Fri.Feb 09, 2024

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Nail In The Neck: Part 2

The Trauma Pro

This case involves an accidental nail gun injury to the neck. The patient is hemodynamically stable, neurologically intact, the airway is patent and not threatened, and there is no apparent hematoma. There is a small puncture near the sternocleidomastoid muscle on the right, fairly high on the neck. The nail is not palpable on either side. And the patient only complains of a little discomfort when he swallows.

Wellness 147
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The Patient

Sensible Medicine

You can only listen to, or read, what doctors have to say for so long. Today, in our Friday, “reflective writing” slot, an essay from someone in the bed rather than beside it. Adam Cifu Sensible Medicine is a reader-supported publication. If you appreciate our work, consider becoming a free or paid subscriber. After ten days tethered to an IV of cyclosporine, the surgeon explained that he would remove my colon, create a stoma, and hitch a colostomy bag to my abdomen.

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Chest pain with anterior ST depression: look what happens if you use posterior leads.

Dr. Smith's ECG Blog

Written by Jesse McLaren A 65 year old with a history of atrial flutter, CABG and end-stage renal disease on dialysis presented with 3 days of fluctuating chest pain, which was ongoing at triage. What do you think? Do you need posterior leads? There’s atrial flutter with controlled ventricular response, a non-specific intra-ventricular conduction delay, borderline right axis, normal R wave progression and normal voltages.

EKG/ECG 107
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The Role of Compliance Officers in Healthcare Organizations: Challenges and Responsibilities

American Medical Compliance

Compliance officers’ responsibilities extend far beyond merely checking boxes and ticking off regulatory requirements. In fact, 61% of the compliance teams from a Thomson Reuters report also work on long-range strategies for their companies by putting regulatory and legislative changes as a top priority. Compliance officers take on a more complex task such as the creation of medical compliance plans for their company’s long-term success.

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Dr. Kelly Brogan Wakes Up to the “Ball Earth Hoax”. What Does This Reveal About Prominent Professors From Prominent Medical Schools?

Science Based Medicine

What did I mean when I said Dr. Kelly Brogan "won the pandemic"? The post Dr. Kelly Brogan Wakes Up to the “Ball Earth Hoax”. What Does This Reveal About Prominent Professors From Prominent Medical Schools? first appeared on Science-Based Medicine.

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EMCrit 368 – The Acute Critical Care Medication Reconciliation with Josh Farkas

EMCrit

The acute crit care med rec EMCrit Project by Scott Weingart, MD FCCM.

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The Importance of Fair and Consistent Employee Sanctions

Total Medical ComplianceHIPAA

In any organization, maintaining a harmonious work environment is pivotal to productivity and morale. However, navigating employee misconduct can be a challenging tightrope walk. When infractions occur, the response must be calibrated, fair, and reflective of the severity of the behavior while also considering the employee’s history, intent, and circumstances.

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Referring to the Intensive Care Unit

Mind The Bleep

As a foundation doctor, caring for patients who deteriorate rapidly and/or are critically unwell can be daunting. Intensive care units provide the highest-level care for patients within the hospital. Knowing which patients are appropriate to refer is important for all foundation doctors to understand. Critical care outreach teams (CCOT) provide a link between the wards and intensive care.

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It’s Your Call – February 2024

Total Medical ComplianceHIPAA

OSHA: We have an employee out with COVID-19. What is the current timeline for healthcare workers to return to work? The CDC guidance says that employees experiencing a mild to moderate case of COVID-19 who are not moderately to severely immunocompromised may return to work after 7 days have passed since symptoms first occurred (day 0), and COVID-19 testing is performed.

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Rash Week! An atypical antibiotic reaction

PEMBlog

Just look at the rash – then scroll down to reveal the diagnosis. That’s it. This child was placed on Amoxicillin for acute otitis media and this rash developed after 9 days of treatment. The child has fever and swollen feet as well. It’s Serum Sickness Like Reaction! This is a delayed allergic reaction to an antibiotic. Another name would be Urticaria Multiforme with systemic symptoms and joint involvement.

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Drone delivery of automated external defibrillators compared with ambulance arrival in real-life suspected out-of-hospital cardiac arrests: a prospective observational study in Sweden – The Lancet Digital Health

PHARM

Drone delivery of automated external defibrillators compared with ambulance arrival in real-life suspected out-of-hospital cardiac arrests: a prospective observational study in Sweden – The Lancet Digital Health — Read on www.thelancet.

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ECG Blog #416 — Is the Rhythm and ECG related?

Ken Grauer, MD

Imagine the only information provided for the ECG in Figure-1 — is that it was obtained from a 60-year old man with new CP ( C hest P ain ). QUESTIONS: In view of this brief history — How would YOU interpret this ECG in Figure-1 ? Is the cardiac rhythm related to the 12-lead ECG? Figure-1: The initial ECG in today’s case. MY Thoughts on the ECG in Figure-1: The goal of practicing clinicians is to interpret both parts of the tracing in Figure-1 ( = the cardiac rhythm and the 12-lead ECG ) — in an

EKG/ECG 259
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Ketamine Compared With Morphine for Out-of-Hospital Analgesia for Patients With Traumatic Pain – PMC

PHARM

Ketamine Compared With Morphine for Out-of-Hospital Analgesia for Patients With Traumatic Pain – PMC — Read on www.ncbi.nlm.nih.

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High sensitivity cardiac troponins for ED chest pain evaluation (2022 ACC pathway)

ALiEM

How do we best use high-sensitivity cardiac troponin (hs-cTn) to risk stratify patients with symptoms concerning for an acute myocardial infarction (AMI)? The 2022 American College of Cardiology (ACC) pathway provides timely guidance [1]. We help you translate this to your clinical practice, by illustrating with a case. Time to know your hs-cTn better.

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SAS 2022 Prehospital airway management

PHARM

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ECG Pointers: Recurrent and Refractory Torsades de Pointes

EMDocs

Authors: Adam Roussas, MD, MBA, MSE // Reviewed by: Jamie Santistevan, MD ( @jamie_rae_EMdoc, EM Physician, Presbyterian Hospital, Albuquerque, NM); Manpreet Singh, MD ( @MPrizzleER ); and Brit Long, MD ( @long_brit ) Case A 40-year-old female presents to the emergency department for palpitations and lightheadedness. She has a history of depression on citalopram, migraines on amitriptyline, and was recently prescribed tramadol after she broke her wrist.

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