The Trauma Pro
MAY 12, 2023
Any trauma professional who has dealt with spleen injuries knows that the white blood cell (WBC) count rises afterwards. And unfortunately, this elevation can be confusing if the patient is at risk for developing inflammatory or infectious processes that might be monitored using the WBC count. Is there any rhyme or reason to how high WBCs will rise after injury?
Pediatric EM Morsels
MAY 12, 2023
We all know that Gravity Works ! While this fact can adversely affect anyone, it offers the greatest challenge for those who cannot protect themselves , like children less than 3 months of age ! We last pondered this in 2011 Morsel , just a couple years after PECARN head injury data was published. Since that time there have been several studies externally validating the PECARN rule in all age groups and in multiple different countries.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
RebelEM
MAY 11, 2023
Background: The emergency department is frequently visited by patients suffering from symptomatic alcohol withdrawal, and the traditional management has been dominated by repeated doses of benzodiazepines. 1, 2 Phenobarbital has been studied as an alternative or adjunct to benzodiazepines with encouraging results, but primarily among inpatient services. 3, 4 Much of the appeal of phenobarbital lies in its ability to stave off severe alcohol withdrawal symptoms days after administration, without
EMCrit
MAY 11, 2023
all the lit goodness. EMCrit Project by Scott Weingart, MD FCCM.
The Trauma Pro
MAY 9, 2023
For years, I’ve taught my residents participating in trauma activations, “Your patient is bleeding to death until proven otherwise.” This concept served as the basis of the [poorly documented] “Golden Hour” and for decades has directed our efforts at getting patients to a center with an immediately available OR as quickly as possible.
ACEP Now
MAY 8, 2023
Question I was shocked to see bank runs in March 2023. I thought those went away after regulatory changes in the Great Depression. What takeaway should there be from the troubles that Silicon Valley Bank (SVB) and other banks had during March 2023? Answer In March 2023, depositors of SVB engaged in a classic “bank run” that resulted in the Federal Deposit Insurance Corporation (FDIC) stepping in and putting the bank into receivership.
RebelEM
MAY 8, 2023
Background: Clinically significant pneumothoraces in patients on mechanical ventilation can be dangerous as positive pressure ventilation can cause an increase in intrapleural pressure and trigger tension physiology. Occult pneumothoraces are those not suspected clinically or not evident on plain radiographs but later identified on computerized tomography (CT) imaging.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
.jpg) |
Science Based Medicine
MAY 12, 2023
A recent study found that young children are increasingly being harmed by accidental ingestion of cannabis in the form of edibles. The post More Marijuana More Problems for Young Children Part 2: Additional Problems for the Aforementioned Children first appeared on Science-Based Medicine.
NRC Health
MAY 12, 2023
Innovative approach and service-leading team set NRC Health apart in exhaustive selection process. The post UCHealth Partners with NRC Health to Improve Healthcare Experiences appeared first on NRC Health.
SheMD
MAY 11, 2023
Here at sheMD, we believe in the importance of practicing Evidence-Based Medicine. We believe the same principles apply to discussing Gender and Medical Education. Therefore, we are bringing you an entire Journal Club series! Our series will focus on foundational and new literature within the gender and medicine space. Today, we will be discussing the article entitled, Gender-focused training improves leadership of female medical students: A randomised trial.
Mind The Bleep
MAY 12, 2023
As a foundation doctor, shortness of breath is one of the commonest symptoms you can encounter on the acute take. Causes of shortness of breath are very broad but in this session, we will discuss pleural effusion. The management will vary depending on the causes of pleural effusion, therefore the diagnostic approach is important. The first step is confirmation of pleural effusion clinically or radiologically (chest x-ray or ultrasound).
PHARM
MAY 12, 2023
What is prehospital care? By definition it is not hospital care. WHilst some regard the ability to deliver hospital based interventions in a prehospital setting as a form of prehospital care this will always be an approximation. Some things simply cannot be done to the same standard. Put simply its location and resources available that define prehospital care.
PEMBlog
MAY 11, 2023
Lumbar punctures are painful! This is due to the needle puncturing the skin and deeper tissues and the pressure changes in the spinal canal. Some general recommendations to reduce pain during LP include: Comfortable Positioning: The patient should be instructed to lie on their side with their knees drawn up to their chest and their chin tucked in, or sit upright with their head and upper back forward (often on a bedside table with a pillow).
