Tue.Feb 13, 2024

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Nail In The Neck: The Operation

The Trauma Pro

We’ve made sure that our victim of the nail gun to the neck did not need an emergent operation. Vitals are stable, there’s no uncontrolled hemorrhage, and the patient is neurologically intact. We’ve imaged him using CT angiography, and the nail does not appear to have injured any vital structures. How do we get it out of there? There are two things that need to be considered: where and how.

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ECG Cases 48 – ECG Interpretation in Cardiac Arrest

Emergency Medicine Cases

In this month's ECG Cases blog Dr. Jesse McLaren reviews interpretation of the pre-arrest ECG: identifying high risk ECGs requiring empiric treatment like calcium for hyperkalemia, magnesium for long QT, or reperfusion for Occlusion MI; the intra-arrest ECG: identifying pseudo-PEA; and post-arrest ECG: the importance of serial ECGs to reduce false positive STEMI, role of POCUS to help with the differential of diffuse ST depression with reciprocal ST elevation in aVR, and identifying signs of Occ

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Padel court rescue: the importance of defibrillators

Emergency Live

A timely intervention emphasizing the value of preparation and adequate equipment in emergency situations The recent incident of a man saved from a medical emergency thanks to the swift action of a fellow player and the use of a defibrillator at a tennis club in Villanova, near Empoli (Italy), vividly illustrates the importance of having […] The post Padel court rescue: the importance of defibrillators appeared first on Emergency Live.

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Ep 191 The Future of EM – Systems Thinking

Emergency Medicine Cases

In order fix EM, each of us needs to understand systems issues and systems thinking, and advocate for a better system based on sound systems principles and specific solutions. In this main episode EM Cases podcast Anton is joined by Dr. Alecs Chochinov and Dr. Davie Petrie, two systems thinkers and leaders in EM. They discuss solutions for how to fix EM in 5 spheres: having a coordinated mission, optimizing access points, accountability, disaster preparedness and adaptation/evolution.

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Preparing for earthquakes: useful tips

Emergency Live

From furniture anchoring to emergency planning, here’s how to enhance seismic safety Recently, the province of Parma (Italy) witnessed a seismic swarm that raised concerns and highlighted the importance of emergency preparedness. Seismic events, unpredictable by nature, require a proactive response to minimize risks and prevent injuries. This article explores concrete actions that individuals, families, […] The post Preparing for earthquakes: useful tips appeared first on Emergency L

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A Note On Criticism Of Yesterday's Study of the Week

Sensible Medicine

Yesterday, someone made an error on the Internet. And I think it was me. Here is a link to my take of the ARCADIA trial. In brief, the trial compared apixaban vs aspirin in patients who had had a stroke of unknown source and evidence of atrial cardiopathy. The trial was stopped early for futility. Recurrent stroke (the primary endpoint) occurred in 40 patients in each group.

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Hypertrophic Cardiomyopathy Part 2: Workup and Treatment

Kings County Downstate EM

Co-authors: Taylor Murtaugh MD, Esteban Davila MDWe're back after a quick hiatus for part 2. You can find part 1 here.The Case ContinuedHistory and PhysicalWhen suspecting HCM, the history should focus on overall fitness as well as adverse responses to exertion such as chest pain, shortness of breath, palpitations, and syncope. […] The post Hypertrophic Cardiomyopathy Part 2: Workup and Treatment appeared first on County EM.

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Thyroid Troubles: Understanding, Recognizing, and Treating Symptoms

Ziqitza HealthCare Ltd

What is Thyroid? A tiny, butterfly-shaped organ located in the front of the neck, just below the larynx is the thyroid. An important organ of the endocrine system, its main function is to regulate different metabolic processes by the production and release of hormones. The thyroid produces hormones like thyroxine, triiodothyronine, and calcitonin that are related to metabolism, energy production, and calcium level regulation in the blood, respectively.

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How to Manage Elderly Patient Pain without Opioids

ACEP Now

A 77-year-old man presented to the emergency department (ED) with hip pain following a fall. On ED presentation, he was experiencing 10 out of 10 pain level. Physical examination was notable for left lower extremity with foreshortening and external rotation. A radiograph is shown (see figure 1). Problem How should his pain be managed? LEARN MORE The most common nerve blocks in this study are shown in Table 1.

