The Trauma Pro

FEBRUARY 6, 2024

Here’s a very interesting case for you. A construction worker was carrying an object inside a building WHILE HOLDING HIS NAIL GUN! As he passed through the door, his elbow hit the frame and he brushed his neck with the business end of the gun. Guess what happened? He experienced sharp pain, then noted pain every time he swallowed. He checked himself out in the mirror, and there was a small puncture wound in the right side of his neck.

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St. Emlyn

FEBRUARY 6, 2024

St.Emlyn's - Emergency Medicine #FOAMed This week I am in Zermatt, Switzerland for ‘The Big Sick’ conference. This is something I have been looking forward to years, but major heart surgery (valves not pipes) and […] The post Top resus papers for TBS. St Emlyn’s appeared first on St.Emlyn's.

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Sensible Medicine

FEBRUARY 6, 2024

Two things are clear about the internal medicine residents I get to work with. First, their qualifications are spectacular: academic accolades, research, publications, clinical medicine experiences prior to residency, even real-life professional experiences. When they enter internship, their CVs dwarf those of my residency colleagues (’93 - ’96).

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Military Free Clinics Documentation/Coding Academics 114

Dr. Smith's ECG Blog

FEBRUARY 6, 2024

Written by Pendell Meyers A teenager was involved in a motor vehicle collision and presented to the Emergency Department via EMS altered and potentially critically ill. He was intubated for altered mental status. Chest trauma was suspected on initial exam. Here is his initial ECG around 1330: What do you think? The ECG shows sinus tachycardia with RBBB and LAFB, without clear additional superimposed signs of ischemia.

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EKG/ECG Wellness Fractures Hospitals 96

Canadian EM

FEBRUARY 6, 2024

Venus is a 29-year-old female who presents to the ED with tremor and diaphoresis. You learn that she has presented to the ED with similar symptoms before, and has a 5yr history OUD, using about 5 points (0.5 g) a day. She has no other medical conditions and blood work is within normal limits. Venus is tachycardic at 105 bpm, with dilated pupils, piloerection, slight tremors, and flushed face.

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Emergency Live

FEBRUARY 6, 2024

Exploring the Nervous System and Its Disorders Neurology, a vital branch of medicine, is dedicated to the study and treatment of disorders affecting the nervous system, both central and peripheral. This medical specialty encompasses a wide range of conditions, from neurodegenerative diseases like Parkinson’s and Alzheimer’s to movement disorders, epilepsy, headaches, and spinal pathologies.

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ACEP Now

FEBRUARY 6, 2024

Point: A Less Than Glowing Interpretation of Urine Fluorescence by Jessica Shenoi, MD; Michael E. Mullins, MD; and Ari B. Filip, MD We disagree with Dr. Hack’s recommendation for examining urine under ultraviolet (UV) light for suspected ethylene glycol ingestions. 1 This test is inherently unreliable with poor sensitivity, specificity, and accuracy (49 percent, 75 percent, and 59 percent, respectively). 2 Parsa, et al. found 100 percent of pediatric urine specimens fluoresced even in the absenc

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Poisoning Pediatrics Shock Research 52

Canadian EM

FEBRUARY 6, 2024

Venus is a 29-year-old female who presents to the ED with tremor and diaphoresis. You learn that she has presented to the ED with similar symptoms before, and has a 5yr history OUD, using about 5 points (0.5 g) a day. She has no other medical conditions and blood work is within normal limits. Venus is tachycardic at 105 bpm, with dilated pupils, piloerection, slight tremors, and flushed face.

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PEMBlog

FEBRUARY 6, 2024

Just look at the rash – then scroll down to reveal the diagnosis. That’s it. Nothing fancy. It’s Enterovirus! This rash is from enterovirus. It often looks dramatic like this in teenagers – and it can be painful. Notice the scabbed lesions that are present on the palms. It’s like hand, foot and mouth – but this is the adolescent presentation.

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EMergucate

FEBRUARY 6, 2024

The following chest x-ray is from an adult with cough and fever. What can be seen?

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EMS 52