Life in the Fast Lane
MAY 11, 2023
Kyle Cunningham MD and Michael Gibbs MD Abdominal Imaging Cases 025 April 2023 Adult Abdominal imaging cases and interpretation with Kylee Brooks, Parker Hambright, Alexis Holland, William Lorenz, Brent Mathews and Kyle Cunningham
EM Ottawa
MAY 11, 2023
Acute pancreatitis is one of the most common gastroenterology conditions we see in the emergency department with a prevalence of 110-140 cases per 100,000 population. (1) At The Ottawa Hospital alone, we saw over an average of 1 case per day over the last year. Unfortunately, a lot of what we do in the emergency […] The post Rethinking Acute Pancreatitis in the ED appeared first on EMOttawa Blog.
NRC Health
MAY 11, 2023
Our partners at Phoenix Children’s share how grassroots efforts helped to define and drive patient experience priorities and build alignment throughout the organization. The post Building infrastructure to support the patient experience along the way appeared first on NRC Health.
Science Based Medicine
MAY 10, 2023
While the COVID health emergency is over, COVID itself is not, and we need to have an eye on the next potential pandemic. The post WHO Declares COVID Emergency Over first appeared on Science-Based Medicine.
Stop and Think
MAY 10, 2023
First read my latest on why there are so many bad medical studies. Two of the three commenters nudged me to consider a more optimistic take. One of these came from Dan Matlock, a professor of medicine at the University of Colorado. You should first know Dan is one of the smartest and kindest academics I have met. He wrote, publicly , in the comments section, that incentives to publish—even bad studies—was part of the problem, but I should consider a more optimistic take: Namely, that
Life in the Fast Lane
MAY 11, 2023
Andrew Davies Mastering Intensive Care 080 with Tub Worthley Mastering Intensive Care 080 with Tub Worthley. Dr.
Emergency Medicine Cases
MAY 10, 2023
In this ECG Cases blog we look at 10 cases of patients with chest pain, including false positive STEMI, false negative STEMI, and other causes to help hone your ECG interpretation skills in time-sensitive cases where those very ECG skills might save a life. The post ECG Cases 42 – Approach to ECG Interpretation in Patients with Chest Pain: OMI, False Positive & Negative STEMI & Other Causes appeared first on Emergency Medicine Cases.
EM Ottawa
MAY 10, 2023
Methodology: 2/5 Usefulness: 3/5 Market M, et al. CJEM. 2022 Jun;24(4):426-433. Question & methods: Whether quality improvement interventions could decrease the rate of repeat reductions in pediatric hand injuries by plastic surgeons. The study was conducted using two Plan-Do-Study-Act cycles that implemented informal feedback and formal educational workshops for ED physicians.
Dr. Smith's ECG Blog
MAY 10, 2023
This was sent by a colleague. A 34 yo woman with a history of HTN, h/o SVT s/p ablation 2006, and 5 months post-partum presented with intermittent central chest pain and SOB. She had one episode of pain the previous night and two additional episodes early on morning the morning she presented. Deep breaths are painful and symptoms come and go. She had one BP that was measured at 160/120, uncertain when and what the BP was at other moments.
RebelEM
MAY 10, 2023
Take Home Points Many patients with renal colic require a CT scan. Diagnostic imaging should focus on eliminating concerning mimics; not on clinching the diagnosis of renal colic. POCUS and radiology department US are important modalities in evaluation of renal colic. REBEL Core Cast 101.0 – Imaging in Renal Colic Click here for Direct Download of the Podcast References Moore CL et al.
Emergency Medicine Cases
MAY 9, 2023
In this Part 1 or our two-part podcast series on STIs we discuss a general approach to cervicitis, vulvovaginitis and urethritis, elucidate some key historical features, debate who needs a pelvic exam in the ED, understand who needs what testing, debate self swabs vs physician taken swabs, dig into some specific under-recognized organisms like Mycoplasma Genitalium, figure out who needs what kind of empiric treatment, sexual partner treatment and which discharge instructions are key.
PHARM
MAY 9, 2023
This post is the written version of a presentation delivered at the Australian and New Zealand College of Anaesthetists Annual Scientific Meeting in … Utopia or Dystopia?
EMergucate
MAY 9, 2023
The chest x-ray is from a patient with severe dyspnoea. Patient has a past history of chronic airway obstruction.
