Don't Forget the Bubbles

AUGUST 28, 2023

Depending on the location of the mediastinal mass, lying a child flat or using a rapid sequence induction protocol may cause cardiorespiratory arrest. As clinicians, we need to be prepared. What causes a mediastinal mass? The mediastinum is the segment of the thorax that includes structures vital to life – the heart, major blood vessels, and the airway.

Pediatrics 97

Pediatrics Research Emergency Department Wellness 97

Science Based Medicine

AUGUST 28, 2023

Brave maverick doctors (i.e., quacks) have long tried to portray themselves as "innovators" challenging an ossified medical consensus for the good of patients. This tradition continues among COVID-19 quacks, in particular the Frontline COVID-19 Critical Care Alliance and its founders. The post Quoth quacks, “The medical consensus has changed before, making my quackery science!

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Sensible Medicine

AUGUST 28, 2023

This weekend at the European Society of Cardiology, I watched Professor Paulus Kirchhof present results of the NOAH AFNET 6 trial, which is also published in the New England Journal of Medicine. I describe it here for two reasons: it is an example of well-conducted unbiased study, and it deals with an increasingly common problem of short-duration episodes of atrial fibrillation.

Stroke 91

Stroke Wellness EKG/ECG Outcomes 91

First 10 EM

AUGUST 28, 2023

This is a guest post by Dr. Katie Lin. Dr. Katie Lin is an Assistant Professor of Emergency Medicine at the University of Calgary, a Stroke Attending with the Calgary Stroke Program, and a critical care Flight Transport Physician with STARS Air Ambulance in Alberta. She completed her residency training and stroke fellowship in Calgary and a Masters of Public […] The post The Crashing Brain: Approach to the first 10 minutes appeared first on First10EM.

Stroke 90

Stroke 90

Emergency Live

AUGUST 28, 2023

Renewing Air Rescue in Ireland: Bristow and the New Era of Search and Rescue for the Coastguard On 22 August 2023, Bristow Ireland officially signed a contract with the Irish government to provide search and rescue (SAR) services using helicopters and turboprop aircraft to serve the Irish Coast Guard. Starting in the fourth quarter of […] The post Bristow signs search and rescue contract in Ireland appeared first on Emergency Live.

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EMDocs

AUGUST 28, 2023

Here’s another case from Medical Malpractice Insights – Learning from Lawsuits , a monthly email newsletter for ED physicians. The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. To opt in to the free subscriber list, click here. Stories of med mal lawsuits can save lives.

Fractures 63

Fractures Seizures Patient Safety Hospitals 63

Emergency Live

AUGUST 28, 2023

Wolff Parkinson White syndrome is a cardiac pathology due to an abnormal transmission of the electrical impulse between the atria and ventricles which can cause tachyarrhythmias and palpitations The post Abnormalities in the transmission of electrical impulses: Wolff Parkinson White Syndrome appeared first on Emergency Live.

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PEMBlog

AUGUST 28, 2023

Staring this week, and continuing for the next five, we will be releasing new content supporting the key Pediatric Emergency Medicine recommendations of Choosing Wisely. I have partnered with world experts on the subject matter, and we’ve been developing this series over the past several months. There will be episodes of PEM Currents: The Pediatric Emergency Medicine Podcast, blog posts here on PEMBlog, articles from Don’t Forget the Bubbles , videos, and more!

Pediatrics 52

Pediatrics Seizures Psychiatric 52

Ultrasound Gel

AUGUST 28, 2023

Another author-focused Bonus Cuts episode with Zack and Mike joined by the one and only Rob Farrow! Rob represents the research team behind the recently discussed US-guided trigger point article. Discussion ensues regarding the methodology, procedural pearls, and a strained Bob Dylan reference. [link] Another author-focused Bonus Cuts episode with Zack and Mike joined by the one and only Rob Farrow!

Research 52

Research 52

Core Ultrasound

AUGUST 28, 2023

Rotator Cuff Non-Rotator Cuff Shoulder Exam Knee Exam The post Elbow effusion – Identification, Aspiration, Injection (5MS) first appeared on Core Ultrasound.

Ultrasounds 52

Ultrasounds 52

ECG Guru

AUGUST 28, 2023

Here we see the EKG of a 63-year-old man with CAD without relevant coronary stenosis. He complains of slightly reduced performance, but no other symptoms.

EKG/ECG 52

EKG/ECG 52

RebelEM

AUGUST 28, 2023

Clinical Scenario: A 34-year-old woman presents to the ED with back pain. After your history and physical, you conclude that the patient’s pain is muscular in origin and likely secondary to heavy lifting while moving apartments. You contemplate analgesic options and decide that a NSAID makes sense. Should you give her PO ibuprofen or IM ketorolac? Bottom Line Up Top: There is no difference in analgesic efficacy between oral and intramuscular NSAIDs.

Administration 52

Administration Emergency Department EMS Research 52

ALiEM

AUGUST 28, 2023

A 44-year-old female presented to the emergency department with the complaint of a “stone under [her] tongue.” She reported that the “stone” had been present and painless for two years. The day prior, she began experiencing pain at this site while brushing her teeth. She squeezed the area in an attempt to expel it, but this action only increased her pain.

Dehydration 52

Dehydration Emergency Department Academics Hospitals 52