Sat.Jan 08, 2022 - Fri.Jan 14, 2022

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Snowstorm Coming: Calm Down People

Dr. Mike Sevilla

Yes, our weather friends are giving us the heads-up that we may be getting some snow going into early Monday morning. You know what that means? Yes, people just go nuts and crazy for the coming snowstorm or the cute name that they will call this on social media, whether it be “snowpocalypse” or “snowmageddon” or whatever. I don’t want to be all snarky (but I know that’s why you love me) but let me be the first to say (again), “Hey people, it’s January and we live in Ohio.

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Hyponatremia

Northwestern EM Blog

Written by: Jim O’Brien, MD (NUEM ‘23) Edited by: David Kaltman, MD (NUEM ‘20) Expert Commentary by : Sarah Dhake, MD (NUEM ‘19) & Josh Waitzman, MD, PhD Expert Commentary Thanks for a great review on hyponatremia by Drs. O’Brien & Kaltman. I’ve recruited the expert insight from one of my favorite colleagues and fellow Northwestern University Feinberg School of Medicine graduate Joshua Waitzman, MD PhD, Instructor of Nephrology at Beth Israel Deaconess Medical Center in Boston, MA.

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There is a crazy guy on the street!

MEDEST118

An original post by Mario Rugna Peer reviewed by Minh Le Cong

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Imaging Case of the Week 488 Answer

EMergucate

The left wrist x-ray shows an intra-articular two part fracture of the base of the 5th metacarpal & scaphoid waist … Continue reading →

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Taking A Risk

Dr. Mike Sevilla

I’m going to do something I’ve never done before. I’m going to ask you, the reader, to give me a review on Google. I have to tell you, this is a big risk, because I have no idea what is going to happen here. Why now? Well, let me ask you, how many time have you read the reviews on Amazon before you make a purchase? How about this? How many times have you read the reviews of a doctor before you made a decision whether to pick a new doctor.

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Medical Decisions: Some are Easy and Some Not So Much

Stop and Think

Let’s start with the easy decisions: sick patients who are asking for our help. When someone falls and breaks a hip, the decision is easy. You fix it. When someone presents in shock because of AV block and a low heart rate, you place a pacemaker. When someone presents with bacterial infection, you use antibiotics. It gets trickier when we consider preventive interventions.

Stroke 52
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POCUS for PS | Deaths OTC Meds | ED Sepsis Teams | Dispo Early v Late | New ASA Difficult Airway

JournalFeed

It’s the JournalFeed Podcast for the week of January 3-7, 2022. We cover POCUS for pyloric stenosis, deaths from OTC cough medicine in children, ED sepsis teams reduce mortality, dispo times early vs late in your shift, and new ASA 2022 difficult airway guidelines.

Sepsis 52

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Appreciate The Sunrise

Dr. Mike Sevilla

Just another day for a health care worker in America. I was driving to work this morning, and my mind was wandering all over the place thinking about work and life. And, then I turn the corner, and I see the sunrise, and I had to stop. And, sometimes life does that to you. We’re knee deep every day in our usual day-to-day things, and then something happens to just stop you in your tracks.

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SGEM#355: Bigger Isn’t Better When It Comes to Chest Tubes

The Skeptics' Guide to EM

Date: December 28th, 2021 Reference: Kulvatunyou et al. The small (14 Fr) percutaneous catheter (P-CAT) versus large (28–32 Fr) open chest tube for traumatic hemothorax: A multicenter randomized clinical trial. J Trauma and Acute Care Surgery. November 2021. Guest Skeptic: Dr. Chris Root is a second-year resident physician in the Department of Emergency Medicine at the University […] The post SGEM#355: Bigger Isn’t Better When It Comes to Chest Tubes first appeared on The Skeptics Guide to Emerg

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Tasty Morsels of Critical Care 056 | Aspergillosis

Emergency Medicine Ireland

Welcome back to the tasty morsels of critical care podcast. Today we look at everyone’s favorite mould – aspergillus. We see a number of fungal infections in the ICU, most commonly it’ll be the yeasts – forms of candida. Yeasts. Read More » Welcome back to the tasty morsels of critical care podcast. Today we look at everyone’s favorite mould – aspergillus.

COPD 40
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ECG of the Week – 12 January 2022

EMergucate

A 45 year old male presents to ED complaining of central pleuritic chest pain for the last 9 days. The patient has a past history of AML.

EKG/ECG 52
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Small Towns Against The World

Dr. Mike Sevilla

“My cup runneth over with kindness” -- Dr. Mike Sevilla I have to tell all of you that I have been overwhelmed (in a good way) with all the feedback that I have received about my essay last week about my hospital and my community. When I go into the hospital, I always have someone stop me, or give me a thumbs up as I’m looking down the hall. When I’m in the store (with my mask on), I have people turn their grocery cart all the way around to make sure that it’s me, and then they say so many kind

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2021 Wrap-Up

EM Literature of Note

A few items to collate from the last several months’ efforts. The Annals of Emergency Medicine Podcast continues apace, with free monthly updates from the original research published in the journal: iTunes Link SoundCloud Link Likewise, the Annals of Emergency Medicine Journal Club has published several monthly installments: Predicting Outcomes in Pediatric Pneumonia: Are We Omnipotent or Incompetent?

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New Year's Check-In

Dr. Mike Sevilla

Today is January 10, 2022, and how are those New Years changes going for you. Full disclosure, not really going well for me. The New Year’s “R”-word is triggering for me, so I don’t mention it (resolutions) - Hehe. Ever since my surgery 2 years ago (see this blog post for further explanation of what happened there), I’ve really been trying to make some small changes in my life when it comes to my own health.

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Lab Case 347 Interpretation

EMergucate

36 year old male presents to ED with swelling and discolouration of his foot after stepping on a piece of coral 1 week ago. The patient reports fever and vomiting.

EMS 40
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Lab Case 347

EMergucate

36 year old male presents to ED with swelling and discolouration of his foot after stepping on a piece of coral 1 week ago. The patient reports fever and vomiting.

EMS 40
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Lab case 346 interpretation

EMergucate

Answer for lab case 346 PH = 7.25, that is moderate acidaemia.

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