Ken Grauer, MD
JANUARY 31, 2023
The ECG in Figure-1 was obtained from an older woman. She presented with shortness of breath. The patient was known to have cancer. QUESTIONS: How would YOU interpret this ECG? Why is every-other-beat changing? Figure-1: ECG obtained from an older woman with shortness of breath. ( To improve visualization — I've digitized the original ECG using PMcardio ).
Mount Sinai EM
JANUARY 11, 2023
Why should I care about this? Ok, so it may not be that interesting, however, we should still review how to responsibly remove a helmet. In NYC, we very rarely encounter injured patients with a helmet on and that’s probably because they were never wearing one to begin with, the patient removed it, or EMS removed it. So depending on the practice setting and local EMS protocols, patients may arrive with a helmet in place and it will fall on you as the EM doc to safely remove the helmet without cau
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Total Medical ComplianceHIPAA
JANUARY 12, 2023
It is a safe bet that the title of this article would come in last place for the “most popular topic” award. The start of a new year is always a good time to reflect and also look ahead and do our best to prepare. Last year, the U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) had its busiest year with the announcement of its 22 nd enforcement settlement on December 15, 2022.
PDC Healthcare
JANUARY 16, 2023
Healthcare workers care for a variety of patients with special risks and health statuses. Being able to easily differentiate and identify these risks can be the difference in ensuring a patient’s safety and makes fulfilling a patient’s needs easier for healthcare workers. Thousands of healthcare facilities across the country have adopted standardized, color-coded alert wristbands […].
EMCrit
JANUARY 27, 2023
More cardiac arrest mastery with the sonorambler EMCrit Project by Scott Weingart, MD FCCM.
RebelEM
JANUARY 30, 2023
Background: Many clinicians have transitioned from procedural sedation and analgesia (PSA) in favor of intra-articular lidocaine (IAL) to manage anterior shoulder dislocation. PSA, also referred to as intravenous sedation in this paper, requires considerable resources, including 1:1 nursing observation, and burdens the emergency department (ED). In addition, many hospitals are still reeling from the COVID-19 pandemic and face crippling staff shortages, and sparing a nurse for PSA will be difficu
Ken Grauer, MD
JANUARY 26, 2023
The ECG in Figure-1 was obtained from a previously healthy older man — who complained of chest pain and “lightheadedness” while this tracing was recorded. He was not hypotensive. His chest pain had begun the night before. In view of this history — How would YOU interpret the ECG in Figure-1 ? A total of 12 beats are seen in the long lead II rhythm strip.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
American Medical Compliance
JANUARY 31, 2023
The dental industry, much like the healthcare industry as a whole, is facing severe staffing shortages. There are many reasons this shortage has become so acute, and it is taking a toll on medical staff and patients alike. Dental healthcare providers are facing increased workloads, which can create excessive work stress. Ensuring your dental healthcare employees know how to cope with work stress is important to their mental health and ability to do their jobs effectively.
PDC Healthcare
JANUARY 25, 2023
Frequently Asked Questions Patient ID Wristbands PDC’s laser and thermal wristbands can all be used with any EMR system and work with all leading laser and thermal printers, including PDC Certis™ thermal printers. There are also compatible shield style wristbands that accommodate laser or thermal labels. Yes, whether you are converting to a new EMR […] The post Labels & Wristbands Healthcare System Compatibility appeared first on connectID - PDC Healthcare Blog.
EMCrit
JANUARY 21, 2023
Another grilling from Sam Ghali EMCrit Project by Scott Weingart, MD FCCM.
Emergency Medicine Cases
JANUARY 31, 2023
The hand is anatomically complex. Having an anatomical-based approach to the assessment of patients who present to the Emergency Department is important to preserve quality of life following a hand injury. Hand injuries are the second most common injury leading to days without work. It is no surprise then that open finger injuries land in the top 10 most common diagnoses that end up in court.
AED Leader
JANUARY 31, 2023
When you’ve just started a running habit—or perhaps you’re a seasoned runner—feeling your heart hurt can be a scary experience. Fortunately, most causes of chest pain while running are benign, but it’s possible that it could be serious or at least something that needs to be looked at by a doctor. Non-Heart-Related Causes of Chest Read More "Why Does My Heart Hurt When I Run?
NRC Health
JANUARY 31, 2023
The NRC Health 2023 Pediatric Collaborative is truly a can’t-miss experience, with exceptional presentations that will stir innovative ideas for attendees to bring back to their larger PX and marketing teams. The post Pediatric Collab Preview: How a culture of excellence leads to exceptional patient experiences appeared first on NRC Health.
