Wed.Jul 26, 2023

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Network Five: Emergency Medicine Case Series

Life in the Fast Lane

Pramod Chandru Network Five: Emergency Medicine Case Series Network Five Emergency Medicine Case 1 discussing an interesting case of a patient who presents with chest pain and pre-syncope.

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Washington Post Falls For Acupuncture Pseudoscience

Science Based Medicine

An opinion piece falls for all the usual acupuncture misdirection. The post Washington Post Falls For Acupuncture Pseudoscience first appeared on Science-Based Medicine.

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REBEL Core Cast 105.0 – Methylxanthine Toxicity

RebelEM

Take Home Points Methylxanthines are a drug class that includes caffeine, theophylline, and theobromine. The three main mechanisms that account for the clinical presentation of methylxanthine toxicity are: catecholamine release, adenosine antagonism, and phosphodiesterase inhibition. Beta agonism will lead to hyperlactatemia, hypokalemia, hyperglycemia, and tachycardia.

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Fires in 2019 and the Prolonged Consequences

Emergency Live

Global fire crisis, a problem since 2019 Before the Pandemic, there were other crises that unfortunately went to be rather forgotten. In this case we have to describe the issue of fires, which in 2019 presented itself as a virtually global threat. It was undoubtedly a very busy year for the Fire Brigade and Civil […] The post Fires in 2019 and the Prolonged Consequences appeared first on Emergency Live.

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Grand Rounds Recap 7.19.23

Taming the SRU

Social EM - alcohol use disorder - The cases that haunt me - patient evaluations - neuroimaging - oral boards social em WITH drs. jarrel, pulvino and kimmel “One can view the ED (by law, the most accessible door into our healthcare system) as the social barometer of its community. Within the waiting room the emergency physicians witness the confluence of social determinants of health and their deconstruction into pathology.

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Do you suffer from orchiepidimitis? Here's why and what you can do

Emergency Live

Orchiepidimitis is an inflammation that affects many men. It is a more common problem than you might think The post Do you suffer from orchiepidimitis? Here's why and what you can do appeared first on Emergency Live.

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Bohler Angle

University of Maryland Department of Emergency Med

"The normal value for the Böhler angle is between 25° and 40° 1. Although there is wide variation between individua.

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Non-respiratory Sinus Arrhythmia

ECG Guru

This is the ECG of an 81-year-old man with hypertension. Currently, he has no complaints: no palpitations, no shortness of breath, no syncope, no chest pain. The rhythm is irregular, but all P-waves have the same shape. There is a non-respiratory sinus arrhythmia present, which is essentially the minimal variant of a sick sinus syndrome. There are no consequences for the patient resulting from this diagnosis.

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A Patient with Vertigo

Dr. Smith's ECG Blog

This patient presented with vertigo and had an ECG recorded What do you think? I saw this and was worried about inferior OMI due to some subtle STE in III with very worrisome reciprocal findings in aVL. But the well-formed Q-wave and the presence of a normal T-wave in inferior leads led me to believe this was Old Inferior MI with persistent ST Elevation, otherwise known as inferior LV aneurysm.

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Long QT Syndrome,Look Closely and Do Not Trust the ECG-Computer

ECG Guru

ST-elevation V2/V3, why? The patient never had chest pain, echocardiography inconspicious. History of several syncopal episodes. But, there is something wrong with the ECG. We observe a sinus rhythm ECG, at first glance, there are ST-elevations in leads V2-V4. No ST-depressions are visible. Upon closer examination, a prominent T-wave is noted, starting immediately after the QRS complex.

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How Driscoll Health System’s leadership rounding brings patients and families together

NRC Health

Driscoll Health System in Corpus Christi, Texas, changed its leadership-rounding strategy following a rebranding campaign and an industry-changing global pandemic. The post How Driscoll Health System’s leadership rounding brings patients and families together appeared first on NRC Health.

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Sinusarrythmia (nonrespiratory)

ECG Guru

This is the ECG of an 81-year-old man with hypertension. Currently, he has no complaints: no palpitations, no shortness of breath, no syncope, no chest pain. The rhythm is irregular, but all P-waves have the same shape. There is a non-respiratory sinus arrhythmia present, which is essentially the minimal variant of a sick sinus syndrome. There are no consequences for the patient resulting from this diagnosis.

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Network Five: Healthcare Worker Wellbeing

Life in the Fast Lane

Pramod Chandru Network Five: Healthcare Worker Wellbeing Network Five Emergency Medicine Journal Club Episode 20 - Healthcare Worker Wellbeing reviewing papers on burnout in emergency medicine.

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Ventricular Tachycardia after inferior myocardial infarction

ECG Guru

76-year-old man, with a history of inferior wall myocardial infarction. He experiences recurrent episodes of brief palpitations, often lasting only 5-15 seconds. In this ECG, at the beginning, the last part of a wide-complex tachycardia is visible. After 2 sinus beats, another wide-complex tachycardia begins (with the same QRS configuration).

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Network Five: Critical Care

Life in the Fast Lane

Pramod Chandru Network Five: Critical Care Network Five Emergency Medicine Journal Club Episode 21 - Critical Care reviewing papers on cardiogenic shock, intravenous fluids in sepsis and lung protective ventilation strategies.

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Long QT syndrome, look closely and do not trust the ecg-computer

ECG Guru

ST-elevation V2/V3, why? The patient never had chest pain, echocardiography inconspicious. History of several syncopal episodes. But, there is something wrong with the ECG.

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Network Five: Orthopaedics

Life in the Fast Lane

Pramod Chandru Network Five: Orthopaedics Network Five Emergency Medicine Journal Club Episode 22 - Orthopaedics reviewing papers on vascular injuries from knee dislocations, distal radius fractures and all things pelvic binders!

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First Time Seizure in the ED

Emergency Medicine Education

This is an observational study among patients presenting to 3 EDs with Seizure and they found approximately 12 % of patients had some neuroimaging findings!

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Auguste Nélaton

Life in the Fast Lane

Conor O'Reilly and Mike Cadogan Auguste Nélaton Auguste Nélaton (1807-1873) was a French physician and surgeon.

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Cardiac Rhythms/ECG Module

Don't Forget the Bubbles

Topic Cardiology & the ECG Author Anna McCorquodale Duration 1-2 hours Facilitator Level ST4+ level used to seeing children acutely Learner level Anyone involved in initial assessment of children with cardiac symptoms; paediatric trainees, emergency trainees, foundation doctors Outline Pre-reading Basics Case 1 Case 1: Discussion Case 2 Case 2: Discussion Advanced Case 1 Advanced Case 1: Discussion Advanced Case 2 Advanced Case 2: Discussion Quiz Take Home Points Basics (15 mins) with sharin

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ToxCard: Smallpox

EMDocs

Authors: Whitney Ficker, MD (Pediatric Emergency Medicine Fellow, Atrium Health’s Carolinas Medical Center); Christine Murphy, MD (Emergency Medicine Attending, Medical Toxicologist, Atrium Health’s Carolinas Medical Center) // Reviewed by: James Dazhe Cao, MD (@JamesCaoMD, Associate Professor of EM, Medical Toxicology, UT Southwestern Medical Center, Dallas, TX); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case: A 13-month-old male presents to the Emergency Department (ED) with his

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Maintenance of Certification Has to Go

Sensible Medicine

We are two practicing physicians who strongly support a petition gaining traction on Change.org to eliminate the American Board of Internal Medicine’s Maintenance of Certification (MOC) requirement. From our perspective, MOC is a financial product made to enrich a professional organization that has no credible data that it ensures better physicians.