Fri.Jul 14, 2023

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Sudden Shortness of Breath - Pulmonary Embolism

ECG Guru

ECG 1 is from a 57-year-old male with no prior cardiac disease. He reports acute shortness of breath for 2 days. We see a sinus rhythm with left anterior fascicular block (LAFB) and conspicuous T-wave inversions in the inferior leads and in V1-V6. These are typical ECG changes that may indicate a pulmonary embolism. ECG 2 was taken from the same patient 1 year earlier.

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Fracture Fridays: Keeping up with the Joneses

PEMBlog

The case A self-proclaimed dance team superstar presents after injuring her foot at a regional competition. She tried to finish the routine after landing awkwardly. But was having difficulty bearing weight. She applied ice overnight and despite ibuprofen is still in pain, and presents to the ED the next day.On her exam the neruovascular exam is normal, and she has pain along the proximal edge of the 5th metatarsal.

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Exploring the World of Healthcare Recruitment with Roger

Core Medical Group

Have you ever wondered what it takes to find the perfect match between healthcare candidates and their dream roles? In the world of healthcare recruitment, there are professionals who go above and beyond to find the perfect match between candidates and their respective roles.

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Friday Reflection 25: The Advice I’d Like to Give a Student Entering Medical School

Sensible Medicine

EJ was a 32-year-old man with risk factors for HIV infection who presented to the emergency room with two weeks of worsening shortness of breath. When he arrived, he was tachycardic, tachypneic, hypoxic, and his chest x-ray revealed diffuse parenchymal infiltrates consistent with pneumonia. Sensible Medicine is a reader-supported publication. If you appreciate our work, consider becoming a free or paid subscriber.

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A 40-something presented after attempted prehospital resuscitation with persistent Ventricular Fibrillation

Dr. Smith's ECG Blog

A 40-something with persistent Ventricular Fibrillation presented after attempted prehospital resuscitation A 40-something with no previous cardiac history presented to the ED in persistent Ventricular Fibrillation after attempted prehospital resuscitation. He underwent further standard resuscitation EXCEPT that we applied the Inspiratory Threshold Device ( ResQPod ) AND applied Dual Sequential Defibrillation (this simply means we applied 2 sets of pads, had 2 defib machines, and defibrillated w

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Eye diseases: what is maculopathy?

Emergency Live

The term maculopathy identifies a whole series of eye diseases that can affect the macula: the macula is a part of the eye, located in the center of the retina, responsible for clear and detailed vision It is an extremely delicate area which is therefore very vulnerable to pathological and degenerative phenomena. Maculopathies are varied […] The post Eye diseases: what is maculopathy?

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Praise for Dr. Monica Gandhi

Science Based Medicine

Ideally, leaders of American medicine would have had the courage to correct misinformation spread by their fellow doctors. At a bare minimum, they didn't have to lavish praise on a doctor who repeatedly polluted our COVID landscape with obvious misinformation and falsely pacified people the worst was over, when in fact the worst was yet to come. The post Praise for Dr.

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App Converts Smartphone to Clinical Thermometer

Medagadget

Researchers at the University of Washington have developed an app that converts common smartphones into clinical thermometers. Spotting the signs of fever early could make a difference in providing early treatment or beginning a period of isolation to reduce the chance of disease transmission. This is particularly important for viral diseases, such as COVID-19.

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Grand Rounds Recap 7.5.23

Taming the SRU

Manual vacuum Aspiration - Community Corner: Abscesses - Effective Efficiency Manual vacuum aspiration with Drs. Yates and Hughes Early pregnancy loss accounted for over 900,000 emergency department visits in 2021 alone, and there is concern with the changing legal landscape of safe medically provided abortions that this number will increase due to self-managed abortion complications.

