American Medical Compliance

OCTOBER 14, 2024

Assisted living facilities are a lifeline for elderly and vulnerable individuals who need care and support in a safe, nurturing environment. Yet, even in these compassionate settings, caregivers often face the challenge of managing aggressive behaviors among residents. Imagine the case of Mrs. Stevens, a once gentle and kind woman who, after the onset of dementia, began exhibiting sudden outbursts of anger.

Wellness 105

Wellness Operations Outcomes 105

The Trauma Pro

OCTOBER 18, 2024

All trauma centers admit some of their patients to nonsurgical services. This usually occurs when patients have medical comorbidities that overshadow their injuries. Unfortunately, the decision-making that goes into balancing the medical versus trauma issues is not always straightforward. The fear is that if trauma patients are inappropriately placed on a nonsurgical service, mortality and morbidity may be higher because their injuries may not receive adequate attention.

Documentation/Coding 147

Documentation/Coding Emergency Department Hospitals 147

Sensible Medicine

OCTOBER 15, 2024

It is my pleasure to introduce this article by Joseph Marine, MD in response to mandatory masking policies in a number of California hospitals. There is simply no randomized evidence to support these policies, and they make little sense in 2024. I worry about the mental abilities of the public health officers who instituted these policies, and that their actions will further erode trust in public health.

Hospitals 142

Hospitals Wellness 142

Dr. Smith's ECG Blog

OCTOBER 15, 2024

This was sent to me by an undergraduate name Hans Helseth, who is an EKG tech, but who is an expert OMI ECG reader. He wrote most of it and I (Smith) edited. A prehospital “STEMI” activation was called on a 75 year old male ( Patient 1 ) with a history of hyperlipidemia and LAD and Cx OMI with stent placement. He arrived to the ED by helicopter at 1507, about three hours after the start of his chest pain while chopping wood around noon.

EKG/ECG 116

EKG/ECG Hospitals Wellness 116

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!

Outcomes

RebelEM

OCTOBER 16, 2024

Take Home Points Orogastric lavage may still play an important role in treatment of the overdose patient. Do not perform lavage if the ingestion has limited toxicity at any dose or the ingested dose is unlikely to cause significant toxicity. Strongly consider orogastric lavage in a patient who has taken an overdose of drugs that are particularly toxic, suspected extreme doses associated with high morbidity/mortality and do not have easily available and effective antidotes.

EMS 105

EMS 105

St. Emlyn

OCTOBER 12, 2024

St.Emlyn's - Emergency Medicine #FOAMed The final day of the RCEM Annual Scientific Conference with papers on chest pain, trauma, psychosocial, diagnostics and more. #rcemasc #FOAMed @stemlyns The post RCEM Annual Scientific Conference. Day 3. appeared first on St.Emlyn's.

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Dr. Smith's ECG Blog

OCTOBER 12, 2024

Written by Bobby Nicholson What do you think of this “STEMI”? A man in his 90s with a history of HTN, CKD, COPD, and OSA presented to the emergency department after being found unresponsive at home. With EMS, patient had a GCS of 3 and was saturating 60% on room air. He improved to 100% with the addition of non-rebreather, however remained altered and was intubated by EMS with ketamine and succinylcholine.

EKG/ECG 116

EKG/ECG Documentation/Coding Emergency Department COPD 116

EMDocs

OCTOBER 14, 2024

Authors: Lloyd Tannenbaum, MD (EM Attending Physician, Geisinger Wyoming Valley, PA); Mai Saber, DO (EM Attending Physician, Hackensack University Medical Center, NJ); Rachel Bridwell, MD (EM Attending Physician, Charlotte, NC) // Reviewer: Brit Long, MD (@long_brit) Hello and welcome back to ECG Pointers, a series designed to make you more confident in your ECG interpretations.

EKG/ECG 98

EKG/ECG EMS Resuscitation Emergency Department 98

St. Emlyn

OCTOBER 18, 2024

St.Emlyn's - Emergency Medicine #FOAMed Kevin Cyr, the commander of a SWAT-like unit within the Royal Canadian Mounted Police, shared his insights at the Tactical Trauma 24 conference in Sundsvall, Sweden, in conversation with Iain Beardsell and Liz Crowe and offers essential takeaways for anyone working in high-pressure environments, including healthcare professionals.

Leadership 102

Leadership 102

Sensible Medicine

OCTOBER 18, 2024

Let’s start with some definitions – or at least my definitions. Conventional medicine is what licensed MDs and DOs should be practicing: the skilled use of the diagnostic sciences, treatments based on the principles of evidence-based medicine, and the provision of prognoses to patients who request them. All this should be done in a caring and empathic manner.

Research 95

Research Wellness 95

Don't Forget the Bubbles

OCTOBER 18, 2024

What are midline catheters? There are three types of peripheral venous catheters: 1. Midline Catheter 2. PICC line 3. Long peripheral catheters. Midline catheters (MCs) are peripheral intravenous lines that are longer (usually 6-20 cm) than routine peripheral IV cannulas. However, the tip of the catheter does not extend into a central vein. The final position of the tip should be in the axillary vein, ideally in the infraclavicular segment.

