RebelEM

SEPTEMBER 21, 2023

Bottom Line Up Top: Troponins should not be routinely sent in patients presenting with SVT. Rarely, they may be necessary if the patient has concerning ischemic symptoms that persist after conversion to sinus rhythm. Clinical Scenario: A 44-year-old man presents with palpitations that started 45 minutes ago. He has no medical problems and denies any prior similar symptoms.

EKG/ECG 139

EKG/ECG Sepsis EMS Outcomes 139

The Trauma Pro

SEPTEMBER 21, 2023

Here’s another abstract with a promising title that suffers from low subject numbers. Whole blood is the new darling of trauma resuscitation. Assembling a unit of whole blood from the components it was broken down into produces an inferior product from the standpoint of resuscitation. It makes sense from a coagulation standpoint, but there are a few pesky issues that need to be considered, such as antibody titers.

Resuscitation 147

Resuscitation Outcomes 147

EM Ottawa

SEPTEMBER 21, 2023

Emergency medicine is a fast-paced realm where paramedics and medical professionals must make split-second decisions that often mean the difference between life and death. In this high-stakes environment, understanding and respecting patient preferences while upholding ethical principles are paramount. This article delves into the crucial role of paramedics in ensuring patients’ choices are honoured and […] The post BHP Corner: Respecting Patient Preferences appeared first on EMOttaw

Hospitals 110

Hospitals Resuscitation 110

Emergency Live

SEPTEMBER 21, 2023

Extrication Training Centre in Casiglion Fiorentino: First Dedicated Centre for Rescue Worker Training up and running In the heart of STRASICURAPark, in Casiglion Fiorentino (Arezzo), is a state-of-the-art centre, ready to welcome visitors, experts and rescue professionals specialised in a delicate branch of emergencies: the extrication of victims from crashed vehicles.

109

109

PulmCCM

SEPTEMBER 21, 2023

Blood pressure often rises during acute ischemic strokes, in what is widely held to be a natural protective mechanism: increased blood pressure pushes more blood through and around stenotic blood vessels into areas of injured, oxygen-starved brain. This process is hypothesized to reduce further ischemic injury that would occur if blood pressure were to remain at baseline.

Stroke 105

Stroke Outcomes 105

Emergency Live

SEPTEMBER 21, 2023

Arson fires: the role of arsonists, economic interests and rescuers We have now seen several fires that have created various disasters: some of these remain world-famous precisely because of the number of hectares burned, the number of victims or their famous circumstances. It is always a drama that has to be dealt with day after […] The post Arson fires: some of the most common reasons appeared first on Emergency Live.

Burns 98

Burns 98

Taming the SRU

SEPTEMBER 21, 2023

Driver, B. E., Trent, S. A., Prekker, M. E., Reardon, R. F. & Brown, C. A. Sedative Dose for Rapid Sequence Intubation and Postintubation Hypotension: Is There an Association? Ann. Emerg. Med. (2023) doi:10.1016/j.annemergmed.2023.05.014. Clinical Question: Does the dose of etomidate or ketamine play a role in post-intubation hypotension? Background Rapid sequence intubation (RSI) is frequently performed under emergent conditions in acutely ill patients.

Outcomes 81

Outcomes Emergency Department Shock 81

University of Maryland Department of Emergency Med

SEPTEMBER 21, 2023

Takeaway Points - A 10 percent reduction in ED volume reduces an ED patient's chance of dying by 24% at 30 days and by 17% at six months Th.

64

64

PHARM

SEPTEMBER 21, 2023

Traumatic brain injury (TBI) remains one of the main causes of mortality and long-term disability worldwide. Maintaining physiology of brain tissue to the greatest extent possible through optimal management of blood pressure, airway, ventilation, and oxygenation, improves patient outcome. We studied the quality of prehospital care in severe TBI patients by analyzing adherence to recommended target ranges for ventilation and blood pressure, prehospital time expenditure, and their effect on mortal

Hospitals 40

Hospitals Resuscitation Wellness Outcomes 40

SheMD

SEPTEMBER 21, 2023

Disclaimer: This post was written before the COVID-19 pandemic. Some of the interview information may not be relevant during the 2020-2021 academic year. Have you ever been on an online dating app? Things were going well and your new love interest told you multiple times how excited they were about your first date. You eagerly awaited the moment you’d meet.

Academics 52

Academics Wellness Hospitals 52

Canadian EM

SEPTEMBER 21, 2023

We are pleased to announce that CanadiEM is now accepting applications for our Junior Editor program! If you are interested in learning more about Free Open Access Medical Education (FOAM) or becoming part of our virtual community of practice,​​​1​ this program is for you. The application deadline is October 31, 2023. We are currently looking for applications for our blogs, infographics, newsletter, and social media teams.

56

56

Sensible Medicine

SEPTEMBER 21, 2023

In the summer of 2022, I boarded a plane with a one-way ticket to Zambia. Since then, I’ve been serving as a Peace Corps health volunteer, living and working in a small village just north of the capital. My clinic is excellent: the staff are professional and well-trained, the patients are treated well, and we even have some diagnostic equipment.

Wellness 89

Wellness 89