EB Medicine
DECEMBER 1, 2022
In this episode, Sam Ashoo, MD, interviews Prayag Mehta, MD, and Nikola Milanko, MD, two of the authors of the October 2022 Emergency Medicine Practice article on Angioedema in the Emergency Department Pathophysiology: Non-pitting edema of respiratory or GI tract Histamine meditated, bradykinin mediated, or idiopathic Acquired, inherited, or idiopathic Do they present differently?
RebelEM
DECEMBER 1, 2022
Background: Pneumothorax management is a common clinical condition in the emergency department (ED) occurring in patients of varying ages and caused by multiple etiologies, including spontaneous, traumatic, and iatrogenic pneumothorax. Regardless of the cause, a thoracostomy is often required for treatment (Currie 2007 ). Traditionally, all pneumothoraces were treated with large bore chest tubes (LBCT) defined as any tube > 14 F.
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Dr. Smith's ECG Blog
NOVEMBER 30, 2022
This case was provided by Spencer Schwartz, an outstanding paramedic at Hennepin EMS who is on Hennepin EMS's specialized "P3" team, a team that receives extra training in advanced procedures such as RSI, thoracostomy, vasopressors, and prehospital ultrasound. This patient, who is a mid 60s female with a history of hypertension, hyperlipidemia and GERD, called 911 because of chest pain.
American Medical Compliance
NOVEMBER 30, 2022
As health systems continue to mitigate the effects of the COVID-19 pandemic, they must brace for a new threat: the rising rate of healthcare-associated infections (HAIs). For example, Staphylococcus aureus (MRSA) bacteremia (which is resistant to many antibiotics) is infecting an increasing number of patients in healthcare facilities. Tackling the increased rate of HAIs is crucial.
EMergucate
NOVEMBER 29, 2022
The chest x-ray is from a 60 year old smoker with dyspnea. What can be visualized?
RebelEM
NOVEMBER 30, 2022
Take Home Points Consider the diagnosis of testicular torsion in all patients with acute testicular pain Testicular torsion is a surgical emergency that requires immediate urologic consultation to increase the rate of tissue salvage. History, physical examination and ultrasound are all flawed in making the diagnosis. The gold standard is surgical exploration.
Board Bombs
NOVEMBER 27, 2022
Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here: emrapidbombs.supercast.com. Face it, its broken. Your face that is. This epic podcast covers the major facial fractures, when to call a surgeon, and who needs to be seen in emergently in the ED vs outpatient. This is perfect for boards and clinical practice.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
EMergucate
NOVEMBER 28, 2022
Interpretation of ECG from 23 November 2022 The most obvious abnormality is ST segment elevation in leads I and aVL … Continue reading →
RebelEM
NOVEMBER 28, 2022
BACKGROUND: Direct oral anticoagulants (DOACs) such as rivaroxaban [Xarelto] and apixaban [Eliquis] have become more prevalent in the aging population and are associated with intracranial bleeding at rates up to 4.2%. (Xian 2019) 4-Factor Prothrombin Complex Concentrates (4F-PCC), or K-Centra, is a derivative of human plasma and is explicitly used to reverse vitamin K antagonists such as warfarin and non-specifically in the reversal of DOACs.
Thinking Critical Care
NOVEMBER 29, 2022
Here is a lecture I gave for the International Fluid Academy annual meeting which is truly a terrific event. Many of us have been working hard at ushering in this concept, which we feel is vastly more important than that of fluid responsiveness. And for those interested, here is our paper: [link] Cheers!
EMergucate
NOVEMBER 28, 2022
A 52 year old woman is triaged as a category 2 after complaining of chest tightness on the background of having previous cardiac history.
University of Maryland Department of Emergency Med
NOVEMBER 28, 2022
Transcutaneous Cardiac Pacing Transcutaneous cardiac pacing (TCP) is often attempted while preparing for transvenous cardiac paci.
RCEM Learning
NOVEMBER 28, 2022
Introduction Immediate management Control of haemorrhage Use of pelvic binder REBOA Management of stable VS unstable fracture Management of closed VS open fracture Other injuries Immediate management Coordinated and structured approach (eg. ATLS approach) C-ABCDE assessment as per any other patients Pelvic stabilisation as part of C (eg. Pelvic binder) Examine perineum, genitalia and rectum for blood which suggests an open pelvic fracture DO NOT “spring”/“rock” the pelvis – may dislodge clots an
Dr. Smith's ECG Blog
NOVEMBER 28, 2022
Written by Destiny Folk MD, with edits by Meyers, peer reviewed by Smith and Grauer A woman in her late 20s with a past medical history of cervical cancer status post chemotherapy and radiation therapy presented to the emergency department for shortness of breath, chest tightness, and two episodes of syncope. Her initial vital signs revealed a temp of 97.7F, HR 125, RR 20, BP 115/90, and an oxygen saturation of 95% on room air.
JournalFeed
NOVEMBER 26, 2022
The JournalFeed podcast for the week of Nov 21-25, 2022. 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. CPR, Push Hard Spoon Feed With ventilation rate standardized, chest compression (CC) depth explains variations in ETCO2 better than chest compression rate.
University of Maryland Department of Emergency Med
NOVEMBER 27, 2022
Approximately 1.4 million transgender and gender nonbinary patients live in the United States. Unfortunately, prior research has shown.
The Skeptics' Guide to EM
NOVEMBER 26, 2022
Date: November 26th, 2022 Reference: James et al. Emergency Department Condition Acuity, Length of Stay, and Revisits Among Deaf and Hard-of-Hearing Patients: A Retrospective Chart Review. AEM November 2022 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. Click on the LINK for a transcript […] The post SGEM#383: Tommy Can You Hear Me – Deaf and Hard-of-Hearing (DHH) Patients in the ED first appeared on The S
EMergucate
NOVEMBER 26, 2022
Answers: Question 1: pH = 7.357, that is within the normal range, towards the acidotic side. HCO3 = 16.2, that is low.
PHEM Cast
NOVEMBER 28, 2022
Read more about the Cochrane injuries group: [link] Have a listen to the earlier TXA podcast here: [link] Do you want to revise your clotting pathways and the mechanism of action of TXA?! Here are some links to the excellent Life in the Fast Lane: [link] [link] Acute Coagulopathy of Trauma Tranexamic Acid The Resus Room podcast which discusses Tim and colleagues paper on gender differences in TXA administration is available here: [link] Want to read more about Crash 4?
EMergucate
NOVEMBER 26, 2022
46-year-old female patient presented with few episodes of vomiting. Her VBG showed the following: PH = 7.
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