Don't Forget the Bubbles

JUNE 26, 2023

In this case-based article, we’ll talk about single ventricle defects and their management (both medical and surgical), then look at the two main shunt options during Stage 1 reconstruction. Single ventricle defects Many complex congenital heart defects have single ventricle physiology. This means that one ventricle is too small, weak or obstructed to pump effectively, leaving the other ventricle to supply both systemic and pulmonary circulations in parallel via a shunt such as the ductus

Operations 128

Operations Research Hyperthermia / Hypothermia Hospitals 128

First 10 EM

JUNE 26, 2023

I think the conclusions of the paper are incredibly obvious, and therefore not practice changing, but I worry that a superficial read might lead to misinterpretation, and therefore the paper is probably worth covering. (This is the same research group that published the infamous PESIT study, and all the subsequent misinformation about PE risk in […] The post PE risk in severe exertional dyspnea appeared first on First10EM.

Research 108

Research EMS 108

Intensive Blog

JUNE 26, 2023

Author: Dr Ken Hoffman Peer reviewer: A/Prof Chris Nickson These videos are aimed at ICU staff and trainees who are new to ECMO. Part 1 focusses on nomenclature and components of ECMO (extracorporeal membrane oxygenation). Part 2 focusses on V-V (veno-venous) ECMO. Part 3 tackles V-A (veno-arterial) ECMO and the final video, Part 4, addresses ECPR (ECMO-CPR during cardiac arrest).

CPR 98

CPR 98

PulmCCM

JUNE 26, 2023

An expert panel broadened the definition of acute respiratory distress syndrome (ARDS). They announced this at the American Thoracic Society meeting in May 2023. Thirty-two experts virtually to update the 2012 update (in Berlin) , and declared that ARDS shall henceforth include anyone with: PaO2/FiO2 ≤300 mmHg (on an arterial blood gas) or SpO2/FiO2 ≤315mmHg with SpO2 ≤97% (on pulse oximetry without an ABG) That’s while receiving either mechanical ventilation, or (this is

Outcomes 98

Outcomes Hospitals Ultrasounds Wellness 98

Emergency Live

JUNE 26, 2023

Histrionic Personality Disorder is characterized by excessive emotionality and a constant attention-seeking The post What is histrionic personality disorder? appeared first on Emergency Live.

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Sensible Medicine

JUNE 26, 2023

Dr. Mandrola and I are trading beats this week. I am posting the “Study of the Week” today and John will be publishing a “My Favorite Article” piece later in the week. Over time, I have realized the type of medicine I enjoy practicing. I love evaluating symptoms, making diagnoses, and curing (or more commonly managing) diseases.

Stroke 91

Stroke Wellness 91

Emergency Live

JUNE 26, 2023

The heel spur originates from the calcaneus, one of the 7 bones that make up the tarsus which, together with the metatarsus and phalanges, forms the skeleton of the foot The post Heel spur: what is it? appeared first on Emergency Live.

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Emergency Live

JUNE 26, 2023

Let's talk about peptic ulcer. Peptic ulcers are open wounds that develop on the inner lining of the stomach or the upper part of the small intestine, the duodenum The post Peptic ulcer: definition, causes, symptoms, diagnosis and treatment appeared first on Emergency Live.

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Medagadget

JUNE 26, 2023

Scientists at Rice University have developed a highly flexible nanoelectrode that is designed for long-term implantation in the brain. The brain stimulation provided by the technology is incredibly fine-grained, thanks to the very low current it can deliver. This results in a very discrete area of neurostimulation, potentially allowing for much finer control of small groups of neurons.

Research 78

Research Shock 78

Emergency Live

JUNE 26, 2023

Tumor of the uterus (uterine cancer) – the upside-down funnel-shaped female organ used to welcome the fetus during pregnancy – can affect both the body, i.e. the upper, wider part, and the neck or cervix, i.e. the lower part connected to the vagina The post Uterine cancer: causes, symptoms, diagnosis and treatment appeared first on Emergency Live.

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Dr. Smith's ECG Blog

JUNE 26, 2023

== MY Comment , by K EN G RAUER, MD ( 6/26 /2023 ): == The tracing in Figure-1 was sent to me — without the benefit of any history. How would YOU interpret this tracing? Figure-1: The initial ECG in today's case. ( To improve visualization — I've digitized the original ECG using PMcardio ). MY Initial Thoughts: My attention was immediately drawn to the long lead rhythm strip in Figure-1.

