Sat.Jan 01, 2022 - Fri.Jan 07, 2022

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HIPAA AND BATTLING PARENTS

Total Medical ComplianceHIPAA

Dealing with a minor’s medical records can be a minefield when a child is from a blended family or the parents have a contentious divorce going. Things get especially sticky when you add in stepparents and grandparents, and when a minor controls all or a portion of their own records. It’s a good time to review the basics. Custody versus Parental Rights: Don’t confuse custody with parental rights.

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The Collapse of the Covid Narrative

Dr. No

As the stain of compulsory vaccination and its dystopian paperwork paraphernalia spreads across many European states, extinguishing the lights of individual freedom, and paving a way for a return to the dark days of totalitarianism, we in Britain, and particularly England, find ourselves standing alone in resisting the clamour for ever tighter controls.

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Episode 65 – Acute Joint Pain

EB Medicine

Interview with author: Rachel Sullivan, MD Why joint pain ? Differential Diagnosis Mono vs Poly Articular Presentation? Figure 1 Infectious, degenerative, autoimmune, crystal deposition, reactive, traumatic Septic Arthritis- Bimodal incidence Risks Septic arthritis is polyarticular in 15% to 20% of cases, and in these cases, the mortality is high Gonococcal Highest risk Commonly affected joints Symptomatic or asymptomatic infection Lyme Arthritis Viral – Zika, chikungunya, human parvovirus B

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Ep 164 Cardiogenic Shock Simplified

Emergency Medicine Cases

What is the preferred order of vasopressors and ionotropes in the management of cardiogenic shock? In which patients would dobutamine be preferred over milrinone and vice versa? How can we best pick up occult cardiogenic shock before it floured shock kicks in? What are the best strategies to efficiently get the patient in cardiogenic shock to definitive care, whether that be the cath lab or the operating room?

Shock 52
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7 steps to missing posterior Occlusion MI, and how to avoid them

Dr. Smith's ECG Blog

This fantastic case and post was written by Jesse McLaren (@ECGcases), edited by Smith Case You’re shown an ECG from a patient in the waiting room with chest pain. What do you think? Sinus bradycardia, normal conduction, normal axis, normal R wave progression, no hypertrophy. There’s primary ST depression in the precordial leads maximal in V3-4, and an inverted T wave in V2.

EKG/ECG 52
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42

Dr. No

Those familiar with the Hitch-Hiker’s Guide to the Galaxy will know that the number 42 is the ‘Answer to the Ultimate Question of Life, the Universe, and Everything’; it necessarily follows that it must also be the answer to today’s ultimate question, how to end the covid pandemic. Dr No has spent the New Year break trying to get to the bottom of this cryptic answer.

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Calcium OHCA | NEAR4KIDS | Syncope Calculator | Limit Cardiac Tests | Top Articles 2021

JournalFeed

It’s the JournalFeed Podcast for the week of December 27-31, 2021. We cover calcium for OHCA, NEAR4KIDS, Canadian Syncope Calculator, limiting cardiac testing in low risk patients, and the top articles of 2021.

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Focus On: Pyloric Stenosis

Pediatric Emergency Playbook

Myth: “No olive, no problem” Reality: Rare finding, since we diagnose earlier Pyloric stenosis occurs in young infants because the pyloric sphincter hypertrophies, causing near-complete obstruction of the gastric outlet. More common in boys, preterm babies, first-born. Less common in older mothers. Association with macrolide use. Presentation Young infant arrives with forceful vomiting, but can’t quite get enough to eat “the hungry, hungry, not-so-hippo”.

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COVID Oral Antivirals EUA Guide

EM Updates

pdf Paxlovid Patient/Caregiver Fact Sheet Paxlovid Healthcare Professionals Fact Sheet Paxlovid FDA Checklist [updated Oct 2022] molnupiravir EUA & patient info

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Imaging Case of the Week 487 Answer

EMergucate

The facial x-ray shows irregularity of the left inferior orbital floor & fluid in the left maxillary antrum (blood in … Continue reading →

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What Minimal Volume of Intravenous Fluid Challenges the Heart?

