Sat.Jun 26, 2021 - Fri.Jul 02, 2021

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Episode 59 – HIV – An Interview With Dr. Daniel Egan

EB Medicine

EMplify – July 2021 Announcements: Be on the lookout for an announcement regarding the new EB Medicine app, coming to an App Store near you this month !! HIV- An Interview With Dr. Daniel Egan See the EB Medicine Article @ [link] Why HIV? 2018 , 1,2 million people living with HIV, almost 40k new infections People living with HIV visit the ED 3 x per year on average HIV infected patients accounted for 6 in 1000 ED visits in 2017 New Transmission of HIV, Figure 1 What does acute infection look li

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Journal Jam 18 The Evidence for TXA – Should Tranexamic Acid Be Routine Therapy in the Bleeding Patient?

Emergency Medicine Cases

With the help of a special guest, EBM guru Dr. Ken Milne of the The SGEM, Anton and Justin look at all the various potential indications for TXA and review the available evidence. Should we be using TXA for epistaxis, postpartum hemorrhage, hyphema or hemoptysis? Is it a miracle drug that stops all bleeding? Or has it been drastically overhyped? Was CRASH-2 enough to be definitive, or does the classic EBM mantra of "we need more studies" remain true?

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How Independent Medical Reviews Benefits Patients, Payers and the Health Care System

Advanced Medical Reviews

The Affordable Care Act (ACA) was enacted in 2010 with three primary goals. First, to make affordable health insurance available to more people; second, to expand the Medicaid program to cover all adults with income below 138% of the federal poverty level; and third, to support innovative medical care delivery methods designed to lower the costs of health care generally.

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Who Is Liable for Injuries at a Rental Home?

Medical Law

Airbnb and other vacation rental companies have become an increasingly popular way for people to rent out vacation homes, and more people than ever are flocking to the California coast. With the growing usage of these rental companies, there are more injuries than ever before — and these incidents raise important questions about liability that don’t factor into most vacation plans: if a renter is injured while staying at someone else’s home, who is at fault — the renter or the owner?

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Acute behavioural disturbance

PHEM Cast

Definitions UK definition (RCEM): It describes the sudden onset of aggressive and violent behaviour and autonomic dysfunction, typically in the setting of acute on chronic drug abuse or serious mental illness. Australian definition (NSW Health): Behaviour that puts the patient or others at immediate risk of serious harm and may include threatening or aggressive behaviour, extreme distress, and serious self-harm which could cause major injury or death.

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Tom Jones at 81, sings about aging on his new album

CasesBlog

NPR and Bob Boilen | June 7, 2021: "We're publishing this Tom Jones Tiny Desk (home) concert on his 81st birthday. It's a poignant moment in the life of a singer whose career spans 56 years and more than 100 million records sold; the passing of his wife, Linda, in 2016 after 59 years of marriage was devastating and resulted in the longest break between recordings of his career.

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Scribe Meta-analysis | PCN Allergy Swaps | Post-LP HA | ESBL, CRE, DTR-P | HEART Score Woes

JournalFeed

It’s the JournalFeed Podcast for the week of Jun 21-25, 2021. We cover the benefit of scribes, choosing alternative antibiotics in penicillin allergic patients, how to prevent post-LP headache, treating highly resistant gram-negatives, and more problems with the HEART score.

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Tasty Morsels of Critical Care 047 | Haemostatic failure

Emergency Medicine Ireland

Welcome back to the tasty morsels of critical care podcast. This week we’ll make a fly by at part of Oh Chapter 100 looking at haemostatic failure. The understanding of the haemostatic system seems a little like the universe at. Read More » Welcome back to the tasty morsels of critical care podcast. This week we’ll make a fly by at part of Oh Chapter 100 looking at haemostatic failure.

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Middlescence = time between adolescence and senescence

CasesBlog

Middlescence is defined as the time between adolescence and senescence. "It is a paradox of life that we do not begin to live until we begin to die. Death begins at thirty, that is, deterioration of the muscle cells sets in." [link] From the video below: Life begins at 40: the biological and cultural roots of the midlife crisis | The Royal Society. In this lecture, Professor Mark Jackson, winner of the 2018 Wilkins-Bernal-Medawar Medal, explores a rich range of historical sources to argue that t

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Ischemic ST depression maximal in V1-V4 (vs. V5-V6), even if less than 0.1 millivolt, is specific for Occlusion Myocardial Infarction (vs. subendocardial non-occlusive ischemia)

Dr. Smith's ECG Blog

This is a case from many years ago that I discovered recently. The patient has heart failure as a result of this event. A 50-something man with history only of alcohol abuse and hypertension (not on meds) presented with sudden left chest pain, sharp, radiating down left arm, cramping, that waxes and wanes but never goes completely away. There was SOB at the start and increased work of breathing.

EKG/ECG 52
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SGEM#335: Sisters are Doin’ It for Themselves…Self-Obtained Vaginal Swabs for STIs

The Skeptics' Guide to EM

Date: June 25th, 2021 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. He is also an avid FOAM supporter/producer through various online outlets including TheSGEM. Reference: Chinnock et al. Self-obtained vaginal swabs are not inferior to provider-performed endocervical sampling for emergency department diagnosis of Neisseria gonorrhoeae and Chlamydia […] The post SGEM#335: Sisters are Doin’ It for Themselves…Self-Obtained Vag

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ECG of the Week – 30th June 2021 – Interpretation

EMergucate

A 70 year old male presents with SOB and neck pain.

EKG/ECG 52
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Fuori binario. Consapevolezza della diversità ed elogio della soggettività in Medicina d’Urgenza “street level”

MEDEST118

An original post by Mario Rugna

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Focus On: Breath Holding Spells

Pediatric Emergency Playbook

PEMplaybook.

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ECG of the week – 30th June 2021

EMergucate

A 70 year old male presents to ED complaining of shortness of breath and neck pain.

EKG/ECG 40
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Lab case 331

EMergucate

15 year old boy presented with tiredness, abdominal pain and shortness of breath.

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