EMCrit
SEPTEMBER 12, 2022
Today, the errors and procedural missteps I commonly observe while teaching 100 docs per year how to cannulate for ECMO (but the lessons are not about ECMO, they are about all vascular access in the femoral vessels.). EMCrit Project by Scott Weingart, MD FCCM.
Clinical Correlations
SEPTEMBER 29, 2022
By Luke Bonanni Peer Reviewed Theobroma, literally “food of gods” in Greek, is an apt description of chocolate. Made from the fermented seeds of the Theobroma cacao tree, chocolate is an immensely popular food, with worldwide.
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Ultrasound Gel
SEPTEMBER 28, 2022
New idea alert! Should we be using POCUS to guide nasogastric tube placement? Crazy? Unnecessary, you say? Well listen in to the discussion of this interesting randomized controlled trial designed to answer this burning question. [link] [link] New idea alert! Should we be using POCUS to guide nasogastric tube placement? Crazy? Unnecessary, you say? Well listen in to the discussion of this interesting randomized controlled trial designed to answer this burning question.
ETM Course
SEPTEMBER 27, 2022
On the ETM Course we teach intraosseous needle insertion using the EZIO system. EZIO essentially has a monopoly on intraosseous access, being used in almost all Emergency Departments and ambulance/pre-hospital systems around Australia and New Zealand. The main downside however is that the proprietary drill is non-rechargeable. These drills cost $380.00 (AUD) each to purchase, and we go through several each year on our courses.
Emergency Medicine Cases
SEPTEMBER 27, 2022
Emergency Medicine has undergone many changes over the last couple of decades and especially during the COVID pandemic. Most of these changes have been very positive, but increasing volumes, staff shortages, aging populations, increasing breadth of responsibilities and better access to more imaging have made some of us question how we should define the scope of our practices.
Northwestern EM Blog
SEPTEMBER 26, 2022
Written by: Diana Halloran (NUEM ‘24) & Andrew Long (NUEM ‘25) Edited by: Nick Wleklinski (NUEM ‘22) Expert Commentary by : John Bailitz, MD Introduction The Emergency Department is a challenging work environment for a variety of reasons. It is not surprising that unpredictable work hours mixed with frequent interactions with patients undergoing physical and emotional trauma can cause spillover into the personal lives of ED staff.
EMCrit
SEPTEMBER 24, 2022
Where are we on Fluids on 2022? EMCrit Project by Scott Weingart, MD FCCM.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
Core Medical Group
SEPTEMBER 23, 2022
Before jumping into any career decision, it’s best to weigh the pros and cons given your lifestyle and unique situation. Interim healthcare management could make sense for you now, or it may be an option you tuck away for a different season of life. No matter which category you fall into, understanding this more flexible career path will be helpful as you plan your future.
RebelEM
SEPTEMBER 22, 2022
Background: Medical equipment that gives clinicians vital signs or other objective information must be reliable across populations as this data drives medical decisions. Many of these tools were not developed or validated in a racially diverse group of patients. We have already covered issues with pulse oximetry potentially missing hypoxemia in Black patients on REBEL EM ( Link is HERE ).
EMergucate
SEPTEMBER 20, 2022
The following coronal CT face slice is from an 8 year old who was elbowed in the face. What radiological sign can be seen? What are the clinical features of this injury in paediatric population?
Dr. Smith's ECG Blog
SEPTEMBER 21, 2022
A 40-something woman with diabetes and peripheral vascular disease who frequently needs the ED for chronic pain called 911 for sudden severe chest pain. The patient was very agitated and could not hold still. I greeted medics at the door to view the prehospital ECG. Here it is: It is not normal, but there is no specific evidence of Occlusion MI (OMI) There are some Q-waves in inferior and lateral leads (of uncertain age) and there is some "terminal QRS distortion" in inferior leads and V4-V6, bu
EMCrit
SEPTEMBER 30, 2022
All of the resuscitation and acute critical care goodness for Sept 2022. EMCrit Project by Scott Weingart, MD FCCM.
Board Bombs
SEPTEMBER 18, 2022
Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here: emrapidbombs.supercast.com. Hide your kids or hide your bleach. Let's talk about a classic tox presentation this week! Cite this podcast as: Briggs, Blake. Episode 147: Caustic Ingestions: hide your kids, hide your bleach. [link] September 18th, 2022.
