August, 2021

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The Illusion of Eye Contact with Telemedicine

33 Charts

I’m big on eye contact with patients. It’s how we show ourselves as humans. The eyes are the windows to the soul. Through them, we build trust, empathy and reciprocity. When I’m with a patient face-to-face it isn’t always possible but I do my best. Like the IRL experience I try to achieve some level of eye contact during telemedicine encounters. But care through a screen presents challenges to eye contact.

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How to Know if a Dog Is Dangerous to Your Child

Medical Law

Many of our friends and neighbors across the country took the time to adopt dogs this past year, and we applaud their commitment to taking care of our furry friends. Unfortunately, most new dog owners discovered the difficulties of training and socializing a pet during lockdown. Dogs, especially ones that were rehomed or rescues, may have a hard time behaving around strangers, loud noises, and in new areas.

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5 Easy Ways to Promote Breast Cancer Awareness Month in Your Healthcare Organization

PDC Healthcare

October is Breast Cancer Awareness month, an important time to bring attention to a disease that 1 in 8 women have a chance to develop. Raising awareness helps educate women on the warning signs and symptoms of breast cancer, promotes regular cancer screening, and raises funding for research to help save lives. From identification and […]. The post 5 Easy Ways to Promote Breast Cancer Awareness Month in Your Healthcare Organization appeared first on connectID - PDC Healthcare Blog.

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Early Systolic Notching Part 2

Ultrasound Gel

Everyone's new favorite doppler marker for pulmonary embolism is back! We discussed the ESN (early systolic notching) when this concept was first introduced as a marker for large PEs, but now we have a prospective study that improves upon some of the limitations of the past article.or does it? [link] [link] Everyone's new favorite doppler marker for pulmonary embolism is back!

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Albuterol+Bronchiolitis | High-Risk BRUE | OHCA Survival | Healthy Culture | First Pass Success OHCA

JournalFeed

It’s the JournalFeed Podcast for the week of August 23-27, 2021. We cover bronchodilators for bronchiolitis, how often BRUE admits have high-risk diagnoses made, survival after OHCA patients make it to the ED, creating a healthy organizational culture, and the importance of first pass success with OHCA.

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SGEM#342: Should We Get Physical, Therapy for Minor Musculoskeletal Disorders in the ED?

The Skeptics' Guide to EM

Date: August 27th, 2021 Reference: Gagnon et al. Direct-access physiotherapy to help manage patients with musculoskeletal disorders in an emergency department: Results of a randomized controlled trial. AEM 2021 Guest Skeptic: Dagny Kane-Haas is a physiotherapist who also has a master’s degree in Clinical Science in Manipulative Therapy. Case: A forty-year-old woman presents to the emergency department […] The post SGEM#342: Should We Get Physical, Therapy for Minor Musculoskeletal Disorders in t

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Ep 159 Geriatric Trauma Part 1: The Under-Triaging Problem, Resuscitation, Airway, Head and C-spine Imaging, Clearing the C-spine

Emergency Medicine Cases

Just as pediatric patients are not small adults, geriatric patients are not just old adults. In this Part 1 of our 2-part EM Cases podcast series on Geriatric Trauma, Dr. Barbara Haas, Dr. Camilla Wong and Dr. Bourke Tillman answer questions such as: why are older patients under-triaged to trauma centers and how does that affect outcomes? What is the utility of the Shock Index in older patients?

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Emergency Late Breaker! Flipping the Vent: The APRV-TCAV(TM) Course, September 23rd, 2021, 1200-1500 EST.

Thinking Critical Care

While the last few months had quieted down, the last few weeks have seen a serious resurgence in COVID cases, particularly in the southern US and in south and southeast Asia. I cam across several really disturbing posts and tweets across medical SoMe about the lack of ECMO beds and cases of refractory hypoxia. While TCAV(TM) will not save every COVID ARDS patient, in our experience it helps significantly, ideally from the get-go, but also in rescue after failure of traditional modes.

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Episode 60 – Less Lethal Law Enforcement Weapons

EB Medicine

EMplify – August 2021 Announcements: Be on the lookout for an announcement regarding the new EB Medicine app, coming to an App Store near you this month !! August 2021 Pediatric Emergency Medicine Practice Less Lethal Law Enforcement Weapons Authors: Jessica Osterman, MD , Cara Buchanan, MD What kinds of less-lethal weapons are law enforcement using?

