Fri.Jul 21, 2023

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PEG Tube Dislogement

Mount Sinai EM

Why is this a pearl? We get G-tube dislodgments quite often at Sinai, and they can be an easy patient encounter with a quick note and quick dispo. But they made me so nervous as an intern and early 2! Now I love ‘em and you can love ‘em too! ** GJ-tubes or J-tubes do not get replaced in the ED. Tell me about the PEG tube. Gastrostomy tube (G-tube) or Percutaneous Endoscopic Gastrostomy tube (PEG tube) is a tube placed in the stomach for long-term enteral nutritional support.

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The Electronic Trauma Flow Sheet: Oops! Now What Are My Options? Part 2

The Trauma Pro

In the last post, I discussed what to do if your hospital is thinking about switching to an electronic trauma flow sheet (eTFS). Today I’ll give you some tips on what to do if the cat’s already out of the bag and it’s already been implemented. The number one priority is to show the impact of the eTFS on the trauma program. This involves the same two components I’ve already written about: Accuracy.

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What is the Emergency Number of Ambulance

Ziqitza HealthCare Ltd

Ambulance emergency number It’s heartbreaking to know that millions of emergencies end in the loss of lives. What shakes us is the lack of awareness of ambulance emergency numbers and the affordability of ambulance services. These reasons may sound a little weird in the digital era we are living in, but it’s true. You may argue that one can simply Google for an emergency number when needed.

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Childhood Vaccination Rates Move (Slowly) in the Right Direction

Science Based Medicine

Childhood vaccination rates worldwide tanked during the first two years of the pandemic. A recently released report from the UN revealed that 2022 was better, but the improvements weren't seen everywhere. And we still have a long way to go. The post Childhood Vaccination Rates Move (Slowly) in the Right Direction first appeared on Science-Based Medicine.

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A Day in the Life of a Senior Healthcare Recruiter

Core Medical Group

As a Recruiter in the Travel Nursing Division, Tristan has played a crucial role in connecting skilled medical professionals with rewarding placements. He recently was promoted to Surg Tech Team Lead. Today, we take a closer look at Tristan's trajectory and the positive impact he has made on both his colleagues and the healthcare industry.

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Luigi Spadoni and Rosario Valastro awarded the Silver Palm

Emergency Live

On the evening of Tuesday 19, the award-winning volunteers for the third edition of the ‘Palma d’argento – Iustus ut palma florebit’ prize were announced in Acireale The award-winning volunteers for 2023 were announced and made public during an event at the Casa del Volontariato in Via Aranci. The afternoon was opened by a Eucharistic […] The post Luigi Spadoni and Rosario Valastro awarded the Silver Palm appeared first on Emergency Live.

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Mastering Minor Care: Orbital Infections

Taming the SRU

Setting the scene You sign up for “eye problem” on the board and you walk in the room. You think the eye might be infected… but now what? Do you treat them with antibiotics? Do nothing? Call ophthalmology? Let’s take a closer look and see just what you need to focus in on your H&P so you can triage and appropriately manage the most common eye infections you might see walk into the ED.

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Fall Recap

EM Literature of Note

It is the long, cold dark here in Christchurch – improved dramatically by leaving for the U.S. for four weeks! Firstly, the blog may be making a bit of a comeback – the ugly demise of Twitter seems to necessitate a better method of knowledge translation, such as blog posts that can be replicated across whichever platform is progressing towards dominance.

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Forest fires in British Columbia: a record balance sheet

Emergency Live

From extreme drought to unprecedented destruction: the fire crisis in British Columbia The year 2023 marks a sad record for British Columbia (BC): the most destructive forest fire season ever recorded, according to data provided by the BC Wildfire Service (BCWS). Since 1 April, a total of about 13,986 square kilometres of land has been […] The post Forest fires in British Columbia: a record balance sheet appeared first on Emergency Live.

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Racial and Ethnic Differences in Emergency Department Wait Times for Patients with Substance Use Disorder

University of Maryland Department of Emergency Med

Substance use disorder is now known to be a function of brain disease and not a moral failure. Patients with substance use disorder ar.

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Lab Case 412 interepretation

EMergucate

Question 1: PH = 7.31 That is mild acidosis PCO2 = 61, that is high (>40). So, we have respiratory acidosis.

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Evaluation of SLAP tears

University of Maryland Department of Emergency Med

SLAP tear/lesion – Superior labral tear oriented anterior to posterior Glenoid labrum – A rim of fibrocartilaginous tissue su.

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Glasgow Coma Scale in Children

Pediatric EM Morsels

In emergency medicine, we often use illness scripts and protocols to help drive our decision-making. I recall a shift I had with Dr. Fox while I was early in fellowship ( not so many years ago ). We had just received a young child from EMS who was post-ictal with decreased mentation. Dr. Fox asked me what I wanted to do next to care for the child, and as I calculated his GCS… 7 at the time… I felt somewhat obligated to say that I should intubate the child. “ Less than 8, intubate!

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Does Anyone Still Care About Data?

Sensible Medicine

On Monday, Eli Lilly released phase III data on their newest Alzheimer’s drug, Donanemab, which was found to slow the progression of the disease by approximately 40 to 60%. Impressive. While the benefit achieved statistical significance in both men and women, 24% of patients developed brain swelling and 31% had experienced some form of brain bleeding.