
DECEMBER 10, 2024
It is almost a given that low-grade solid organ injuries are relatively benign and seldom require any intervention. In fact, some trauma centers actually discharge these patients home from the emergency department. But what about low-grade isolated spleen injuries with a contrast blush? Apparently, a few authors believe that this may be a benign condition that doesn’t require any specific management.
First 10 EM
DECEMBER 9, 2024
When managing hyponatremia, the primary concern (at least as far as I have always been taught) is osmotic demyelination syndrome. We are warned not to correct the sodium too quickly, because the neurologic outcome can be awful. However, demyelination is very rare, and apparently there is a lot of data that suggests correcting sodium too […] The post Big practice change coming?
Science Based Medicine
DECEMBER 8, 2024
Doctors who profit in any way by normalizing RFK Jr. should be calmly and politely reminded of this at every opportunity for the rest of their careers. They are not entitled to a safe space. The post Actually Dr. Adam Cifu, Its Fine to Attack Doctors Who Profit By Spreading Pro-RFK Jr. Propaganda first appeared on Science-Based Medicine.
Dr. Smith's ECG Blog
DECEMBER 10, 2024
Written by Pendell Meyers An elderly female called EMS with acute chest pain. Her vitals were within normal limits, and here is her EMS ECG: What do you think? Sinus rhythm, and QRS shows likely subtle RBBB, plus LAFB. While some STE could be expected by the large wide S wave in inferior leads, there is is STE and possibly HATW in II, III, and AVF, with reciprocal findings in aVL.
EMDocs
DECEMBER 7, 2024
We always work hard, but we may not have time to read through a bunch of journals. Its time to learn smarter. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: What Happened to Plain Albuterol? Meet the New Combo Inhalers Spoon Feed According to a large number of RCTs, both pediatric and adult patients seem to have better asthma control with combined asthma therapy: inhaled
Life in the Fast Lane
DECEMBER 12, 2024
Mike Cadogan The Best Online Echocardiography Courses Looking for online echocardiography courses?
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