Tue.Apr 02, 2024

article thumbnail

Video: Minimally Invasive Repair Of Rectal Injuries

The Trauma Pro

Extraperitoneal rectal injury repair has evolved considerably over the past 40 years. Way back when, this injury automatically triggered exploration, diverting colostomy with washout of the distal colon, and presacral drain insertion (remember those?). We eventually backed off on the presacral drains (pun intended), which didn’t make a lot of sense anyway.

Wellness 147
article thumbnail

Ep 193 The Crashing Asthmatic – Recognition and Management of Life Threatening Asthma

Emergency Medicine Cases

In this part 2 of our 2-part podcast on asthma with Dr. Sameer Mal and Dr. Leeor Sommer, we dig into the recognition and management of life-threatening asthma. We answer such questions as: what are the key elements in recognition of threatening asthma? What are the most time-sensitive interventions required to break the vicious cycle of asthma? What are the best options for dosing and administering magnesium sulphate, epinephrine, fentanyl and ketamine in the management of the crashing asthmatic

EMS 135
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Trending Sources

article thumbnail

Are you a perfect diagnostician? No? Then give your patients a break

First 10 EM

Give your patients a break. Nobody is a perfect diagnostician. Not even the best trained physician can determine, with 100% accuracy, which patients have serious pathology. Even with advanced testing, we aren’t close to perfect. However, if you listen to the subtext of breakroom complaints, it seems like we expect patients to be better diagnosticians […] The post Are you a perfect diagnostician?

134
134
article thumbnail

ECG Cases 49 – ECG and POCUS for Dyspnea and Chest Pain

Emergency Medicine Cases

In this ECG Cases blog, Jesse McLaren and Rajiv Thavanathan explore how ECG and POCUS complement each other for patients presenting to the emergency department with shortness of breath or chest pain. They explain complementary diagnostic insights into pericardial effusion and cardiac tamponade, occlusion MI and RV strain. The post ECG Cases 49 – ECG and POCUS for Dyspnea and Chest Pain appeared first on Emergency Medicine Cases.

EKG/ECG 119
article thumbnail

Ventricular Fibrillation, ICD, LBBB, QRS of 210 ms, Positive Smith Modified Sgarbossa Criteria, and Pacemaker-Mediated Tachycardia

Dr. Smith's ECG Blog

An elderly man collapsed. There was no bystander CPR. Medics found him in ventricular fibrillation. He was defibrillated, but they also noticed that he was being internally defibrillated and then found that he had an implantable ICD. He was unidentified and there were no records available After 7 shocks, he was successfully defibrillated and brought to the ED.

EKG/ECG 118
article thumbnail

Improving Your Critical Appraisal Skills

Sensible Medicine

This post introduces an occasional series, available to our paid subscribers, aimed at helping people improve their ability to read and interpret the medical literature. Improving Your Critical Appraisal Skills will be made up of “chapters” dealing with how to read articles about various study types. These chapters are adapted from my former course, Critical Appraisal of the Landmark Literature.

article thumbnail

emDOCs Podcast – Episode 98: Post ROSC Mental Model

EMDocs

Today on the emDOCs cast Brit Long interviews Zachary Aust on the use of a mental model in post ROSC patients. Episode 98: Post ROSC Mental Model What’s the problem? The Code Whatever caused the initial arrest Iatrogenic injuries from CPR Patients are in a pathophysiologic state that is being called “post-cardiac arrest syndrome” Hypoxic brain injury Myocardial dysfunction Systemic ischemia/reperfusion injury SIRS Response Very fragile state Hard to diagnose what is going on Small Things

More Trending

article thumbnail

Illuminating the Spectrum: World Autism Day 2024

Emergency Live

Embracing Differences: Understanding Autism Today Blossoming alongside spring flowers, World Autism Awareness Day is celebrated on April 2, 2024, for its 17th edition. This globally recognized event, approved by the United Nations, aims to raise public awareness about autism. Touching countless lives, autism remains shrouded in myths and misconceptions.

