SheMD
MAY 23, 2023
To all the 4th year medical students out there CONGRATULATIONS! We know Match Day was not exactly how you pictured in this post-COVID19 world, but it is still a huge accomplishment and you should be so proud! While the world is a little different right now than we thought it would be, we know that you all are both excited and anxious to begin your residency.
Medagadget
MAY 23, 2023
Researchers at the University of Göttingen in Germany have developed a cell culture chamber that lets them culture tissue samples, mimic the mechanical conditions that tissues experience in various disease states, and closely monitor tissue reactions. The technology could be particularly useful for pre-clinical drug testing, allowing researchers to test the effects of various drug candidates on tissues without the need to use experimental animals.
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Dr. Smith's ECG Blog
MAY 23, 2023
Written by Pendell Meyers A man in his early 40s experienced acute onset chest pain. The chest pain started about 24 hours ago, but there was no detailed information available about whether his pain had come and gone, or what prompted him to be evaluated 24 hours after onset. EMS arrived and recorded this ECG: What do you think? See same ECG below with computer automated interpretation, using the Glasgow ECG algorithm which apparently is used by many different providers and devices Amazing that
Medagadget
MAY 23, 2023
A recent study in Nature Medicine , entitled “ An automated histological classification system for precision diagnostics of kidney allografts ,” has showcased the efforts of a group of researchers who have developed an automated system that can diagnose kidney transplant rejection. A variety of disparate factors can affect the chances that a transplant will be rejected.
Canadian EM
MAY 23, 2023
A 3-year-old boy is brought to the ED by his anxious parents following a head injury he sustained while playing in the playground. He was running when he tripped and bumped his head against the metal steps. As you observe him calmly playing on his tablet in the waiting room, his parents are inquiring about the necessity of skull x-rays. You consider the role of such imaging in investigating pediatric head injuries –.
Medagadget
MAY 23, 2023
Researchers at Ecole Polytechnique Fédérale de Lausanne (EPFL) in Switzerland have developed a soft robotic electrode, that can be advanced through a small hole in the skull and then opened into a series of spiral arms, to provide electrocorticography measurements from a relatively large area of the brain surface. The technology could prove very useful for brain surgeons who wish to map regions of the brain that may be triggering epileptic seizures and then target these lesions surgically.
Science Based Medicine
MAY 23, 2023
You can publicly disagree with a medical student who carries the imprimatur of your university and who has gained attention in the national media by spreading misinformation. The post Open Letter to a Dean: You’re Allowed to Speak first appeared on Science-Based Medicine.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
Taming the SRU
MAY 23, 2023
BACKGROUND Foot injuries are common and can have significant implications for a patient’s well-being, functional capacity, and finances. Foot injuries can negatively impact quality of life and ability to work both in the immediate post-injury period (e.g., due to pain, weight bearing status, discomfort) and potentially later due to any injury sequelae (e.g., nonunion, post-traumatic arthritis or deformity).
Emergency Medicine Cases
MAY 23, 2023
In this part 2 of our 2-part series on STIs with Dr. Catherine Varner and Dr. Robyn Shafer we answer such questions as: Why should we care about making the diagnosis of pelvic inflammatory disease (PID) in the ED? What combination of clinical features and lab tests should trigger a presumptive diagnosis and empiric treatment of PID? Which patients with PID require admission to hospital?
Emergency Medicine Journal
MAY 23, 2023
This month’s update is by the South East Scotland team. We used a multimodal search strategy, drawing on free open-access medical education resources and literature searches. We identified the five most interesting and relevant papers (decided by consensus) and highlight the main findings, key limitations and clinical bottom line for each paper.
NRC Health
MAY 23, 2023
Fifteen seconds can make all the difference in the world of healthcare. For NRC Health partners, those 15 seconds can help provide an easily viewable patient-background summary, so that patients feel seen and heard and providers have the necessary details to deliver better care experiences. The post The importance of treating patients as people first to improve the patient experience appeared first on NRC Health.
Emergency Medicine Journal
MAY 23, 2023
Objectives The Manchester Acute Coronary Syndromes ECG (MACS-ECG) prediction model calculates a score based on objective ECG measurements to give the probability of a non-ST elevation myocardial infarction (NSTEMI). The model showed good performance in the emergency department (ED), but its accuracy in the pre-hospital setting is unknown. We aimed to externally validate MACS-ECG in the pre-hospital environment.
Kings County Downstate EM
MAY 23, 2023
Author: Nicole Anthony, MD Editor: Alec Feuerbach, MD A few years ago, I had a patient, a young woman, who had just immigrated to New York from Libya. She had left her family behind, and her only contact in New York City was the family friend with whom she was […] The post Abortion Care in the ED appeared first on County EM.
Emergency Medicine Journal
MAY 23, 2023
Background Point-of-care (POC) lung ultrasound (LUS) is widely used in the emergency setting and there is an established evidence base across a range of respiratory diseases, including previous viral epidemics. The necessity for rapid testing combined with the limitations of other diagnostic tests has led to the proposal of various potential roles for LUS during the COVID-19 pandemic.
EMergucate
MAY 23, 2023
The following chest x-ray is from an adult with irregular heart beat. What can be seen?
Emergency Medicine Journal
MAY 23, 2023
Editor’s note: EMJ has partnered with the journals of multiple international emergency medicine societies to share from each a highlighted research study, as selected by their editors. This edition will feature an abstract from each publication.
University of Maryland Department of Emergency Med
MAY 23, 2023
Clinician Well-Being and the Patient Experience Did you know that most patient experience responses are overwhelmingly positive? Rather th.
