Sat.Jan 22, 2022 - Fri.Jan 28, 2022

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Vasopressor Nonresponse

Northwestern EM Blog

Written by: Elizabeth Stulpin, MD (NUEM ‘23) Edited by: Aaron Wibberly, MD (NUEM ‘22) Expert Commentary by : Joshua Zimmerman, MD (NUEM ‘17) Non-Response to Vasopressors Shock is defined as a state of cellular and tissue hypoxia resulting in end organ dysfunction. This state may arise due to impaired oxygen delivery to tissues, impaired oxygen utilization by the tissues themselves, increased oxygen consumption, or a combination of these mechanisms.

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Imaging Case of the Week 489 Answer

EMergucate

The chest x-ray shows presence of pneumomediastinum.

EMS 52
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Who benefits most from screening for atrial fibrillation?

Stop and Think

There was big news in the AF world: JAMA has published a major paper on screening for atrial fibrillation. The 16-person United States Preventive Services Task Force ( USPSTF ) authored the review and concluded that the current evidence is insufficient to assess the balance of benefits and harms of screening for AF. USPSTF is a notable group because they are independent experts in critical appraisal.

Stroke 40
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Neonatal HSV Score | HFO2 COVID | CODA RCT F/U | PE-SCORE | Multislice CT SAH

JournalFeed

It’s the JournalFeed Podcast for the week of January 17-21, 2022. We cover a neonatal invasive HSV risk score, high-flow oxygen for COVID, long-term follow up of antibiotics vs surgery for appendicitis, the PE-SCORE, and the high accuracy of multislice CT for SAH out to 24 hours.

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SGEM#357: COVID it’s Getting Harder and Harder to Breathe but will Budesonide Help?

The Skeptics' Guide to EM

Date: January 22nd, 2022 Reference: Yu et al. Inhaled budesonide for COVID-19 in people at high risk of complications in the community in the UK (PRINCIPLE): a randomised, controlled, open-label, adaptive platform trial. Lancet 2021 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called First10EM.com.

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Imaging Case of the Week 490 Answer

EMergucate

Chilaiditi’s Syndrome. The chest x-ray reveals bowel loop interposed between liver and right hemi diaphragm.

EMS 52
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More or Less Getting It Wrong

Dr. No

Putting a bionic cat among the catatonic pigeons, the much publicised only 17k deaths from covid figure has led to some of the most acrimonious splats Dr No has ever seen on squitter, the social media platform on which participants dump on each other from great heights. Joining the general opprobrium, Tim Harford used the first slot on this week’s More or Less programme on Radio 4 to apply ‘tireless debunkery’ to the claim, with more or less help from a molecular biologist who