Ken Grauer, MD

MARCH 1, 2024

I was sent the 2 ECGs shown in Figure-1 — which were recorded from an elderly man whose heart beat "has been irregular for years". No clear history for recent chest pain — but the patient "has not been well" for the previous week. Regarding the 2 ECGs in Figure-1 : ECG #1 is the initial tracing obtained at the scene by the EMS ( E mergency M edical S ystems ) team — in association with an alert but markedly hypotensive patient.

EKG/ECG 458

EKG/ECG EMS Wellness 458

The Trauma Pro

MARCH 1, 2024

Seriously injured patients frequently develop coagulopathy, which makes resuscitation (and survival) more challenging. A few years ago, the CRASH-2 study lent support for using tranexamic acid (TXA) in select trauma patients to improve survival. This drug is cheap and has antifibrinolytic properties that may be beneficial if given for life-threatening bleeding within 3 hours of initial injury.

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Military Resuscitation Administration Hospitals 279

Pediatric EM Morsels

MARCH 1, 2024

We have digested many Morsels regarding various pulmonary complaints. While some are very rare (ex, Pulmonary Embolism , Pulmonary Hypertensive Crisis , Negative Pressure Pulmonary Edema , CPAM ) others are commonly encountered (ex, Croup , Bronchiolitis , Sinusitis ). It is pneumonia , however, that often generates the most conversations. When should I consider a CXR ?

Pediatrics 169

Pediatrics Ultrasounds Operations Hospitals 169

Science Based Medicine

MARCH 1, 2024

A new stud of thousands of cases confirms that sharing a sleep surface with a caregiver significantly increases the risk of unexpected death in infancy. The post More Evidence that Ignoring Safe Sleep Advice Puts Babies at Risk of Unexpected Death first appeared on Science-Based Medicine.

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Emergency Live

MARCH 1, 2024

An Overview of Different Types of Ambulances in Europe and Their Functionalities The Diverse Faces of Rescue: Ambulances A, B, and C The ambulance service is a fundamental pillar of the healthcare emergency system, with ambulances classified into three main categories: Type A, B, and C. Type A ambulances are essential for first aid, ready […] The post The World of Ambulances: Types and Innovations appeared first on Emergency Live.

Ambulance Services 93

Ambulance Services 93

Sensible Medicine

MARCH 1, 2024

I can’t stand celebrity doctors. That said, I am kind of a fan of Peter Attia. This is an accomplishment for Dr. Attia because one of my criteria for calling someone a celebrity doctor is that I can’t stand them. I appreciate Dr. Attia because he’s a smart guy who seems much more interested in improving people’s lives than hawking his wares.

Outcomes 93

Outcomes 93

Dr. Smith's ECG Blog

MARCH 1, 2024

This 60 yo male had an apparent tonic clonic seizure. He had no history of seizures. He was unconscious for 8 minutes and slowly awoke in the ambulance, complaining of nausea only. First responders found him to be very tachycardic , confused, perserverating and with no memory of the event. There was tongue biting. Lightheadedness continued. The tachycardia was gone by the time paramedics arrived.

Seizures 87

Seizures EKG/ECG 87

EB Medicine

MARCH 1, 2024

In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the March 2024 Emergency Medicine Practice article, Emergency Department Evaluation and Management of Constipation Prevalence and Impact Understanding the Causes Medications That Can Cause Constipation Dealing with Fecal Impaction Understanding Stercoral Colitis Pre-Hospital Care ED History and Physical Exam Diagnostic Studies and Imaging X-Ray CT Scans Advanced Testing Treatment Options for Constipation Enemas Osmotic Laxatives and S

Hospice 62

Hospice Emergency Department Pediatrics Hospitals 62

Emergency Live

MARCH 1, 2024

With the purchase of 10 H145 helicopters, DRF Luftrettung marks a new era in medical rescue The Evolution of Air Rescue Air rescue represents a crucial component in emergency services, offering a rapid response in critical situations where every second counts. Helicopters, with their ability to land and take off vertically, access remote locations, and […] The post Revolution in the Skies: The New Frontier of Air Rescue appeared first on Emergency Live.

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ALiEM

MARCH 1, 2024

A 24-year-old female with no pertinent PMHx presents to the ED with a chief complaint of eye pain. She reported a 10-day history of worsening right eye pain following being punched in that eye. She had been managing her pain with ice and had not taken any OTC medications. Her mom convinced her to go to the ED and she first went to an outside hospital, but was referred to come to our institution.

Dislocations 60

Dislocations Academics Ultrasounds Hospitals 60

Emergency Live

MARCH 1, 2024

Speed, Precision, and Power: How Munich Airport’s Firefighting Fleet Sets New Standards in Emergency Response At Munich Airport, Germany’s second-largest airport, a new era of firefighting is underway with the deployment of four Rosenbauer Panther 8×8 vehicles. These giants, weighing 52 tons each, are equipped with two Allison fully automatic transmissions, enabling them to reach […] The post Revolutionizing Airport Firefighting: Munich's Panther Trucks and Allison Tr

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EMergucate

MARCH 1, 2024

Question 1: PH = 7.30 that is mild acidaemia. HCO3 = 16 mmol/L (>24) so we have metabolic acidosis.

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Emergency Live

MARCH 1, 2024

Testing the Future of Drone-Assisted Search and Rescue with Pollicino Device Amidst Harsh Conditions On Saturday, Feb. 24, the scheduled exercise of Rescue Drones Network Odv, Emilia Romagna Section, was held at Monte Orsaro, after all the necessary bureaucratic requirements had been met. The purpose of the exercise, in addition to simulated search for a […] The post Rescue Drone Network: The Successful Drone Exercise at Monte Orsaro appeared first on Emergency Live.

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PHARM

MARCH 1, 2024

The burden of head trauma in rural and remote North Queensland, Australia – Injury — Read on www.injuryjournal.

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Emergency Live

MARCH 1, 2024

Let’s explore what extravasation means in medical terms and how it is managed What is Extravasation? Extravasation in medicine refers to the accidental leakage of a fluid, often a drug or intravenously administered solution, from the blood vessel into the surrounding tissues. This event can occur during treatments such as chemotherapy, administration of contrast fluids, […] The post The Extravasation: An Essential Guide appeared first on Emergency Live.

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Administration 72

Thinking Critical Care

MARCH 1, 2024

Video post by @PhilippeRola.

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Emergency Live

MARCH 1, 2024

Understanding the symptoms, causes, and treatment options for this unusual pregnancy condition Gestational trophoblastic neoplasia (GTN) represents a group of rare but significant diseases that develop during pregnancy. These conditions arise from cells that would normally form the placenta, ranging from benign to highly treatable malignancies. Understanding this disease is crucial for early diagnosis and […] The post Gestational Trophoblastic Neoplasia: what it is and how to treat it appe

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Pediatric Emergency Playbook

MARCH 1, 2024

www.PEMplaybook.

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Emergency Live

MARCH 1, 2024

Discoveries and Advanced Treatments for Pediatric Renal Cancer Wilms tumor, also known as nephroblastoma, poses a significant challenge in the fight against pediatric cancer. This renal carcinoma, the most common among children, has garnered worldwide medical attention, leading to significant discoveries and encouraging survival rates. Epidemiology and Risk Factors With an incidence primarily affecting children […] The post Wilms Tumor: A Guide to Hope appeared first on Emergency Live.

Pediatrics 52

Pediatrics 52