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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
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.
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.
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
Speaker: Simran Kaur, Co-founder & CEO at Tattva.Health
AI is transforming clinical trials—accelerating drug discovery, optimizing patient recruitment, and improving data analysis. But its impact goes far beyond research. As AI-driven innovation reshapes the clinical trial process, it’s also influencing broader healthcare trends, from personalized medicine to patient outcomes. Join this new webinar featuring Simran Kaur for an insightful discussion on what all of this means for the future of healthcare!
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?
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.
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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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?
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
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.
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.
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.
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.
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
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.
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
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?
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.
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).
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.
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.
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.
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)?
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
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.
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.
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?
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.
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.
Automated External Defibrillators (AEDs) are life-saving devices that can significantly increase the chances of survival for individuals experiencing sudden cardiac arrest. These devices are designed to deliver an electric shock to the heart, restoring its normal rhythm. AED trainers are essential tools for training individuals on properly using an AED in emergencies.
The Empowering Elder Justice Training aims to educate healthcare providers (HCP) on the definition of elder justice. By ensuring healthcare providers are educated on the subject, healthcare facilities can guarantee a safe and respectful environment that promotes elder justice. This course offers valuable insight and practical strategies aimed towards achieving the most considerate and compassionate care regarding the empowerment of elder justice.
NIOSH’s Impact Wellbeing™ campaign gives hospital leaders evidence-informed solutions to reduce healthcare worker burnout and sustain wellbeing. The goal is to build a system where healthcare workers thrive. It helps hospital leaders go beyond individual resilience efforts and encouraging self-care to instead focus on systems-level improvements. Many hospitals face challenges getting started or have concerns about the resources needed for wellbeing work.
When saving lives during cardiac emergencies, having a reliable and fully functional automated external defibrillator (AED) is crucial. Physio-Control AEDs are known for their high-quality and innovative features, making them popular among businesses, organizations, and individuals. However, simply owning an AED is not enough. Regular maintenance and upkeep are essential to ensure your Physio-Control AED is always ready to perform when it matters most.
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