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The Role of Exercise in Prevention of Hypertension

Ziqitza HealthCare Ltd

What is Hypertension? Hypertension, also known as high blood pressure, is a medical condition in which blood moves through the arteries a lot more rapidly than it normally does, this rapid movement continues even when the human body is at complete rest. Over time this can stretch and destroy the arteries. Hypertension can in the long term result in severe health problems like heart failure, heart disease, stroke, kidney disease, loss of vision, and cognitive issues.

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HEMS Debrief #12 – The FAKT study, with Dr Ian Ferguson

Greater Sydney Area HEMS

Welcome back to The Sydney HEMS Debrief. After an extended New Year break, we return with episode 12. We are joined this week by Sydney HEMS Staff Specialist Dr Ian Ferguson. Ian is the lead author on a recently published randomised control trial assessing the haemodynamic effects of adding fentanyl to an induction regime of ketamine and rocuronium for rapid sequence intubation in the emergency department.

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Exploring The  Diverse Symptoms Of Hypertension

Ziqitza HealthCare Ltd

What is High Blood Pressure? High blood pressure is a common health condition that affects most adults. It is when the blood forces itself against the arterial walls with such intensity that it wears out the arteries over time and damages it completely. High blood pressure is also known as hypertension and if not managed within the normal healthy range, it can escalate and cause a myriad of health issues.

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OSHA Bloodborne Pathogens Standard for California Dental Healthcare Providers Training

American Medical Compliance

The following OSHA Bloodborne Pathogens Standard for California Dental Healthcare Providers Training is designed to educate dental healthcare providers on the purpose of OSHA’s Bloodborne Pathogens Standard. Having an understanding of how to protect your staff and patients from incidents in the workplace is important in your dental practice. What you will learn: Key bloodborne pathogens of concern in dental healthcare settings Modes of transmission of bloodborne pathogens The principles of

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How caring for consumers builds relational healthcare systems

NRC Health

Jason Wolf joins the IPatient No Longer podcast and emphasizes the importance of adopting an appreciative approach to healthcare, building on strengths, and recognizing that the essence of healthcare is not just about health but also the actual delivery of care. The post How caring for consumers builds relational healthcare systems appeared first on NRC Health.

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A Comprehensive Guide on Types of Skin Diseases

Ziqitza HealthCare Ltd

What are skin Diseases? An itch, a rash, scaly skin that leaves a red patch, and all sorts of irritants on the skin can leave a person feeling awful. Skin diseases are conditions or disorders that directly affect the human skin’s look, feel, or composition. In India, acne affects a majority of the population. This is an instance among all the other types of skin diseases that affect people.

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Contaminated Airway Task Training: How to Adapt an Existing Airway Manikin Head for Active Airway Soiling – PMC

PHARM

Contaminated Airway Task Training: How to Adapt an Existing Airway Manikin Head for Active Airway Soiling – PMC — Read on www.ncbi.nlm.nih.

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Making Strides toward Inclusion, but Inequities Persist

Emergency Medicine News

An abstract is unavailable.

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Systemic hemostatic agents initiated in trauma patients in the pre-hospital setting: a systematic review – PMC

PHARM

Systemic hemostatic agents initiated in trauma patients in the pre-hospital setting: a systematic review – PMC — Read on www.ncbi.nlm.nih.

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Another Missed PE, Another Death too Soon

Emergency Medicine News

An abstract is unavailable.

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emDOCs Podcast – Episode 95: The Metric That Really Matters

EMDocs

Today on the emDOCs cast we have back Rob Orman, MD ( @emergencypdx ). Emergency Physician and founder of Orman Physician Coaching Host of the Stimulus Podcast Learn more at roborman.com Rob and several other amazing clinicians and educators are putting on Awake and Aware , a 3 day conference May 1-3 in Bend Oregon. A 3-day interactive workshop focusing on skills to thrive in your incredibly demanding job (and life).

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Piero's Diary - History of the single number for out-of-hospital rescue in Sardinia

Emergency Live

And forty years of news events seen from the unique perspective of a physician-resuscitator always on the front lines A prologue… Papal January 1985. The news is official: in October Pope Wojtyla will be in Cagliari. For a physician-resuscitator who has had it in his head for years to succeed in organizing an efficient out-of-hospital […] The post Piero's Diary - History of the single number for out-of-hospital rescue in Sardinia appeared first on Emergency Live.