Sun.Jul 30, 2023

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Thyroid Storm Management

Mount Sinai EM

TR Pearl: Thyroid Storm Management Endocrine emergency: severe clinical manifestations of thyrotoxicosis Mortality rate of thyroid storm is 10-30% Often precipitated in patients with hx of hyperthyroidism by an acute event such as surgery (thyroid or non-thyroidal surgery), trauma, infection, acute iodine load (including amiodarone), or parturition Risk factor includes irregular use or discontinuation of antithyroid drugs Diagnosing Thyroid Storm : The distinction between severe thyrotoxicosis a

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Medical School Application Letters of Recommendation

SheMD

Disclaimer: This post was written before the COVID-19 pandemic. Some of the interview information may not be relevant during the 2020-2021 & 2021-2022 academic years. Hello premeds! ,, AMCAS , ,, AACOMAS , and ,, TMDSAS all opened in the beginning of May. We are kicking it into high-gear with premeds so they can turn in their medical school applications as soon as they are able.

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VT or SVT? Here, Both!

ECG Guru

Complex ECGs like this one have to be approached systematically. Firstly, we can see a normal sinus rhythm. A is the first beat of a wide complex tachycardia. This must be a ventricular tachycardia. Although there is a P-wave before the first beat of the tachycardia, it is not premature. Therefore, there is no SVT with aberrant conduction. The first beat of the tachycardia looks different from the subsequent beats because there is a fusion beat present.

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Circulatory assistance to the left ventricle: the intra-aortic counterpulsation

Emergency Live

The aortic counterpulsator is a device that is used in cardiology because it is capable of providing temporary circulatory assistance The post Circulatory assistance to the left ventricle: the intra-aortic counterpulsation appeared first on Emergency Live.

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EMCrit 354 – Reduced-Dose Systemic Peripheral Fibrinolysis in Massive Pulmonary Embolism

EMCrit

Lower dose peripheral infusion for sick pulmonary embolism patients EMCrit Project by Scott Weingart, MD FCCM.

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186. Is charcoal EVER the right answer?

Board Bombs

We’re covering a unique overdose you might have seen before: bupropion. Also, we’re covering some weird pearls for toxicology. Let’s get to it in this short, action-packed episode. Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here: emrapidbombs.supercast.com. Cite this podcast as: Briggs, Blake. 186.

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Instructors' Collection ECG: Severe Triple Vessel Disease

ECG Guru

The Patient: This ECG is from a 63-year-old man who complained of epigastric pain for three hours. The pain was sudden in onset, burning in nature, and accompanied by nausea and palpitations. The patient is a heavy smoker, diabetic and hypertensive with a long history of non-compliance to his medications. He was given crushed aspirin, loaded with clopidogrel and heparin, given high-intensity statins, and rushed to the cath lab.

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Discriminatory Zone and Ectopic Pregnancy

University of Maryland Department of Emergency Med

Ectopic pregnancy ranges from 3 to 13% in symptomatic first-trimester ED patients. The discriminatory zone is defined as the le.

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What Are Treatments for Recurrent Respiratory Papillomatosis?

Pediatric Education

Patient Presentation A 4-year-old female came to clinic to establish care. She was a healthy female except for a history of recurrent respiratory papillomatosis that was being managed by otolaryngology. She was noted to have laryngeal and proximal tracheal involvement. The past medical history showed that she had been diagnosed around 20 months of age after failed treatment for asthma and hoarseness.

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Bad Science Needs to Be Called Out

Sensible Medicine

This will be a short column about a study that should have never been conceived, performed or published. JAMA-IM published an observational study called: Excess Death Rates for Republican and Democratic Registered Voters in Florida and Ohio during the COVID-19 Pandemic. The conclusion reads: (emphasis mine) In this cross-sectional study, an association was observed between political party affiliation and excess deaths in Ohio and Florida after COVID-19 vaccines were available to all adults.