The Trauma Pro

JULY 9, 2024

Cervical spine injury presents a host of problems, but one of the least appreciated ones is dysphagia. Many clinicians don’t even think of it, but it is a relatively common problem, especially in the elderly. Swallowing difficulties may arise for several reasons: Prevertebral soft tissue swelling may occur with high cervical spine injuries, leading to changes in the architecture of the posterior pharynx Rigid cervical collars , such as the Miami J and Aspen, and halo vests all force the neck int

Head Injuries 264

Head Injuries Fractures Hospitals Wellness 264

St. Emlyn

JULY 9, 2024

St.Emlyn's - Emergency Medicine #FOAMed A podcast with Steve Smith ECG educator extraordinaire where we discuss occlusive myocardial infarction and the future of AI and ECG interpretation. The post Podcast – Occlusive Myocardial Infarction, ECGs and Artificial Intelligence with Steve Smith appeared first on St.Emlyn's.

EKG/ECG 138

EKG/ECG 138

Sensible Medicine

JULY 12, 2024

Autonomy is important to me. Maybe it’s because I am a Gen X-er. Some say we were raised by wolves. I do know that we were raised knowing we had the freedom to explore but also the freedom to fail. Our autonomy taught us resilience. With autonomy comes responsibility. I need to do the adulting task of scheduling my annual doctor’s visit.

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Science Based Medicine

JULY 11, 2024

Discussions about the GBD tend to take place in the conditional tense- what would, could, and should have happened. But the GBD actually existed and we can examine what actually happened. The post Part 1: We Don’t Have to Wonder if the Great Barrington Declaration Could Have “Worked”. In the Real World, It Failed. first appeared on Science-Based Medicine.

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The Bottom Line

JULY 11, 2024

Stress Ulcer Prophylaxis during Invasive Mechanical Ventilation (REVISE) D. Cook. NEJM 2024. DOI: 10.1056/NEJMoa2404245 Clinical Question In mechanically ventilated adults, does stress ulcer prophylaxis with intravenous pantoprazole (40 mg daily), compared with placebo (0.9% saline), reduce the occurrence of clinically important upper gastrointestinal bleeding at 90 days?

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St. Emlyn

JULY 11, 2024

St.Emlyn's - Emergency Medicine #FOAMed The Faculty of Forensic & Legal Medicine's guidelines for managing non-fatal strangulation (NFS). These guidelines advocate a trauma-informed, multidisciplinary approach to improve outcomes for patients who have experienced NFS. @stemlyns #FOAMed The post Non-fatal strangulation appeared first on St.Emlyn's.

Forensics 128

Forensics Outcomes 128

Dr. Smith's ECG Blog

JULY 9, 2024

Written by Pendell Meyers A man in his 50s was found by his family in cardiac arrest of unknown duration. His family started CPR and called EMS, who arrived to find him in ventricular fibrillation. 15 minutes after EMS arrival, after at least 6 defibrillations, the patient achieved sustained ROSC. He arrived to the ED with severe hypotension, heart rate in the 70s, unable to follow commands but moving all extremities requiring restraint and sedation, respiratory rate around 24/min being supporte

EKG/ECG 110

EKG/ECG Resuscitation Shock CPR 110

Emergency Medicine Cases

JULY 8, 2024

In this episode: recognition, risk stratification, decision tools, indications for lumbar puncture in the febrile pediatric patient, tips and trick on performing LPs in children, and ED management of pediatric meningitis. We answer such questions as: what are the test characteristics of the various clinical features of meningitis across various ages?

Pediatrics 101

Pediatrics EMS Wellness Seizures 101

ACEP Now

JULY 11, 2024

It’s 7 a.m. and before you’ve even taken the first sips of your morning coffee, you’ve already received sign out. The last person on your list is the young man resting in a hallway bed recovering from a drunken fight. Thankfully he has no major injuries and by the time you get around to evaluating him, he’s clinically sober come up and eager to leave.

Emergency Department 98

Emergency Department Psychiatric Outcomes Wellness 98

Dr. Smith's ECG Blog

JULY 11, 2024

This is another case sent by the undergraduate (who is applying to med school) who works as an EKG tech. How is it possible that a kid who has not even started medical school can know so much about EKGs and cardiology? Because: 1) He has been reading this blog for a long time. 2) He is curious This is how Pendell got started. Case A 43 year old male with a history of DM II, hyperlipidemia, and a family history of myocardial infarction presented to a family clinic with two days of epigastric pain

EKG/ECG 98

EKG/ECG Outcomes Hospitals Wellness 98

Science Based Medicine

JULY 10, 2024

The Human Immunodeficiency Virus (HIV) is a global pandemic, with 39 million cases worldwide, and over 1 million new infections each year. While it rose to epidemic and then pandemic levels in the 1980s, the first case goes back to 1959. HIV is a retrovirus that inserts its genetic material into the DNA of host cells, and targets the immune system as […] The post Science vs HIV first appeared on Science-Based Medicine.

