Pediatric EM Morsels
AUGUST 11, 2023
This is the 601st Ped EM Morsel ! Having authored 575 ( well, now 576 ) of them, I am often quite convinced that there are no new topics to discuss. Then July happens and we get 14 more amazing interns who help educate me and remind me that there is always more to learn. Recently, Dr. Teresa Crow encountered an important topic in children that deserves its own Morsel.
The Trauma Pro
AUGUST 8, 2023
In my last post, I detailed the following case: This male patient was brought to the trauma center after a high-speed car crash. He was unresponsive with GCS 3. A bleeding facial laceration was present, as was vomitus in the airway. Prehospital providers rapidly intubated the patient and inserted an orogastric tube. They rapidly packaged and transported him to the nearest trauma center.
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Mount Sinai EM
AUGUST 6, 2023
Materials Materials to build a DIY homemade low-cost ultrasound model for intravenous access Shallow plastic container x 2 Pipes, different sizes (Suction tubing, oxygen tubing, plastic cover for needles) Metal screw or nail Some waterproof glue or glue gun Beef gelatin 150g + warm tap water 800ml + Rubbing alcohol 50ml Hand mixer Spoon or strainer Cooking oil Making the mold Make holes to both sides of the container to pass the tubings through and through (I used a hot screw for this) Pass the
ALiEM
AUGUST 9, 2023
Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric lung ultrasound. Then test your skills on the ALiEMU course page to receive your PEM POCUS badge worth 2 hours of ALiEMU course credit. Take the ALiEMU PEM POCUS: Pediatric Lung Ultrasound Quiz Module Goals List indications for performing a pediatric lung point-of-care ultrasound (POCUS).
Life in the Fast Lane
AUGUST 10, 2023
James Miers, John Mackenzie and Amanda Beech Precipitous Birth in the ED Emergency Procedure: Precipitous Birth in the ED. Let’s face it, the three births you attended as a medical student don't really prepare you for this.
Emergency Live
AUGUST 8, 2023
Water and destruction: some of the most devastating floods in history How threatening can an expanse of water be? It depends, of course, on the context, but certainly when we are talking about rivers coming out of their banks and numerous landslides and mudslides are caused by these disasters, there is little to feel safe […] The post The floods that have most affected the world - three examples appeared first on Emergency Live.
PulmCCM
AUGUST 7, 2023
Between one in 3,000 and one in 20,000 healthy boys and men aged 12-24 vaccinated against SARS-CoV-2 experienced myocarditis severe enough to require hospitalization , often in the ICU, and a minority still had symptoms and abnormal cardiac MRIs at the time of discharge. It’s unknown how many more experienced myocarditis not severe enough to result in hospitalization.
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ALiEM
AUGUST 7, 2023
A 10-year-old male with no past medical history presents to the Emergency Department (ED) by EMS for evaluation of an injury sustained while playing tackle football. The patient was forcibly hit by another child against a tree. He complains of sharp right shoulder and chest pain that worsens with movement of his right upper extremity and he arrives wearing a sling to immobilize the arm.
Emergency Live
AUGUST 8, 2023
Murphy's maneuver is a maneuver used by the doctor in semiotics to investigate the presence of pain that originates in the gallbladder (also called gall bladder) The post Maneuver and positive or negative Murphy's sign: what are they and what do they indicate? appeared first on Emergency Live.
Life in the Fast Lane
AUGUST 6, 2023
Mike Cadogan Fractures App The Fractures App is yet another fantastic, simple and effective bedside app created by Tom Fadial and Spencer Tomberg
Dr. Smith's ECG Blog
AUGUST 6, 2023
This may be my best lecture yet. I gave it virtually to the Kaiser group. You can access it also on the "Lectures and Podcasts" link on the Banner above. [link] == MY Comment, by K EN G RAUER, MD ( 8/6 /2023 ): == Brilliant talk by Dr. Smith on the state of the art addressing the “need for OMI — and the fallacy of STEMI”. For skeptics ( including cardiologists ) — Any questions about “Who is Dr.
Science Based Medicine
AUGUST 7, 2023
Last week, I wrote about how COVID-19 has exposed the toothlessness of state medical boards. Last week, the American Board of Internal Medicine announced that it was going to permanently revoke the board certifications of two COVID-19 contrarian doctors, Drs. Paul Marik and Pierre Kory. Can medical specialty boards make up for the failure of state medical boards, at least partially?
