ACEP Now
AUGUST 15, 2023
Emergency medicine is stressful. There are charged moments of powerful highs and lows. In one shift, you may achieve return of spontaneous circulation in a college student with a massive pulmonary embolism, who will survive neurologically intact. The next shift you may feel inadequate as you realize the antibiotics you prescribe will never be picked up by your patient.
Pediatric EM Morsels
AUGUST 4, 2023
In the age of Ozempic, everyone seems to be losing weight! This seems to have had an overall positive benefit on the health of many. Losing weight is a good thing, until it is a bad thing! Too much of a good thing is a bad thing. Of course, there can be many complications of rapid weight loss including gallstones , malnutrition , and electrolyte imbalances.
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The Trauma Pro
AUGUST 29, 2023
Traumatic injury is a continuum ranging from very minor to immediately fatal. The mortality rate along that continuum rises exponentially as the Injury Severity Score (ISS) increases. We long ago moved away from the philosophy of keeping someone alive at all costs to embracing the concept of quality of life. We have become more thoughtful about considering patient and family input in difficult cases.
Mount Sinai EM
AUGUST 20, 2023
Causes Inadvertent intravascular injection (even without exceeding max dose) Overdose (with single or multiple doses) Absorption from a vascular area Prevention Calculate max dose, considering comorbidities Direct US guidance, use saline to improve needle tip visualization Add epinephrine when possible. Epi decreases the systemic absorption of LA by reducing local blood flow, also if inadvertently injected IV will provoke tachycardia that can be seen on the monitor.
Don't Forget the Bubbles
AUGUST 30, 2023
The Choosing Wisely ® campaign is an initiative that promotes collaborative conversations between clinicians and families to safely avoid unnecessary and potentially harmful tests. The American Academy of Paediatrics Section on Emergency Medicine (AAP SOEM) created a list of five key recommendations for Paediatric Emergency Medicine after a structured review process and expert consensus opinion.
Medagadget
AUGUST 30, 2023
Researchers at New York University have developed a new method to target many viruses that cause disease. For viruses with a lipid membrane, which includes many that commonly cause disease, this new technique could prove to be fatal. By targeting the lipid membrane, the approach may circumvent the treatment resistance that arises when viruses mutate to alter their surface proteins, which are the most common targets for conventional anti-viral drugs.
Emergency Live
AUGUST 31, 2023
Rapid H2O Flood Barriers: A New and Innovative Solution to Flood Control They say that sometimes you have to fight fire with fire. But what about fighting water with water? In the realm of innovative flood control, the Rapid H2O flood barriers are making waves in the UK market. This ingenious system utilizes water as […] The post Fighting Water with Water: A Revolutionary Solution to Flooding appeared first on Emergency Live.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
The Trauma Pro
AUGUST 25, 2023
I am trying to figure out how I missed it! The Eastern Association for the Surgery of Trauma (EAST) snuck a new practice management guideline into the Injury journal last fall. And it desperately tries to answer a question that has been hanging around for several years. Do we vaccinate spleen injury patients who undergo angioembolization or not? I’ve been pondering this for some time and have reached my own conclusion based on some very old literature.
Mount Sinai EM
AUGUST 23, 2023
Today is a 2 parter: 1) The Supraorbital (+supratrochlear) block for forehead lacs and 2) Comments on decision-making TNF at Ethyl’s 84th and 2nd again, 8 PM TLDR: The Supraorbital block will save you time and make your life easier/patient happier – WATCH THE 3 MIN VID ; We are DECISION MAKERS – make decisions, learn from them, READ THE ATTACHMENT, get amped THE SUPRAORBITAL/TROCHLEAR FOREHEAD BLOCK A must-have in your Elmhurst tool belt.
SheMD
AUGUST 31, 2023
When I started looking at where I wanted to spend my residency during the fourth year of medical school, I considered numerous factors, as every student does. Many of them are quite similar: location, quality or style of learning, fellowship options, benefits, personality fit, etc. However, not everyone is at the same place in life when they are matching.
Don't Forget the Bubbles
AUGUST 29, 2023
This post accompanies Dani’s talk at DFTB23 in Adelaide It was Winter 2021—the height of the COVID-19 pandemic. We were in lockdown. In the emergency department, we were working our way through tonnes of PPE, masks, aprons, and gloves. We were exhausted. Our patients were scared. Headlines were terrifying. One of our nurses worked on her days off in the vaccination centre.
Emergency Live
AUGUST 30, 2023
Takotsubo syndrome, also known as stress cardiomyopathy, is a temporary non-ischaemic cardiomyopathy that results from stressful and emotionally intense situations The post Stress cardiomyopathy: broken heart syndrome (or Takotsubo syndrome) appeared first on Emergency Live.
