St. Emlyn
DECEMBER 26, 2023
St.Emlyn's - Emergency Medicine #FOAMed Air France Flight 447 takes off at 1930hrs on the final day of May in 2009, from Rio de Janeiro en route to Paris, carrying 228 passengers. In charge is … AI & Medicine: Saviour or Snake Oil? Read More » The post AI & Medicine: Saviour or Snake Oil? appeared first on St.Emlyn's.
Ken Grauer, MD
DECEMBER 23, 2023
The ECG in Figure-1 — was obtained from a patient with palpitations. The patient was hemodynamically stable in association with this rhythm. QUESTIONS: What is the rhythm in Figure-1 ? — How certain are you of your answer? — Why is QRS morphology changing ? Figure-1: The initial ECG in today's case. My Interpretation of the ECG in Figure-1: Since the patient is hemodynamically stable — there is time for systematic assessment of the rhythm.
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The Trauma Pro
DECEMBER 29, 2023
The 37th Annual Assembly of the Eastern Association for the Surgery of Trauma is just around the corner! And, as in previous years, I will be publishing regular posts on some of the abstracts I find the most interesting. Here are some of the topics I’ve selected: MAP and spinal cord injury VTE in pediatric patients Chest irrigation and retained hemothorax Accuracy of eFAST More on the 35mm rule for pneumothorax Pan-scanning and missed injuries King Airway vs i-Gel Airway Whole blood transf
Dr. Smith's ECG Blog
DECEMBER 24, 2023
Written by Pendell Meyers A woman in her 20s with connective tissue disorder and history of aortic root and valve repair presented with palpitations. Here is her triage ECG: What do you think? Atrial flutter with 2:1 conduction. The atrial flutter rate is approximately 200 bpm, with 2:1 AV conduction resulting in ventricular rate almost exactly 100 bpm.
Sensible Medicine
DECEMBER 28, 2023
Vinay started with this: Professor Frank Harrell responded As has often been the case, hyperbole limits the value of some of your opinions Vinay. To say that the FDA is a rubber stamp is ludicrous. Sure there are shortcomings as with any organization but sponsors know they can't get approval without a heck of a lot of work. I don’t know. The laxity of the FDA has lately surprised me—especially for devices.
Ken Grauer, MD
DECEMBER 29, 2023
QUESTION: HOW would YOU interpret the ECG in Figure-1 — if no clinical information was provided? Figure-1: The initial ECG in today's case. ( To improve visualization — I've digitized the original ECG using PMcardio ). = The H ISTORY in T oday's C ASE: The patient in today's case is a teenager who presented to the ED ( E mergency D epartment ) in cardiac arrest after electrocution.
The Trauma Pro
DECEMBER 26, 2023
Everyone knows that venous thromboembolism (VTE) is a potential problem in hospitalized patients, and especially so in trauma patients. Several groups of them are at higher risk by virtue of the particular injuries they have sustained and the activity restriction caused. Nearly every trauma program uses some form of screening and prophylaxis in an attempt to reduce the occurrence of this problem, which can result in deep venous thrombosis (DVT) and/or pulmonary embolism (PE).
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
Science Based Medicine
DECEMBER 29, 2023
As the adage says: "A man is judged by the company he keeps." The post Doctors Shouldn’t Legitimize Pro-Tobacco, Child-Labor Advocates first appeared on Science-Based Medicine.
EMCrit
DECEMBER 28, 2023
Setting PEEP and Righting the RV in ARDS with Matt Siuba EMCrit Project by Scott Weingart, MD FCCM.
First 10 EM
DECEMBER 25, 2023
Throughout the length of my career, we have consistently heard that less is more when it comes to blood transfusions (outside of the critically ill requiring massive transfusion, where the message, correct or not, has been the exact opposite). This has been aided by the rise of intravenous iron, giving us an alternative effective option […] The post The MINT trial: liberal or restrictive transfusion in MI appeared first on First10EM.
RebelEM
DECEMBER 27, 2023
Take Home Points: Know clinical (cold extremities, oliguria, confusion, dizziness, narrow pulse pressure) and laboratory markers (metabolic acidosis, elevated creatinine, lactic acidosis) of hypoperfusion. An elevated lactate is a danger sign and requires explanation. Norepinephrine is a great first line vasopressor in Cardiogenic shock. Dobutamine is useful for inotropic support in Cardiogenic shock.
Sensible Medicine
DECEMBER 29, 2023
Here is an odd take on a Friday Reflection but hey, it’s the holidays, and I have been on vacation. A few pithy images (if images can be pithy). It is a bit of a reprise from last year but with a bunch of new ones. For those who read from the email, you might not be able to see them all — just view them on the Substack site. Sensible Medicine is a reader-supported publication.
