Sat.Dec 31, 2022 - Fri.Jan 06, 2023

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A woman in her 50s with acute chest pain

Dr. Smith's ECG Blog

Submitted and written by Anonymous, edits by Meyers and Smith A 50s-year-old patient with no known cardiac history presented at 0045 with three hours of unrelenting central chest pain. The pain was heavy, radiated to her jaw with an associated headache. Triage VS: 135/65 mmHg, 95 bpm, 94% on room air, 16/min, 98.6 F Triage ECG: ECG Interpretation: Sinus rhythm with normal QRS.

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ECG of the Week 4th January 2023

EMergucate

The following is an ECG of a 70 year old man who was in a tachyarrhythmia about an hour ago at a rate of approximately 160bpm, who failed adenosine 6mg and 12mg, and was subsequently administered 1…

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Pediatric Septic Shock

EB Medicine

Announcements: 1) The interactive Clinical Pathways have launched and they are available for free! 2) 2023 E/M coding guidelines are in effect. See the summary here. In this episode, Sam Ashoo, MD, interviews Ara Festekjian, MD, one of the authors of the November 2022 Pediatric Emergency Medicine Practice article on Pediatric Septic Shock in the Emergency Department Introduction: How common is sepsis in kids and what is the mortality rate in the US?

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Happy New Year from NRC Health

NRC Health

It’s gratifying to take stock of your achievements over such a growth-filled year—and to welcome the new year with a passionate re-commitment to empathy, vision, and true Human Understanding. The post Happy New Year from NRC Health appeared first on NRC Health.

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COVID-19 and Mental Health

Northwestern EM Blog

Written by: Evelyn Huang, MD (NUEM ‘24) Edited by: Julian Richardson (NUEM ‘21) Expert Commentary by : Tyler Black, MD, FRCPC COVID-19 has been difficult for everyone. Deaths, isolation, loss of work, and countless other hardships abound. With this, comes the concern for mental health crises. In a survey from June 2020, 11% of adults reported thoughts of suicide in the past 30 days [1].

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EM Quick Hits 45 ETCO2 in Cardiac Arrest, Organ Donation, Paraphimosis, Medicolegal Myths, QI Corner

Emergency Medicine Cases

Understanding why ETCO2 is recommended in cardiac arrest with Swami, practical steps to organ donation in the ED with Dr. Andrew Healy, using your hospital food court to treat paraphimosis, rectal prolapse and food bolus obstruction with Dr. Sarah Foohey, QI Corner with Dr. Tahara Bhate, 4 Medicolegal Myths with Dr. Jennifer C. Tang on this month's EM Quick Hits podcast.

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Happy New Year

Dr. Mike Sevilla

Another year has started, and it’s always a time for me to reflect. Every time at the beginning of the year, I tell myself that it’s a great time to try to get back to writing, and I’m going to try that again this year. We’ll see what happens….

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Telehealth Increases Productivity

American Medical Compliance

The rise of telehealth has improved patient access to care along with increased provider productivity. The COVID-19 pandemic disrupted business as usual for healthcare providers and patients. Those needing routine care were reluctant to seek it for fear of exposing themselves to the virus. Patients with chronic conditions or illnesses were not seen by healthcare professionals.

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Top 10 of 2022 – EM Cases Podcasts & Blogs Highlights of the Year

Emergency Medicine Cases

Based on a blend of number of listens, feedback from listeners, website visits and my personal faves, here is EM Cases Top 10 of 2022. The post Top 10 of 2022 – EM Cases Podcasts & Blogs Highlights of the Year appeared first on Emergency Medicine Cases.

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ECG of the Week 28th December 2022 – Interpretation

EMergucate

ECG of the Week 28th December 2022 – Interpretation The patient is in a sinus rhythm with bradycardia (rate ~50) … Continue reading →

EKG/ECG 52
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Herring – ICU Radiology Review

University of Maryland CC Project

Dr. Allison Herring, Assistant Professor in the Department of Diagnostic Radiology and Nuclear Medicine at the University of Medicine, School of Medicine presents an ICU Imaging review, with a focus on chest radiology as part of the DC5 Lecture series.

