EMCrit

OCTOBER 24, 2023

More guidelines! Today we'll walk through some interesting bits of the new IDSA/SCCM guideline on evaluation of new fever in the adult ICU patient (available free here). how should temperature be evaluated? This is frankly a mess. Bladder catheter or esophageal probe are best, but usually not used. Rectal temperature is 2nd best, but unwieldy […] EMCrit Project by Josh Farkas.

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Emergency Live

OCTOBER 24, 2023

Success for FormAnpas at Dallara Academy Headquarters: The “Rebirth” Edition After Pandemic On Saturday, October 21, Anpas Emilia-Romagna, the association that brings together 109 regional public assistance agencies, held its annual FormAnpas event at the extraordinary Dallara Automobili headquarters in Varano de’ Melegari, Parma. This edition was particularly significant, marking the revival of activities after […] The post FormAnpas 2023: the rebirth of public assistanc

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ECG Guru

OCTOBER 24, 2023

Why is this a left bundle branch block? We see a SR with broad QRS complexes (more than 120 ms). These are positive in the leftward leads I and aVL and in V5 and V6. In the more rightward leads III, aVR, and V1-V3, the QRS complexes are predominantly negative with deep S waves. This is a typical LBBB pattern.

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Emergency Live

OCTOBER 24, 2023

AirLink’s H125 helicopter provides inter-facility transfers and emergency assistance in a hard-to-reach area In the picturesque eastern Oregon town of Klamath Falls, small community life meets advanced health care thanks to AirLink, an air ambulance service that connects the quiet small-town lifestyle with large-scale medical care. Surrounded by the majestic Cascade Mountain Chains, forests and […] The post AirLink of Klamath Falls: first-level medical care in a remote community appe

Ambulance Services 82

Ambulance Services 82

ECG Guru

OCTOBER 24, 2023

There are several differential diagnoses in the presence of broad-complex tachycardia. The most common cause of wide-complex tachycardia is ventricular tachycardia. In 2nd place is sinus tachycardia/supraventricular tachycardia with aberrant conduction or preexisting bundle branch block.

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Canadian EM

OCTOBER 24, 2023

A 72-year-old male presents to the emergency department (ED) with severe chest pain and difficulty breathing after an MVC. Physical examination reveals tenderness and localized swelling over the left lateral chest wall, with X-ray confirming multiple rib fractures. The patient’s vital signs are stable, but he is visibly distressed and struggling to find a comfortable position.

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Fractures Ultrasounds Emergency Department 52

ECG Guru

OCTOBER 24, 2023

Why is this a right bundle branch block? We see a SR with broad QRS complexes (more than 120 ms). These are positive in the rightward leads III and especially in V1 and V2. In the more leftward leads I, aVL, V4-V6 there are clear S waves. This is a typical RBBB pattern.

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EMergucate

OCTOBER 24, 2023

The following chest x-ray is from an unconscious trauma victim. What can be seen?

EMS 52

EMS 52