Cook County EM Blog
MARCH 31, 2022
The Case A 37-year-old man with no past medical history presented after he was bit by a bat on the index finger of the right hand. He stated he reached into a box to remove what he thought was a rag. In fact, it was a bat that had its wing trapped by a paint can (Figure 1). He was concerned about rabies and presented to the ED for further care. Figure 1.
PHEM Cast
MARCH 29, 2022
Before you listen to this new podcast, we encourage you to go back and have a listen to Episode 16: Blood which we released in 2017 outlining the available evidence about prehospital blood, and the background to the RePHILL trial. The RePHILL (Resuscitation with Pre-Hospital Blood Products) original paper is available here , and you can read more about the trial at the University Of Birmingham Clinical Trials site.
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Emergency Medicine Cases
MARCH 29, 2022
Why does myocarditis often present a diagnostic challenge? What are the range of ECG findings in myocarditis? Does a negative high sensitivity troponin or CRP rule out myocarditis? What is the role of PoCUS in the diagnosis and prognosis of myocarditis? When should we consider myocarditis or pericarditis in patients with recent COVID-19 infection or COVID mRNA vaccination, and which of these patients require workups?
Advanced Medical Reviews
MARCH 29, 2022
Do you know what all of the following types of healthcare organizations have in common? Hospitals, managed care organizations (MCOs), third party administrators (TPAs), disability insurance carriers, workers’ compensation carriers, reinsurers or stop-loss carriers, utilization review and medical management firms, large self-insured corporations that pay and oversee their own healthcare benefits, property and casualty firms that are paying out medical claims, fraud units working inside larger hea
Northwestern EM Blog
MARCH 28, 2022
Written by: Rafael Lima, MD (NUEM ‘23) Edited by: Laurie Aluce, MD (NUEM ‘21) Expert Commentary by : Zachary Schmitz (NUEM ‘21) Methanol Toxicity Methanol itself is not toxic to the body. Methanol’s metabolite, formic acid , causes toxicity at serum levels greater than 20mg/dl [1]. Clinical Findings of Methanol Poisoning CNS sedation Seizures Rapid, Deep Breathing Hypotension Ocular findings: Blindness Afferent pupillary defect Optic disk hyperemia Mydriasis Ethylene Glycol Toxicity Similarly, t
The Skeptics' Guide to EM
MARCH 26, 2022
Date: March 26th, 2022 Guest Skeptic: Professor Melanie Trecek-King Associate professor of biology at Massasoit Community College in Massachusetts. Founder and creator of Thinking Is Power. Reference: Trecek-King M.A Life Preserver for Staying Afloat in a Sea of Misinformation. Skeptical Inquirer March/April 2022 This is an SGEM Xtra episode. I met Melanie through our online interactions […] The post SGEM Xtra: Float Away, Float Away, Float Away – from Misinformation first appeared on The Skept
Dr. Smith's ECG Blog
MARCH 22, 2022
Written by Pendell Meyers Interpret this ECG first without context. You don't need context yet because this ECG is nearly pathognomonic. After having learned about benign T wave inversion pattern years ago on this blog, and having seen many cases on this blog and in my practice since then, I instantly recognize this as BTWI, a fairly common normal variant.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
Emergency Medicine Cases
MARCH 29, 2022
In this ECG Cases blog we review 10 cases of possible artifact, lead reversal and lead misplacement. Can you spot the abnormalities and avoid the misdiagnosis? The post ECG Cases 29 Misdiagnosis from Lead Misplacement, Artifact and Lead Reversal appeared first on Emergency Medicine Cases.
Medical Law
MARCH 17, 2022
Let’s face it, even in Santa Barbara, going to the airport is a big hassle. Crowds, long lines, and waiting around for your flight is no fun at all. And Covid makes it even more frustrating because you have to wear a mask and keep your distance when standing in line. Now there’s another problem at the Santa Barbara Airport – there aren’t enough parking spaces.
Advanced Medical Reviews
MARCH 16, 2022
Data breaches continue to be a costly occurrence in the United States, especially for the health care industry. Breaches covered under the Health Insurance Portability and Accountability (HIPAA) and Health Information Technology for Economic and Clinical Health ( HITECH) Acts are increasing, meaning more protected health information (PHI) is at risk.
SCGH ED
MARCH 14, 2022
Emergency Medicine (mainly FOAMed) Resources I’ve been asked by several new RMO’s & Regs for good ED Resources for clinical / learning/ exams. I’ve compiled a comprehensive but by no means exhaustive list of some of the popular resources that we use. Chantelle Badawy 2022 EM Podcasts Websites that provide good reviews of current literature: Apps / Web Pages Most web pages can be saved onto your phone home page like an “App”.
