Sat.Dec 09, 2023 - Fri.Dec 15, 2023

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Electric Revolution in Emergency Vehicles: Efficiency and Sustainability in Service of Emergencies

Emergency Live

Electric vehicles are transforming emergency response strategies The transition to hybrid and electric fleets There has recently been a significant shift towards the use of electric (EV) and hybrid vehicles in emergency response operations. A notable example is the Essex & Herts Air Ambulance Trust (EHAAT), which has completed the transition to a fully hybrid […] The post Electric Revolution in Emergency Vehicles: Efficiency and Sustainability in Service of Emergencies appeared first o

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ECG Video Blog #408 (392) — 20 Minutes Later.

Ken Grauer, MD

== CLICK HERE — for a V ideo presentation of this case! ( 18:00 min. ) Below are slides used in my video presentation. For full discussion of this case — See ECG Blog #392 — == 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.

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Liquid Plasma vs FFP: Definitions

The Trauma Pro

I’ll spend the next two posts discussing plasma. This is an important component of any trauma center’s massive transfusion protocol (MTP). Coagulopathy is the enemy of any seriously injured patient, and this product is used to attempt to fix that problem. And now there are two flavors available: liquid plasma and fresh frozen plasma. But there is often confusion when discussing these products, especially when there are really three flavors!

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Do mRNA vaccines produce harmful “junk proteins” that “gunk up” the cell and cause unintended “off-target” immune responses?

Science Based Medicine

A new study is making the rounds in the antivax crankosphere. The study found that the modified mRNA used in the Pfizer vaccine can cause a frame shift (to be explained) that results in the production of proteins besides the intended spike protein. The findings are, as you probably guessed, a big nothingburger compared to how they are being spun. The post Do mRNA vaccines produce harmful “junk proteins” that “gunk up” the cell and cause unintended “off-target” immune responses?

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PulmCrit: New ARDS guidelines reveal a shambolic state of affairs

EMCrit

Within the past year, two major societies have released guidelines on ARDS: the ATS (American Thoracic Society) and the ESICM (European Society of Intensive Care Medicine). Don’t be fooled by their names – both of these organizations are fundamentally international in scope. Some authors on the ATS document were from Europe, and similarly some authors […] EMCrit Project by Josh Farkas.

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Women in Civil Protection: Agents of Change and Resilience

Emergency Live

The crucial role of women in emergency response and post-crisis reconstruction The Rise of Women in Civil Protection Roles In recent years, there has been a significant increase in female presence in civil protection roles globally. This shift reflects a growing recognition of the value that women bring to these crucial roles, not just as […] The post Women in Civil Protection: Agents of Change and Resilience appeared first on Emergency Live.

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Occlusion myocardial infarction is a clinical diagnosis

Dr. Smith's ECG Blog

Occlusion myocardial infarction is a clinical diagnosis Written by Willy Frick (@Willyhfrick). Willy is a cardiology fellow with a keen interest in the ECG in OMI. A woman in her late 70s presented with left arm pain. The arm pain started the day prior when she was at the dentist's office for a root canal. Her systolic blood pressure at the dentist was over 200 mm Hg.

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First10EM Journal Club: December 2023

Broome Docs

Welcome to another episode of the Emergency Medicine Journal Club with Dr Justin Morgenstern. This month we cover a bunch of papers that look at a lot of topics and try to answer questions such as: Can I push Keppra safely? Does BP management in haemorrhagic stroke matter? How good is my intuition about PE diagnosis? Is it a good idea to keep geriatric patients in the ED overnight?

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AI Prompting Techniques

Life in the Fast Lane

Sheralyn Guilleminot and Mike Cadogan AI Prompting Techniques 4 AI Prompting Techniques to Help You Stay Ahead in Medicine. AI prompting techniques are the key to using artificial intelligence efficiently and getting usable output.

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Proportionality is a major element in the ECG Diagnosis of OMI.

Dr. Smith's ECG Blog

This middle aged patient presented with chest pain: What do you think? There is VERY low voltage. There is some ST Elevation, but it is MINIMAL. But look how small the QRS is!! Let's stretch out the QRS vertically so it is not so tiny: On upper left is the original. On the right are the precordial leads stretched vertically, so that the QRS is not tiny.

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In Medicine, it's hard to challenge prevailing ideas

Sensible Medicine

This one hits at the heart of my field—the ablation of atrial fibrillation. Current thinking holds that the way to ablate AF is to electrically isolate the muscle bundles going in and out of the pulmonary veins. Think of it as building an electric fence around the pulmonary veins. We use different energy sources to ablate the tissue. This is a picture I made in 2012.

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ECG Pointers: STEMI Equivalents from the American College of Cardiology

EMDocs

Authors: Genevieve Pentecost, MD (@genpentecost, Emergency Medicine Resident, Washington University School of Medicine in St Louis) and Aaron Lacy, MD (@AaronLacyMD, Assistant Professor of Emergency Medicine, Washington University School of Medicine in St Louis) // Reviewed by: Jamie Santistevan, MD (EM Physician, Presbyterian Hospital, Albuquerque, NM); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Introduction Welcome back to ECG Pointers from emDOCS.

