Ken Grauer, MD
APRIL 18, 2023
The ECG in Figure-1 was obtained from a 50-year old man — who presented to the ED ( E mergency D epartment ) with new-onset CP ( C hest P ain ). QUESTIONS: There are at least 3 principal findings on this ECG — some of which deal with a possible “culprit” artery and / or the location of whatever is going on. How many of these findings can YOU identify?
RebelEM
APRIL 17, 2023
Background: The increased utility and accessibility of point-of-care ultrasound (POCUS) has allowed clinicians the freedom to rethink their diagnostic approach for many common diseases, including peritonsillar abscess (PTA). Clinical evaluation may prove difficult since many PTA and peritonsillar cellulitis symptoms overlap. Physical examination is approximately 75% sensitive and 50% specific for identifying PTA.
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EMCrit
APRIL 15, 2023
Recently, two sets of guidelines for neuroprognostication following cardiac arrest were released – almost simultaneously. In a perfect world, two evidence-based guidelines based on the same evidence would be the same. But of course, this isn't actually the case. The guidelines differ significantly. The Neurocritical Care Society guidelines recommended this general approach:(36949360) Meanwhile, the Canadian […] EMCrit Project by Josh Farkas.
Greater Sydney Area HEMS
APRIL 15, 2023
It is a rare but confronting situation where a pre-hospital and retrieval medicine team are presented with a sick newborn. At one of our recent education days we heard Dr Mark Russell and Dr Mark Newcombe deliver excellent presentations of cases which they had been involved in, involving resuscitative hysterotomy and neonatal resuscitation respectively.
Trigger Lab
APRIL 21, 2023
La genesi o il peggioramento del VILI rappresenta il risultato indesiderato di una complessa interazione tra forze meccaniche che agiscono sulle strutture polmonari, dipendendo certamente dalle impostazioni del ventilatore, ma anche dalle caratteristiche dell’apparato respiratorio e dall’interazione paziente-ventilatore.
Dr. Smith's ECG Blog
APRIL 21, 2023
Written by Jesse McLaren, with comments from Smith A 50-year old patient on the medical wards developed acute chest pain, with an ECG labeled (see computer interpretation at the top) and confirmed as normal. What do you think? There’s normal sinus rhythm, normal conduction, normal axis, normal R wave progression, and normal voltages. Lead aVL jumps out as abnormal because there is a discordant T wave inversion and mild ST depression.
American Medical Compliance
APRIL 21, 2023
The COVID-19 pandemic has forced many industries to adapt to remote work, and the healthcare sector is no exception. In a recent article, Forbes Business Council member Stephanie Abbati highlights the benefits of embracing telehealth. Advantages of Remote Work One of the main advantages of remote work in healthcare is increased access to care. Patients who live in remote or underserved areas may find it difficult to access healthcare services in person.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
PEMBlog
APRIL 20, 2023
A special thanks to Dr. Cristina Tarango, director of the Hemophilia Treatment Center at Cincinnati Children’s and Lisa Littner, Project Manager at Cincinnati Children’s who helped me research and write this post. …and it’s called Hemlibra (Emicizumab) Why this med is important and why kids are on it? Emicizumab (Hemlibra) was approved in 2018 for routine bleeding prophylaxis in hemophilia A with or without inhibitors.
NRC Health
APRIL 20, 2023
As technology-driven innovation becomes routine across the healthcare ecosystem, a human-focused approach can be a great differentiator. The post Three “Fundamentals First” priorities that can differentiate a healthcare system appeared first on NRC Health.
Canadian EM
APRIL 19, 2023
In this issue, we collaborated with the CJEM team to present “Just the facts: POCUS assessment for deep vein thrombosis”1 in a visual abstract format. Deep vein thrombosis is a diagnosis that can be notoriously difficult to risk stratify and diagnose in a timely manner in the ED. There are multiple contributing factors, including variability of presentation and the availability of timely ultrasound (the mainstay of diagnosis).
Taming the SRU
APRIL 17, 2023
Spring has sprung. and so have many species of toxic plants! Poison centers across the United States receive over 100,000 reports of exposures to toxic plants annually. The most common reported effects of these exposures are skin irritation and gastrointestinal symptoms. The majority of ingestion cases occur in pediatric patients and are often minor due to low quantities of exposure.
First 10 EM
APRIL 17, 2023
In a lecture series entitled “Get off the fence”, in which I discuss practice changing evidence based medicine, I have discussed the role of antibiotics in diverticulitis multiple times this year. Although I have discussed the topic previously on First10EM, I wanted to provide a quick summary of the most important publications as a quick […] The post Antibiotics are not needed in uncomplicated diverticulitis appeared first on First10EM.