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Vertigo Exam | Silver Nitrate for Epistaxis | CVT | RVD on CTPA | D-dimer Pregnancy

JournalFeed

It’s the JournalFeed Podcast for the week of August 16-20, 2021. We cover detecting central vertigo on exam, silver nitrate for recurrent epistaxis, cerebral venous thrombosis, spotting RV dysfunction in PE on CT, and D-dimer in pregnancy.

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SGEM#341: Are the AAP Guidelines for the Evaluation and Management of the Well-Appearing Febrile Infant the Answer to a Never Ending Story?

The Skeptics' Guide to EM

Date: August 19th, 2021 Reference: Pantell et al. Evaluation and management of well-appearing febrile infants 8 to 60 days old. Pediatrics 2021 Guest Skeptic: Dr. Dennis Ren is a pediatric emergency medicine fellow at Children’s National Hospital in Washington, DC. Case: A 25-day-old, full-term boy presents to the emergency department with fever. His parents report that he felt […] The post SGEM#341: Are the AAP Guidelines for the Evaluation and Management of the Well-Appearing Febrile Infant th

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ECG Cases 24 Reciprocal Change and Occlusion MI

Emergency Medicine Cases

Dr. Jesse MacLaren reviews 10 ECG cases highlighting how reciprocal change can be secondary to LBBB/LVH, primary changes, or both, how it can be the first and remain the dominant sign of occlusion, pointing to subtle ST elevation or hyperacute T waves, how it can can highlight subtle inferior, lateral or proximal LAD occlusions, how it can be the only sign of posterior OMI; and how it can be absent in mid-distal LAD occlusion.

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Best #FOAMed August 2021

Critical Care North Hampton

It’s been a year since the last collection! But dip in and see what we have chosen as the top topics recently within ICU and Critical care. Headliners FUSIC-HD is out! Get yourself accredited within one of the most comprehensive ultrasound training schemes out there! Now in HD!! CPAP saves lives? TTM might be the.

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Pre-Pause Imaging in Cardiac Arrest

Ultrasound Gel

One of the gang's favorite topics - ultrasound in cardiac arrest! This article delves into the importance of "pre-pause imaging", getting that picture of the heart ready even before the compressions are stopped! This seems like an important part of minimizing pauses in CPR, but how convincing is this data? [link] [link] One of the gang's favorite topics - ultrasound in cardiac arrest!

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117. Top 10 tips for residents starting out

Board Bombs

Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here: [link] July just ended, so we figured it's the right time for some quick, distilled advice for early 4th years, new residents, and even new attendings. Yeah we know its not board prep, but dont @ us. Want to experience the greatest in board studying?

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Epi Frequency PALS | Pressors in Trauma | CAM v Cast Toddler's | PEM Malpractice | eFONA Anatomy

JournalFeed

It’s the JournalFeed Podcast for the week of August 9-13, 2021. We cover frequent epinephrine dosing in pediatric arrest, pressors for trauma patients, CAM boot or cast for toddler’s fracture, why PEM physicians are sued, and emergency cricothyrotomy anatomy and angles.

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SGEM#340: Andale, Andale Get An IO, IO for Adult OHCA?

The Skeptics' Guide to EM

Date: August 12th, 2021 Reference: Daya et al. Survival After Intravenous Versus Intraosseous Amiodarone, Lidocaine, or Placebo in Out-of-Hospital Shock-Refractory Cardiac Arrest. Circulation 2020 Guest Skeptic: Missy Carter is a PA practicing in emergency medicine in the Seattle area and an adjunct faculty member with the Tacoma Community College paramedic program.

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EM Quick Hits 31 NG Tubes in SBO, Hyperacute T-Waves, Malignant Otitis Externa, CCTA in NSTEMI and Low-risk Chest Pain, Canadian Syncope Score

Emergency Medicine Cases

In this month's EM Quick Hits podcast: Justin Morgenstern on the evidence for NG tubes in SBO, Jesse MacLaren on recognition of hyperacute T-waves vs other causes of tall T-waves, Brit Long on malignant otitis externa clinical pearls, Salim Rezaie on the value of CCTA in NSTEMI, Justin Morgenstern on the value of CCTA in low-risk chest pain, Hans Rosenberg on how to use the Canadian Syncope Score and it's validation in Canada.

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ECG of the Week 25th August 2021 – Interpretation

EMergucate

The ECG below is from a 79 year old man who has presented short of breath with acute pulmonary oedema. His past medical history includes HTN, T2DM and CKD.