The Skeptics' Guide to EM
SEPTEMBER 17, 2022
Date: September 16th, 2022 Reference: Gerlier C, et al. Differentiating central from peripheral causes of acute vertigo in an emergency setting with the HINTS, STANDING and ABCD2 tests: A diagnostic cohort study. AEM 2021 Guest Skeptic: Dr. Peter Johns has been practicing emergency medicine since 1985 and has been passionate about vertigo education for the last two […] The post SGEM#376: I Wonder Why She Ran Away from the HINTS Exam first appeared on The Skeptics Guide to Emergency Medicine.
RebelEM
SEPTEMBER 21, 2022
REBEL Core Cast 86.0 – Hand Nerve Blocks Click here for Direct Download of the Podcast References: Core Ultrasound: Median Nerve Block Core Ultrasound: Radial Nerve Block Core Ultrasound: Ulnar Nerve Block Post Peer Reviewed By: Salim R. Rezaie, MD (Twitter: @srrezaie ) The post REBEL Core Cast 86.0 – Hand Nerve Blocks appeared first on REBEL EM - Emergency Medicine Blog.
Medical Law
SEPTEMBER 17, 2022
Property owners are required to take reasonable care to ensure that any visitors on their property are kept safe from injuries. If the property owner does not maintain the property in a reasonably safe condition for visitors, they can be held liable if someone is injured on their property. Generally, a property owner must keep their property in a reasonably safe condition for all people who enter their property, regardless of their status.
EMergucate
SEPTEMBER 14, 2022
A 64 year old male presents to ED after multiple seizure episodes that day. It was reported that the patient would have 20 seconds of seizure activity and then make a full recovering.
Dr. Mike Sevilla
SEPTEMBER 14, 2022
For the fall issue of the Ohio Family Physician magazine , I wrote the following essay. The theme of the issue was the topic of Health Myths……. When people typically hear the term “Health Myths” they typically think of things having to do with misinformation on the internet, misinformation about COVID-19, and other ideas. You probably have never thought about health myths following the end of someone’s life.
Emergency Medicine Cases
SEPTEMBER 13, 2022
Takotsubo Syndrome is usually triggered by an emotional or physical stress leading to acute catecholaminergic myocardial stunning. The initial ST elevation phase of Takotsubo Syndrome mimics Occlusion MI, can not be distinguished by patient factors or POCUS findings, and requires immediate angiogram. The subsequent phase of Takotsubo Syndrome has T wave inversion in an apical distribution, which can mimic reperfusion, but often has very deep T wave inversions and a very long QT interval.
Ultrasound Gel
SEPTEMBER 12, 2022
In our second in the series of Bonus Cuts, Zach and Mike interview the illustrious Ryan Gibbons for his take on arthrocentesis and a discussion of his research in the field. What an exciting joint venture! [link] In our second in the series of Bonus Cuts, Zach and Mike interview the illustrious Ryan Gibbons for his take on arthrocentesis and a discussion of his research in the field.
RebelEM
SEPTEMBER 19, 2022
Background: There are only two interventions that have been proven in the medical literature to improved outcomes in cardiac arrest: high-quality CPR and early defibrillation. Over the years, we as a scientific community have worked extensively to find other interventions that improve outcomes. Some look promising (ie eCPR and application of US) while others have been considerably less effective or inconsistent (ie epinephrine and targeted temperature management).
American Medical Compliance
SEPTEMBER 12, 2022
Medical experts are proposing that a noticeable increase in flu cases could occur in the United States this year. This means that getting a flu shot this year is extremely important. Flu season has been different from its usual patterns due to COVID-19, meaning this year’s season is likely to be unpredictable. Influenza rates were extremely low in 2021 due to protective measures relating to COVID-19.
EB Medicine
SEPTEMBER 8, 2022
In this episode of EMplify: Conversation, Sam Ashoo, MD talks with Andrew Phillips, MD, MEd, founder of EM Coach , about artificial intelligence and emergency medicine education. EM/Critical care practice - what’s that like? EM Coach - what is it? Artificial Intelligence - What is it and how does EM Coach use it? The algorithm How did you create it?
Dr. Mike Sevilla
SEPTEMBER 12, 2022
Happy September! Yes, where has the year gone? And, yes, I realize that is has been a few months since I wrote here. You know how it goes, when a new year starts, you have all kinds of plans to do this and to do that, and then February comes, and then, you get back to the status quo. Why does this happen? Anyway, I was biking riding recently, and I decided that I had to write a post here.