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Go Go Pheno | SAH, No LP!

JournalFeed

The JournalFeed podcast for the week of Dec 26-30, 2022. 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. Go Go Pheno Spoon Feed: Hospital adoption of phenobarbital for severe alcohol withdrawal syndrome (SAWS) was associated with lower rates of invasive mechanical ventilation (IMV).

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SGEM #387 Lumbar Punctures in Febrile Infants with Positive Urinalysis-It’s Just Overkill

The Skeptics' Guide to EM

Date: Dec 15, 2022 Reference: Mahajan et al. Serious bacterial infections in young febrile infants with positive urinalysis results. Pediatrics. October 2022 Guest Skeptic: Dr. Brian Lee is a pediatric emergency medicine attending at the Children’s Hospital of Philadelphia and Assistant Professor of Pediatrics at the Perelman School of Medicine at the University of Pennsylvania. […] The post SGEM #387 Lumbar Punctures in Febrile Infants with Positive Urinalysis-It’s Just Overkill first appeared

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Lab case 392 interpretation

EMergucate

Answers: PH = 7.10, that is severe acidaemia. HCO3 = 11 mmol/L, this means we have metabolic acidosis. Next, we need to calculate the anion gap and the compensation.

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Oweis – Mechanical Ventilation in Obstructive Lung Disease

University of Maryland CC Project

Dr. Emil Oweis is a board-certified pulmonary and critical care attending physician and is an Associate Medical Director of Respiratory Therapy at MedStar Washington Hospital Center. He gives a lecture as part of the DC5 Lecture Series entitled "Mechanical Ventilation in Obstructive Lung Disease". Dr. Emil S. Oweis is a board-certified pulmonary and critical care attending physician and is an Associate Medical Director of Respiratory Therapy at MedStar Washington Hospital Center.

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Stabilizing the healthcare system

University of Maryland Department of Emergency Med

These two pieces from Becker’s Hospital Review demonstrate significant areas of weakness within the American healthcare system. Hospital.

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Push-Dose Epi

Pediatric Emergency Playbook

pemplaybook.

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Lab case 393

EMergucate

An alcoholic person with severe peripheral neuropathy was brought to ED with low GCS.

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Sinha – Personalized Treatments in ARDS: Can Phenotyping Help?

University of Maryland CC Project

Pratik Sinha, MBChB, PhD, is an Assistant Professor in the Department of Anesthesiology at the Washington University School of Medicine in St. Louis. Dr. Sinha’s current research interests are in using big data analytics to identify biologically-driven homogeneous subgroups within heterogeneous critical-illness syndromes, with applications in precision medicine.

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Pelvic fractures, compression and the need for education

University of Maryland Department of Emergency Med

Pelvic fractures caused by large force compression (open book) and vertical sheer injuries can lead to life threatening massive hemorrhage fr.

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An ECG which is obviously diagnostic of OMI can appear wholly non-specific to most interpreters. A comment on AI.

Dr. Smith's ECG Blog

This was texted to me by a former resident, with no information: What do you think? Here Ken Grauer has used the PM Cardio app to improve the image: This was my immediate response: "Acute proximal LAD OMI" To me it is obvious and diagnostic. There are hyperacute T-waves in I, aVL, V2-V6. These are wide, bulky, with large area under the curve relative to the QRS size.

EKG/ECG 52
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Imaging Case of the Week 535

EMergucate

The hand x-rays are from an adult patient taken post dog bite. What can be seen?

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Intravenous Magnesium for Treatment of Migraine

University of Maryland Department of Emergency Med

Magnesium has been associated with function of serotonin and vascular tone regulation, both of which are mechanisms that implicate there ma.

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