NRC Health
APRIL 18, 2023
At HUB23, you’ll find expanded, dynamic programming focused on bringing impact to your organization. The post Human Understanding Beyond | HUB23 Preview: Dr. Sarah Lazarus appeared first on NRC Health.
Dr. Smith's ECG Blog
APRIL 17, 2023
One case sent by Dr. Sean Rees MD, written by Pendell Meyers, other case by Sam Ghali and Steve Smith Take a look at these two ECGs below from two patients in the ED, first without any clinical context. Full case details and outcomes are below. Case 1: Case 2: Case 1: What do you think? This was sent to Dr. Smith by SamGhali (@EM_RESUS) with zero other info.
Clinical Correlations
APRIL 17, 2023
By Mercedes Fissore-O’Leary Peer Reviewed I. It is his youngest’s birthday today. His oldest is in the military, like he was. Except he served in the navy, in Vietnam. He has a birthday.
Board Bombs
APRIL 16, 2023
Mountains and Viagra. We promise they’re related here (no puns). Are you wearing your Patagonia? Good we thought so. Vest or jacket is acceptable by us. We’re covering a classic board question on EM tests. If you have any interest in wilderness medicine, here’s your chance to shine. Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here: emrapidbombs.supercast.com Mountains and Viagra.
AED Leader
APRIL 17, 2023
The American Heart Association’s Essential 8™ provides an excellent checklist for improving cardiovascular health and reducing the principal risk factors for cardiovascular disease, heart attack, cardiac arrest, and stroke. Originally developed in 2010 as “Life’s Simple 7,” the American Heart Association’s construct has been updated to “Life’s Essential 8.” The updated construct includes sleep guidelines Read More "Overview of the AHA Essential 8 f
ALiEM
APRIL 17, 2023
A 29 year-old-male with a past medical history of left eye enucleation secondary to a gunshot wound several years prior presents to the Emergency Department (ED) for blurry vision, redness, and concern for a deformity to his right eye. The patient states symptoms started 2-3 months ago and he initially thought symptoms were due to allergies and recalls rubbing his eye a lot.
SheMD
APRIL 16, 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. This post contains affiliate links.
JournalFeed
APRIL 15, 2023
The JournalFeed podcast for the week of April 10-14, 2023. These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member. Ketamine ICP Safety Spoon Feed This retrospective study of thirty-three pediatric patients with severe traumatic brain injury (sTBI) demonstrated no increase in intracranial pressure (ICP) after administration of ketamine.
EMergucate
APRIL 16, 2023
The neck x-rays are from a 6-year-old with neck pain, difficulty swallowing following a recent bout of upper respiratory tract … Continue reading →
The Bottom Line
APRIL 21, 2023
In patients in the ICU with delirium, does haloperidol compared with placebo, increase the number of days alive and out of the hospital at 90 days?
Pediatric Education
APRIL 16, 2023
Patient Presentation A 14-year-old female came to clinic with a history of bilateral knee pain. She noticed more pain when she was playing late winter volleyball and had added 3 times/week indoor soccer practice to get ready for the spring high school season. The pain was symmetric and would worsen during the practices and improve after stopping practice and with ice.
CasesBlog
APRIL 15, 2023
Approximately 25–32% of the overall variation in adult lifespan is accounted for by genetic differences that become particularly important for survival after the age of 60. Forkhead box O3 protein (FOXO3) is a transcription factor involved in the regulation of genes involved in many cellular processes, including DNA repair, tumor suppression, immune function, and resistance to oxidative stress.
EMergucate
APRIL 16, 2023
The knee x-ray shows a small curvilinear bony avulsion adjacent to the lateral tibial plateau implying a Segond fracture.
University of Maryland Department of Emergency Med
APRIL 19, 2023
CCM recently published Stanford's experience with their Emergency Critical Care Program (ECCP), an ED based intensivist consultation/management mo.
The Bottom Line
APRIL 20, 2023
What’s new in the Critical Care literature – monthly updates
EMergucate
APRIL 16, 2023
Deep Sulcus Sign. There is a supine pneumothorax on the right as evidenced by a deep sulcus sign.
University of Maryland Department of Emergency Med
APRIL 20, 2023
Multiple modalities are available for pain control in the pediatric setting. Ketamine has recently been introduced into the prehosp.
The Bottom Line
APRIL 20, 2023
What’s new in the Critical Care literature – monthly updates
The Skeptics' Guide to EM
APRIL 15, 2023
Date: April 12, 2023 Reference: Weizmann et al. Incidence of Cardiac Arrest During Sports Among Women in the European Union. JACC November 2022 Guest Skeptic: Dr. Susanne (Susy) DeMeester is an Emergency Physician practicing at St Charles Medical Center in Bend, Oregon. She has been very involved with EMRAP’s CorePendium as the cardiovascular section editor.
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