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Research Roundup (December 2023)

First 10 EM

Welcome back to another edition of the research roundup, where we discuss an eclectic collection of articles selected through the rigorous process of whatever I happened to find most interesting in my recent reading (with a couple suggestions from Dr. Casey Parker). The BroomeDocs podcast version can be found here: [link] Our poorly managed hospitals […] The post Research Roundup (December 2023) appeared first on First10EM.

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Syncope While Driving. Activate the Cath Lab?

Dr. Smith's ECG Blog

A 50-something had syncope while driving. He was belted and it was low speed. He had a prehospital ECG. He was ambulatory at the scene. He has a history of STEMI and heart failure. The medics stated he had been nauseated and diaphoretic, but he did not have any chest pain or SOB. They recorded a prehospital ECG: What do you think? I read this blinded, with no clinical information, and read it as inferior OMI.

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Airbus Helicopters and German Armed Forces sign largest contract for H145Ms

Emergency Live

Donauwörth – 82 H145M Helicopters from Airbus for Advanced Operations in Germany The German Armed Forces and Airbus Helicopters have signed a contract to purchase up to 82 H145M multi-role helicopters (62 firm orders plus 20 options). This is the largest order ever placed for the H145M and consequently the largest for the HForce weapon […] The post Airbus Helicopters and German Armed Forces sign largest contract for H145Ms appeared first on Emergency Live.

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Ensuring Patient Safety: The Crucial Role of Quality Patient ID Wristbands and Labels

PDC Healthcare

In the fast-paced world of healthcare, precision and accuracy are vital in preventing medical errors and providing the highest quality of patient care. Seemingly small but pivotal elements in this are Patient ID Bands and Medical Labels. Connecting patients to treatment plans and medication, they play a crucial role in ensuring the right patient receives […] The post Ensuring Patient Safety: The Crucial Role of Quality Patient ID Wristbands and Labels appeared first on connectID - PDC Heal

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REBEL Core Cast 114.0 – Carbon Monoxide Toxicity

RebelEM

Take Home Points: Carbon monoxide is a colorless, odorless, and tasteless gas that results from incomplete combustion of any carbon containing product. Exposure often occur unintentionally from indoor use of gas powered generators, camp stoves, or faulty home heaters. The symptoms of mild, acute exposure are non-specific and can be confused with a variety of other disease processes including common viral syndromes.

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Another EMF Scam

Science Based Medicine

Pulsed EMF for microcirculation is dubious on every level. The post Another EMF Scam first appeared on Science-Based Medicine.

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Innovation in Thermography: The New Boson+ CZ 14-75 Module from Teledyne FLIR

Emergency Live

Revolution in Thermal Camera Monitoring: Boson+ CZ 14-75 Module Integrates Advanced Zoom and Accuracy Advanced Thermography Technology Teledyne FLIR, a leader in the field of thermography, recently announced the launch of a breakthrough innovation: the Boson+ thermal camera module with a continuously variable (CZ) zoom lens from 14 mm to 75 mm. This development represents […] The post Innovation in Thermography: The New Boson+ CZ 14-75 Module from Teledyne FLIR appeared first on Emergency

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JC: Are e-scooter injury patterns different and does it matter? St Emlyn’s

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed I was recently reviewing the traumatic brain injury audits of a local trauma service and was surprised to see that just over a third of patients were a result of … JC: Are e-scooter injury patterns different and does it matter? St Emlyn’s Read More » The post JC: Are e-scooter injury patterns different and does it matter?

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Friday Reflection 35: Four Who Fired Me

Sensible Medicine

PW is a 35-year-old man with chronic, primary insomnia. During our first visit, we discussed sleep hygiene and planned a trial of sleep-restriction therapy. At our second visit, we discussed pharmacologic therapy, and I started a medication. During our third visit we adjusted the medical regimen. About a month after that visit, PW left a message on my voicemail.

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More Hospitals are Closing

ACEP Now

The wave of increasing hospital closures and service line cutbacks continues to sweep the U.S. A recent article documents 56 additional U.S. hospitals that are closing clinical departments or ending or reducing services. Cited are issues of “shoring up finances,” “staffing shortages,” or “focusing on more in-demand services” as driving forces. 1 This adds to the over 640 (mostly rural) hospitals that recently failed financial stress tests and are adjudged to be at imminent risk of closing. 2 Of

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Genenta: A Step Forward in Genetic Therapy Against Cancer

Emergency Live

Innovation and Challenges in the Future of Oncologic Treatment The Birth of a Revolution: Genenta and Genetic Therapy The story of Genenta began in 2014, as a spin-off from the San Raffaele Hospital in Milan. This innovative company laid the groundwork for a radical change in the fight against cancer by focusing its research on […] The post Genenta: A Step Forward in Genetic Therapy Against Cancer appeared first on Emergency Live.

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Dr. Scott Atlas: “To Me, It’s Unconscionable When a Society Uses its Children as Shields for Adults.” 

