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The ECG in Figure-1 was obtained from a 60-year old woman — who presented to the ED ( E mergency D epartment ) for “palpitations”. Her vital signs were normal at the time this triage ECG was recorded. Blood was drawn , and the patient was promptly placed in a room to be seen — but on entering, the ED physician found her unresponsive in cardiac arrest.
Molluscum contagiosum is a viral skin infection that causes lesions of the skin and, more rarely, the mucous membranes. Molluscum contagiosum presents itself with skin lesions with a typical dome shape called papule with a hollow in the centre, called umbilication The post Molluscum contagiosum: definition, causes, symptoms, diagnosis and treatment appeared first on Emergency Live.
I always tell junior faculty that your contract means little, and, indeed, I found that to be the case, when a mid-career faculty departed and I inherited a third of his lung cancer patients. Yet, like most unexpected clinical changes in my career, I ended up learning unexpected truths. One man taught me about lung cancer screening. He was the most improbable 74 year old.
In my last post, I wrote about how the electronic trauma flow sheet (eTFS) practically assures a garbage in situation. Today, I’ll dig into what happens on the back end, and how it also creates a garbage out situation. There are two ways to view the eTFS on the back end (abstraction phase): read a paper report (timeline), or view it live in the electronic health record (EHR).
ECG 1 is from a 57-year-old male with no prior cardiac disease. He reports acute shortness of breath for 2 days. We see a sinus rhythm with left anterior fascicular block (LAFB) and conspicuous T-wave inversions in the inferior leads and in V1-V6. These are typical ECG changes that may indicate a pulmonary embolism. ECG 2 was taken from the same patient 1 year earlier.
The term maculopathy identifies a whole series of eye diseases that can affect the macula: the macula is a part of the eye, located in the center of the retina, responsible for clear and detailed vision It is an extremely delicate area which is therefore very vulnerable to pathological and degenerative phenomena. Maculopathies are varied […] The post Eye diseases: what is maculopathy?
4-year-old Mark presents with lethargy, jaundice, and abdominal pain after eating one portion (40g) of broad beans. Could he have G6PD deficiency? G6PD , short for glucose-6-phosphate dehydrogenase, is an enzyme active in all cell types and is key to protecting red blood cells from oxidative damage and early destruction. A child with reduced G6PD enzyme activity has increased red blood cell breakdown – haemolysis – when exposed to specific triggers.
There are two major problem areas using an electronic trauma flow sheet (eTFS): the front end and the back end. Today, I’ll discuss the front-end data entry problems. Trauma activations are very data-intensive events. Before the patient arrives, there are registration activities so the electronic health record (EHR) can begin accepting other information about the patient.
There are two major problem areas using an electronic trauma flow sheet (eTFS): the front end and the back end. Today, I’ll discuss the front-end data entry problems. Trauma activations are very data-intensive events. Before the patient arrives, there are registration activities so the electronic health record (EHR) can begin accepting other information about the patient.
ACEP Now offers real-time clinical news, news from the American College of Emergency Physicians, and news on practice trends and health care reform for the emergency medicine physician. ACEP Now is an official publication of the American College of Emergency Physicians.
Focaccia Group: a new chapter of growth Focaccia Group, a company specialising in the outfitting of vehicles, recently announced the acquisition of the historic NCT – Nuova Carrozzeria Torinese factory, marking a significant advance in its path of growth and consolidation. This plant, a former Lancia and Abarth factory, is at the centre of a […] The post Focaccia Group acquires NCT factory appeared first on Emergency Live.
The case A self-proclaimed dance team superstar presents after injuring her foot at a regional competition. She tried to finish the routine after landing awkwardly. But was having difficulty bearing weight. She applied ice overnight and despite ibuprofen is still in pain, and presents to the ED the next day.On her exam the neruovascular exam is normal, and she has pain along the proximal edge of the 5th metatarsal.
Date: July 6, 2023 Reference: Hanula R et al. Evaluation of oseltamivir used to prevent hospitalization in outpatients with influenza: a systematic review and meta-analysis. JAMA Int Med 2023. Guest Skeptic: Dr. Anand Swaminathan is an Assistant Professor of Emergency Medicine at Staten Island University Hospital. Managing editor of EM:RAP and Associate Editor at REBEL EM.
Mycosis of the foot: suspicious spots, flaking skin, nails that change colour and texture: if the feet begin to show these characteristics, it could be a fungal infection The post Skin fungi: mycosis of the foot appeared first on Emergency Live.
HISTORY OF PRESENT ILLNESS A middle aged male presented with right eye pain. Patient stated that upon waking up from a nap his right eye spontaneously “popped out.” He was able to self-reduce the eye via relaxation and gentle pressure. He reported residual redness and soreness of the right eye. He denied any visual changes or difficulty with eye movements.
Have you ever wondered what it takes to find the perfect match between healthcare candidates and their dream roles? In the world of healthcare recruitment, there are professionals who go above and beyond to find the perfect match between candidates and their respective roles.
Two decades ago, I cut my skeptical teeth countering advertising for whole body scans by companies making extravagant promises for their products. This particular medical fad faded for a while, but now it's back with a vengeance.with AI! Looking at these products, what I see is basically the quackery that is functional medicine on steroids and powered by AI.
The essential characteristic of individuals with Dependent Personality Disorder is dependent and submissive behavior aimed at seeking someone to protect and care for them The post Dependent Personality Disorder: Definition, Causes, Symptoms, Diagnosis, and Treatment appeared first on Emergency Live.
