Thu.Jun 08, 2023

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Abdominal regions: semeiotics, anatomy and contained organs

Emergency Live

The skin of the abdomen is divided into 9 regions, called abdominals: 3 median (epigastrium, peri-umbilical region and hypogastrium) and 3 lateral (hypochondrium, flank and iliac fossa) The post Abdominal regions: semeiotics, anatomy and contained organs appeared first on Emergency Live.

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iLet Bionic Pancreas Cleared by FDA

Medagadget

The iLet Bionic Pancreas for use by type 1 diabetes patients has been cleared by the FDA and is now available commercially. The device is offered by Beta Bionics , a medtech company based in Massachusetts and California, but the underlying technology originally developed by researchers at Boston University. The system can be paired with a Bluetooth glucose monitor to deliver personalized insulin dosing every five minutes, and calculates doses based on past and current glucose levels and its expe

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Electrocardiogram: initial procedures, ECG electrode placement and some tips

Emergency Live

If it is the patient's first time performing an electrocardiogram (ECG), the rescuer, doctor, or nurse should explain to the patient - in words appropriate to his/her level of understanding - the steps and usefulness of the electrocardiogram The post Electrocardiogram: initial procedures, ECG electrode placement and some tips appeared first on Emergency Live.

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Psychology and Science of Waiting

EM Ottawa

Preamble: This Grand Rounds was inspired in part by a conversation I had with Dr. Andrew Petrosoniak during my time at St. Michael’s Hospital where we discussed the growing concern of excessive ED wait times and the limited concerted effort on addressing the waiting experience itself. In this blogpost, we will explore the concept of […] The post Psychology and Science of Waiting appeared first on EMOttawa Blog.

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Anterior access hip replacement: an overview of advantages and disadvantages

Emergency Live

Let's talk about hip replacement, and specifically the anterior access approach: in general, this procedure relieves pain and restores mobility in people whose joints have been damaged by trauma or degenerative diseases such as hip arthrosis The post Anterior access hip replacement: an overview of advantages and disadvantages appeared first on Emergency Live.

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Acoustic-Powered Microrobots for Bladder Disease Treatment

Medagadget

Engineers at the University of Colorado at Boulder have developed a medical microrobot that is powered by acoustic waves. The tiny devices, which are 20 micrometers wide and considerably smaller than the width of a human hair, can move incredibly fast for their size, achieving a speed of 3 millimeters per second. To put this in context, if a microrobot and a cheetah the same size had a race, the microrobot would win comfortably.

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Maneuver and positive or negative Rovsing sign: what are they and what do they indicate?

Emergency Live

The Rovsing maneuver is a maneuver used in medical semiotics to investigate the presence of abdominal pain The post Maneuver and positive or negative Rovsing sign: what are they and what do they indicate? appeared first on Emergency Live.

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Point of Morris, Munro, Lanz, Clado, Jalaguier and other abdominal points indicating appendicitis

Emergency Live

In medical semeiotics various abdominal points are known, whose tenderness on palpation and pressure is more or less indicative of appendicitis, often appendicitis (inflammation of the vermiform appendix) The post Point of Morris, Munro, Lanz, Clado, Jalaguier and other abdominal points indicating appendicitis appeared first on Emergency Live.

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Notable Changes from the FDA Mammogram Standards Announcement

PDC Healthcare

In March of 2023, the U.S. Food and Drug Administration (FDA) published updates to their mammography regulations to facilitate better reporting of information and an improved experience for patients. The announcement means change is imminent for many healthcare providers, who will need to adjust policies and make updates to equipment to be compliant.

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Prostatitis: definition, symptoms, causes and treatment

Emergency Live

Among the most common typically male problems there is certainly prostatitis, an inflammatory disease of the prostate that mainly affects men under the age of fifty The post Prostatitis: definition, symptoms, causes and treatment appeared first on Emergency Live.