ECG Guru
DECEMBER 23, 2023
The Patient: A 60-year-old man at work. He experienced a sudden onset of substernal chest pain, nausea & vomiting, and dizziness. He states the pain is a 5 on 1-10 scale. No cardiac history or current medications. The ECGs: The first ECG , taken at 12:30:05, shows a sinus rhythm with ventricular bigeminy. In some leads, you can see the sinus P waves hidden in the beginnings of the PVCs, so we know the underlying sinus rhythm is about 82 bpm.
Science Based Medicine
DECEMBER 29, 2023
As the adage says: "A man is judged by the company he keeps." The post Doctors Shouldn’t Legitimize Pro-Tobacco, Child-Labor Advocates first appeared on Science-Based Medicine.
Core Medical Group
DECEMBER 29, 2023
Ever wonder what a day in the life of a CoreMedical travel nurse really looks like? Here’s a peek inside the ups and downs that make this career and lifestyle so challenging but rewarding, too.
Dr. Smith's ECG Blog
DECEMBER 26, 2023
I was reading ECGs on the system and saw this one, and instantly knew the probable ECG diagnosis: What do you think? I went to the patient's chart: Elderly woman with stuttering chest pain and SOB, and dizziness. What do you think now? This is a very typical ECG for Hypertrophic Cardiomyopathy. I sent it to our EKG Nerdz group and Jesse McLaren replied: "Apical HOCM" It reminded me of many other cases I have seen, such as this one: Left Bundle Branch Block with Less Than 1 mm of Concordant ST El
Stop and Think
DECEMBER 29, 2023
I wrote this on my TheHeart.org | Medscape Cardiology recap piece: Changing Ideas About Atrial Fibrillation We learned this year that not all atrial fibrillation (AF) is the same. For an older patient with stroke risk factors and 3 hours of AF on a cardiac device, pre-2023 thinking would have us leaning toward anticoagulation. The results of the ARTESIA and NOAH-AFNET 6 trials strongly question that idea.
Don't Forget the Bubbles
DECEMBER 25, 2023
Interpreting Research Outcomes with a Little Bathroom Humour You have learned a method for how to read a research paper , and now you are faced with a bunch of outcomes. There are primary, secondary, composite , and safety outcomes. What are these outcomes? What should you focus on? The researchers should have specified a clear research question or aim.
EM Ottawa
DECEMBER 28, 2023
Trauma is the leading cause of child and youth mortality globally (1). Pediatric trauma is a high acuity but low frequency event (2). Trauma is children is 7 times less frequent in comparison to the adult population (2). There is a well-documented correlation amongst EMS and adult ED physicians who provide less pediatric care to […] The post Pediatric Traumatic Cardiac Arrest appeared first on EMOttawa Blog.
Dr. Smith's ECG Blog
DECEMBER 29, 2023
Written by Jesse McLaren A previously healthy 50 year-old presented with 24 hours of intermittent exertional chest pain, radiating to the arms and associated with shortness of breath. It was ongoing on arrival in the emergency department. Below is the old ECG (on top) and then new ECG (on bottom). What do you think? There is normal sinus rhythm, normal conduction, normal axis, and tall precordial voltages with J waves from early repolarization.
Stop and Think
DECEMBER 26, 2023
Each year, I’ve done a Top-Ten recap of what I feel are the biggest stories of the year. The entire piece is over at theHeart.org | Medscape Cardiology —which is a site for medical professionals. Here at Stop and Think, I will show you what I wrote for each topic and then add a bit of general commentary. I will do one topic per newsletter and send out a post every other day or so.
Science Based Medicine
DECEMBER 23, 2023
More of the same, only better. The post Skeptics in the Pub. Cholera. Chapter 6a first appeared on Science-Based Medicine.
American Medical Compliance
DECEMBER 27, 2023
In the ever-evolving landscape of healthcare, maintaining compliance with regulations is paramount. The Health Insurance Portability and Accountability Act (HIPAA) has been a cornerstone in safeguarding patient information for nearly three decades. As we step into 2024, healthcare providers must stay abreast of the latest updates to remain compliant.
Medical Law
DECEMBER 28, 2023
There are a lot of good reasons to get a dashcam. It will improve security, deter vandalism, and help prevent fraudulent claims. If you get in an accident, dashcam footage can be used to verify the claim you file with an insurance company. Before you decide to get a dashcam for your vehicle, there are a few things to consider. First of all, you will want to make sure it is installed properly to be compliant with California law.