Science Based Medicine

Does Dr. Scott Atlas *really* believe it's unconscionable when a society uses its children as shields for adults? The post Dr. Scott Atlas: “To Me, It’s Unconscionable When a Society Uses its Children as Shields for Adults.” first appeared on Science-Based Medicine.

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Why Med-Peds?

SheMD

Trying to figure out what kind of doctor you should become? Wondering what specialty you should choose? Then SheMD's Why Specialty Series is perfect for you! We're bringing you female physicians sharing WHY they chose their specialty. Today's post is on why Dr. Kuwik chose the Med-Peds! For years, my family and friends were confused every time they heard about me seeing an adult patient.

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Failure to thrive

Don't Forget the Bubbles

Luke is a 2-month-old boy who presents with poor weight gain since birth. He was born at term via emergency c-section due to failure to progress and foetal distress. Antenatal history was unremarkable. His birth weight was 2.72 kg (3rd centile), length 49 cm (18th centile) and head circumference 33 cm (5th centile). ‘Failure to thrive’ is common “Failure to thrive” occurs when a child has slow weight gain.

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The Dawn of First Aid: A Historical Journey

Emergency Live

From Ancient Battles to Modern Rescue Techniques Ancient Origins and Developments in War The roots of first aid are deeply intertwined with history, closely linked to wartime contexts. The earliest traces of practices resembling first aid can be found in Greek ceramics from 500 B.C., depicting scenes of wound bandaging. The “capsarii” in the Roman […] The post The Dawn of First Aid: A Historical Journey appeared first on Emergency Live.

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Annals of B Pod: Social EM Corner- Suicide Related Behaviors

Taming the SRU

PATIENT PRESENTATION A young woman with a past medical history of major depressive disorder presented to the emergency room via EMS for a report of intentional ingestion of an unknown substance. EMS reported that she was vomiting profusely on their arrival to the scene but during transport became increasingly lethargic. She was given intranasal Narcan with no improvement in clinical condition.

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2023 Critical Care Year in Review (Part 1)

PulmCCM

Thank you all for supporting PulmCCM by reading, sharing, and commenting since its relaunch in May. To those who have been able to contribute financially, I’m especially grateful. I hope you continue to find it valuable. Wishing you all a safe and happy holiday season! -Matt Read Dr. Jon-Emile Kenny’s other posts in this series here. Sepsis, infectious disease Managing septic shock with a restrictive-fluids approach (preferentially using vasopressors after a single liter crystalloid

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EMCrit 364 – Emergency Care of Post-Bariatric Procedure Complications

EMCrit

Bariatric operations and how they go bad EMCrit Project by Scott Weingart, MD FCCM.

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Water Emergency in the Amazon: Indigenous Peoples' Struggle for Survival

Emergency Live

Environmental Crisis Exacerbates Health Challenges in Indigenous Communities A Forgotten Crisis: Drought in the Amazon The Amazon Rainforest, known for its biodiversity and vitality, is facing an unprecedented water crisis. Indigenous peoples, guardians of this forest, are experiencing desperate conditions. The prolonged drought has led to a shortage of potable water, food, and medicine, jeopardizing […] The post Water Emergency in the Amazon: Indigenous Peoples' Struggle for Survival

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The Way is Shut: Aortic Stenosis Part 2

EM Ottawa

In part 1 of this series, we focused on the physiologic and hemodynamic consequences of aortic stenosis, as well as management in atrial fibrillation and procedural sedation. In this part, we will focus on the management of decompensated aortic stenosis with heart failure, and the approach to PoCUS. To remind you of the case we […] The post The Way is Shut: Aortic Stenosis Part 2 appeared first on EMOttawa Blog.

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High-grade AV Block

ECG Guru

Why is this a high-grade AV block? If at least 3 P-waves are not conduced and there is nominal AV conduction before and after, this can be considered a high-grade AV block. In this Holter strip, P1, P2 and all P-waves from P6 onwards are conducted, albeit with a prolonged PR interval (first-degree AV block). P3, P4, P5 are not conducted. A junctional escape beat is seen before P5.

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SGEM Xtra: Open Label Placebo

The Skeptics' Guide to EM

Date: November 20, 2023 Reference: Jones et al. Time to reflect on open-label placebos and their value for clinical practice. PAIN October 2023 Guest Skeptic: Dr. Caitlin Jones is a Postdoctoral Research Associate at Sydney University’s institute for Musculoskeletal Health. Her research evaluates the benefits and harms of treatments for musculoskeletal conditions with a particular […] The post SGEM Xtra: Open Label Placebo first appeared on The Skeptics Guide to Emergency Medicine.

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New Rescue Tools for Firefighters

Emergency Live

Global Innovations in the Field of Firefighting Vehicles Recent Trends in Rescue Vehicles The world of firefighting rescue vehicles is witnessing rapid technological advancements. Significant focus has been placed on integrating advanced electronic controls, such as touchscreens and digital control panels, to make vehicles easier to operate and maintain.

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Medical Malpractice Insights: On-call trauma surgeon unavailable. Patient dies in ED.

EMDocs

Here’s 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.

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Most EPs Are Happy and Staying Put: Even some of those who don't like where they work are willing to stick it out

Emergency Medicine News

An abstract is unavailable.

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