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Quezada – Great IDEAs: Inclusion, Diversity, Equity, and Antiracism in Academic Medicine

University of Maryland CC Project

Dr. Sandra Quezada, Associate Dean for Admissions, Assistant Dean for Faculty Diversity and Inclusion, and Associate Professor of Medicine at the University of Maryland School of Medicine presents on inclusion, diversity, equity, and anti racism in academic medicine. Dr. Sandra Quezada, Associate Dean for Admissions, Assistant Dean for Faculty Diversity and Inclusion, and Associate Professor of Medicine at the University of Maryland School of Medicine presents on inclusion, diversity, equity, an

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Audit Logs

Total Medical ComplianceHIPAA

August 2021. A covered entity recently discovered that a former employee had “snooped” (inappropriately accessed) over 10,000 patient records almost 4 years after the snooping began. The employee accessed the records in the EHR over a period of about 14 months. That’s over 700 records per month. The snooping went undetected until the former employee was referenced in an unrelated subpoena received by the entity.

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GRACE-1 | Stats Mistakes | Seizures | POCUS for Intussusception | STEMI on ECG When Paced

JournalFeed

It’s the JournalFeed Podcast for the week of August 2-6, 2021. We cover GRACE-1, communicating stats better, managing seizures after initial control, POCUS for intussusception, and reading STEMI on ECG with a paced rhythm.

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Tasty Morsels of Critical Care 050 | Spinal cord injuries

Emergency Medicine Ireland

Welcome back to the tasty morsels of critical care podcast. This is number 50, so for all 7 of you out there, well done for making it this far especially when you can’t even get CPD points for it. Today. Read More » Welcome back to the tasty morsels of critical care podcast. This is number 50, so for all 7 of you out there, well done for making it this far especially when you can’t even get CPD points for it.

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Focus On: Pediatric Emergency Eye Exam

Pediatric Emergency Playbook

PEMplaybook.

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ECG of the Week 25th August 2021

EMergucate

The ECG below is from a 79 year old man who has presented short of breath with Acute Pulmonary Oedema. His past medical history includes HTN, T2DM and CKD.

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SGEM Xtra: Unbreak My Heart – Women and Cardiovascular Disease

The Skeptics' Guide to EM

Date: August 7th, 2021 Guest Skeptic: Dr. Susanne (Susy) DeMeester is an Emergency Physician practicing at St. Charles Medical Center in Bend, Oregon. She has been very involved with EMRAP’s CorePendium as the cardiovascular section editor and has a chapter coming out soon on women and acute coronary syndrome. Dr. DeMeester was on SGEM#222 as […] The post SGEM Xtra: Unbreak My Heart – Women and Cardiovascular Disease first appeared on The Skeptics Guide to Emergency Medicine.

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ECG of the Week 11th August 2021 – Interpretation

EMergucate

You are reviewing a patient that has been woken from sleep by central chest pain, with associated shortness of breath … Continue reading →

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Imaging Case of the Week 480

EMergucate

The following right foot x-rays are from a 45 year old who has fallen from a height, sustaining right foot … Continue reading →

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Imaging Case of the Week 479 Answer

EMergucate

The chest x- ray shows a left sided pleural based opacity with what looks like inward indentation of mid ribs.

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Imaging Case of the Week 476

EMergucate

The following erect chest x-ray is from a 75 year old who has presented with severe lower abdominal pain.

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Imaging Case of the Week 476 Answer

EMergucate

The erect chest x-ray shows a continuous diaphragm sign, indicating the presence of pneumoperitoneum.

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Imaging Case of the Week 478

EMergucate

75 year old with abdominal pain. Stent patent or not? Answer will be posted in a few days.

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Imaging Case of the Week 479

EMergucate

The following chest x-ray is from a 35 year old with low back pain. What can be noticed?

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Imaging Case of the Week 477

EMergucate

The chest x-ray is from a 5 year old who has choked on a small plastic toy accidentally.

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Lab case 336 interpretation

EMergucate

Question 1: PH = 7.236, that is moderate acidaemia HCO3 = 12 (<24), so we have metabolic acidosis. Next we need to calculate the anion gap and the compensation.

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ECG of the Week 11th August 2021

EMergucate

You are reviewing a patient that has been woken from sleep by central chest pain, with associated shortness of breath … Continue reading →

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Imaging Case of the Week 478 Answer

EMergucate

The abdominal x- ray shows a stent in the common bile duct with pneumobilia.

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