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Emergency Medicine Cases

JULY 9, 2024

The decision of whether or not to order a CT head for an older patient who falls is one I need to make on almost every shift. The Canadian CT Head Rule does not apply to older patients. Does the recently derived Falls Decision Rule give us an answer to the question of which older patients can safely forego a CT head after a fall? Dr. Rohit Mohindra reviews the latest evidence in this EM Cases Journal Club.

EMS 94

EMS 94

ACEP Now

JULY 7, 2024

I have learned more from my failures than my successes. My current practice is a hybrid of academic and community sites, and I have worked in myriad community hospitals from busy ones to single coverage critical access hospitals. Each has its own challenges and lessons. Emergency medicine residencies focus heavily on foundational knowledge, procedural competency, and professionalism.

Resuscitation 98

Resuscitation Risk Management Hospitals Critical Access 98

EMCrit

JULY 12, 2024

How do you sedate a critically ill patient for a procedure? EMCrit Project by Scott Weingart, MD FCCM.

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Sensible Medicine

JULY 9, 2024

January 19, 2030 Whitney Payson, a 50 year-old-man, comes to an urgently scheduled visit with a general internist. He has two concerns. The first is a cough that has persisted for the last month after an upper respiratory infection. The second is a 3 cm adrenal lesion that was discovered on the screening MRI that he had the week prior. The doctor, Frank McGraw, fresh out of his two year medical school curriculum – a shortened curriculum championed by one Vinay Prasad – and an 18th mo

Wellness 90

Wellness Operations 90

EB Medicine

JULY 9, 2024

In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the July 2024 Emergency Medicine Practice article, Emergency Department Management of Patients With Complications of Dialysis Overview of Dialysis Complications Key Dialysis ComplicationsCardiovascular Disease Congestive Heart Failure Pericarditis and Cardiac Tamponade Neurological Sequelae Gastrointestinal Complications Hypotension Dialysis Disequilibrium Syndrome Air Embolism and Chloramine Toxicity Disaster Preparedness Vascular Ac

Risk Management 85

Risk Management Emergency Department Hospitals 85

Canadian EM

JULY 11, 2024

Clinical scenario A 27-year old female presents to the emergency department (ED) after a fall onto her hand from amotorized scooter. She has pain on the radial aspect of her left wrist and anatomical snuffbox.However, the X-rays do not indicate an obvious scaphoid fracture. Clinical question: What are the predictive clinical features for occult scaphoid fractures in patients with normal initial radiographs in the ED?

Fractures 83

Fractures Emergency Department 83

Science Based Medicine

JULY 8, 2024

Access Consciousness claims to show how to improve your mental and physical health by touching 32 Access Bars on your scalp. It's basically phrenology reborn and fused with "energy medicine." The post Access Consciousness: Phrenology fused with energy medicine first appeared on Science-Based Medicine.

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Core Medical Group

JULY 12, 2024

Rachel is a dedicated Permanent Placement Recruiter at CoreMedical Group. With a year of experience under her belt, she excels at identifying top talent and building strong connections with her candidates. Outside of work, Rachel enjoys spending quality time with her two-year-old son, Jack, bringing the same level of care and attention to both her professional and personal life.

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American Medical Compliance

JULY 9, 2024

The Ethical Practices in Assisted Living Training aims to educate healthcare providers (HCP) on the definition of ethics in the context of assisted living. Additionally, education and training on the subject of ethics within assisted living facilities is crucial to the proper care of patients. This course offers valuable insight and practical strategies aimed towards achieving the best and most compassionate care regarding the use of ethical practices in assisted living facilities.

Outcomes 79

Outcomes Wellness 79

The Skeptics' Guide to EM

JULY 6, 2024

Reference: Tjan et al. Conflict in emergency medicine: A systematic review. AEM June 2024 Date: July 5, 2024 Guest Skeptic: Dr. Lauren Westafer an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School – Baystate. She co-founded FOAMcast and is a pulmonary embolism and implementation science researcher.

Teamwork 79

Teamwork Leadership Research Patient Safety 79

Critical Care North Hampton

JULY 10, 2024

I delivered a talk at the ACTACC 20204 meeting in Cardiff with my friend and colleague Nish Sall. We used Slido and interaction with the crowd of cardiothoracic anaesthetists/Intensivists, to scope opinions on practice when our patients suffer from Fast arrhythmias. There was a particular focus on new-onset AF.

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EM Ottawa

JULY 11, 2024

In Fall 2023, I was working an evening shift at a community hospital when we got a patch. A 3-year-old girl was being brought in by EMS with an out-of-hospital cardiac arrest. CPR was ongoing, and their ETA was 10 minutes. We prepared the ED for the patient’s arrival. According to EMS, the patient had […] The post Invasive Group A Strep (iGAS).

