Ken Grauer, MD
FEBRUARY 28, 2023
The ECG and long lead II rhythm strip in Figure-1 — was obtained from a COVID positive patient with persistent tachycardia not responding to Diltiazem. How would YOU interpret this tracing? How to manage the patient? Figure-1: The initial ECG — obtained from a patient with persistent tachycardia. ( To improve visualization — I've digitized the original ECG using PMcardio ).
The Bottom Line
FEBRUARY 27, 2023
In patients with refractory out-of-hospital cardiac arrest (OHCA) and an initial ventricular arrhythmia, does extracorporeal cardiopulmonary resuscitation (ECPR), as compared with conventional CPR (CCPR), improve survival with a favourable neurologic outcome
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EM Literature of Note
MARCH 2, 2023
Down here, summer has ended – although, you wouldn’t know it from the 26C weather we’re having outside today. But, this means it’s been a few months since I’ve linked to my various #FOAMed resources around the web. First, and not least, the Annals of Emergency Medicine Podcast , the Ryan and Rory Show, recapping the articles from each month’s issue, available for free on your choice of streaming platforms: Apple Podcasts Google Podcasts Soundcloud Then, there’
Dr. Smith's ECG Blog
MARCH 3, 2023
We are happy to announce that our "OMI Toolbox" application has just released and ready for your use. As myocardial infarction (MI) and many other diagnoses (for example left ventricular hypertrophy, prior MI etc.) can cause ST-segment elevation (STE) on electrocardiogram (ECG), the distinction between them may be hard and complicated. Furthermore, some ECGs may not meet the STEMI criteria but may still be diagnostic for acute coronary occlusion (ACO).
EB Medicine
MARCH 1, 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 February 2023 Pediatric Emergency Medicine Practice article on Pediatric Electrolyte Emergencies: Recognition and Management in the Emergency Department — History Point-of-care testing I/O lines Presentation, differential, and treatment of: Hyponatremia Hypernatremia Hypokalemia Hyperkalemia Hypocalcemia Hypercalcem
RebelEM
MARCH 2, 2023
Background: Historically, we have treated acute coronary syndrome with supplemental oxygen regardless of the patient ’ s oxygen saturation. This intervention was based on the belief that pushing the patient’s PaO2 to supra therapeutic levels would increase O2 delivery to ischemic myocardium and help reduce myocardial injury. More recent evidence, however, demonstrates that too much oxygen could be harmful ( AVOID Trial ) by causing coronary vasoconstriction and increasing oxidative stress.
NRC Health
MARCH 2, 2023
MyView enhances care team workflow with contextual patient data for improved outcomes The post NRC Health offers first-of-its-kind patient experience EHR integration appeared first on NRC Health.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
Stop and Think
MARCH 1, 2023
I have sometimes been called a contrarian. This can be both a positive and negative label. The positive is that, sometimes, the contrarian view turns out to be correct. And, even when the future is unknown, the debate unsettled, a contrarian view serves to counter soft consensus thinking. In case you haven’t heard, consensus thinking is common in Medicine.
Dr. Smith's ECG Blog
MARCH 1, 2023
Sent by anonymous, written by Pendell Meyers A man in his late 40s presented to the ED with concern for allergic reaction after accidentally eating a potential allergen, then developing an itchy full body rash and diarrhea. In the ED he received methylprednisolone, diphenhydramine, and epinephrine for possible anaphylaxis. Shortly after receiving epinephrine, the patient developed new leg cramps and chest pain.
Emergency Medicine Cases
FEBRUARY 28, 2023
ED recognition and management of some commonly missed or mismanaged hand inuries including finger tip avulsions and amputations, nailbed injuries, PIP dislocations, metacarpal fractures, hand tendon lacerations, Stener lesions, Seymour fractures, mallet fingers, jersey fingers, skier's thumb, Bennet fractures and Rolando fractures with masters Dr. Arun Sayal and Dr.
American Medical Compliance
FEBRUARY 28, 2023
The Indiana Recognizing and Reporting Child Abuse and Neglect Training will educate dental healthcare providers (DHCP) on the signs of child abuse and neglect and how mandatory reporters in Illinois report child abuse and neglect cases. The first step in preventing child abuse and neglect is recognizing the signs. Undoubtedly, if you notice a sign of child maltreatment occurring within a family, it is important to take a closer look at the situation.
Board Bombs
FEBRUARY 27, 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. Cite this podcast as: Briggs, Blake; Husain, Ilitfat. Episode 167. Methemoglobinemia: like a box of chocolates. [link] February 27th, 2023. Accessed [date] Want to experience the greatest in board studying?
NRC Health
FEBRUARY 28, 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: Leadership rounding the Driscoll way appeared first on NRC Health.
Emergency Medicine Cases
FEBRUARY 28, 2023
Dr. Jesse McLaren on when to consider Spontaneous Coronary Artery Dissection (SCAD), which patients are at risk for reocclusion, and the challenges of diagnosing SCAD in patients who have nonischemic ECGs despite silent occlusion, occlusions perfused by collaterals, or from non-occlusive MI on this ECG Cases. The post ECG Cases 40 – Approach to Spontaneous Coronary Artery Dissection (SCAD) appeared first on Emergency Medicine Cases.