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52 in 52 – #38: Thrombolysis Guided by Perfusion Imaging up to 9 Hours after Onset of Stroke

EMDocs

Welcome back to the “52 in 52” series. This collection of posts features recently published must-know articles. This week we cover the EXTEND trial looking at thrombolysis up to 9 hours after stroke onset. Author: Christiaan van Nispen, MD (Resident, Emergency Medicine Physician, San Antonio, TX); B rannon Inman, MD (Chief Resident, Emergency Medicine Physician, San Antonio, TX) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Thrombolysis Guided by Perfusion Imaging up

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Congenital clubfoot: what is it?

Emergency Live

Congenital clubfoot is a malformation of the foot that occurs from birth. Its name derives from the fact that its main characteristic is a persistent foot deformity that prevents normal standing on the ground The post Congenital clubfoot: what is it? appeared first on Emergency Live.

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Device Moves Esophagus for Cardiac Ablation Procedure

Medagadget

Researchers at the Ohio State University Wexner Medical Center have developed a medical device that is intended to improve patient safety during cardiac ablation procedures to treat atrial fibrillation (AFib). At present, the esophagus can lie very near to the target tissue during cardiac ablation, leading to esophageal injury in many patients. This device is advanced down the esophagus and applies gentle suction to the esophageal wall to move the esophagus gently to one side, away from the abla

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Performing the cardiovascular objective examination: the guide

Emergency Live

The cardiovascular objective test is an important step at the intensive care unit level, since many of the diseases that require admission to the ICU on a primary or secondary basis involve the cardiovascular system itself The post Performing the cardiovascular objective examination: the guide appeared first on Emergency Live.

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Post-intubation hypotension in trauma patients

University of Maryland Department of Emergency Med

Take away: Be prepared (with blood products and/or vasopressors) for hypotension in trauma patients post-intubation particularly the elder.

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Common symptoms and causes of excess stomach acid: managing stomach acidity

Emergency Live

Stomach acid is essential for digestion, but sometimes acid-producing cells in the digestive system pump out too much acid The post Common symptoms and causes of excess stomach acid: managing stomach acidity appeared first on Emergency Live.

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75 year old with 24 hours of chest pain, STEMI negative

Dr. Smith's ECG Blog

Written by Jesse McLaren A 75 year old with a history of CABG called EMS after 24 hours of chest pain. HR 40, BP 135/70, RR16, O2 100%. Here’s the paramedic ECG (digitized by PMcardio). What do you think? There’s sinus bradycardia, normal conduction, normal axis, delayed R wave progression, and normal voltages. There are inferior Q waves and lead III has mild concave ST elevation, with subtle reciprocal ST depression in I/aVL.

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Two Big Changes in Community Acquired Pneumonia Treatment

ACEP Now

Although the treatment of community acquired pneumonia (CAP) is bread-and-butter emergency medicine, several guidelines and landmark studies have called for fairly big changes in clinical practice. 1–4 Two recommendations deserve particular attention. Importantly, recommendations include significantly narrowing the use of antibiotics that cover methicillin resistant Staphylococcus aureus (MRSA) and Pseudomonas aeruginosa ( P. aeruginosa ), even in severe pneumonia.

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Welcome to Intern Year: From Intern to Resident

SheMD

It's that time of the year. July 1st is almost here and hospitals around the country will welcome in their new interns. To those starting on the wards as interns, this series is for YOU! If you are transitioning from your prelim intern year into your first year of residency, you have ANOTHER daunting start ahead of you. We're sharing advice from SheMD authors on how to not only SURVIVE but THRIVE during your intern year and your first year of residency!

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Go or No Go part 2: ED Resuscitative Thoracotomy in Trauma

University of Maryland Department of Emergency Med

Recognizing that the studies discussing emergency department thoracotomy (ERT) in traumatic injuries are performed at large institutions.

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The Safety and Efficacy of Push Dose Vasopressors in Critically Ill Adults

RebelEM

Background Information: Acute Hypotension is associated with increased morbidity and mortality. Continuous vasopressor infusions have previously been the mainstay of treatment. However, peripherally dosed push dose pressors, (PDPs), are beginning to be administered more frequently for management of acute hypotension. 1-4 The PDPs, phenylephrine and epinephrine, result in vasoconstriction and increased cardiac contractility.