Emergency Live
DECEMBER 27, 2023
The Tragedy that Occurred in the Ca’ Gulino Tunnel on State Road 73 bis The Accident’s Dynamics A year-end to forget for the Italian emergency response community: at 4:00 PM today, December 27, in the Ca’ Gulino tunnel on State Road 73 bis connecting Fermignano to Urbino, a Red Cross ambulance crashed into a bus […] The post Accident in Urbino: 3 Emergency Workers and the Patient Lose Their Lives appeared first on Emergency Live.
Don't Forget the Bubbles
DECEMBER 27, 2023
Sonia Twigg gave this talk at our 2022 DFTB conference in Brisbane. Unlocking the Power of Clinical Debriefing Let’s dive into a crucial aspect of healthcare — clinical debriefing. Dr. Sonia Twigg, a pediatric Emergency Physician, shares insights into the significance of debriefing, particularly focusing on “hot debriefs.” The Need for Debriefs Recognizing their Importance In the realm of healthcare, the significance of clinical debriefing cannot be overstated.
Ziqitza HealthCare Ltd
DECEMBER 27, 2023
As we approach the end of 2023, the healthcare landscape is evolving at an unprecedented pace. Technological advancements are driving innovation and revolutionizing patient care. In this blog post, we will delve into the major trends projected to shape the healthcare industry in 2024. We will also highlight the notable achievements of Ziqitza Healthcare and its founder, Sweta Mangal.
NRC Health
DECEMBER 27, 2023
These days, patients are more likely to have a personalized experience with their baristas than with their physicians. Take Cheryl Marker, a mother of three battling multiple chronic and complex illnesses. She had cycled through two neurologists who left her in tears, not feeling seen or heard. She felt dismissed and hopeless after her providers displayed a lack of medical curiosity to dive any deeper into her case.
EMergucate
DECEMBER 26, 2023
The following chest x-ray is from a toddler taken post choking episode. What can be seen?
American Medical Compliance
DECEMBER 26, 2023
On December 27, 2020, the United States Congress adopted the No Surprises Act (NSA) as part of the Consolidated Appropriations Act of 2021, which has various provisions to assist in protecting customers against unexpected costs beginning January 1, 2022. The following course highlights the NSA and how it impacts healthcare. What you will learn: Situations where the No Surprises Act applies Specific requirements for compliance with the No Surprises Act Billing and payment processes under the No S
Ziqitza HealthCare Ltd
DECEMBER 25, 2023
Air ambulances are an effective way to transport people over the longest distances. It is the fastest way to get a patient to the hospital and also provides the necessary treatment at the moment, in the aircraft. But along with its efficiency comes the cost of acquiring it. An air ambulance price is affected by a lot of factors. In this blog, we will look into some of the factors, air ambulance rates, and even helicopter ambulance cost.
Emergency Live
DECEMBER 23, 2023
Innovations and challenges in the HEMS industry Helicopter Emergency Medical Services (HEMS) have undergone significant developments in recent years, improving efficiency and effectiveness in rescue operations. These advancements have brought about important changes in emergency management, from natural disasters to severe traumas. Technological and Operational Developments HEMS have evolved from simple transportation means to advanced […] The post Evolution of emergency medical services v
EMergucate
DECEMBER 23, 2023
The abdominal CT slice shows a grossly distended suprapubic mass, which in this case was from hematometra.
JournalFeed
DECEMBER 23, 2023
The JournalFeed podcast for the week of Dec 18-22, 2023. 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. Monday Spoon Feed: For the majority of out-of-hospital cardiac arrest (OHCA) patients undergoing standard (30:2 compressions:breaths) cardiopulmonary resuscitation (CPR) prior to definitive airway placement, bag-valve mask (BVM) ventilations did not achieve adequate lung volumes most of
PHARM
DECEMBER 29, 2023
Juries convicted two paramedics and one police officer of criminally negligent homicide but acquitted two other cops. — Read on reason.
Emergency Live
DECEMBER 23, 2023
An Essential Tool for Safety and Efficiency in Complex Rescues In the vast array of equipment used by rescuers, the “spider stretcher” emerges as a fundamental but often underestimated device that is of vital importance in emergency and rescue situations. This article explores the features, uses, and significance of this tool in the context of […] The post Spider Stretcher: What It Is and When It Is Used appeared first on Emergency Live.
EMergucate
DECEMBER 23, 2023
The chest x-ray shows left pleural based opacity protruding into the lung field with a reverse D appearance.
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