Sat.Apr 20, 2024

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ECG Blog #426 — Are STEMI Criteria Met?

Ken Grauer, MD

The ECG in Figure-1 — was obtained from a 70-ish year old man with episodic CP ( C hest P ain ) over the previous 2-3 days , being awakened from sleep now for a more severe CP episode. QUESTIONS: In view of this history — How would YOU interpret this ECG? Should you activate the cath lab? Figure-1: The initial ECG in today's case. MY Initial Thoughts on Today's CASE: Although it is difficult from the brief history we are given, to determine the true onset of whatever might be happening — the pat

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Asylum

Mount Sinai EM

Review of definitions – Migrant – a person who moves from one place to another – Refugee – a person fleeing persecution or fear of persecution on one of 5 protected grounds. – Asylum seeker – a refugee seeking protection from within the United States – 5 protected grounds: race, nationality, religion, political opinion, social group not protected: climate disasters, civil wars, poverty The history of asylum – 1951: there was a UN Convention in Gene

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SGEM#437: Don’t Be Fooled by the Meds I Got, I Still Need an ESP Block – For My Rib Fractures

The Skeptics' Guide to EM

Reference: Ramesh S, Ayyan SM, Rath DP, Sadanandan DM. Efficacy and safety of ultrasound-guided erector spinae plane block compared to sham procedure in adult patients with rib fractures presenting to the emergency department: A randomized controlled trial. AEM April 2024 Date: April 19, 2024 Guest Skeptic: Dr. Suchismita Datta. She is an Assistant Professor and Director of […] The post SGEM#437: Don’t Be Fooled by the Meds I Got, I Still Need an ESP Block – For My Rib Fractures first appeared o

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Journal Feed Weekly Wrap-Up

EMDocs

We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: Should We Use New Duke Criteria for Infective Endocarditis? Spoon Feed This external validation compared the 2023 Duke-International Society for Cardiovascular Infectious Diseases Diagnostic (ISCVID) Criteria aga

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Paediatric Respiratory Examination

Mind The Bleep

Respiratory diseases cause a high proportion of childhood illness and acute paediatrics admissions, thus being able to recognise certain signs early is vital for the prevention of further deterioration or respiratory arrest. As with any examination, you should start from the end of the bed and then proceed with inspection, palpation, and auscultation.

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Characteristics and outcomes of prehospital and emergency department surgical airways – PMC

PHARM

Characteristics and outcomes of prehospital and emergency department surgical airways – PMC — Read on www.ncbi.nlm.nih.

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Cow’s Milk Protein Allergy

Mind The Bleep

Picture this: A 6-month-old little champ, seemingly struggling with tummy troubles, skin woes, and a reluctance to feed. His concerned parents, noticing frequent vomits after feeds and a concerning weight loss, are at their wit’s end. Amidst a whirlwind of potential diagnoses, there’s one that takes the spotlight: Cow’s Milk Protein Allergy (CMPA).

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Confirmatory methods for endotracheal tube placement in out-of-hospital settings: A systematic review of the literature – PMC

PHARM

Confirmatory methods for endotracheal tube placement in out-of-hospital settings: A systematic review of the literature – PMC — Read on www.ncbi.nlm.nih.

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Rescue LeHeR manoeuvre during difficult video laryngoscopy to aid endotracheal intubation – PMC

PHARM

Rescue LeHeR manoeuvre during difficult video laryngoscopy to aid endotracheal intubation – PMC — Read on www.ncbi.nlm.nih.

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