American Medical Compliance
FEBRUARY 27, 2023
The Illinois Recognizing and Reporting Child Abuse and Neglect Training course is designed to educate dental healthcare providers (DHCP) on the signs of child abuse and neglect and how mandatory reporters in Illinois report child abuse and neglect cases. The United States Federal Government defines child abuse and neglect as when the actions or inactions of a caregiver lead to the risk or impact of harm to a child.
Ultrasound Gel
FEBRUARY 27, 2023
This is the second and final part of our episode on diversity, equity, and inclusion within the point-of-care ultrasound community. Guests Almaz Dessie and Javier Rosario lend their insights to the discussion of their articles and practical next steps. [link] This is the second and final part of our episode on diversity, equity, and inclusion within the point-of-care ultrasound community.
EMergucate
FEBRUARY 26, 2023
Effect of a Diagnostic Strategy Using an Elevated and Age-Adjusted D-Dimer Threshold on Thromboembolic Events in Emergency Department Patients With … Continue reading →
Dr. Smith's ECG Blog
FEBRUARY 27, 2023
I was reading EKGs on the system and came across this one: What do you think? This is diagnostic of hyperkalemia. HyperK can result in all sorts of pseudoSTEMI or pseudoOMI patterns, including ST elevation, ST depression, and large T-waves. These T-waves are tall but have a narrow base and a corresponding flat ST segment (see lead V4). Also, there are no definite P-waves and this is another result of hyperkalemia.
Critical Care North Hampton
FEBRUARY 27, 2023
The last for Feb! All sifted to keep you up to date! 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 Videos Best Meetings! JAM’s Pick of the Papers As ever, we recommend.
AED Leader
FEBRUARY 27, 2023
Athletes often have a resting heart rate that’s around half that of a non-athlete, but why does this happen and is it good or bad? For budding athletes and current athletes who are thinking about heart health, understanding which symptoms are—and aren’t—a problem can guide potential lifestyle changes and requests for cardiac testing. Why Athletes Read More "Why Do Athletes Have Such a Low Heart Rate?
American Medical Compliance
FEBRUARY 27, 2023
The MRI: Level 1 Safety Training will educate individuals who frequent the MR area on practices and procedures to keep themselves and their patients safe. Individuals who frequent the MR area, such as those who transport patients, those who clean the area, and support assistants who help Level 2 MR Technologists with getting patients on or off the table, should take this course.
JournalFeed
FEBRUARY 25, 2023
The JournalFeed podcast for the week of Feb 20-24, 2023. 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. Over-Sensitive Trops Spoon Feed High sensitivity cardiac troponins (hs-cTn) can be more complex to interpret than our usual diagnostics and are worth a deep dive to understand.
The Skeptics' Guide to EM
FEBRUARY 25, 2023
Reference: Cashen K, Reeder RW, Ahmed T, et al. Sodium bicarbonate use during pediatric cardiopulmonary resuscitation: a secondary analysis of the icu-resuscitation project trial. Pediatric Crit Care Med. 2022 Date: February 15, 2023 Guest Skeptic: Dr. Carlie Myers is Pediatric Critical Care Attending at Cincinnati Children’s Hospital Medical Center.
EMergucate
FEBRUARY 28, 2023
The elbow x-ray is from an adult patient with pain, swelling & inability to move their elbow after a fall on outstretched hand. What can be seen?
American Medical Compliance
FEBRUARY 27, 2023
OSHA Training for Emergency Medical Services (EMS) will educate emergency medical workers on how to protect themselves and others while adhering to State and Federal OSHA regulations. Congress established the Occupational Safety and Health Administration (OSHA) with the purpose of creating safe and health-conscious work conditions by setting and enforcing standards.
Kings County Downstate EM
MARCH 2, 2023
Author: Karen Jeoffroy, MD Editors: Philippe Ayres, MD and Alec Feuerbach, MD Case: A 27-year-old G2P1001 female, six weeks pregnant by LMP, presented to the ED with two weeks of worsening nausea and vomiting, vaginal bleeding, and mild, intermittent abdominal cramping. She reported a positive home pregnancy test; however, […] The post Mole Money, Mole Problems appeared first on County EM.
University of Maryland Department of Emergency Med
MARCH 2, 2023
Non-dihydropyridine calcium channel blockers, verapamil and diltiazem, can induce hypotension when administered intravenously (IV) in approximately 4%.
EMergucate
FEBRUARY 27, 2023
The chest x-ray shows a cavity near the right cardiophrenic angle.
American Medical Compliance
FEBRUARY 26, 2023
The Orientation to the Operating Room for Sales Professionals course is designed to educate sales professionals on proper operating room practices. There are several benefits and risks of healthcare industry representatives (HCIRs) being in the operating room. Healthcare industry representatives (HCIRs) are individuals who sell, promote, and give training and advice concerning medical devices, systems, and procedures.
University of Maryland Department of Emergency Med
FEBRUARY 28, 2023
Background: There have been a few studies that suggested that there may be some neuroprotective effect with a higher MAP goal in.
University of Maryland Department of Emergency Med
FEBRUARY 25, 2023
In a small study at a single level one trauma center, ? of patients screened positive for illicit fentanyl use prior to violent or intentional injury.
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