EMCrit

DECEMBER 22, 2022

All the resus/acute critical care literature goodness for December 2022. EMCrit Project by Scott Weingart, MD FCCM.

118

118

PDC Healthcare

DECEMBER 22, 2022

Healthcare professionals are faced with many obstacles while administering IV medication to patients, which can lead to medical errors and a risk for patient safety. Nearly 40% of medical errors take place during medication administration as it is one of the most intricate processes for healthcare staff. It is critical to ensure the 5 rights […].

Best Practices 98

Best Practices Administration Patient Safety 98

Dr. Smith's ECG Blog

DECEMBER 23, 2022

I was working in triage very late when a 30 yo previously completely healthy woman walked in with 30 minutes of central chest pressure. This ECG was recorded: The computer called it "Normal" except for "Possible right ventricular conduction delay" What do you think? I immediately recognized an inferior-posterior-lateral OMI. There are hyperacute T-waves in II, III, and aVF.

EKG/ECG 52

EKG/ECG Documentation/Coding 52

NRC Health

DECEMBER 22, 2022

Remembering special people during the holidays fills our hearts with joy. The post Happy Holidays from NRC Health appeared first on NRC Health.

52

52

EMCrit

DECEMBER 19, 2022

This is SIESTA syndrome. The patient is locked in a cycle of unconsciousness, punctuated with brief episodes of agitation. Most of the time the patient is sedated to the point of having minimal EEG activity, which may hinder their ability to regain consciousness. . EMCrit Project by Josh Farkas.

94

94

Core Medical Group

DECEMBER 21, 2022

The job market has been a whirlwind in recent years, so it’s likely affected you in one way or another if you’re in a management or director-level position within the healthcare industry.

52

52

Dr. Smith's ECG Blog

DECEMBER 22, 2022

by Emre Aslanger Dr. Aslanger is our newest editorial member. He is an interventional cardiologist in Turkey. Dr. Aslanger is also the author of the DIFFOCULT study: Emre K. Aslanger , a, ⁎ Özlem Yıldırımtürk , b Barış Şimşek , c Emrah Bozbeyoğlu , c Mustafa Aytek Şimşek , a Can Yücel Karabay , b Stephen W. Smith , d and Muzaffer Değertekin a DIFOCCULT: DIagnostic accuracy oF electrocardiogram for acute coronary OCClUsion resuLTing in myocardial infarction.

EKG/ECG 52

EKG/ECG 52

EMCrit

DECEMBER 17, 2022

Making good decisions is the heart of Emergency Medicine and Critical Care. EMCrit Project by Scott Weingart, MD FCCM.

73

73

Emergency Medicine Cases

DECEMBER 20, 2022

In this month's Waiting to Be Seen blog Dr. Howard Ovens outlines challenges, innovations and coping strategies in the EM Crisis. The post WTBS 28 I’m OK, How Are You? How can we innovate our way out of this crisis in EM and cope until we do? appeared first on Emergency Medicine Cases.

EMS 52

EMS Wellness 52

American Medical Compliance

DECEMBER 20, 2022

Cybersecurity threats against healthcare systems have increased since the beginning of the COVID-19 pandemic due to the adoption of new health technologies. During 2020, cyberattacks against health systems increased by forty-seven percent. Adopting stronger security measures will be essential to protecting patient data moving forward. Causes of Increased Cybersecurity Threats.

Hospitals 52

Hospitals Wellness 52

EMergucate

DECEMBER 20, 2022

This ECG was obtained from a 22 year old man who had taken a polypharmacy overdose 24 hours ago. He had suffered a bradycardic / asystolic arrest and is currently in the intensive care unit.

EKG/ECG 52

EKG/ECG EMS 52

Ultrasound Gel

DECEMBER 19, 2022

This episode has been a long time coming! We're talking ultrasound-guided subclavian central lines, and a lot of people have opinions. Are they better than landmark? What should we teach learners? The GEL team discusses through the lens of this fascinating RCT. [link] [link] This episode has been a long time coming! We're talking ultrasound-guided subclavian central lines, and a lot of people have opinions.

Ultrasounds 52

Ultrasounds 52

Emergency Medicine Cases

DECEMBER 20, 2022

Dr. Jesse McLaren discusses some key aspects of cocaine chest pain ECG interpretation in this month's blog including: Patients with cocaine-associated chest pain require benzodiazepines +/- nitroglycerine for symptom relief, aspirin and ECG to look for signs of occlusion and reperfusion. In patients with chest pain + ST elevation, consider false positive STEMI including early repolarization, LVH and Brugada-pattern.