Emergency Live
AUGUST 9, 2023
While the term 'ptosis' generally indicates the displacement of a physical structure due to the force of gravity, and can affect different parts of the body, eyelid ptosis is the most common The post Eyelid ptosis: an overview of the drooping eyelid appeared first on Emergency Live.
SheMD
AUGUST 8, 2023
Are you pre-med and starting medical school this fall? Are you a new medical student wondering how to navigate the waters of medical school? Student Doctor Briana Christophers is sharing some advice in this three part letter to incoming medical students. Be sure to not miss the part 1 and part 3 ! Dear incoming medical student, First off: congratulations on starting medical school!
Sensible Medicine
AUGUST 7, 2023
In Chapter 1 of this mini-series, I explained the disruption wrought by the COURAGE trial. Seriously? Stenting severe coronary lesions did not improve survival over simple tablets? Chapter 2 added to the oodles of studies showing how much doctors can be fooled by the placebo effect. The ORBITA trial demonstrated that the caring signal of placing a stent is massive.
St. Emlyn
AUGUST 10, 2023
St.Emlyn's - Emergency Medicine #FOAMed Can clinicians identify life threatening injury in trauma patients? Probably not as reliably as we would wish according to this paper from London. Even in an experienced high performing EHPC team it's tricky to discern which patients have life threatening, limb threatening or significant bleeding injuries.
Emergency Live
AUGUST 7, 2023
Lessons from the earthquake in Turkey and Syria and the importance of earthquake-resistant structures Six months have passed since the earthquake that struck Turkey and Syria on 6 February 2023, claiming tens of thousands of victims. There has been a lot of help from around the world to find and rescue many people trapped under […] The post Earthquake in Turkey and Syria - What could have been done to avoid disaster appeared first on Emergency Live.
Science Based Medicine
AUGUST 9, 2023
The evidence for nasal sprays to prevent COVID is too preliminary to recommend their use. The post Nasal Sprays To Prevent COVID first appeared on Science-Based Medicine.
Sensible Medicine
AUGUST 11, 2023
BW was a 66-year-old woman who presented for an urgent visit to the general medicine clinic. She reported that she had been having dizziness for the last four days. When pressed, she said it occurred intermittently, being present more than absent. She could not identify any palliative or provocative features, and when asked about associated symptoms she said that she felt “bad and scared” when it was present.
RebelEM
AUGUST 7, 2023
Background: Getting a definitive airway in a critically ill trauma patient can be a stressful situation. The potential for soiled airways, cervical spine injuries, maxillofacial injuries and head injuries combined with agitation/delirium, altered mental status and hypoxemia can make securing a definitive airway both an anatomic and physiologic challenge.
Emergency Live
AUGUST 10, 2023
Eisenmenger syndrome, is a rare complication of a congenital heart defect, will affect the hole that connects the heart chambers or major blood vessels The post Congenital heart defects: Eisenmenger's syndrome appeared first on Emergency Live.
ACEP Now
AUGUST 8, 2023
Sure, he made the national news for saving a life at an Eagles game while wearing an elaborate Mummer’s Day costume, but did you know he’s also his residency’s social chair and has all the best local recommendations for ACEP23 attendees? Read on! Vincent Basile, DO, an emergency medicine resident at Einstein Medical Center in north Philadelphia, was focused on cheering for his hometown Eagles on January 1, 2023, when he realized a fellow fan was experiencing a medical crisis.
Taming the SRU
AUGUST 7, 2023
Sick vs Not Sick - Ruptured Ovarian Cyst - Stroke Updates - AV BlockS - Over-Testing in the ED - Research Sick vs. Not Sick WITH Dr. knight “The eye cannot see what the mind does not know” There is a middle ground between minimalist and risk-averse evaluation of patient EM physicians can use system 1 thinking pretty accurately to describe disposition for patients based off of initial gestalt “What do I see when I walk in the room?
Core Medical Group
AUGUST 11, 2023
In the bustling world of healthcare recruitment, there exists a group of individuals who work behind the scenes, bringing healthcare professionals and their dream roles together. Through the sun-soaked days on the golf course, deep-sea fishing, and the serenity of coastal waters, Ryan's story unfolds, revealing his inspiration, his victories, and his unique strategies that have earned him a spot in the spotlight.
Emergency Live
AUGUST 7, 2023
In medicine, Blumberg's sign is a clinical sign indicating inflammation of the peritoneal wall The post Positive or negative Blumberg's sign: what it is and when it indicates peritonitis appeared first on Emergency Live.
