Tue.Jun 06, 2023

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Guidelines For Diagnosis Of Diaphragmatic Injury

The Trauma Pro

In today’s post, I will review the diaphragmatic injury practice guidelines published by the Eastern Association for the Surgery of Trauma (EAST). I will follow this up on Friday with an interesting delayed diaphragm injury case. Diaphragm injury is a troublesome one to diagnose. It is essentially an elliptical sheet of muscle that is doubly curved, so it does not lend itself well to diagnosis by axial imaging.

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Wearable Ultrasound for Deep Tissue Monitoring

Medagadget

Researchers at the University of California San Diego have created a wearable ultrasound system that can monitor deep tissues, as far as 16.5 cm (6.5 inches) below the surface of the body. Moreover, the team employed a machine learning algorithm to reduce the noise associated with movement, helping to obtain reliable readings while the wearer goes about their day.

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Chest pain: when can it be aortic dissection (or dissection)?

Emergency Live

Dissection, or dissection, of the aorta is a cause of acute chest pain; it is uncommon but represents severe severity with regard to the clinical picture The post Chest pain: when can it be aortic dissection (or dissection)? appeared first on Emergency Live.

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Ten Ways to Communicate Empathy in Chaos

ACEP Now

When considering an optimized environment for compassionate patient communication, the chaotic emergency department (ED) probably gives some clinicians pause. EDs, filled with alarms, frequent interruptions, hurried paramedics and consultants, hallway beds, and the looming sense that clinicians are out of time, is rarely thought of as a place for empathetic communication.

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Branch block: the causes and consequences to take into account

Emergency Live

A branch block is an abnormality that causes impediments and/or delays in the electrical conduction system of the heart muscle, i.e. in the transmission of the electrical impulses that occur between the atria and ventricles causing the heart to beat The post Branch block: the causes and consequences to take into account appeared first on Emergency Live.

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ECG Cases 43 – ECG Interpretation in Shortness of Breath

Emergency Medicine Cases

In this ECG Cases blog we look at 10 patients with shortness of breath, and discuss how the ECG can be used to help diagnose cardiac, respiratory and metabolic emergencies. We discover that for STEMI/OMI vs subendocardial ischemia, we should look for STEMI(-)OMI, subacute OMI, and OMI in the presence of LBBB and RBBB, and consider the differential for diffuse ST depression with reciprocal ST elevation in aVR.

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What is Body Dysmorphic Disorder? An overview of dysmorphophobia

Emergency Live

Body dysmorphic disorder (BDD), or dysmorphophobia, is a mental disorder that provokes the individual to focus unduly on flaws in the personal appearance to an extent that it dominates thought, producing severe embarrassment, shame, and anxiety such that the person may even avoid social situations The post What is Body Dysmorphic Disorder? An overview of dysmorphophobia appeared first on Emergency Live.

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Posture, the mistakes that lead to cervicalgia and other spinal pains

Emergency Live

Posture problems? Working at the computer, from the office and especially working from home, can lead to the habit of spending many hours in incorrect postures that, in the long run, can be harmful to our backs The post Posture, the mistakes that lead to cervicalgia and other spinal pains appeared first on Emergency Live.

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EM Quick Hits 49 Stroke Management Update, Intussusception, 5 Penetrating Trauma Tips, Skin Foreign Body Hack, CT Radiation Risk, Emergency Fund

Emergency Medicine Cases

On this month's EM Quick HIts podcast: Anand Swaminathan on EVT for large vessel occlusion strokes, Sarah Reid on picking up intussusception, Andrew Petrosoniak on 5 Penetrating Trauma Tips, Peter Toth on using a slit lamp to manage skin foreign body hack, Nour Khatib and Jonathan Wallace on CT Radiation Risk and Matt Poyner on setting up an emergency fund.

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Papilloma virus (HPV): symptoms, causes, diagnosis and treatment

Emergency Live

Human Papilloma Virus (HPV) infection is extremely widespread among the population and is mainly transmitted sexually The post Papilloma virus (HPV): symptoms, causes, diagnosis and treatment appeared first on Emergency Live.

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Temperature Feedback for Prosthetic Limbs

Medagadget

Engineers at Ecole Polytechnique Fédérale de Lausanne (EPFL) in Switzerland have developed a new technology that can provide temperature feedback for amputees using a prosthetic limb. Excitingly, the device makes it feel as if the temperature sensation is experienced in the phantom limb, providing a realistic experience of touching something cold or hot with the missing limb.

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Infections of the genital apparatus: orchitis

Emergency Live

Among infections of the genital apparatus, orchitis is one of the most common. This pathology affects a large number of men and can cause a lot of discomfort and pain The post Infections of the genital apparatus: orchitis appeared first on Emergency Live.

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Pegcetacoplan, a new treatment for macular degeneration

Science Based Medicine

FDA approves a new treatment for macular degeneration: the good, the bad, and the disappointing. The post Pegcetacoplan, a new treatment for macular degeneration first appeared on Science-Based Medicine.

