Thu.Feb 22, 2024

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How will you save this critically ill patient? A fundamental and lifesaving ECG interpretation that everyone must recognize instantly.

Dr. Smith's ECG Blog

Written by Pendell Meyers A woman in her 30s called EMS for acute symptoms including near-syncope, nausea, diaphoresis, and abdominal pain. EMS arrived and found her to appear altered, critically ill, and hypotensive. An ECG was performed: What do you think? Extremely wide complex monomorphic rhythm just over 100 bpm. The QRS is so wide and sinusoidal that the only real possibilities left are hyperkalemia or Na channel blockade.

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When TV saves lives: a teenager's lesson

Emergency Live

A 14-year-old boy becomes a hero after saving a man from a heart attack thanks to acquired skills In an increasingly aware society of the importance of preparation in emergency situations, the story of a young boy who saved the life of a 65-year-old man suffering from a heart attack highlights the essentiality of first […] The post When TV saves lives: a teenager's lesson appeared first on Emergency Live.

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Lacerations: The secrets they don’t want you to know

EM Ottawa

Lacerations are a common presenting complaint to emergency department. In 2013, in the United States there were 7 million visits to the emergency department (ED) for lacerations making up a total of 5.2% of ED visits(1). Let’s review some of the evidence (or lack thereof) surrounding laceration repair so that we can be better at […] The post Lacerations: The secrets they don’t want you to know appeared first on EMOttawa Blog.

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The fog that kills: smog in the Po Valley

Emergency Live

An analysis of the latest data and impacts on public health from pollution The latest images provided by the Copernicus satellite network leave little room for interpretation: the Po Valley, a productive hub and the beating heart of the Italian economy, is among the most polluted regions in the world. Exceedances of fine particulate matter […] The post The fog that kills: smog in the Po Valley appeared first on Emergency Live.

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First10EM Journal Club: February 2024

Broome Docs

Welcome to the first episode for 2024 – and we have a range of papers covering the big life threatening issues to the tiniest pinky finger injuries and a lot in between. There is something for everyone in here! We try to answer a few questions that you may have not even pondered such as: should all Psych patinets get an MRI? Should you replace fingernails on crushed digits?

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emDOCs Revamp – Corneal Abrasion

EMDocs

Authors: Katey DG Osborne, MD (EM Attending Physician: Tacoma, WA) and Rachel Bridwell, MD (EM Attending Physician: Tacoma, WA) // Reviewed by: Alex Koyfman, MD (@EMHighAK, EM Attending Physician, UTSW / Parkland Memorial Hospital); Brit Long, MD (@long_brit, EM Attending Physician, San Antonio, TX) Welcome to emDOCs revamp! This series provides evidence-based updates to previous posts so you can stay current with what you need to know.

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Grand Rounds Recap 2.21.24

Taming the SRU

M&M - Arterial Lines - Fat Embolism Syndrome - CPC Morbidity & Mortality WITH Dr. Finney Case 1: MVC AMA, especially in pediatrics, is a high-risk disposition that requires thorough discussion and documentation Approach pediatric blunt abdominal trauma with a thorough physical exam and consider decision making tools when applicable Case 2 & 3: Found down and Hypoglycemia Renal replacement therapy & bicarb drips can be useful in management of severe metabolic acidosis in the setti

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Improving parental involvement for better NPS at Children’s Minnesota

NRC Health

Leaders at Children’s Minnesota built strategies to achieve remarkable results to provide the best possible care and empower care teams. The post Improving parental involvement for better NPS at Children’s Minnesota appeared first on NRC Health.

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Comprehensive Care Strategies for Patients with Mental Health Challenges Training

American Medical Compliance

The following Comprehensive Care Strategies for Patients with Mental Health Challenges Training is designed to educate healthcare providers on the range of mental health disorders patients may present with. In any healthcare setting, it’s important to be aware of conditions your patients may have and how to adopt a set of care strategies that will best suit your patients.

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I Am Afraid of Early Cancer Detection

Sensible Medicine

Last week I wrote about Grail’s Galleri test; a test marketed as a single blood test that screens for 50 cancers. Last week’s article outlined my pretty dim view of the test. I referenced a Wall Street Journal Opinion piece, Who’s Afraid of Early Cancer Detection? One answer to the question posed by the WSJ piece is: me. Sensible Medicine is a reader-supported publication.

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ALICE (Alert, Lockdown, Inform, Counter, Evacuate) Response Training

American Medical Compliance

The following ALICE (Alert, Lockdown, Inform, Counter, Evacuate) Response Training is designed to educate healthcare providers on the core principles behind each step of ALICE. Violence can happen anywhere at any time. 69% of active shooter instances last five minutes or less, with many ending before law enforcement arrives. People must understand how to respond to an active shooter situation to maximize their chances of survival.

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Restrictive or Liberal Transfusion Strategy in Myocardial Infarction and Anemia (MINT Trial)

RebelEM

Background : Concurrent anemia worsens outcomes in patients that present with acute myocardial infarctions. Transfusions increase the oxygen carrying capacity of blood which can improve the perfusion of at-risk cardiac tissue. However, transfusions are also asso ciated with immunosuppression, thrombotic phenomena, volume overload, and inflammatory reactions.