PulmCCM

Jon-Emile S. Kenny MD [ @heart_lung ] “I find real life challenging enough. If I get to the dry cleaners without having a huge fight, that’s challenging enough.” -Fran Lebowitz Background Quite recently, the BaSICS investigators evaluated the infusion rate of a fluid bolus on patient outcome. As considered, however, contrast should be made between a fluid bolus, which is therapeutic and a challenge , which is diagnostic.

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Kitsios – The Lung Microbiome in Pneumonia and ARDS

University of Maryland CC Project

Dr. George Kitsios, Assistant Professor of Medicine in the Division of Pulmonary, Allergy and Critical Care Medicine at the University of Pittsburgh presents during critical care grand rounds on the Lung Microbiome in pneumonia and ARDS. Dr. George Kitsios, Assistant Professor of Medicine in the Division of Pulmonary, Allergy and Critical Care Medicine at the University of Pittsburgh presents during critical care grand rounds on the Lung Microbiome in pneumonia and ARDS.

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HIPAA AND BATTLING PARENTS

Total Medical ComplianceHIPAA

Dealing with a minor’s medical records can be a minefield when a child is from a blended family or the parents have a contentious divorce going. Things get especially sticky when you add in stepparents and grandparents, and when a minor controls all or a portion of their own records. It’s a good time to review the basics. Custody versus Parental Rights: Don’t confuse custody with parental rights.

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ECG of the Week – 5th January 2022

EMergucate

The ECG below is from a 79 year old woman presenting with chest pain and shortness of breath.

EKG/ECG 52
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COVID STEROID 2 Trial Investigates Dexamethasone 6 mg or 12 mg in COVID-19

PulmCCM

Jon-Emile S. Kenny MD [ @heart_lung ] “If you’re afraid of butter, use cream.” -Julia Child Background Early observational studies and the RECOVERY collaborative group initially demonstrated the benefit of corticosteroid therapy in oxygen-requiring, COVID-19-patients; additional randomized studies as well as a meta-analysis of these reports corroborated this.

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Krutsinger – Nudging Critical Care Research Enrollment in the Setting of Historic Abuses, Present Disparities, and Systemic Racism

University of Maryland CC Project

Dr. Dustin Krutsinger is an Assistant Professor of Medicine in the Division of Pulmonary, Critical Care, and Sleep at the University of Nebraska Medical Center. Dr. Krutsinger presents a lecture on "Nudging Critical Care Research Enrollment in the Setting of Historic Abuses, Present Disparities, and Systemic Racism" as part of the DEI lecture series.

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Hot off the press. My favourite 2021 Articles

MEDEST118

By Mario Rugna

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Imaging Case of the Week 488

EMergucate

The left hand x-rays are from a 30 year old with wrist pain following fall off a bike.

EMS 52
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Running Injuries

Northwestern EM Blog

Written by: Eric Power, MD (NUEM ‘24) Edited by: Justin Seltzer, MD (NUEM '21) Expert review by : Terese Whipple, MD (NUEM '20) With over 40 million runners in the United States alone and an ever-increasing interest in fitness among the general population, the frequency of running injuries presented to urgent care and emergency departments will only grow with time.

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Jamieson – Poisonings & Toxidromes

University of Maryland CC Project

Dr. Daniel Jamieson is an Associate Professor in the Division of Pulmonary, Critical Care and Sleep Medicine at Georgetown University Medical Center. Dr. Jamieson presents a lecture on poisonings and toxidromes as part of the DC5 lecture series. Dr. Daniel Jamieson is an Associate Professor in the Division of Pulmonary, Critical Care and Sleep Medicine at Medstar Georgetown University Medical Center.

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Chow – The Evidence for Anti-Platelet Therapy in COVID-19

University of Maryland CC Project

Dr. Jonathan Chow, Associate Professor of Anesthesiology and Critical Care Medicine, Program Director of the Critical Care Anesthesia Fellowship, and Director of Transplant Anesthesiology at the George Washington University presents a lecture on "Examining the Evidence For and Against Antiplatelet Therapy in COVID-19" Dr.

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Lab case 346

EMergucate

72 year old man with type 2 DM, presented with diarrhoea and vomiting for 8 hours. He looked drowsy. His blood gases showed the following: PH = 7.

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