ECG Guru
AUGUST 26, 2023
Does something about this ECG look "different" to you? This ECG shows a “classic” presentation of inferior-posterior M.I. when it is caused by a lesion in the right coronary artery (RCA). There are ST elevations in leads II, III, and aVF. Reciprocal ST depression is seen in Leads I and aVL. There is also reciprocal ST depression in Leads V1 – V3.
EM Ottawa
AUGUST 17, 2023
Drug rashes are fairly common, but like much of dermatology, diagnostic clarification can be hard to achieve. Here, we present a standardized approach to drug rashes in the Emergency Department. Differential Diagnosis Clinical Approach Assessment History Distribution and progression, recent exposures, new meds Physical Exam Dangerous features: abnormal vital signs; […] The post Drug Rashes appeared first on EMOttawa Blog.
NRC Health
AUGUST 24, 2023
A team at Dayton Children’s, led by pediatric anesthesiologist Sean Antosh, MD, believed there was a better way to humanize care and environments for patients, particularly for children with Autism Spectrum Disorder or other special needs like ADHD or high anxiety. The post Dayton Children’s uses innovative sensory tools to humanize pediatric surgery appeared first on NRC Health.
PulmCCM
AUGUST 15, 2023
What is EG.5.1? Don’t worry about it. But what is it? There are many circulating strains of SARS-CoV-2; all are genomic subvariants of Omicron. EG.5.1 is one of these Omicron subvariants. You don’t need to worry about it. Can I worry about it, though? Well … EG.5.1 is the genomic subvariant of Omicron that is rising fastest as a proportion of viruses detected by genomic surveillance of wastewater.
Don't Forget the Bubbles
AUGUST 23, 2023
Siren and blue lights. Team allocated and primed. Voices command, ears listen, and hands swiftly execute. Monitors beep—loops of communication. As the second hand sweeps, loud voices grow quieter, and pulse checks fall into an unfortunate pattern. Realisation, its time, knowing looks, a shake of the head, a pain, heaviness. Winding down…. “Time of Death 10:43”.
Emergency Live
AUGUST 30, 2023
The UK’s leading business event for the rotorcraft industry After the success of Helitech Expo 2022 which saw over 3,000 key buyers in attendance and 50 hours worth of unmissable content, we can now confirm the show will be returning on the 26th & 27th of September at the ExCeL London and we have some […] The post Helitech Expo 2023: Shaping the Future of Air Mobility appeared first on Emergency Live.
Science Based Medicine
AUGUST 14, 2023
Last week, the Ohio State Medical Board suspended the medical license of Dr. Sherri Tenpenny, a longtime antivax quack. The only question is: What took them so long, and why did it take the pandemic for them to act? Also, is there less to this action than meets the eye? The post The Ohio State Medical Board has finally suspended the medical license of antivax quack Sherri Tenpenny first appeared on Science-Based Medicine.
ACEP Now
AUGUST 22, 2023
There is no shortage of guidelines, protocols, or quality measures across emergency medicine. Regardless of the domain, somewhere an expert panel has convened to issue a pronouncement informing all of the ideal care of patients under their specialty umbrella, indirectly extending to their care in the emergency department. A common limitation to many of these guidelines, however, is the lack of recognition of available resources or the unique challenges of certain patient groups.
ALiEM
AUGUST 9, 2023
Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric lung ultrasound. Then test your skills on the ALiEMU course page to receive your PEM POCUS badge worth 2 hours of ALiEMU course credit. Take the ALiEMU PEM POCUS: Pediatric Lung Ultrasound Quiz Module Goals List indications for performing a pediatric lung point-of-care ultrasound (POCUS).
Life in the Fast Lane
AUGUST 10, 2023
James Miers, John Mackenzie and Amanda Beech Precipitous Birth in the ED Emergency Procedure: Precipitous Birth in the ED. Let’s face it, the three births you attended as a medical student don't really prepare you for this.
Don't Forget the Bubbles
AUGUST 21, 2023
“Hi, phoning from ED with a referral. We’ve got a 2-week-old down here with increased work of breathing and high respiratory rate , do you mind coming to see them?” So far, so common on your typical paediatric on-call shift. Except this baby is a bit different – they’re also really tachycardic and their peripheral perfusion is poor. The ED team helpfully did a gas while you headed down to review, and as you scan the numbers, you see that the baby has a severe mixed respiratory/lactic acidosis.