Administration 89

Administration Pediatrics Ultrasounds Burns 89

EMDocs

OCTOBER 12, 2024

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: LR or NS for Sickle Cell Pain Crisis? Spoon Feed For sickle cell patients (particularly Hgb SS) with a vaso-occlusive episode (VOE), large volume resuscitation (>2L) with lactated ringers (LR) has been shown to

Resuscitation 98

Resuscitation Outcomes Hospitals 98

First 10 EM

OCTOBER 14, 2024

Another month, another set of articles. Some clinically relevant. Some just thought provoking. One is more than 100 years old. Yes, I look everywhere for these papers. The BroomeDocs podcast version can be found here: [link] Clinically but not statistically significant: what do you do? Turgeon AF, Fergusson DA, Clayton L,et al. Liberal or Restrictive […] The post The October 2024 Research Roundup appeared first on First10EM.

Research 88

Research EMS 88

Emergency Medicine News

OCTOBER 15, 2024

No abstract available

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Don't Forget the Bubbles

OCTOBER 12, 2024

Hibberd O, Chylinska AA, Finn K , et al. Use of corticosteroids for croup in children. Archives of Disease in Childhood – Education and Practice. 2024. Published Online First: 15 April 2024. doi: 10.1136/archdischild-2023-326773 Two-year-old Moyo is brought to the emergency department because her parents were concerned about noisy breathing. You notice a barking cough, subcostal recessions, and stridor when she cries.

Airway Management 85

Airway Management Emergency Department Administration Hospitals 85

Taming the SRU

OCTOBER 16, 2024

research grand rounds - r1 core content: thromboembolic disease in pregnancy - r4 discharge/transfer/treat: hand injuries - ed discharge after trauma - pediatric respiratory emergencies and airway management Research Grand Rounds WITH dr. Freiermuth Peer Review Not common practice until the 1970s Intent was to ensure scientific integrity Equity The Process Read, summarize manuscript, comment on strengths and weaknesses, determine whether article fits with the priorities of the journal Recommend

Airway Management 74

Airway Management Fractures CDC Pediatrics 74

Dr. Smith's ECG Blog

OCTOBER 17, 2024

Written by Jesse McLaren Two patients in their 70s presented to the ED with chest pain and RBBB. Do either, both, or neither have occlusion MI? Patient 1 : a 75 year old called paramedics with one day of left shoulder pain which migrated to the central chest, which was worse with deep breaths. Past medical history included RBBB without other cardiac history, but old ECG was not available.

EKG/ECG 73

EKG/ECG EMS Shock Ultrasounds 73

EM Ottawa

OCTOBER 15, 2024

Methodology: 3/5 Usefulness: 4/5 Essat M, et al. Ann Emerg Med. 2024 Jun 18:S0196-0644(24)00260-9 Question and Methods: Using systematic review methodology, the authors aimed to determine sensitivity and specificity in the use of D-Dimer in the work-up for Acute Aortic Syndrome. Findings: A total of 25 studies were included in the primary meta-analysis; summary sensitivity […] The post Diagnostic Accuracy of D-Dimer for Acute Aortic Syndromes: Systematic Review and Meta-Analysis appeared

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The Bottom Line

OCTOBER 13, 2024

Potassium Supplementation and Prevention of Atrial Fibrillation After Cardiac Surgery: The TIGHT K Randomized Clinical Trial O’Brien. JAMA 2024; 332:979 – 988. doi:10.1001/jama.2024.17888 Clinical Question In adult patients undergoing coronary artery bypass surgery (CABG) is supplementing potassium when serum concentration is ≤ 3.5 mEq/L non-inferior to supplementation when serum concentration is ≤ 4.

Operations 68

Operations 68

Sensible Medicine

OCTOBER 17, 2024

The hosts take listener questions on medicine, covid and all things in between

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Emergency Medicine News

OCTOBER 15, 2024

No abstract available

Ultrasounds 53

Ultrasounds 53

PEMBlog

OCTOBER 18, 2024

Duchenne Muscular Dystrophy (DMD) is a complex and progressive disease requiring highly specialized care, especially in emergency situations. The condition affects multiple organ systems—muscular, cardiac, and respiratory—leading to a myriad of clinical complications. When patients with DMD present in the Emergency Department (ED), an understanding of the nuanced aspects of their care is essential for optimal management.