Emergency Medicine Cases
SEPTEMBER 13, 2022
In this EM Quick Hits podcast: Salim Rezaie on venous thromboembolism recurrence in subsegmental pulmonary embolism, Andrew Petrosoniak on pain management in the polytrauma, Nour Khatib on a rural EM case on management of near-drowning patient, Sara Reid delivers a polio primer, Anand Swaminathan on head-up CPR. The post EM Quick Hits 42 – Subsegmental PE, Trauma Analgesia, Drowning, Polio, Head-up CPR appeared first on Emergency Medicine Cases.
Trigger Lab
SEPTEMBER 6, 2022
Prima di approfondire questa asincronia è necessario comprendere il significato di “entrainment”. In fisica questo termine si riferisce all’allineamento della fase e del periodo di un sistema oscillatorio non lineare, con la fase e il periodo di un input esterno periodico.
RebelEM
SEPTEMBER 12, 2022
Background: Coronary artery disease can result in hibernating myocardium (chronic myocardial contractile dysfunction) due to ischemia. The theory is that there is reduced coronary blood flow and increased myocardial demand resulting in impaired contractility. Whether reversal of myocardial hibernation by coronary revascularization is possible and can improve outcomes is debatable.
Stop and Think
SEPTEMBER 2, 2022
Medical meetings have a buzz about them. The bright lights, the masses of people, and in Europe, the different languages. Virtual meetings don’t come close. I just returned from the ESC meeting in Barcelona and have a brief report. The first thing to say is how nice it was to see (and sometimes hug) friends and colleagues from all over the world.
EB Medicine
SEPTEMBER 1, 2022
In this episode, Sam Ashoo, MD interviews Lela Bachrach, MD, MS, Larissa Truschel, MD, MPH, and Makini Chisolm-Straker, MD, MPH - the authors of the July 2022 PEMP article on Human Trafficking of Children and Adolescents: Recognition and Response in the Emergency Department. Listen to the discussion to hear more about the emergency medicine approach to human trafficking.
EMergucate
SEPTEMBER 7, 2022
A 85 year old female presents to ED. She has been complaining of nausea and lethargy over the past week. Her GP has recently started her on new medication for her heart.
RCEM Learning
SEPTEMBER 21, 2022
The post Reflections on undertaking qualitative research in emergency care appeared first on RCEMLearning.
Clinical Correlations
SEPTEMBER 28, 2022
Bellevue Outpatient: What is the optimal duration of therapy for bisphosphates in osteoporosis? Bellevue Inpatient: What is the role of aggressive fluid resuscitation in acute pancreatitis? VA Inpatient: What is the treatment for allergic bronchopulmonary aspergillosis?
JournalFeed
SEPTEMBER 24, 2022
The JournalFeed podcast for the week of Sept 19-23, 2022. These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member. No Dizzy Answers Spoon Feed We cannot rely on neuroimaging (CT, CTA, MRI or MRA) alone to effectively rule out stroke in patients presenting to the ED with acute dizziness or vertigo.
University of Maryland CC Project
SEPTEMBER 20, 2022
Dr. Samuel M. Galvagno, D.O, PhD, FCCM, Professor of Anesthesiology, Executive Vice Chair of Anesthesiology at the University of Maryland, School of Medicine, and Medical Director of the Statewide Critical Care Coordination Center presents as part of the Critical Care Curriculum. His lecture is entitled "Full Spectrum Sedation for Critically Ill Patients: Science vs Mythology".
SCGH ED
SEPTEMBER 2, 2022
CCT 2 Home Metro Wide Contact: Ext. 77926 Indications: OT home visiting service to support discharges from SCGH ED Patient must be discharged directly from ED Patient at risk of re presentation to ED Patient requires CCT2home service (OT home visit, environmental review, education, equipment provision ,falls interventions, liaison with GP) in order to be discharged home safely Rapid Assessment and Intervention Service (RAILS) SCGH / OPH catchment Contact: E-referral via Rehabilitation & Aged
EMergucate
SEPTEMBER 25, 2022
There is cardiomegaly and enlargement of left atrium as evidenced by splaying of the carina & double right heart border.
MEDEST118
SEPTEMBER 6, 2022
An original blog post by Mario Rugna
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