Medagadget
AUGUST 9, 2023
Researchers at the University of Würzburg in Germany have developed a portable scanner that is the first to be able to image humans using Magnetic Particle Imaging (MPI). The technology could provide a radiation-free alternative to techniques such as X-ray fluoroscopy and digital subtraction angiography for minimally invasive endovascular procedures, and is well suited for viewing processes such as blood flow.
Science Based Medicine
AUGUST 11, 2023
We all have biases, including in-group loyalty. It's often easy to see such bias in others, though nearly impossible to see in oneself. As such, it's both normal and dangerous to imagine that only those who disagree with you are vulnerable to groupthink, while you are perfect beacon of independent, rational thought- along with everyone who agrees with you.
Emergency Medicine Cases
AUGUST 8, 2023
In this ECG Cases blog with Dr. Jesse McLaren we interpret 10 ECG cases and explore cardiac, metabolic and GI causes: We consider anginal equivalents, and look for ECG signs of Occlusion MI, including subacute occlusion from delayed presentations. We consider electrolyte disturbances and look for ECG signs of hyperkalemia or hypokalemia/hypomagnesemia, and we consider the differential of diffuse ST depression with reciprocal ST elevation in aVR, and false positive STEMI.
Emergency Live
AUGUST 5, 2023
Coarctation of the aorta is a congenital heart disease characterized by narrowing or constriction of the aorta The post Congenital heart disease: coarctation of the aorta appeared first on Emergency Live.
Medagadget
AUGUST 9, 2023
Researchers at the University of Ottawa have developed a light-activated hydrogel treatment for corneal disease. Many of the people who suffer from corneal disease, which can include corneal thinning, are not suitable for a corneal transplant, and obtaining transplants is a challenge for those who are. This technology is intended to assist with thickening and reshaping the cornea, and it may pave the way for an alternative to transplants in the future.
Science Based Medicine
AUGUST 10, 2023
The debunking resumes with the fourth installment in debunking the antivaxxer book “Turtles All the Way Down”: Chapter 4, “Epidemiology 101," in which the antivax authors put a biased spin on basic concepts in epidemiology as a lead-in to their obviously intended purpose of claiming that all the studies finding vaccines to be safe and effective should be discounted.
Taming the SRU
AUGUST 6, 2023
Morbidity and Mortality - Left Ventricular Thrombus - Aneurysmal SAH - Opioid Use Disorder Morbidity and Mortality WITH Dr. Kletsel Pustular psoriasis Psoriasis is characterized by discrete plaques of erythema, scales, and fissures of the extremities It is associated with significant morbidity & treatment consists of topical steroids, along with referral to establish with dermatology Use caution with systemic steroids as they can potentially worsen flares While rare, pustular psoriasis is th
Emergency Live
AUGUST 9, 2023
The Dangerousness of Flash Floods There are events that often accompany drastic accidents, disasters that often also cost the lives of the people involved in them.In this case we have to talk about how cloudbursts can create what are called Flash Floods. These are in fact very specific floods, which can also occur in areas […] The post Flash Flood what this term means in disasters appeared first on Emergency Live.
Medagadget
AUGUST 8, 2023
EarliTec Dx , a medtech company based in Georgia, has developed the EarliPoint Evaluation System for Autism Spectrum Disorder (ASD). This common neurodevelopmental condition is often overlooked in affected children, leading to a lack of early intervention and care. Part of the issue is a lack of access to specialists who can diagnose the condition. Another issue is the lack of quantitative tools that can assist clinicians in diagnosing ASD, and instead they rely on subjective measurements and ob
EMDocs
AUGUST 7, 2023
Authors: Lauren Willoughby, MD (Education Fellow, University of Wisconsin); Benjamin H. Schnapp, MD, MEd (Associate Program Director, University of Wisconsin) // Reviewed by: Joshua Lowe, MD (EM Attending Physician, USAF), Marina Boushra (EM-CCM, Cleveland Clinic Foundation); Brit Long, MD (@long_brit) Case A 36-year-old pregnant woman at 21 weeks gestation presents to the ED with chest pain.
University of Maryland Department of Emergency Med
AUGUST 6, 2023
Prior research has shown that EPs can accurately detect ocular pathology using POCUS. A recent retrospective review looked at how ult.
Emergency Live
AUGUST 6, 2023
McBurney's point is a landmark used in medicine and semiotics in the physical examination of the abdomen The post McBurney's point and positive sign in appendicitis appeared first on Emergency Live.
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