Emergency Live
AUGUST 29, 2023
Emergency Response Driver Simulator: A Safe and Effective Way to Train for Intersection Dangers Intersections contain several potential hazards and risks for an emergency driver. The driver must assess and negotiate an intersection without risking an accident. Potential hazards, which may be pedestrians or other road users hiding behind vehicles, can stress drivers when an […] The post Intersection Dangers – Emergency Response Drive Training With A Simulator appeared first on Emergency Liv
PulmCCM
AUGUST 7, 2023
Between one in 3,000 and one in 20,000 healthy boys and men aged 12-24 vaccinated against SARS-CoV-2 experienced myocarditis severe enough to require hospitalization , often in the ICU, and a minority still had symptoms and abnormal cardiac MRIs at the time of discharge. It’s unknown how many more experienced myocarditis not severe enough to result in hospitalization.
SheMD
AUGUST 3, 2023
Are you applying to medical school? This can be one of the most stressful times of you life, but sheMD is here to help! Student Doctor Andrea D. shares with us some lessons she's learned while applying to medical school! 1) It’s expensive! Applying to medical school is so expensive! You must budget for primary apps (AMCAS, AACOMAS, TMDSAS), secondary apps, transcript fees, MCAT, CASPer (depending on the school), and interview-related expenses.
ALiEM
AUGUST 7, 2023
A 10-year-old male with no past medical history presents to the Emergency Department (ED) by EMS for evaluation of an injury sustained while playing tackle football. The patient was forcibly hit by another child against a tree. He complains of sharp right shoulder and chest pain that worsens with movement of his right upper extremity and he arrives wearing a sling to immobilize the arm.
EM Ottawa
AUGUST 3, 2023
Case You and your partner arrive at a scene where a 67-year-old male had a witnessed collapse 5 minutes ago and CPR is in progress; he is in cardiac arrest. The initial rhythm is ventricular fibrillation. You continue CPR with a King LT and provide 3 shocks, along with a dose of epinephrine remembering that […] The post BHP Corner: Decision Points in Cardiac Arrest appeared first on EMOttawa Blog.
Don't Forget the Bubbles
AUGUST 9, 2023
You’ve sent some bloods on a child with lethargy. Their free T4 is normal but their TSH is raised. What does this mean? Do they have subclinical hypothyroidism? Subclinical hypothyroidism is a hormonal condition. Thyroid-stimulating hormone (TSH) serum levels are raised, while free T4 (FT4) values are normal. We’ll use some cases to think about the different causes of subacute hypothyroidism, but first, let’s explore what it is.
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.
Science Based Medicine
AUGUST 3, 2023
A new analysis of sports supplements shows that you cannot trust the label to tell you what's actually in the bottle. The post What’s really in that sports supplement? first appeared on Science-Based Medicine.
NRC Health
AUGUST 1, 2023
In this episode we talk with John Berg, Marketing Director and AVP of UF Health, and Ryan Donohue, Strategic Advisor at NRC Health. The post Building Loyalty into the Patient Experience appeared first on NRC Health.
ACEP Now
AUGUST 1, 2023
In November 2022, the American College of Emergency Physicians sent a letter to President Biden on behalf of 34 organizations, asking to convene stakeholders to identify solutions to address the emergency department (ED) boarding crisis.1 The letter detailed ED physician stories, highlighting the preventable harms from boarding, crowding, long waits, staff shortages, burnout, and the disproportionate impact on behavioral health and pediatric populations.
SheMD
AUGUST 8, 2023
Are you pre-med and starting medical school this fall? Are you a new medical student wondering how to navigate the waters of medical school? Student Doctor Briana Christophers is sharing some advice in this three part letter to incoming medical students. Be sure to not miss the part 1 and part 3 ! Dear incoming medical student, First off: congratulations on starting medical school!
Don't Forget the Bubbles
AUGUST 7, 2023
Heart rate (HR) and respiratory rate (RR) are THE major vital signs used in Advanced Paediatric Life Support ( APLS) guidance , sepsis guidelines , and Paediatric Early Warning Scores (e.g., PEWS). Vital signs outside the normal range are used as a proxy for the severity of illness and are also used in evaluating the risk for serious bacterial infection or risk for sepsis in children and young people (CYP).
Emergency Live
AUGUST 24, 2023
The term amyloidosis refers to a group of rare, serious conditions caused by deposits of abnormal proteins, called amyloids, in tissues and organs throughout the body The post Diseases affecting the heart: cardiac amyloidosis appeared first on Emergency Live.
Science Based Medicine
AUGUST 7, 2023
Last week, I wrote about how COVID-19 has exposed the toothlessness of state medical boards. Last week, the American Board of Internal Medicine announced that it was going to permanently revoke the board certifications of two COVID-19 contrarian doctors, Drs. Paul Marik and Pierre Kory. Can medical specialty boards make up for the failure of state medical boards, at least partially?
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