Emergency Department 52

Emergency Department Fractures Best Practices Documentation/Coding 52

Mind The Bleep

OCTOBER 17, 2024

What my elective entailed I undertook a four-week Pre-Hospital Emergency Medicine (PHEM) elective with the Midlands Air Ambulance Charity. This entailed two day shifts on the helicopter and one night shift on the critical care car each week. Through this role, as an observer, I was able to experience various pre-hospital emergencies; the most common scenarios I attended were cardiac arrests, but I also attended trauma patients at the scene of road traffic accidents, fractures in a wilderness med

Ambulance Services 52

Ambulance Services Anaphylaxis Hospitals Airway Management 52

Sensible Medicine

OCTOBER 13, 2024

Last week was different from a usual work week for me and my reading reflected that. I was privileged to be invited to The University of Colorado Anschutz Medical Campus as the Meiklejohn Visiting Professor. I got to spend a couple of days there, gave two talks, and met with slew of wonderful members of the faculty. Like the best of these visits (at least from my point of view) I felt like I learned more than I taught.

Research 54

Research 54

Don't Forget the Bubbles

OCTOBER 16, 2024

You’re embarking on your first paediatric registrar rotation – welcome to this exciting next stage of your career, and congratulations on getting here! This article is not intended to be a set of step-by-step instructions but to give you some ideas to consider and some tips and tricks from first-time registrars who have recently gone through this transition.

Documentation/Coding 52

Documentation/Coding Teamwork Leadership Burns 52

PulmCCM

OCTOBER 16, 2024

Cardiopulmonary bypass (CPB) for cardiac surgery induces ischemic injury throughout the body, but especially in the kidneys. Acute kidney injury occurs in up to a third of patients undergoing CPB. Post-bypass kidney failure is believed to result from ischemia-reperfusion injury, when oxygen supply to a tissue is cut off and then restored. Animal studies have suggested that the body could be prepped or trained to better withstand ischemic-reperfusion injury, by inducing mild ischemia in another t

Outcomes 52

Outcomes Operations Research Hospitals 52

Mind The Bleep

OCTOBER 17, 2024

I am a GP at a large practice based in a town in southwest Scotland, and I also work as a doctor in the Emergency Department in our local district general hospital. But it doesn’t stop there. Like dozens of other doctors, nurses, and paramedics across Scotland, I have the privilege of being a responder with BASICS Scotland. What is a BASICS responder and who can do it?

Ambulance Services 52

Ambulance Services Hospitals Anaphylaxis Wellness 52

EMergucate

OCTOBER 15, 2024

The chest x-ray shows streaky lucency outlining the great vessels of the neck (tubular artery sign) & air in the … Continue reading →

EMS 52

EMS 52

Emergency Live

OCTOBER 15, 2024

MUM-T Technology Aims to Enable Faster, More Efficient Crisis Response Worldwide Collaboration between drones and helicopters is poised to revolutionize emergency and rescue operations. Airbus Helicopters and its European partners recently completed a large-scale demonstration to test the interoperability between piloted and unmanned aerial systems (MUM-T).

Operations 52

Operations 52

Board Bombs

OCTOBER 14, 2024

These 5 high yield pearls all share a common thread: helping you ACE the upcoming boards! If you are a premium member you get access to the next 5. Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind at [link] Cite this podcast as: Briggs, Blake; Husain, Iltifat. 236. Potpourri Board Blitz October 14th, 2024.

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Mind The Bleep

OCTOBER 17, 2024

You may have seen Mountain Rescue teams (MRTs) if you’ve been out in the hills or mountains, seen them on the television (a few series have recently been on air), or perhaps you’ve seen them at Emergency Services open days. What is it all about, from the viewpoint of a doctor? I offer my viewpoint as a doctor having been involved in MRTs for over 11 years.

Soft Tissue Injuries 52

Soft Tissue Injuries Seizures Ambulance Services Teamwork 52

EMergucate

OCTOBER 15, 2024

The following ECG is from a 19-year-old female who has presented following a syncopal episode.

EKG/ECG 52

EKG/ECG 52

Life in the Fast Lane

OCTOBER 14, 2024

Pramod Chandru Network Five: Practice Changes In Paediatric Wheeze Management Network Five Emergency Medicine Journal Club Episode 30 reviewing updates on paediatric wheeze management with paediatric respiratory and sleep specialist Dr Chetan Pandit!

Pediatrics 52

Pediatrics 52

Board Bombs

OCTOBER 14, 2024

These 5 high yield pearls all share a common thread: helping you ACE the upcoming boards! If you are premium member you get access to the next 5. Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind at [link] Cite this podcast as: Briggs, Blake; Husain, Iltifat. 236. Potpourri Board Blitz October 14th, 2024.

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Emergency Medicine Ireland

OCTOBER 14, 2024

Welcome back to the tasty morsels of critical care podcast. Following on from our initial post in this entirely accidental series on “things you don’t want to find in the chest drain” we turn our eyes (if not our noses) to empyema. Many penumonias will develope a parapneumonic effusion. This is largely reactive and inflammatory but by no means does it mean there is infection.

Wellness 52

Wellness Ultrasounds 52

EMergucate

OCTOBER 15, 2024

The following axial CT is from a 60-year-old lady who has had a witnessed collapse. Provide your interpretation and diagnosis.

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