EKG/ECG 52

EKG/ECG EMS 52

The Bottom Line

DECEMBER 19, 2022

In adults with an expected ICU stay of > 72 hours, does the provision of enteral melatonin compared to placebo increase the number of delirium-free assessments within 14 days or before ICU discharge?

52

52

EMergucate

DECEMBER 18, 2022

The main finding on the elbow x-ray is that there is a radial head dislocation.

Dislocations 52

Dislocations EMS 52

Board Bombs

DECEMBER 18, 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. It lives in our nightmares. On this special holiday episode, Blake and Iltifat share the pearls and pitfalls of aortic dissection presentation, diagnosis, and management. You won't want to miss this high yield year's end conclusion.

52

52

Emergency Medicine Cases

DECEMBER 20, 2022

In this main episode podcast Anton discusses with world expert and bronchiolitis researcher Dr. Suzanne Schuh, the challenges of the diagnosis and management of bronchiolitis during a time of crisis in pediatric emergency medicine and offers some evidence-based solutions to improving outcomes while minimizing valuable resources, as part of our 'Best of University of Toronto EM' series.

Pediatrics 52

Pediatrics EMS Research Outcomes 52

The Skeptics' Guide to EM

DECEMBER 17, 2022

Date: December 16th, 2022 Reference: Hohle et al. Massive Blood Transfusion Following Older Adult Trauma: the Effect of Blood Ratios on Mortality. AEM December 2022 Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. She is also the wonderful educator that creates the Paper in a Pic infographics summarizing each SGEM episode.

Blood Transfusions 52

Blood Transfusions Fractures EMS Hospitals 52

EMergucate

DECEMBER 18, 2022

The pelvic x-ray is from an adult taken post MVA.List 5 findings. How will you manage?

EMS 52

EMS 52

University of Maryland Department of Emergency Med

DECEMBER 23, 2022

Over half of U.S. adults in the United States consume dietary supplements. Study design: A quality improvement study using dat.

40

40

Dr. Smith's ECG Blog

DECEMBER 18, 2022

Submitted and written by Quinton Nannet, MD, peer reviewed by Meyers, Grauer, Smith A woman in her 70s recently diagnosed with COVID was brought in by EMS after she experienced acute onset sharp midsternal chest pain without radiation or dyspnea. She felt nauseous and lightheaded with no neurologic deficits. EMS noted prehospital vitals for heart rates in the 60s, SPO2 of 98% on room air, initially hypotensive to 66/34 with improvement to 100/70 after 800 mL of IV fluids by EMS.

Ultrasounds 40

Ultrasounds EKG/ECG EMS Radiology 40

JournalFeed

DECEMBER 17, 2022

The JournalFeed podcast for the week of Dec 12-16, 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. Placing Pacing Pads Spoon Feed Placing transcutaneous cardiac pacer pads in the anteroposterior position required less energy to successfully capture.

Pediatrics 40

Pediatrics 40

EMergucate

DECEMBER 19, 2022

42-year-old alcoholic man presented with vomiting. His venous blood gases showed the following: PH = 7.

40

40

University of Maryland Department of Emergency Med

DECEMBER 19, 2022

Thrombolytic-induced angioedema is a known complication of alteplase or tenecteplase administration, occurring in 0.9-5.1% of patients wh.

Administration 40

Administration 40

Dr. Smith's ECG Blog

DECEMBER 18, 2022

Written by Emre Aslanger (Emre is our newest editor. He is an interventionalist in Turkey and one of 3 originators of the OMI/NOMI paradigm, along with Pendell and Smith. Here are his publications.) Case A 39-year-old male without prior medical history presents with chest pain that started 2 hours prior to presentation. He says that the pain intensity was 10/10 at home but now about 4/10.

EKG/ECG 40

EKG/ECG Wellness 40

RebelEM

DECEMBER 19, 2022

Background Information: Double external defibrillation (DED) is an intervention often used to treat refractory ventricular fibrillation (RVF). This procedure involves applying another set of pads attached to a second defibrillator to a patient and shocking them in hopes of terminating the rhythm. At REBEL EM, we’ve done an extensive write up that details some of the different types of DED and the electrophysiology behind it.

EMS 52

EMS CPR Shock Resuscitation 52

EMergucate

DECEMBER 18, 2022

Question 1: PH = 6.88, that is severe acidaemia HCO3= 5.3 mmol/L. So, we have metabolic acidosis.

40

40