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Low Hemoglobin: causes and treatment

Emergency Live

Hemoglobin is a protein in your red blood cells. Your red blood cells carry oxygen throughout your body. If you have a condition that affects your body’s ability to make red blood cells, your hemoglobin levels may drop The post Low Hemoglobin: causes and treatment appeared first on Emergency Live.

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emDOCs Podcast – Episode 79: Open Globe Injury

EMDocs

Today on the emDOCs cast with Brit Long, MD ( @long_brit) , we discuss a open globe injury with Jess Pelletier, MD. Episode 79: Open Globe Injury Incidence: Incidence of OGI is 2-6 cases per 100,000 population; males ages 10-30 account for 80% of cases Causes: Penetrating injuries, motor vehicle accidents, fights, and sports Risks: Eye surgery, connective tissue diseases OGI is a vision-threatening diagnosis; worse prognosis with delay to definitive care with antibiotics and surgery Surgical int

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Heart rate: what is bradycardia?

Emergency Live

Bradycardia is defined as a heart rate below 60 beats per minute. Heartbeats are considered regular when they are between 60 and 100 beats per minute The post Heart rate: what is bradycardia? appeared first on Emergency Live.

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Urine Test for Parkinson’s Disease

Medagadget

Scientists at Purdue University have developed a urine test for early-stage Parkinson’s disease. The technology involves isolating extracellular vesicles of neural origin from urine samples and then assessing the proteins within the vesicles to detect biomarkers of the disease. The researchers have called their technology “EVtrap” (Extracellular Vesicles total recovery and purification) and it involves using magnetic beads to concentrate extracellular vesicles in urine, before subsequent proteom

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Position available in Zurich

The Evolution & Medicine Review

The Faculty of Medicine of the University of Zurich invites applications for an Assistant Professorship with Tenure Track for “One Health with Focus in Evolution” The One Health Institute (OHI) is a newly founded institute at the University of Zurich, which will hold initially three professorships in One Health with respective focus areas in evolution, […]

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Transforming patient experience through a culture of excellence

NRC Health

Defining a culture of excellence is crucial to delivering an exceptional patient experience. When healthcare providers commit to excellence, they are more likely to deliver quality care that meets or exceeds patient expectations. The post Transforming patient experience through a culture of excellence appeared first on NRC Health.

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Postdoc position with Ben Trumble

The Evolution & Medicine Review

The School of Human Evolution and Social Change, the Institute of Human Origins, and the Center for Evolution and Medicine at Arizona State University welcome applications for a Postdoctoral Research Scholar working with Dr. Ben Trumble.

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Imaging Case of the Week 555

EMergucate

Neonate with increased work of breathing. What can be seen on the chest x-ray? Answer will be posted later.

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Predictors of post-intubation hypotension in trauma patients following prehospital emergency anaesthesia: a multi-centre observational study | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine | Full Text

PHARM

Post-intubation hypotension (PIH) after prehospital emergency anaesthesia (PHEA) is prevalent and associated with increased mortality in trauma patients. The objective of this study was to compare the differential determinants of PIH in adult trauma patients undergoing PHEA. This multi-centre retrospective observational study was performed across three Helicopter Emergency Medical Services (HEMS) in the UK.

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ECG Blog #383 — Is this Coronary Disease?

Ken Grauer, MD

== P lease N OTE : After today — No new ECG Blog posts for 2- to -3 weeks. — I will also not be prompt in replying to emails. == All material on this ECG Blog site remains open! The INDEX tab ( in the upper right of each page ) — has linked Contents, listed by subject. So IF you are looking for ECG material — There is plenty on this web site! IF you scroll down a little on the right-hand column of this blog — You'll see a lot of icons.

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Grand Rounds Recap 5.3.23

Taming the SRU

APRIL Morbidity & Mortality Report - R4 Capstone: CASES OF Near misses - R1 clinical knowledge: TBI’s - air care ground rounds MORBIDITY AND MORTALITY REPORT WITH DR. BROADSTOCK Suicidal Ideation & Behavior with Concomitant Substance-Use Difficult to distinguish suicidal ideation/behavior from primary decompensated psychiatric disease versus substance-induced in the ED Statement of Belief Aka pink slip, 72 hour hold, involuntary civil commitment, etc.

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Skeptics

Sensible Medicine

Even after 26 years on the Third Coast, I remain at heart a skeptical New Yorker. I think that is why I was quick to embrace the skepticism of critical appraisal when I first learned the skills as a resident. Not to date him, but David Rind was one of the faculty members who first taught me how to critically read the medical literature. In this essay he counsels us on when to moderate our skepticism and recognize that our understanding of an illness or therapy might need to change.

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A 50-something with acute chest pain

Dr. Smith's ECG Blog

A 50-something presented with acute chest pain. Here is her ED ECG. It was texted to me while I was out and about. He wrote: "Steve, what do you think about hyperacute T waves in this? 54-year-old female with CP. I initially interpreted as normal, but I am second-guessing myself, since she is hanging out in triage with me." What do you think, Dear Reader?

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