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CPR EMS Hospitals Infectious Diseases 74

The Bottom Line

JULY 7, 2024

In adult patients scheduled for cardiac surgery with cardiopulmonary bypass does infusion of a balanced solution of amino acids, commencing at the time of surgery, compared with balanced crystalloid alone (Ringer's Lactate) reduce the incidence of acute kidney injury (AKI)?

Operations 73

Operations 73

American Medical Compliance

JULY 9, 2024

The Pressure Injury Prevention for Assisted Living Facilities Training aims to educate healthcare providers (HCP) on what pressure injuries are. Understanding the importance of pressure injuries and strategies aimed towards preventing them is crucial within assisted living facilities in order to provide the most appropriate care. This course offers valuable insight and actionable plans aimed towards achieving the best and most compassionate care regarding pressure injuries within assisted livin

Documentation/Coding 71

Documentation/Coding Outcomes 71

Dr. Smith's ECG Blog

JULY 7, 2024

Written by Jesse McLaren A previously healthy 60 year old developed exertional chest pain with diaphoresis, and called EMS. Here’s the EMS ECG, digitized with PM cardio. What do you think? There’s sinus arrhythmia with normal conduction, normal axis and normal voltages. There’s loss of R waves in V2-3 with hyperacute waves V1-5. There’s no significant ST elevation but there are two forms of ST depression: deWinter T wave V3-5 and precordial swirl with ST depression V6 reciprocal to subtle STE in

EKG/ECG 70

EKG/ECG Documentation/Coding EMS Wellness 70

Sensible Medicine

JULY 8, 2024

A few years ago, I was on service and about to start ABVD in a 20 year old man with rip roaring Hodgkin’s lymphoma. He had B symptoms, was hospitalized and deteriorating by the day. A colleague stopped me. “Before you start chemotherapy, make sure he gets a referral to fertility clinic.” “Why?” I asked. “So he can bank sperm, if he wants.

Blood Transfusions 68

Blood Transfusions Leadership Pediatrics Hospitals 68

The Bottom Line

JULY 10, 2024

In patients who have recently taken factor Xa inhibitors with an intracerebral haemorrhage (ICH) did the administration of Andexanet result in better haemostatic efficacy compared to standard care?

Administration 65

Administration Head Injuries 65

American Medical Compliance

JULY 9, 2024

The Promoting Equity in Healthcare Training aims to educate healthcare providers (HCP) on the definition of healthcare equity. By educating healthcare providers on the subject, healthcare facilities can ensure just and effective care. This course offers valuable insight and practical strategies aimed towards achieving the most just and effective care for patients regardless of their circumstances.

Outcomes 63

Outcomes 63

ACEP Now

JULY 7, 2024

A 40-year-old woman with a history of untreated hypertension presented by ambulance after she was thrown from an ATV at unknown speeds and then crushed by the vehicle. The vehicle had no seatbelt or airbags, she was not helmeted, and she did not hit her head or lose consciousness. She reported 10/10 pain localized to her right arm and right flank, with no other complaints.

Operations 59

Operations Hospitals Administration Outcomes 59

RebelEM

JULY 10, 2024

Take Home Points Early administration of antibiotics (within 60 min) in patients with fever and neutropenia is life saving. Fever in sickle cell is an emergency and always requires cultures and antibiotics even if the child appears well. Avoid sedation and lying supine and steroids in patients with mediastinal masses. Red flags in patients with headaches that may suggest a brain tumor include signs of increased intracranial pressure, focal neurological signs, seizures or ataxia.

Seizures 58

Seizures Administration EMS Wellness 58

EMDocs

JULY 9, 2024

The emDOCs.net team is very happy to collaborate with PECARN STELAR (Seattle, Dallas/Texas, and Los Angeles) Node and the Emergency Medical Services for Children Innovation and Improvement Center (EIIC) in presenting high-yield pediatric topics that highlight evidence based medicine with solid research. Today on we have our two renowned experts, Dr.

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Pediatrics Emergency Department Research Burns 55

Emergency Medicine News

JULY 11, 2024

An abstract is unavailable.

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Greater Sydney Area HEMS

JULY 10, 2024

Visit the post for more.

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Dr. Smith's ECG Blog

JULY 10, 2024

Our latest @stemlyns podcast is an absolute cracker. A chat with @smithECGBlog about all things OMI and artificial intelligence for ECG interpretation. Could be a game changer for many.

EKG/ECG 52

EKG/ECG 52

Total Medical ComplianceHIPAA

JULY 10, 2024

Safeguarding PHI is required under both the HIPAA Privacy Rule and Security Rule. The Security Rule specifically pertains to electronic PHI, which includes video surveillance footage. How to ensure your video surveillance system meets these standards: 1. Administrative Safeguards Administrative safeguards involve creating policies and procedures to protect electronic PHI.

Administration 52

Administration Best Practices Wellness 52

Emergency Medicine News

JULY 11, 2024

An abstract is unavailable.

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