ALiEM
JULY 22, 2023
You have a severely dehydrated patient with a peripheral IV line, requiring urgent fluid resuscitation. However, the crystalloid fluids are not flowing freely. Multiple attempts were made to place this line with the latest having a flash of blood return and a smoothly flowing saline flush. You can not seem to find your pressure infusion cuff to squeeze the IV bag and accelerate fluid administration.
The Skeptics' Guide to EM
JULY 22, 2023
Date: July 21, 2023 Reference: Prekker et al. Video versus Direct Laryngoscopy for Tracheal Intubation of Critically Ill Adults. NEJM 2023 Guest Skeptic: Dr. Jeff Jarvis is the Chief Medical Officer and System Medical Director for the Metropolitan Area EMS Authority in Fort Worth, Texas, also known as MedStar. He is board certified in both Emergency Medicine […] The post SGEM#410: Do You See What I See?
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EM Literature of Note
JULY 22, 2023
The results of this paper are hardly surprising, since the witnessed phenomenon – “anchoring bias” – exists as defined. However, it’s always fun to see it demonstrated objectively. In this little piece of research, authors collated four years of encounters to Veterans Affairs emergency departments in the U.S. and parsed out the triage reason between “congestive heart failure” versus all others.
EMDocs
JULY 22, 2023
We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: Macrolides and Long-Term Survival in ICU Patients with Community-Acquired Pneumonia Spoon Feed Empiric macrolide therapy was associated with improved six and twelve-month survival among ICU patients with community-a
Emergency Live
JULY 22, 2023
The sexual response, in both women and men, consists of two separate phases: the arousal phase characterised by a localised vasocongestive reaction (vascular dilation of the genital organs, vaginal lubrication, swelling and reddening of the vaginal walls) and the orgasmic phase due to an involuntary reaction of certain genital muscles producing a strong sensation of pleasure The post Female sexual disorder: causes, symptoms, diagnosis and treatment appeared first on Emergency Live.
University of Maryland Department of Emergency Med
JULY 22, 2023
Evaluating trauma patients at Level 3 or 4 centers, rural hospitals, and non-trauma centers is difficult. Understanding the amount of work-.
Emergency Live
JULY 22, 2023
Chances are that at least once in your life you have suffered from onychomycosis, an infection that affects the nails of the feet and hands, and which affects a very large segment of the population The post What is onychomycosis? appeared first on Emergency Live.
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Ken Grauer, MD
JULY 22, 2023
The ECG in Figure-1 was obtained from an elderly man with a history of coronary disease — who contacted EMS for "burning" chest discomfort that woke him at 3am. Unlike his "usual" anginal episodes — this chest discomfort was not relieved by NTG. Some amount of time passed at home — during which his chest discomfort persisted The patient was hemodynamically stable at the time he was seen by EMS, when ECG #1 was recorded.
Dr. Smith's ECG Blog
JULY 22, 2023
Written by Pendell Meyers A man in his 70s with no cardiac history presented with acute weakness, syncope, and fever. He denied chest pain or shortness of breath. An ECG was performed in the ED at 1554: Original image unavailable, this is the only recorded scanned ECG available. See below for PM Cardio digitized version of this. PM Cardio digitized version.
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