AED Leader
MAY 9, 2023
An accident on a construction site can be devastating if not deadly, so it’s important to have the right construction safety equipment on hand at all times. Some of these safety essentials are required by the Occupational Safety and Health Administration (OSHA) while others are just smart to have available. 1. Hard Hats Hard hats Read More "A Complete Construction Safety Equipment List" The post A Complete Construction Safety Equipment List appeared first on AEDs for Sale | Buy Defibrillators an
Emergency Medicine Cases
MAY 9, 2023
In this Part 1 or our two-part podcast series on STIs we discuss a general approach to cervicitis, vulvovaginitis and urethritis, elucidate some key historical features, debate who needs a pelvic exam in the ED, understand who needs what testing, debate self swabs vs physician taken swabs, dig into some specific under-recognized organisms like Mycoplasma Genitalium, figure out who needs what kind of empiric treatment, sexual partner treatment and which discharge instructions are key.
EM SIM Cases
MAY 9, 2023
This case comes from Drs. Katie Maguire and Nicole Holm. Dr. Maguire is a PGY5 Emergency Medicine resident at the University of British Columbia. Her interests include medical education, disaster medicine and simulation. She is particularly interested in simulation as an educational technique to develop communication and crisis resource management skills.
NRC Health
MAY 9, 2023
NRC Health is proud to recognize and thank the incredible nurses and hospital staff who work tirelessly to keep their communities healthy and safe. Your dedication and compassion are inspiring. Thanks for all you do! The post Celebrating nurses and hospital staff appeared first on NRC Health.
Core Ultrasound
MAY 8, 2023
At long last, Core Ultrasound Image Review episode #20! In this episode, we discuss median nerve blocks, fibroids, pneumonia, pleural effusions, CRAO, AAA, abscesses, endocarditis, DVTs, CVC confirmation and gallstones. Check out the YT for the full video! CUIR #19 CUIR #18 CUIR #17 The post Core Ultrasound Image Review, Episode 20! first appeared on Core Ultrasound.
Science Based Medicine
MAY 9, 2023
How would you have reacted on 1/1/2020 if a doctor claimed that a virus that killed zero children was "truly dangerous" compared to one that kill 2,000? The post An Absurd Thought Experiment first appeared on Science-Based Medicine.
PulmCCM
MAY 8, 2023
High Impact: Rapid sequence intubation: neuromuscular blockade vs remifentanil. The ultra-short-acting opioid remifentanil could theoretically be a safer induction agent with less risk of aspiration than neuromuscular blockers like succinylcholine or rocuronium. Neuromuscular blockers relax lower esophageal sphincter tone, increasing the risk for reflux and aspiration.
Life in the Fast Lane
MAY 8, 2023
Hayden Richards Comms Lab: Advocacy Inquiry Comms Lab 47: Advocacy Inquiry: Advocacy Inquiry is a powerful means of addressing concerning behaviour in others.
Dr. Smith's ECG Blog
MAY 8, 2023
Sent by Pete McKenna M.D. Edits by Meyers and Smith A man in his 70s with PMH of hypertension, hyperlipidemia, type 2 diabetes, CVA, dual-chamber Medtronic pacemaker, presented to the ED for evaluation of acute chest pain. Triage ECG: What do you think? This is diagnostic of proximal LAD occlusion. This is a huge anterolateral OMI. Deadly. I cannot be anything else.
Core Ultrasound
MAY 8, 2023
At long last, Core Ultrasound Image Review episode #20! In this episode, we discuss median nerve blocks, fibroids, pneumonia, pleural effusions, CRAO, AAA, abscesses, endocarditis, DVTs, CVC confirmation and gallstones. Check out the YT for the full video!
ACEP Now
MAY 8, 2023
About one billion doses of acetaminophen are taken safely per annum, and 60 million people in the U.S. take acetaminophen on a weekly basis. 1,2 With such enormous popularity it is no surprise that each year there are 56,000 emergency department (ED) visits, 2,600 hospitalizations, and 500 deaths in the U.S. related to acetaminophen toxicity. 2 Some cases of acetaminophen toxicity are simple to recognize and manage, such as an intentional single recent ingestion of a large number of regular-rele
Expert insights. Personalized for you.
130 
.jpg)
Let's personalize your content