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The Importance Of Cardiac Ambulance

Ziqitza HealthCare Ltd

Cardiac Ambulance for your Crucial Times Your heart is your life. Taking care of heart health is as important as our life goals. Why can’t we keep the goal of heart health? Over the last two decades, the rate of deaths from heart diseases in India has increased by almost 34 percent, rising from 155.7 to 209.1 deaths per one lakh population. In most of these cases, by appropriate timely emergency medical attention, patient lives could have been saved.

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The New DEA Opioid Requirement Combatting the Opioid Crisis

American Medical Compliance

The opioid crisis has been a significant public health concern, and as frontline healthcare providers, dentists play a crucial role in addressing this issue. Recognizing the need for enhanced knowledge and awareness, the Drug Enforcement Administration (DEA) has implemented a new requirement for dentists to complete an 8-hour continuing education (CE) course on opioids.

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ACEP Now Wins APEX Award for Writing Excellence

ACEP Now

ACEP Now has received an APEX Award of Excellence for writing for “ How the Scene Unfolded in Uvalde” (July 2022). You can read the award-winning article. The annual APEX Awards are given by Communication Concepts to recognize excellence in writing, digital content, graphic design, social media, public relations, and marketing. The post <em>ACEP Now</em> Wins APEX Award for Writing Excellence appeared first on ACEP Now.

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Sudden SOB - Pulmonary embolism

ECG Guru

ECG 1 is from a 57-year-old male with no prior cardiac disease. He reports acute shortness of breath for 2 days. Wee see a SR with LAFB and conspicuous T-wave inversions in the inferior leads and in V1-V6. These are typical ECG changes that may indicate a pulmonary embolism. ECG 2 was taken from the same patient 1 year earlier. The patient has an acute pulmonary embolism.

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Athale – Bleeding and Clotting Disorders in the ICU

University of Maryland CC Project

Janhavi Athale, MD is an assistant professor in the critical care medicine department as well as the hematology and oncology department at Mayo Clinic in Phoenix, Arizona. Her lecture focuses on the most common bleeding and clotting disorders seen in the ICU.

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Diagnosis of a Supraventricular Tachydysrhythmia During Ketamine Infusion

Kings County Downstate EM

Authors: Esteban Davila, MD and Ian S. deSouza, MDBackgroundKetamine has many known cardiovascular properties both on the myocardium and the autonomic nervous system through central sympathetic stimulation and inhibition of catecholamine reuptake. The ketamine-induced hyperadrenergic state causes transient elevations in heart rate and blood pressure.[1] We present a case of […] The post Diagnosis of a Supraventricular Tachydysrhythmia During Ketamine Infusion appeared first on County EM.

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Wearable Takes Blood-Free Stress Hormone Samples

Medagadget

Researchers at the University of Birmingham in the UK have developed a wearable that can assist in keeping track of stress hormone levels in the body over time. Disregulated stress hormones can play a role in various disease states, from heart disease to depression. However, until now, researchers had to perform blood draws to measure stress hormone levels, meaning that they could obtain just one snapshot in time of hormone levels or repeated blood draws over time, neither of which are ideal.

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Growing Need for Women Safety in India

Ziqitza HealthCare Ltd

Women’s Safety in Society The day a woman can walk freely on the roads at night, that day we can say that India has achieved independence. – Mahatma Gandhi. “He who appreciates that She is his greatest creation in the world”. Every gender in the world is god’s gift. No one has the right to exploit it. India with the image of diverse cultures and innumerable value lessons, we also recognize as the poorest system for women’s safety and rights.

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When hospitals dropped masking requirements in 2023, Covid cases and hospitalizations did NOT predict policy changes; But, more Democrat votes predicted more masking!

Sensible Medicine

Just out, a preprint by Sarah Miller and I. We ask what predicted dropping masking rules in health care facilities in first quarter 2023. This spring, many hospitals in the US finally relaxed COVID19 mask requirements, and doctors and staff celebrated. Of course, they should have dropped the policy long before because it had never shown it improved any long term outcome meaningfully, and made little sense, as I argued last fall in Sensible Medicine.