Ultrasound Gel
JANUARY 30, 2023
Delia and Lianne take on the topic of pediatric gastric POCUS. Is it a helpful way to assess the effect of fasting prior to procedural sedation? Is fasting itself a helpful way to empty the stomach?? [link] [link] Delia and Lianne take on the topic of pediatric gastric POCUS. Is it a helpful way to assess the effect of fasting prior to procedural sedation?
PDC Healthcare
JANUARY 25, 2023
Frequently Asked Questions Patient ID Wristbands PDC’s laser and thermal wristbands can all be used with any EMR system and work with all leading laser and thermal printers, including PDC Certis™ thermal printers. There are also compatible shield style wristbands that accommodate laser or thermal labels. Yes, whether you are converting to a new EMR […] The post Wristband & Label System Compatibility FAQs appeared first on connectID - PDC Healthcare Blog.
Intensive Blog
JANUARY 29, 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. To learn more about ECMO check out the ECMO page on INTENSIVE and the Alfred ICU’s guidelines at ecmo.icu.
Board Bombs
JANUARY 29, 2023
Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here: emrapidbombs.supercast.com. Can you say Tylenope? It might be the most classic tox case ever, and the boards want you to know it! Let's talk when to treat, how to treat, and the key pearls of acetaminophen overdose. Cite this podcast as: Briggs, Blake.
Broome Docs
JANUARY 30, 2023
We are back with another episode of the BroomeDocs and First10EM podcast. In this episode we try to answer some of the big questions in Emergency Medicine, we also answer a few that you probably would never have thought to ask! Like… How much electricity should we use in refractory VF? Should we suck clots out of legs? Should you put Tegaderm on eyeballs?
The Skeptics' Guide to EM
JANUARY 28, 2023
Date: January 22, 2022 Reference: Samuels-Kalow M et al. Post-Roe Emergency Medicine: Policy, clinical, training, and individual implications for emergency clinicians. AEM Dec 2022 Guest Skeptic: Dr. Michelle Lin is an emergency physician and health services researcher whose goal is to transform acute care delivery to best meet the needs of those who experience the […] The post SGEM Xtra: You Don’t Own Me – Post Roe Emergency Medicine first appeared on The Skeptics Guide to Emergency Medicine.
The Bottom Line
JANUARY 27, 2023
In patients with sepsis-induced hypotension does a restrictive fluid strategy (with early vasopressor usage) compared to a liberal fluid strategy result in lower mortality before discharge by day 90?
Critical Care North Hampton
JANUARY 27, 2023
We are back…missed us? So, here is a trawl of all that’s hot… nothing that’s not! Enjoy, and follow us if you aren’t already. Jonny – @wilkinsonjonny Ashley – @ICMteaching Marcus – @ICUltrasonica Jump Menu JAM pick of the papers! Best POCUS Best FOAM History! Podcasts! Best websites! Best Meetings! JAM’s Pick of the Papers Some.
Dr. Smith's ECG Blog
JANUARY 26, 2023
= My Comment by K EN G RAUER, MD ( 1/26 /2023 ): = While reading ECGs — Dr. Smith came across the intriguing tracing shown in Figure-1. No history was available. However, the rhythm is indeed challenging — and illustrates a number of important principles in rhythm interpretation of interest to all emergency care providers. How would YOU interpret the ECG in Figure-1 ?
NRC Health
JANUARY 24, 2023
The intersection of data, technology, and healthcare, holds incredible promise—but only if it keeps humanity at its core. Listen to this episode of the Becker's Healthcare Podcast as Jorge Torres, Managing Partner at JIT Associates, and Ryan Donohue, Strategic Advisor at NRC Health, discuss staff support, "transactional culture" versus "transcendental relationship culture", the 5th industrial revolution, and more.
American Medical Compliance
JANUARY 24, 2023
The U.S. Equal Employment Opportunity Commission (EEOC) protects employees in the United States from many forms of discrimination. One type the EEOC protects workers from is retaliation, which describes when a workplace punishes an employee for reporting instances of discrimination, typically sexual harassment. EEOC Protecting Employees from Retaliation The EEOC recently sued a pediatric medical practice in Tampa Bay over alleged reprisal against an employee.
Emergency Medicine Ireland
JANUARY 23, 2023
Welcome back to the tasty morsels of critical care podcast. Today we are going to talk about triggering on the ventilator. Now given the ubiquity of the word “triggering” in contemporary discourse I must confess that i do find it quite “triggering” to walk up to a vent and see the pressure support set at 11 or some other horror show like a PEEP of 7… I mean, who would do such a thing.