I am worried about the state of medical science and our journals. At the risk of sounding naive, I want to believe that people who choose academic medicine do so to answer important scientific questions. I’ve traveled the world and met academics. Many of them impress me as serious people trying to advance the field. But that observation is hard to square with some of the studies that make it into big journals—and then into the lay press.
I have spent a lot of time reading and talking about the TXA literature. The more literature I see, the less valuable TXA seems. However, trauma remains the one area of practice with a clearly positive trial, with the CRASH2 trial that started it all. Despite its size, the CRASH2 trial was imperfect, and replication […] The post PATCH-trauma: Another negative (but complicated) TXA trial appeared first on First10EM.
Admit/Transfer/Discharge - Breakng bad News - History of EM Admit-Transfer-Discharge WITH Dr. Paulsen There are many factors that influence disposition, including independence of the patient and family/friend support, access to follow up, resources at your hospital, and transfer environment Why Transfer? Regionalized certified care centers, specialty procedural interventions, higher level of care Why Consult?
Myocarditis is an inflammation that affects the heart muscle. The name comes from the myocardium, the muscular component of the heart that makes up its walls and enables it to perform its pumping function The post Inflammations of the heart muscle: myocarditis appeared first on Emergency Live.
FDA upgrades Leqembi for AD from accelerated to traditional approval based on latest clinical data. The post FDA Approves Leqembi for Alzheimer’s first appeared on Science-Based Medicine.
A 40-something with persistent Ventricular Fibrillation presented after attempted prehospital resuscitation A 40-something with no previous cardiac history presented to the ED in persistent Ventricular Fibrillation after attempted prehospital resuscitation. He underwent further standard resuscitation EXCEPT that we applied the Inspiratory Threshold Device ( ResQPod ) AND applied Dual Sequential Defibrillation (this simply means we applied 2 sets of pads, had 2 defib machines, and defibrillated w
Health of our heart: magnetic resonance imaging is a diagnostic method based on the application of a high-intensity magnetic field directed at the area of interest The post Magnetic resonance imaging of the heart: the relevance in diagnosing heart disease appeared first on Emergency Live.
Moximed , a medtech company based in California, has developed the MISHA knee system, an implantable shock absorber for use in patients with knee osteoarthritis. The system is designed as an alternative to total knee replacement, and can help to reduce pain and discomfort for patients when performing daily activities, such as walking. The system is implanted on the outside of the knee, beneath the skin, and there is no need to remove bone, muscle, or ligament, resulting in a much faster patient
EJ was a 32-year-old man with risk factors for HIV infection who presented to the emergency room with two weeks of worsening shortness of breath. When he arrived, he was tachycardic, tachypneic, hypoxic, and his chest x-ray revealed diffuse parenchymal infiltrates consistent with pneumonia. Sensible Medicine is a reader-supported publication. If you appreciate our work, consider becoming a free or paid subscriber.
Mastitis is a very frequent inflammatory pathology after childbirth, during breastfeeding, and is usually due to an infection of bacterial origin The post Mastitis, the difference between puerperal and non-puerperal appeared first on Emergency Live.
Today I am joined by Mathieu Brunet, MD; a EM Doc and Trauma Team Leader. He recently wrote me with a case of Transcutaneous Pacing in which he thought he had mechanical capture due to a perfect matched pulse ox waveform. Well it turned out that was erroneous. Why??? Listen to this episode. EMCrit Project by Scott Weingart, MD FCCM.
Researchers at the University of Birmingham in the UK have developed a wearable that can assist in keeping track of stress hormone levels in the body over time. Disregulated stress hormones can play a role in various disease states, from heart disease to depression. However, until now, researchers had to perform blood draws to measure stress hormone levels, meaning that they could obtain just one snapshot in time of hormone levels or repeated blood draws over time, neither of which are ideal.
I come in early for every shift to read the ECGs on the system that have not yet been "confirmed". I came across this one: The computer calls is: "SINUS RHYTHM. NORMAL ECG" What do you think? Be VERY careful when the computer calls the ECG "Normal". I saw the inferior ST depression (which is reciprocal to subtle STE in aVL) and the subtle ST depression in precordial leads and thought: "If this patient came in with chest pain, then it is an acute OMI.
Time Fighters: Renault and the Fire Brigade united for Road Safety For more than a decade, a unique partnership has revolutionised the way road accidents are dealt with: that between Renault, the well-known car manufacturer, and the firefighters. Started in 2010, this exclusive collaboration, called ‘Time Fighters’, has a clear and defined objective: to make […] The post Renault: more than 5000 firefighters trained in 19 countries appeared first on Emergency Live.
This book — written by "Anonymous", edited by Children's Health Defense lawyer Mary Holland and Children's Health Defense Publisher Liaison and Thinking Moms’ Revolution co-founder Zoey O’Toole, and published by "The Turtles Team" — purports to use only mainstream references to prove its points. But the book employs all the standard tropes in a master class of science denial and antivax tactics and techniques.
St.Emlyn's - Emergency Medicine #FOAMed @LizCrowe2 explains how the term burnout is being inappropriately used and as a result may obscure and excuse some of the work related stressors we experience. @stemlyns #FOAMed The post Liz Crowe: Is burn out burning us out? St Emlyn’s appeared first on St.Emlyn's.
We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: DEVICE RCT – VL vs DL for Critically Ill Adults Spoon Feed Video laryngoscopy (VL) was associated with higher rates of first attempt intubation success compared to direct laryngoscopy (DL) for critically ill patient
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