Sat.Feb 05, 2022 - Fri.Feb 11, 2022

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Imaging Case of the Week 491 Answer

EMergucate

The chest x-ray shows The chest x-ray is technically inadequate, having been performed in the resuscitation area.

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Life Lessons from Re-Connecting

Dr. Mike Sevilla

Are there long time friends that you just haven’t talked with since the start of the pandemic? Of course, you were like me, saying to yourself, “Well, we will chat again soon.” Or, “One of these days I’ll give them a call again.” But, it’s now been two years. Two long years. I challenged myself this week. I had some days off from work, and it was my goal to re-connect with some people whom I haven’t talked with in a while.

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SCGH DDU Meeting Roster

SCGH ED

Monthly Thursday, 16:00 – 17:30, ED Seminar Room The post SCGH DDU Meeting Roster appeared first on Charlie's ED.

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NeuroResus April 2022

Intensive Care Network

Neuro Resus on 7-8th April 2022. The Ultimate Preparation for Neuro Crises. Info and Registration details. The post NeuroResus April 2022 appeared first on Intensive Care Network.

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Imaging Case of the Week 492 Answer

EMergucate

The pelvic x-ray shows a right sided hip effusion in this skeletally immature patient.

EMS 52
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Ultrasound of the Month: A Case of Unilateral Knee Swelling

Downeast Emergency Medicine

THE CASE A 44 year old male with a history of right ACL repair 1 year ago presents with right knee pain and swelling after a fall. He was helping his neighbor fix their snowblower when he slipped and fell backwards. He denies hitting his knee on the ground but felt a pop in his right knee during the fall. He reports feeling as though his patella was “out of place” but then it popped back in and his pain improved somewhat.

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Olympics 2022

Dr. Mike Sevilla

I don’t know what it is, but the Olympic games has always captured my imagination, even going back to when I was 11 years old, and watching Scott Hamilton ice skating in Sarajevo. Has it really been 38 years since that performance? Whether it be the winter games, or the summer games, I always have tried to think about what has been like to be an Olympic athlete.

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ECG of the Week – 9th February 2022 – Interpretation

EMergucate

Interpretation: Note: Lead V6 missing – ECG not fully interpretable Rate: 60bpm – 300bpm Rhythm: Biphasic p II, III; can be normal.

EKG/ECG 52
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Nursemaid's Elbow

Northwestern EM Blog

Written by: Richmond Castillo, MD (NUEM ‘23) Edited by: Shawn Luo, MD (NUEM ‘22) Expert Commentary by : Jacob Stelter, MD (NUEM ‘19) Expert Commentary This is an excellent summary of the diagnosis and management of radial head subluxation (nursemaid’s elbow) in children. Clinically, as pointed out, these patients are usually toddlers and will come in after an injury to the arm.

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Olympics and Mental Health

Dr. Mike Sevilla

“The thrill of victory, and the agony of defeat.” This was the iconic tagline from the Wide World of Sports show when I was growing up back in the day. What’s so interesting to observe is the attitude of the press and the public during events like the Olympic Games. The hype and the expectation leading up to sporting events like this is incredibly high, that I don’t know how these athletes deal with this.

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The Circle of Safety and Physician Burnout

33 Charts

In his book, Leaders Eat Last — Why Some Teams Pull Together and Others Don’t , Simon Sinek discusses the importance of a safe work environment for innovation, productivity and survival. He calls this leader-driven space the Circle of Safety. It is easy to know when we are in the Circle of Safety because we can feel it. We feel valued by our colleagues and we feel care for by our superiors.

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ECG of the Week – 9th February 2022

EMergucate

75yo M who presents with chest pain and shortness of breath. Interpret the ECG How would you treat this patient?

EKG/ECG 52
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Episode 66 - Acute Asthma

EB Medicine

Episode 66 – Acute Asthma Exacerbations – An Interview with Dr. Steven Hochman and Dr. Brandon Somwaru EMplify – February 2022 Emergency Department Management of Acute Asthma Exacerbations Interview with the authors: Steven M. Hochman, MD, and Brandon Somwaru, DO Episode Outline: Epidemiology Risk factors for death from asthma (Table 1) Triggers for asthma attacks Variants of asthma (Table 2) Differential diagnosis (Table 3) Can PE be a trigger for an acute asthma attack?

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February Check-In

Dr. Mike Sevilla

So, happy February. First of all, thanks to everyone who has reached out to me asking why I haven’t been in the office for the past couple of days. Just wanted to let everyone know that I am ok. I am not ill, and I do not have COVID. I had some planned time off at the beginning of February, and I’ll be back at work soon. I appreciate everyone’s concern.

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SGEM#359: Meet Me Halfway on the Duration of Antibiotics for Non-Severe Pediatric Community-Acquired Pneumonia

The Skeptics' Guide to EM

Date: February 7th, 2022 Reference: Williams et al. Short- vs standard-course outpatient antibiotic therapy for community-acquired pneumonia in children: the scout-cap randomized clinical trial. JAMA Pediatrics 2022 Guest Skeptic: Dr. Dennis Ren is a pediatric emergency medicine fellow at Children’s National Hospital in Washington, DC. Case: A three-year-old boy presents to the emergency department (ED) with fever […] The post SGEM#359: Meet Me Halfway on the Duration of Antibiotics for Non-Seve

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Imaging Case of the Week 492

EMergucate

The following pelvic x-ray is from a 2 year old febrile child who is refusing to weight bear on right … Continue reading →

EMS 52
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Occlusion/reperfusion through 6 ‘normal’ ECGs

Dr. Smith's ECG Blog

This is written and contributed by Jesse McLaren (@ECGCases), with comments and edits by Smith, and commentary by Ken Grauer (@EKGPress) An 80 year-old female presented with weakness and a fall, with normal vitals and no injuries. The ECG was labeled ‘normal’ by the computer (Marqette 12SL), later confirmed by the cardiologist. What do you think? There’s normal sinus rhythm, normal conduction, normal axis, normal R wave progression, and normal voltages.

EKG/ECG 40
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Chertow – Viral Illness in the ICU – Current and Emerging Threats

University of Maryland CC Project

Captain Daniel S. Chertow MD, MPH is an investigator in the Critical Care Medicine Department at the NIH Clinical Center and in the Laboratory of Immunoregulation, National Institute of Allergy and Infectious Diseases. He serves as a senior officer in the United States Public Health Service (USPHS). He presents an interactive lecture on viral illness in the ICU with current and emerging threats as part of DC5 lecture series.

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Olecranon Bursitis | Pass-Fail Step 1 | VL 2.0 | Snake Envenomation | Computer vs MD ECG Reads

JournalFeed

It’s the JournalFeed Podcast for the week of January 31-February 4, 2022. We cover treatment of olecranon bursitis, program director perspectives on pass/fail USMLE Step 1, videolaryngoscopy 2.0. snake envenomation, and computer vs emergency physicians ECG interpretation.

EKG/ECG 40
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Lab case 350

EMergucate

42 year old woman presented with 2 days of vomiting and behavioural changes. She had pulse rate of 120/min. Blood pressure was 94/56.

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Hypothermia at 18 Celsius in V Fib arrest: CPR, then ECMO rewarming, for 3 hours, then Defib with ROSC. Interpret the ECG.

Dr. Smith's ECG Blog

A middle-aged man was found outside in the cold in full arrest in ventricular fibrillation. Chest compressions and ventilation were begun. On arrival, CPR was continued and core temperature was measured at 18° C (64.4° F). The patient was put on Extracorporeal Life Support in the ED 3 hours after initial resuscitation, the core temp was 30° C and the patient was defibrillated with a single attempt.