74
article thumbnail

Meet ISBT 128 Blood Bag Labeling Standards with PDCs Blood Bag Labels

PDC Healthcare

Every year the ISBT 128 publishes labeling standards for essential items that hospital lab professionals use, including blood bags. The ISBT 128 is the “global standard for the terminology, identification, coding and labeling of medical products of human origin (including blood, cell, tissue, milk, and organ products). It is used on six continents in disparate […] The post Meet ISBT 128 Blood Bag Labeling Standards with PDCs Blood Bag Labels appeared first on connectID - PDC Healthcare Blo

article thumbnail

Veteran patient experience executive Jennifer Baron joins NRC Health as its first chief experience officer

NRC Health

NRC Health announced today the appointment of Jennifer Baron as the organization’s first chief experience officer. Baron’s addition is part of the organization’s continued investments in leadership and innovation to align with the evolving healthcare landscape. The post Veteran patient experience executive Jennifer Baron joins NRC Health as its first chief experience officer appeared first on NRC Health.

article thumbnail

Meet ISBT 128 Blood Bag Labeling Standards with PDC Blood Bag Labels

PDC Healthcare

Every year the ISBT 128 publishes labeling standards for essential items that hospital lab professionals use, including blood bags. The ISBT 128 is the “global standard for the terminology, identification, coding and labeling of medical products of human origin (including blood, cell, tissue, milk, and organ products). It is used on six continents in disparate […] The post Meet ISBT 128 Blood Bag Labeling Standards with PDC Blood Bag Labels appeared first on connectID - PDC Healthcare Blog

article thumbnail

Buprenorphine After the X-Waiver - Clinical Correlations

Clinical Correlations

By Sarah M. Jackson Peer Reviewed During the COVID-19 pandemic, opioid overdose deaths increased from 50,000 in 2019 to 80,000 in 2021, largely driven by synthetic opioids such as fentanyl.1 Despite the escalating use of synthetic.

52
article thumbnail

NRC Health’s Team Digest offers custom engagement tools for key stakeholders

NRC Health

As healthcare leaders face challenges with competing priorities and time constraints, NRC Health has launched an easy-to-use tool, Team Digest, offering insights that leaders can use to inspire teams and execute improvement efforts. The post NRC Health’s Team Digest offers custom engagement tools for key stakeholders appeared first on NRC Health.

article thumbnail

Case Report: Toxic Hypoglycemic Syndrome

ACEP Now

An 18-year-old woman presented to the emergency department (ED) with symptoms of nausea, vomiting, diarrhea, and abdominal pain. She reported that these symptoms started two days prior, shortly after consuming a fruit known as ackee. Since the onset of illness, she had been unable to tolerate any oral intake. Before arriving at our ED, the patient sought care at an urgent care clinic, where she was prescribed ondansetron without improvement.

article thumbnail

Imaging Case of the Week 589

EMergucate

The lumbar spine x-rays are from an adult with back pain following high speed MVA. What can be noticed?

EMS 40
article thumbnail

Toxicology Answer: The Capsaicin Found in Hot Peppers and Chilis

ACEP Now

“How bad could it be?” was the last thought before I took a small bite of the Carolina Reaper pepper I had grown in my (toxicology-required) garden. “Am I going to die?” was the next thought as I swigged milk to extinguish the blowtorch in my mouth, mopped sweat off my forehead, tried not to retch, and rethought recent life-choices. The Carolina Reaper pepper.

Burns 40
article thumbnail

How Not To Miss Posterior Circulation Stroke

ACEP Now

Posterior circulation strokes make up 20 percent of all strokes but account for 40 percent of stroke misdiagnoses. 1 Vertigo and dizziness are often the hallmarks, but distinguishing a central (brain) from a peripheral (vestibular) etiology is difficult. Dizziness is especially tricky, with up to 40 percent of strokes presenting with dizziness being missed. 2 Vertebral artery dissection (VAD) is notoriously elusive, producing anatomically scattered symptoms that may stutter for days. 3 Case 1: P

Stroke 40