First 10 EM

SEPTEMBER 18, 2023

Transfusion seems like the simplest intervention in medicine. The patient is losing blood, so let’s put some back in. Not much more complicated than an oil change. Sure, you need to use a specific brand, but as long as the system is topped up, everything should run just fine. Therefore, when someone (to be left […] The post Massive hemorrhage: a very deep dive appeared first on First10EM.

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Sensible Medicine

SEPTEMBER 18, 2023

Let’s do a thought experiment about the tricuspid valve. The TCV controls blood flow from the right atrium to the right ventricle. Background : A common TCV problem occurs when the leaflets don’t close properly during systole and there is too much regurgitation of blood back to the right atrium. We call this TR or tricuspid regurgitation.

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Operations Academics Shock Outcomes 123

Science Based Medicine

SEPTEMBER 18, 2023

This year, cancer quack Dr. Stanislaw Burzynski turned 80. Unfortunately, he doesn't seem to be slowing down charging patients with advanced cancer huge sums for false hope. The post Cancer quack Stanisław Burzynski continues to prey on cancer patients in 2023 first appeared on Science-Based Medicine.

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Emergency Live

SEPTEMBER 18, 2023

The latest findings on forecasting and prevention, how to predict and counter an earthquake event How many times have we asked ourselves this question: is it possible to predict an earthquake? Is there any system or method to stop such events? There are various tools to predict some dramatic event and there are also some […] The post Earthquakes: is it possible to predict them?

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RebelEM

SEPTEMBER 18, 2023

An 85-year-old man presents for evaluation of left wrist pain. Last night, he missed the last step while descending the stairs at his house. He fell and landed on his hands and did not have other injuries. Acetaminophen and ibuprofen have not alleviated his pain. X-ray imaging is shown below. His physical exam reveals limited left wrist flexion and extension.

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EMS Fractures 57

Emergency Live

SEPTEMBER 18, 2023

Training is a crucial step towards reducing trauma mortality and improving public health In Italy, trauma represents one of the main causes of mortality, with over 18,000 deaths annually and one million hospital admissions. To address this challenge, the ‘Management of Massive Haemorrhages’ course aims to teach the basic techniques for managing haemorrhages while waiting […] The post Massive Haemorrhage Management: An Essential Course to Save Lives appeared first on Emergency L

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Hospitals 79

Emergency Medicine Ireland

SEPTEMBER 18, 2023

Welcome back to the tasty morsels of critical care podcast. Following hot on the heels of tasty morsel number 72 on cardio renal syndrome is its partner in nephron injury: hepatorenal syndrome. This gets covered in a sub section of Oh’s manual chapter 44 on liver issues but there are a variety of other sources mentioned at the end that are worth a read.

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Wellness Hospitals Outcomes 52

Life in the Fast Lane

SEPTEMBER 18, 2023

Michael Gibbs MD Neuroimaging Cases 002 August 2023 neuromaging cases and interpretation with Faith Meyers MD and Steven Perry MD and Professor Michael Gibbs.

Radiology 52

Radiology Radiology 52

EMergucate

SEPTEMBER 18, 2023

Question 1: PH = 7.32 ( less than 7.35) so, we have mild acidaemia. PCO2 = 48 mmHg ( on arterial blood gas > 40), so we have respiratory acidosis.

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Core Ultrasound

SEPTEMBER 18, 2023

Pyloric stenosis is a relatively common condition in infants that can lead to severe vomiting, dehydration, and weight loss. Timely and accurate diagnosis is crucial for effective treatment. Bedside ultrasound has become a valuable tool for diagnosing pyloric stenosis quickly and non-invasively. Learn how to effectively perform the exam definitely within the reach of the non-radiologist clinician.

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Dehydration Ultrasounds 52

The Evolution & Medicine Review

SEPTEMBER 18, 2023

Saturday 30 Sept 2023 9:45am EST, 3:45pm CEST Full information here

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Don't Forget the Bubbles

SEPTEMBER 18, 2023

Why do we care about antibiotics? As paediatricians, antibiotics are one of the most common classes of medications that we will end up prescribing. When we do this correctly, antibiotics can save lives. However, prescribing unnecessary antibiotics increases the risk of antimicrobial resistance while exposing children to potential side effects. This blog post aims to help familiarise you with some of the most common reasons for prescribing antibiotics in the paediatric emergency department.

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Emergency Department Infectious Diseases Pediatrics Sepsis 143

The Trauma Pro

SEPTEMBER 18, 2023

Today’s abstract continues the theme of VTE prophylaxis. The authors introduce another timing parameter in this one: the “door-to-prophylaxis” time. Just as it sounds, this is the time interval between admission to the ED and initiating chemo-prophylaxis. Just like some centers struggle with how long to wait to start it after a solid organ injury ( see previous post here ), many find it challenging to get it ordered in the first place.

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Blood Transfusions Resuscitation Hospitals Wellness 147