Fri.Sep 01, 2023

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ECG Blog #393 β€” Why So Many Shapes?

Ken Grauer, MD

The interesting rhythm shown in Figure-1 was obtained after Adenosine was given for a regular SVT ( S upra V entricular T achycardia ). How would YOU interpret this rhythm in Figure-1 ? Why are there so many shapes for the QRS complex in the long lead II rhythm strip? Figure-1: 12-lead ECG and long lead II rhythm strip obtained after Adenosine was given for a regular SVT rhythm.

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The Decision To Stop In Geriatric Trauma – Part 2

The Trauma Pro

In my previous post, I reviewed a recent paper analyzing which geriatric patients were more likely to have care withdrawn after serious injury. The authors noted that those with significant limitations to daily living activities, increasing age and/or frailty, and ventilator dependence were major factors. Today’s paper was written by a multi-institutional group from several Ohio trauma centers.

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Which Sepsis Alert is the Biggest Loser?

EM Literature of Note

It’s a trick question – in the end, all of us have already lost. This is a short retrospective report evaluating, primarily, the Epic Sepsis Prediction Model, and the mode in which is deployed. The Epic SPM generates a “prediction of sepsis score”, calculated at 15 minute intervals, providing a continuous risk score for the development of sepsis.

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Science-Based Satire: TCM Experts Baffled by Man Born Without Meridians

Science Based Medicine

Has the first case of complete congenital Qi deficiency been diagnosed in Massachusetts? Is it possible to run a successful landscaping business without any meridians? Where can you get acupuncture and your car detailed at the same time? All these questions and more will be answered in today's post, which I completely made up. The post Science-Based Satire: TCM Experts Baffled by Man Born Without Meridians first appeared on Science-Based Medicine.

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Urban Air Mobility (UAM): Transforming Healthcare and Beyond

Emergency Live

Drones and VTOLs to the Rescue: The Future of Medical Emergencies Urban Air Mobility (UAM) is ushering in a new era in the fields of medical response, parcel delivery, and passenger transport by harnessing the potential of advanced air vehicles like drones and Vertical Take-Off and Landing (VTOL) aircraft. These innovative technologies offer faster and […] The post Urban Air Mobility (UAM): Transforming Healthcare and Beyond appeared first on Emergency Live.

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From Machu Picchu to Healthcare Recruitment: Navigating Different Terrains with Purpose

Core Medical Group

In the heart of healthcare recruitment at CoreMedical Group, there's Michael - a Long-Term Care recruiter in the Travel Nursing division with a passion for the outdoors and a heart devoted to healthcare. As he navigates the intricate world of matching nurses with their dream assignments, his unique approach of personal experiences and professional drive shines through.

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Grand Rounds Recap 8.16.23

Taming the SRU

IN-Flight Emergencies - utility of trauma pan-scans - Sepsis operations - bites and stings - Intro to reliability science In-Flight Emergencies WITH Dr. Urbanowicz Approximately 1 in 40 flights are affected by a medical emergency, yet <2% planes get diverted Most commonly due to syncope, headache, dizziness, and/or nausea/vomiting As a physician, you are not legally obligated to intervene on an in-flight medical emergencies in the US This does vary for international flights Aviation Medical

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A video that teaches you how to talk about why we don’t need chest X-Rays in respiratory illnesses

PEMBlog

Did you know that chest X-Rays are not recommended for most children with respiratory problems such as bronchiolitis, asthma exacerbations, croup, or first-time wheezing. Choosing Wisely recommends that doctors and all medical providers have detailed conversations with patients and their families about why X-Rays are unlikely to give new information or provide any additional reassurance.

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Rectal Bleeding

EB Medicine

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the September 2023 Emergency Medicine Practice article, Emergency Department Management of Patients With Rectal Bleeding Etiology/pathophysiology Risk factors Differential diagnosis Prehospital care ED history and physical exam Diagnostic studies Laboratory testing Imaging studies Treatment Transfusion Coagulation reversal Embolization Special Populations Pediatrics Pregnant patients Elderly patients Scoring systems Disposition Check o

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A classic educational video about the dangers of Repetitive Read Syndrome

PEMBlog

Repetitive Read Syndrome is affecting Radiologists across the globe. Symptoms include dictations including the same phrasing and suggesting clinical correlation repeatedly. We can help our Radiology colleagues by avoiding unnecessary chest X-ray orders for most children with respiratory problems such as bronchiolitis, asthma exacerbations, croup, or first-time wheezing.

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An Antidote for THC Overdose?: THCV allegedly can help those with anxiety from using too much

Emergency Medicine News

An abstract is unavailable.

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Update 2023

Pediatric Emergency Playbook

pemplaybook.

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Reimagining Medical Diagnosis with Bayesian Analysis: This theorem combines what EPs know with history and exam

Emergency Medicine News

An abstract is unavailable.

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A middle-aged man with acute chest pain.

Dr. Smith's ECG Blog

A 50-something male had onset of chest pain 1 hour prior to ED arrival. It is constant, 9/10, left-sided CP that radiates into left arm and jaw. Endorses some associated SOB, but denies back pain, fever, cough, chills, leg swelling, or other new symptoms. Has never had this before. Takes metoprolol for HTN. Here is the triage ECG: What do you think?

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THE HEADSS Assessment in the Ped ED

Pediatric EM Morsels

While the “excitement” of the Emergency Department that is seen on TV may make people think that the only skills we need are those that help us manage Critical Illnesses or Traumatic Injuries , as we have digested in prior Morsels (ex, Developmental Milestones , Formula Primer , Vegan Diets ) all aspects of patient care are important for us to be adept at.