Wed.Jun 21, 2023

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How Long Should EM Residency Be? New Studies Shed Light

ACEP Now

U.S. emergency medicine (EM) residency training length has been a decades-long dilemma: four vs. three years. Two important questions befall educators and residents. First, is three years enough time to become an EM physician? Second, does an additional year add sufficient value to justify the time and expense? To date, the debate has been lively yet largely conceptual.

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Cardiac arrhythmias: long QT cardiac syndrome

Emergency Live

Long QT syndrome is a cardiac pathology, attributable to the family of heart arrhythmias When the patient has a long QT, it means that his normal ventricular contraction is impaired and he lengthens. Since the pathology is rather rare, it is still today the subject of careful medical research that can establish in an increasingly […] The post Cardiac arrhythmias: long QT cardiac syndrome appeared first on Emergency Live.

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Update on GMOs and Health

Science Based Medicine

Thirty years on, there is even more evidence that GMO food are safe. The post Update on GMOs and Health first appeared on Science-Based Medicine.

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Lumbar stenosis: definition, causes, symptoms, diagnosis and treatment

Emergency Live

Lumbar stenosis is a narrowing of the vertebral canal in the lumbosacral spine. This disorder can lead to changes in the spine that can generate excessive pressure on the nerve roots, causing intense pain The post Lumbar stenosis: definition, causes, symptoms, diagnosis and treatment appeared first on Emergency Live.

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A man in his 50s with acute chest pain who is lucky to still be alive.

Dr. Smith's ECG Blog

Sent by Magnus Nossen MD, written by Pendell Meyers A man in his 50s, previously healthy, developed acute chest pain. EMS was called, and they recorded the following ECG on scene at 13:16: What do you think? Below is the version standardized by PM Cardio app Meyers interpretation: Findings are specific for posterior (and also likely inferior) wall transmural acute infarction, most likely due to acute coronary occlusion (OMI).

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Haemospermia or haematospermia: what does it mean if you find blood in your sperm?

Emergency Live

Haemospermia or haematospermia - the presence of blood in semen - is an event that occurs as a result of the rupture of certain blood vessels along the tract that semen travels during ejaculatory phenomenon The post Haemospermia or haematospermia: what does it mean if you find blood in your sperm? appeared first on Emergency Live.

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What are risk factors in ambulance crashes?

University of Maryland Department of Emergency Med

Between 2010 and 2020, there were 279 fatalities related to ambulance accidents. In up to 50% of accidents, EMS is not at fault. The use.

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Father Says Hospital Should Have Saved His 15-Year-Old Son Who Suffered Anaphylaxis | SnackSafely.com

PHARM

Father Says Hospital Should Have Saved His 15-Year-Old Son Who Suffered Anaphylaxis | SnackSafely.com — Read on snacksafely.

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Injury to the brain or spinal cord: what is meant by spasticity?

Emergency Live

From the Greek spasmos ('cramp'), the word 'spasticity' indicates a disproportionate increase in muscle tone, and is a clinical sign caused by an injury to the encephalon or spinal cord The post Injury to the brain or spinal cord: what is meant by spasticity? appeared first on Emergency Live.

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Lab case 409 interpretation

EMergucate

Question 1: PH = 7.17, that is moderate acidaemia. HCO3 = 14 (less than 24). So, we have metabolic acidosis.

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Eye diseases: retinitis pigmentosa

Emergency Live

Retinitis pigmentosa is a disease that affects the retina. The retina is the structure responsible for receiving light stimuli and converting them into electrical impulses that are then sent to the primary visual cortex (located in the occipital lobe) which has the task of processing and integrating them to reconstruct the image The post Eye diseases: retinitis pigmentosa appeared first on Emergency Live.

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emDOCs Podcast – Episode 80: Traumatic Arthrotomy

EMDocs

Today on the emDOCs cast with Brit Long, MD ( @long_brit) , we discuss traumatic arthrotomy, also known as an open joint. Episode 80: Traumatic Arthrotomy What is traumatic arthrotomy (TA)? TA occurs when a wound disrupts a joint capsule and exposes the intra-articular surface of a joint to contamination and potentially infection. May lead to significant morbidity Typical presentation: Males in their 20s and 30s are most commonly affected Mechanisms include any potential injury, but GSW and MVCs

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Macrosomia and Large for Gestational Age Babies

Don't Forget the Bubbles

You are asked to come to the labour ward and examine a baby girl, Mantre, born at 41 weeks and two days. Her mom has poorly controlled gestational diabetes. Mantre weighs 4280 grams. You wonder: is this weight too much for the gestational age? Is this because of maternal diabetes? And what should I do next? What is large for gestational age? It is impossible to practice neonatology without coming across babies that are large for gestational age (LGA).

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