Total Medical ComplianceHIPAA
JANUARY 1, 2022
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.
Dr. No
JANUARY 7, 2022
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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EB Medicine
JANUARY 6, 2022
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
EMergucate
JANUARY 4, 2022
The ECG below is from a 79 year old woman presenting with chest pain and shortness of breath.
Emergency Medicine Cases
JANUARY 4, 2022
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?
EM Updates
JANUARY 4, 2022
pdf Paxlovid Patient/Caregiver Fact Sheet Paxlovid Healthcare Professionals Fact Sheet Paxlovid FDA Checklist [updated Oct 2022] molnupiravir EUA & patient info
Dr. Smith's ECG Blog
JANUARY 3, 2022
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.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
EMergucate
JANUARY 2, 2022
The facial x-ray shows irregularity of the left inferior orbital floor & fluid in the left maxillary antrum (blood in … Continue reading →
JournalFeed
JANUARY 1, 2022
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.
The Skeptics' Guide to EM
JANUARY 1, 2022
Date: December 21st, 2021 Guest Skeptic: Dr. Howard “Howie” Mell began his career as a firefighter / paramedic in Chicago. He became double board certified in Emergency Medicine (EM) and Emergency Medical Services (EMS). Howie also has a Master of Public Health. Reference: Grotta JC et al. Prospective, multicenter, controlled trial of mobile stroke units.
Pediatric Emergency Playbook
JANUARY 1, 2022
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”.
EMergucate
JANUARY 2, 2022
The left hand x-rays are from a 30 year old with wrist pain following fall off a bike.
PulmCCM
JANUARY 4, 2022
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.
University of Maryland CC Project
JANUARY 3, 2022
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.
EMergucate
JANUARY 2, 2022
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.
Total Medical ComplianceHIPAA
JANUARY 1, 2022
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.
PulmCCM
JANUARY 2, 2022
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.
University of Maryland CC Project
JANUARY 3, 2022
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.
Northwestern EM Blog
JANUARY 3, 2022
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.
University of Maryland CC Project
JANUARY 2, 2022
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.
University of Maryland CC Project
JANUARY 2, 2022
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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