Emergency Medicine Journal
MAY 23, 2023
Background To identify the impact of enrolment onto a national pulse oximetry remote monitoring programme for COVID-19 (COVID-19 Oximetry @home; CO@h) on health service use and mortality in patients attending Emergency Departments (EDs). Methods We conducted a retrospective matched cohort study of patients enrolled onto the CO@h pathway from EDs in England.
The Trauma Pro
MAY 23, 2023
In my last post, I waxed theoretical. I discussed the potential reasons for measuring serial hemoglobin or hematocrit levels, the limitations due to the rate of change of the values, and conjectured about how often they really should be drawn. And now, how about something more practical? How about an some actual research? One of the more common situations for ordering serial hemoglobin draws occurs in managing solid organ injury.
Emergency Medicine Journal
MAY 23, 2023
Respiratory rate(RR) is the only vital sign that is currently measured by direct observation in many high-income countries in many healthcare settings. However, when relying on direct observation by humans, values may be susceptible to measurement error. In particular, a continuous variable like RR may be inadvertently semicategorised due to rounding and/or multiplying up counts from shorter periods to give estimated counts for a full minute.
Emergency Medicine Journal
MAY 23, 2023
Clinical introduction A 91-year-old nursing home resident presented with sudden onset of ecchymosis over his bilateral lower limbs and periumbilical region 4 hours before arrival at the emergency department ( figure 1 ). He had a history of atrial fibrillation, hypertension, right hemiparesis and motor aphasia due to an old cerebrovascular accident.
Emergency Medicine Journal
MAY 23, 2023
Background This study aimed to estimate the direct healthcare cost burden of acute chest pain attendances presenting to ambulance in Victoria, Australia, and to identify key cost drivers especially among low-risk patients. Methods State-wide population-based cohort study of consecutive adult patients attended by ambulance for acute chest pain with individual linkage to emergency and hospital admission data in Victoria, Australia (1 January 2015–30 June 2019).
Emergency Medicine Journal
MAY 23, 2023
Clinical introduction A 15-year-old male athlete presented to the ED with sudden-onset left knee pain noted while playing basketball. He felt a popping sensation during jumping, followed by severe pain and inability to extend his left knee. Physical examination showed an abnormal contour of the distal side of the left thigh and a sharp skin protrusion on his anterior left knee ( figure 1 ).
Emergency Medicine Journal
MAY 23, 2023
Background Currently, there is no consensus on the number of defibrillation attempts that should be made before transfer to a hospital in patients with out-of-hospital cardiac arrest (OHCA). This study aimed to evaluate the association between the number of defibrillations and a sustained prehospital return of spontaneous circulation (ROSC). Methods A retrospective analysis of a multicentre, prospectively collected, registry-based study in Republic of Korea was conducted for OHCA patients with p
Emergency Medicine Journal
MAY 23, 2023
Background Whether and how bystander cardiopulmonary resuscitation (CPR) modifies the cardiac rhythm after out-of-hospital cardiac arrest (OHCA) over time remains unclear. We investigated the association between bystander CPR and the likelihood of ventricular fibrillation (VF) or ventricular tachycardia (VT) as the first documented cardiac rhythm. Methods We identified individuals with witnessed OHCA of cardiac origin from a nationwide population-based OHCA registry in Japan between 1 January 20
Emergency Medicine Journal
MAY 23, 2023
Clinical introduction A 43-year-old man without medical history presented to ED with a 10-day history of neck pain. At triage, his body temperature was 39.6 o C and blood pressure was 95/55 mm Hg. On physical examination, there was posterior neck swelling and stiffness without neurological deficit. Blood tests revealed white cell count of 35 930/mm 3 and C reactive protein of 29.6 mg/dL.
Emergency Medicine Journal
MAY 23, 2023
Background Emergency care staff wearing elastomeric respiratory personal protective equipment (PPE) report difficulties in communicating by telephone. We developed and tested an affordable technological solution aimed at improving telephone call intelligibility for staff wearing PPE. Methods A novel headset was created to enable a throat microphone and bone conduction headset to be used in combination with a standard hospital ‘emergency alert’ telephone system.
Emergency Medicine Journal
MAY 23, 2023
The perspective of patients is increasingly recognised as important to care improvement and innovation. Patient questionnaires such as patient-reported outcome measures may often require cross-cultural adaptation (CCA) to gather their intended information most effectively when used in cultures and languages different to those in which they were developed.
Emergency Medicine Journal
MAY 23, 2023
The article by Beaney and colleagues just published in the EMJ evaluates the outcomes from a national programme of home oxygen monitoring instituted by NHS England during the first waves of the COVID-19 pandemic. 1 This may sound familiar; we ran a paper by this same author group on this subject in our August 2022 issue. 2 At first glance, you might think we accidentally reran the same paper.
Emergency Medicine Journal
MAY 23, 2023
Background The National Early Warning Score + Lactate (NEWS+L) Score has been previously shown to outperform NEWS alone in prediction of mortality and need for critical care in a small adult ED study. We validated the score in a large patient data set and constructed a model that allows early prediction of the probability of clinical outcomes based on the individual’s NEWS+L Score.
Emergency Medicine Journal
MAY 23, 2023
Background Upper gastrointestinal bleeding (UGIB) is a medical emergency with an approximate mortality of 10%, which results in a high hospitalisation rate. The Glasgow-Blatchford score (GBS) is recommended to identify low-risk patients who can be discharged from the emergency department (ED). A modified GBS (mGBS) and CANUKA score have recently been proposed but have not been well studied.
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