Sat.Sep 25, 2021 - Fri.Oct 01, 2021

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Ask The Expert

ECG Guru

Dr. Jerry W. Jones, MD, FACEP, FAAEM has graciously shared with us his four-part article on the topic of “Delays & Blocks Involving the Bundle Branches”. Dr. Jones is a talented instructor who makes difficult topics easy. Please feel free to post your comments and questions for Dr. Jones and our other ECG Gurus. Click THIS LINK for a downloadable pdf of Part 1: Non-Specific Intraventricular Conduction Delays.

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The Case to Replace Alteplase

Downeast Emergency Medicine

This lecture was presented at the 2021 Maine Medical Center Winter Symposium. For more information on the symposium click here. Pharmacological differences between alteplase and tenecteplase: Alteplase (tPA) is a recombinant version of naturally occurring enzyme called tissue plasminogen activator. Tenecteplase (TNK) is a bioengineered variant of tPA to make it a better lytic by increasing its specificity to fibrin and more resistant to degradation by endogenous enzymes.

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ECG of the Week – 29th September 2021 – Interpretation

EMergucate

The following ECG is from an 83 year old lady who has presented with new renal impairment following a fall (Na 134 K5.4 Ur 12.4 Cr 164 from a baseline of 110).

EKG/ECG 52
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Optic Disc Elevation

Ultrasound Gel

GEL Jr coming in hot with the latest in neuro-ocular sonography - optic disc elevation! That's right - not optic nerve sheath diameter (ONSD), the actual elevation of the disc as seen on ocular ultrasound. Super cool new idea - lets how how it pans out in this pilot study! [link] [link] GEL Jr coming in hot with the latest in neuro-ocular sonography - optic disc elevation!

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Ventilazione oscillatoria ad alta frequenza nel neonato (HFOV)

Trigger Lab

A cura di Susanna Ciraci infermiera terapia intensiva neonatale fondazione poliambulanza di Brescia La ventilazione oscillatoria ad alta frequenza (High Frequency Oscillatory Ventilation, HFOV) rappresenta una strategia ventilatoria protettiva non convenzionale ampiamente utilizzata in neonatologia.

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120. Epistaxis- No, its snot that easy

Board Bombs

Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here: [link] They say you can't pick your friends but you can pick their noses- wait, that's just wrong! Let's pick the pearls (hehe) of presentation, diagnosis, and management of epistaxis. Want to experience the greatest in board studying?

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EM Workforce | ETCO2 PEA | NSAID Non-union | Droperidol v Olanzapine | Ketamine v Midazolam-Haloperidol

JournalFeed

It’s the JournalFeed Podcast for the week of September 20-24, 2021. We cover EM workforce projections, ETCO2 for OHCA in PEA, NSAIDs and non-union risk, IM droperidol vs olanzapine for agitation, and IM ketamine vs midazolam/haloperidol for agitation.

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More Trending

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Bunin – Operationalizing Solutions for Implicit Bias

University of Maryland CC Project

Dr. Jessica Bunin, the Critical Care Medicine Fellowship Program Director for the National Capital Consortium and the Assistant Dean for Faculty Development at the Uniformed Services University of the Health Sciences presents an interactive discussion on implicit bias as part of our DEI series. Dr.

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Syndromes You Should Know

Pediatric Emergency Playbook

PEMplaybook.

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Nurses Aren't Interchangeable

ER Nurses

In the hardest hit regions of COVID-19, mostly due to bad public health policies, redeployment of nursing staff is one tool to staff ICUs. ER nurses are often the first to moved. But the skills aren't interchangeable. Each discipline has very specific competencies. Care suffers when different disciplines need to extend themselves. Here's another thread on the subject.

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ECG of the Week – 29th September 2021

EMergucate

The following ECG is from an 83 year old lady who has presented with new renal impairment following a fall (Na 134 K5.4 Ur 12.4 Cr 164 from a baseline of 110).

EKG/ECG 40
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Vinayak – Right Ventricular Physiology and Acute Right Heart Syndromes

University of Maryland CC Project

Dr. Ajeet G. Vinayak, Associate Professor of Medicine and Director of the Medical Intensive Care Unit at MedStar Georgetown University presents on right ventricular physiology and acute right heart syndromes.

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SGEM#346: Sepsis – You Were Always on My Mind

The Skeptics' Guide to EM

Date: September 20th, 2021 Reference: Litell et al. Most emergency department patients meeting sepsis criteria are not diagnosed with sepsis at discharge. AEM 2021. Guest Skeptic: Dr. Jess Monas is a Consultant in the Department of Emergency Medicine at the Mayo Clinic Hospital, Phoenix, Arizona. She is also an Assistant Professor, Department of Emergency Medicine Mayo […] The post SGEM#346: Sepsis – You Were Always on My Mind first appeared on The Skeptics Guide to Emergency Medicine.

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Imaging Case of the Week 481 Answer

EMergucate

The ankle x-rays show a Salter Harris III fracture of the distal tibial epiphysis also called ”Tillaux fracture” On the … Continue reading →