EKG/ECG 75

EKG/ECG Seizures Sepsis Operations 75

Emergency Medicine Cases

JUNE 26, 2023

With increasing forest fires, heat waves, floods, storms, vector-borne illnesses and heat waves, the emergency department is uniquely positioned to declare sentinel events, advocate on behalf of vulnerable populations and lead by example. Dr. Matt Douglas-Vail explains the need for Increased education on climate change and planetary health, Increased resource allocation in emergency departments for climate-related pathologies and increased disaster planning for climate-related emergencies on thi

EMS 64

EMS Emergency Department Stroke 64

Maria Yang, MD

JUNE 26, 2023

There are valid reasons why people catastrophize ( to imagine the worst possible outcome of an action or event ): Terrible things happen. Uncommon calamities occur, things that we never thought would happen to us. Common catastrophes occur, too, things that we know will happen, and yet all of our preconceptions do not provide adequate preparation. Are common catastrophes really “catastrophes”?

Outcomes 59

Outcomes Wellness 59

Taming the SRU

JUNE 26, 2023

morbidity and mortality - wellness: behind the curtain Morbidity and mortality WITH dr. zalesky Meningitis Meningitis is an extremely difficult diagnosis with almost no clinical findings that can aid in the diagnosis outside of suspicion and a LP Seizures can be a presenting sign of infections, often without fevers or leukocytosis Of patients with seizures who underwent LP, 22% had an infection (with about half of these patients without any other clinical signs of infection) Hydrocephalus is a r

Seizures 52

Seizures Best Practices Wellness Outcomes 52

American Medical Compliance

JUNE 26, 2023

In response to the COVID-19 pandemic, the U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) granted enforcement discretion for certain aspects of the Health Insurance Portability and Accountability Act (HIPAA) during the public health emergency. However, a recent announcement by the OCR declares the expiration of HIPAA enforcement discretion related to COVID-19 public health emergency notifications.

Best Practices 52

Best Practices 52

EMergucate

JUNE 26, 2023

The chest x-ray shows features of right middle lobe pneumonia. There is air space opacity silhouetting the right heart border.

EMS 52

EMS 52

Intensive Blog

JUNE 26, 2023

Authors: Dr Bevan Roodenburg, Dr Steve Philpot Peer reviewer: A/Prof Chris Nickson The Communication viva is distinct from all the other vivas that take place in the Second Part examination for Fellowship of the College of Intensive Care Medicine (CICM) of Australia and New Zealand. The viva station involves an observed simulated communication encounter with an actor.

Wellness 40

Wellness 40

EMergucate

JUNE 26, 2023

Boot shaped heart The frontal chest x-ray shows boot-shaped heart and pulmonary plethora.

EMS 52

EMS 52

Ken Grauer, MD

JUNE 26, 2023

The ECG in Figure-1 was obtained from a young man with a history of rheumatic heart disease — who presented with “palpitations”. He was hemodynamically stable at the time this tracing was recorded. How would YOU interpret the ECG in Figure-1 ? How would you treat the patient? Figure-1: The initial ECG in today’s case. What is the rhythm? How would you treat the patient?

EKG/ECG 339

EKG/ECG Wellness 339

EMergucate

JUNE 26, 2023

The neck x-ray shows Diffuse subcutaneous emphysema in the neck.

EMS 52

EMS 52

RebelEM

JUNE 26, 2023

Background: Hemorrhage is the leading cause of mortality in trauma patients. Interventions such as early application of hemorrhage control, tranexamic acid, reduction of crystalloid fluid administration and balanced ratio blood product transfusion have improved many patients’ outcomes. However, mortality still remains high due to trauma-induced coagulopathy.

Administration 124

Administration Outcomes Resuscitation Radiology 124

Medagadget

JUNE 26, 2023

Researchers at the Singapore University of Technology and Design have created a flexible knee wearable that contains integrated circuitry within its knitted structure. The wearable can track joint movement in real time, assisting clinicians in spotting the early signs of movement disorders or allowing them to track the progress of patients undergoing physical therapy to improve their movement.

Research 76

Research Wellness Telemedicine 76

University of Maryland Department of Emergency Med

JUNE 26, 2023

Settings: Retrospective data from 3 Dutch EDs (development of the score), 2 Denmark ED (for validation of the score). The novel score (In.

Emergency Department 40

Emergency Department Hospitals 40