Ultrasound Gel
MARCH 14, 2022
Ultrasound has been a friend to central venous catheter placement for a long time. It's always there to make sure you are putting that line in the right place without causing problems. While this has been standard for internal jugular lines for years, it is only more recently that this has been proposed for subclavian lines. There is now ample literature supporting this latter practice, although as far as I know, it is not yet widely adopted.
Cook County EM Blog
MARCH 10, 2022
The Case: 49-year-old male with no significant past medical history presented to the ED for progressive neck pain and bilateral upper extremity weakness in a cape-like distribution for 6 months, worsening over the past week. Notably, the patient was in a motorcycle accident in a foreign country 6 months earlier, when he was struck from behind and ejected from his vehicle, landing on his left side.
Emergency Medicine Cases
MARCH 15, 2022
Why should pericarditis be considered a diagnosis of exclusion? Which clinical features are most useful in the diagnosis of pericarditis? What are the most common pitfalls in the ECG interpretation? What are the best ways to differentiate the ECG of pericarditis from that of MI and early repolarization? How is uncomplicated viral pericarditis treated differently compared to pericarditis with other etiologies?
Critical Care Now
MARCH 10, 2022
Reading Time: 4 minutes Lauren Igneri Critical care pharmacist and proud Rutgers University graduate. Enjoys rock climbing, cycling, travel, and lively discussions on the finer points of pharmacokinetics and critical care over a beer with friends. Case A 23-year-old woman (70 kg) struck by an automobile is admitted to the trauma ICU. She is found to have a subdural hematoma.
EB Medicine
MARCH 7, 2022
Episode 67 – Managing Postpartum Complications in the Emergency Department – An Interview with Dr. Nicole Yuzuk, Dr. Joseph Bove, and Dr. Riddhi Desai EMplify – March 2022 Interview with the Authors: Nicole Yuzuk, DO, Joseph Bove, DO, and Riddhi Desai, DO Episode Outline: 1.Why is this an important topic in EM? 2.Hemorrhage etiologies and definition 3.Headache etiologies, both common and the more dangerous (ICH) 4.Fever and infection Mastitis Endometritis 5.Preeclampsia/eclampsia Definition, d
Northwestern EM Blog
MARCH 7, 2022
Written by: Michael Tandlich, MD (NUEM ‘24) Edited by: Chloe Renshaw, MD (NUEM ‘22) Expert Commentary by : Justin Seltzer, MD (NUEM ‘21) Expert Commentary An excellent post by Drs. Tandlich and Renshaw. Marine envenomations are common problems around the world. Like with land-based envenomations, the venomous organisms of note vary with geography; jellyfish encountered in Australia are different from those encountered in Florida, for example.
Emergency Medicine Ireland
MARCH 7, 2022
Welcome back to the tasty morsels of critical care podcast. Of the many things I poorly understand, I suspect that haematology holds a special place. Knowing the intricacies of the haematological malignancies was not exactly core knowledge for emergency medicine. Read More » Welcome back to the tasty morsels of critical care podcast. Of the many things I poorly understand, I suspect that haematology holds a special place.
Board Bombs
MARCH 6, 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. We promote this awesome ACEP PeerCert question about the Ottawa SAH Rule. We love our friends up on the other side of our Northern Border, and really enjoy digging into the high yield aspects of how to not miss SAH!
JournalFeed
MARCH 5, 2022
It’s the JournalFeed Podcast for the week of February 28 - March 4, 2022. We cover molnupiravir for COVID, bacterial meningitis, diltiazem vs metoprolol for a-fib with RVR, PLUS RCT on balanced fluids, and pad placement for a-fib cardioversion.
Critical Care Now
MARCH 3, 2022
Reading Time: 4 minutes Stephen Biehl Respiratory therapist specializing in lung health investigations. If not I’m the unit, find me in the PFT lab, bronch suite, rehab, or taking the stairs. The Pre-brief Working in a Pulmonary Function Lab plus providing in-patient care within the hospital, I see patients every day that have been diagnosed with chronic obstructive pulmonary disease (COPD).
Core Medical Group
MARCH 3, 2022
We all go through different seasons in life. Sometimes, a travel nurse like you thrives on bouncing from assignment to assignment. In other seasons, you may just want normalcy and familiarity for a while rather than starting over again. And that’s ok!
Advanced Medical Reviews
MARCH 2, 2022
Like nearly everything else, the health care industry experienced a wide array of challenges and changes due to the COVID-19 pandemic. Some physician practices shuttered and many saw marked declines in revenue; hospitals and health systems postponed many types of elective procedures; overworked doctors and nurses in overwhelmed urgent care and intensive care units switched gears to treat coronavirus patients; and telehealth rapidly became a primary source of care.