Board Bombs
JANUARY 22, 2023
Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here: emrapidbombs.supercast.com. Myasthenia Gravis. You learned it in medical school, but forgot it after intern year (unless you happen to be a neurologist). Time to review this board-relevant condition as well as key life pearls for managing a Myasthenia Crisis.
EB Medicine
JANUARY 17, 2023
Announcements: The interactive Clinical Pathways have launched and they are available for free! — In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the July 2022 Emergency Medicine Practice article on the Management of Allergic Reactions and Anaphylaxis in the Emergency Department. Intro The number of ED visits and hospitalizations Studies show up to 57% of anaphylactic reactions are not recognized, and epinephrine is not administered in up to 80% of cases.
Dr. Smith's ECG Blog
JANUARY 23, 2023
Submitted and written by Megan Lieb, DO with edits by Bracey, Smith, Meyers, and Grauer A 50-ish year old man with ICD presented to the emergency department with substernal chest pain for 3 hours prior to arrival. The screening physician ordered an EKG and noted his ashen appearance and moderate distress. Triage EKG: What do you think? Triage physician interpretation: -sinus bradycardia -lateral ST depressions While there are lateral ST depressions (V5, V6) the deepest ST depressions are in V4.
Emergency Medicine Cases
JANUARY 17, 2023
Dr. Hiren Patel describes the complexities of being a global health practitioner and the skillset that emergency physicians possess giving them the potential to excel in this role on EM Cases' EM GEM blog on Global Emergency Medicine. The post Global EM 2: The Emergency Physician – Global Health’s Missing Piece appeared first on Emergency Medicine Cases.
American Medical Compliance
JANUARY 17, 2023
Healthcare facilities around the nation are strengthening security protocols. Meritus Medical Center, a hospital in Maryland, has implemented weapon detectors at all entrances to the facility. Why are Stronger Security Protocols Needed? The heightened safety protocols come in response to the epidemic of violence in medical facilities. Healthcare workers are the primary targets of this violence.
NRC Health
JANUARY 17, 2023
The NRC Health 2023 Pediatric Collaborative is truly a can’t-miss experience, with exceptional presentations that will stir innovative ideas for attendees to bring back to their larger PX and marketing teams. The post Pediatric Collab preview: Understanding the board’s role in DEI appeared first on NRC Health.
Ultrasound Gel
JANUARY 16, 2023
Vicki Noble is a veritable legend of point of care ultrasound. Zach and Mike are lucky enough to sit down with this proverbial fountain of wisdom and scoop some razor insights into the past, present and future of the field. We discuss Vicki's origin story, multi-disciplinary collaboration, hot takes on POCUS research, and the middle-age of POCUS. [link] Vicki Noble is a veritable legend of point of care ultrasound.
Intensive Care Network
JANUARY 16, 2023
A 3 day neurocritical care extravaganza in Sydney! Nov 14/15/16 2018. One Day Neuro symposium with top notch international faculty, followed by first ever ENLS course in Australia on 15/16th, with hi fidelity neurocritical care sims. Don't miss it! The post NeuroResus: 23-24 March 2023 appeared first on Intensive Care Network.
Dr. Smith's ECG Blog
JANUARY 21, 2023
Case submitted and written by Dr. Mazen El-Baba and Dr. Evelyn Dell, with edits from Jesse McLaren EMS brought a John Doe, in his 30s, who was found in an urban forest near a homeless encampment on a cool fall day. There were no signs of trauma on scene or on the patient. EMS reported an initial GCS of 8 with pupils equal and reactive. The patient had a witnessed generalized tonic-clonic seizure leading to GCS 4.
Emergency Medicine Cases
JANUARY 17, 2023
In this ECG Cases blog we look at 9 patients with possible transient STEMI and discuss pitfalls and pearls in ECG interpretation and management. The post ECG Cases 39 – Transient STEMI Pitfalls and Pearls appeared first on Emergency Medicine Cases.
Board Bombs
JANUARY 15, 2023
Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here: emrapidbombs.supercast.com. Will the REAL Slim Shady, please stand up, please stand up? Let’s talk acute agitation in the ED. You will absolutely have to sedate patients as an ED physician, and know how to de-escalate situations.
The Skeptics' Guide to EM
JANUARY 14, 2023
Date: January 13, 2023 Reference: Razi et al. Dexamethasone and ketorolac compare with ketorolac alone in acute renal colic: A randomized clinical trial. AJEM 2022 Guest Skeptic: Dr. Kevan Sternberg is a urologist/endourologist. His focus is on the medical and surgical management of kidney stone disease. Dr. Sternberg did his medical school and residency training at […] The post SGEM#389: Does Dex, Dex, Dex, Dexamethasone Help with Renal Colic?
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