Emergency Medicine Cases
MARCH 1, 2022
In this month's EM Quick Hits podcast: Brit Long on Surving Sepsis Campaign -2021 Updates, Nour Khatib on rural medicine case - angle closure glaucoma, Reuben Strayer on bougie vs endotracheal tube and stylet on first-attempt intubation, Justin Hensley on management of frostbite, Sarah Foohey on the hot and altered patient, and Andrew Petrosoniak on central cord syndrome.
EMergucate
MARCH 16, 2022
The below ECG is from a 69 year old male who presented to ED with general malaise and fatigue. The patient is has a background of metastatic colon cancer and depression.
EM Literature of Note
MARCH 31, 2022
Just a quick update to the blog to collate various items from around the web. The Annals of Emergency Medicine monthly podcast is updated through February 2022, freely available from your choice of services: Apple Podcasts SoundCloud Google Podcasts Likewise, the Annals of Emergency Medicine Journal Club is freely available: To Bougie or Not to Bougie: Bougie versus Stylet for First-Pass Intubation Success Immediate Versus Delayed Cardiac Catheterization in Post-Arrest Patients Without ST Elevat
University of Maryland CC Project
MARCH 27, 2022
Dr. Allison Lankford is an Assistant Professor in the Department of Obstetrics, Gynecology, and Reproductive Services at the University of Maryland. She is a Maternal Fetal Medicine and Critical Care physician at the University of Maryland Medical Center. Dr. Lankford presents a lecture on the "Physiologic Changes of Pregnancy" with a maternal and fetal Case-based approach as part of the DC5 Lecture series.
JournalFeed
MARCH 26, 2022
The JournalFeed podcast for the week of March 21-25, 2022. Heads up! For continued access to all the JournalFeed has to offer will require you to be a member as of April 4th, 2022. Check out journalfeed.org for details. Epi vs. NorEpi Spoon feed: Continuous epinephrine infusion for post-resuscitation shock in out of hospital cardiac arrest (OHCA) was associated with both higher all-cause and cardiovascular specific mortality when compared to norepinephrine.
Emergency Medicine Ireland
MARCH 21, 2022
Welcome back to the tasty morsels of critical care podcast. Today we’re talking about dead space. While it may sound like something from The Expanse, we’re actually talking about the physiological concept of dead space here. This is pretty core. Read More » Welcome back to the tasty morsels of critical care podcast. Today we’re talking about dead space.
ER Nurses
MARCH 14, 2022
It would appear that although ER nurses perform their duties seamlessly despite dealing with critical injuries in patients, this type of high level stress has impacts beyond the ER. A Master of Nursing student from the University of Calgary suggests that the work environment is not only stressful, but could have devastating consequences.
EMergucate
MARCH 10, 2022
The lateral knee x-ray shows significant effusion in the knee joint and an indentation on the lateral femoral condyle (lateral … Continue reading →
The Skeptics' Guide to EM
MARCH 12, 2022
Date: March 3rd, 2022 Reference: Macnow et al. Effect of Screen Time on Recovery From Concussion: A Randomized Clinical Trial. JAMA Pediatrics 2021 Guest Skeptic: Dr. Catherine Varner is an Assistant Professor and Clinician Investigator in the Department of Family and Community Medicine at the University of Toronto. She is an emergency physician at Mount Sinai […] The post SGEM#362: Screen Time – Can’t Take My Eyes Off of You – But Should I Post-Concussion?
University of Maryland CC Project
MARCH 26, 2022
Dr. Deepshikha C Ashana, MBA, MS, an Assistant Professor of Medicine in the Division of Pulmonary and Critical Care at Duke University School of Medicine presents during our Critical Care DEI series on "Interpersonal and Structural Racism in Critical Care". Dr.
JournalFeed
MARCH 12, 2022
It’s the JournalFeed Podcast for the week of March 7-11, 2022. We cover eFAST for pneumothorax, advanced airway vs bag-valve mask for OHCA, muscle relaxants for back pain, ongoing opioid use after fentanyl in the ED, and heart rate and mortality risk in PE.
PulmCCM
MARCH 7, 2022
Jon-Emile S. Kenny MD [ @heart_lung ] “What time is this, to trade the handshake for the fist?” -Joni Mitchell Background As remarked by the authors of the recent PLUS trial , a systematic review and meta-analysis of randomized controlled trials comparing balanced resuscitation fluid to 0.9% saline was reported in the New England Journal of Medicine Evidence.
Cook County EM Blog
MARCH 3, 2022
Written by: Clara Lee, PharmD; PGY1 Pharmacy Resident Reviewed by: Joanne C.
EMergucate
MARCH 10, 2022
The knee x-rays are from a 75 year old with right knee pain and inability to weight bear after a … Continue reading →
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