Ken Grauer, MD
JUNE 2, 2023
I was sent the Holter monitor tracing in Figure-1 — but without the benefit of any clinical information. QUESTIONS: A total of 9 QRS complexes are seen in the 2 simultaneously-recorded monitoring leads. How would YOU interpret the rhythm in Figure-1 ? How many P waves do you see? Why do the QRS complexes of beats #4 and 5 in the bottom lead look different than the other 7 beats?
The Trauma Pro
JUNE 2, 2023
Over the recent decades, there has been a huge push toward “evidence-based” medicine. Unfortunately, the available amount of high-quality literature is relatively low. And the field of neurotrauma is even less-represented than most. Debates have raged over the years regarding the proper timing of surgical spine decompression in patients with spinal cord injuries.
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Greater Sydney Area HEMS
MAY 30, 2023
In the first in this series, HEMS physician and podcast host Dr Samuel Bulford interviews senior staff specialist Dr Cliff Reid who describes a case that changed his life and set his approach to mission preparation and training on a new trajectory.
St. Emlyn
JUNE 2, 2023
St.Emlyn's - Emergency Medicine #FOAMed New guidelines from @RCollEM and @RCRadiologists finally agree that contrast CT should not be delayed in the critically ill/injured #FOAMed The post Contrast Induced Nephropathy – sense at last. St Emlyn’s appeared first on St.Emlyn's.
Don't Forget the Bubbles
MAY 31, 2023
What’s the relationship between COVID-19 and diabetes? May saw the e-publication of the DIMPLES study. Let’s take a deep dive into this paper and its implications for PEM internationally. Ponmani C, Nijman RG, Roland D, Barrett M, Hulse T, Whittle V, Lyttle MD on behalf of PERUKI. Children presenting with diabetes and diabetic ketoacidosis to Emergency Departments during the COVID-19 pandemic in the UK and Ireland: an international retrospective observational study.
RebelEM
JUNE 1, 2023
Background: Achieving ROSC in out of hospital cardiac arrest (OHCA) is no easy feat but, care doesn’t end with ROSC. Post-ROSC management is nuanced and challenging but helps to ensure good outcomes. Identification of the underlying cause of the cardiac arrest is a critical area of focus in post-arrest care. Although myocardial infarction, dysrhythmias and pulmonary emboli are common pathologies to consider, there are a host of other causes including subarachnoid hemorrhage, trauma and electroly
Medagadget
JUNE 1, 2023
Researchers at Penn State have developed a low-cost, wearable sensor using pencil-on-paper technology. This approach involves depositing graphite (pencil ‘lead’) on paper that has been treated with sodium chloride, to create a conductive, low-cost sensor. Previously, these researchers had developed such sensors to detect moisture and even used them to develop a smart diaper ( yes, really ).
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
Don't Forget the Bubbles
MAY 29, 2023
You are working with your colleagues to assist an 8-year-old with multiple injuries following a high-impact traffic collision. You’re thinking about the next steps and voicing the options; you hear an impatient voice saying, “Are up for this? Should I do it?” from one of the team. What does incivility look like? Whilst not a new concept, incivility is still a widely reported concern within healthcare.
Science Based Medicine
JUNE 2, 2023
The authors of the Great Barrington Declaration never asked "vulnerable" people if they were on board with their plan to lock them down for month on end, with no backup plan if herd immunity never arrived. They just wanted to impose their will on tens of millions of vulnerable Americans whether they wanted it or not. The post “Their Plan is Incongruent With My Existence” first appeared on Science-Based Medicine.
EMCrit
MAY 27, 2023
My dear pulmonologists, I have some bad news. Santa Claus isn't real. Neither is “ARDS.” “ARDS” has traditionally been conflated with a specific histopathological form of lung injury: diffuse alveolar damage (DAD). Lectures, chapters, and articles typically juxtapose these two entities, promoting the concept that they're one and the same.
ALiEM
MAY 29, 2023
Massive epistaxis is considered a medical emergency that requires immediate attention. Symptoms of massive epistaxis include sudden and heavy bleeding from the nose, difficulty breathing, dizziness, and a rapid heartbeat. If left untreated, it can lead to significant blood loss, shock, airway obstruction, and even death. We report a case of a 50-year-old man with end stage renal disease with massive nasal bleeding from the left nostril, shortness of breath, and confusion.
Medagadget
MAY 30, 2023
Researchers at MIT have developed smart sutures with a hydrogel coating that contains sensing and drug delivery components, and could even be used to implant therapeutic cells. The sutures are made using pig tissues that have been decellularized with detergents to reduce the possibility that they could provoke an immune reaction. The surrounding hydrogel layer contains microparticles that can release peptides when enzymes involved in inflammation are present, and other microparticles that allow
Science Based Medicine
MAY 31, 2023
Why plausibility must play a central role in scientific medicine. The post Why Scientific Plausibility Matters first appeared on Science-Based Medicine.
EMCrit
JUNE 1, 2023
Optimization of Emergency Medicine Teams EMCrit Project by Scott Weingart, MD FCCM.
Sensible Medicine
MAY 31, 2023
The names and various details of the patients presented below have been altered to preserve confidentiality. Permission was obtained for all images used. Some images have been altered to remove any identifying marks and preserve anonymity. Sensible Medicine is a reader-supported publication. If you appreciate our work, consider becoming a free or paid subscriber.
Medagadget
JUNE 1, 2023
Researchers at Florida State University have developed a 3D model that examines how the bacterium Helicobacter pylori moves through viscous fluids. H. pylori can cause gastrointestinal ulcers and even cancer, moving through the intestinal mucus layer to reach the wall of the gut. Using antibiotics can cause side-effects and can contribute to drug resistance, so these researchers are studying how the bacterium navigates through mucus in an effort to find new therapeutic targets with which to disr
Science Based Medicine
MAY 30, 2023
The failure of the White House COVID-19 Response Coordinator to, well, coordinate a response to COVID-19 misinformation has left physicians to fight the uphill battle on their own. The post Voices in the Vacuum first appeared on Science-Based Medicine.
St. Emlyn
MAY 31, 2023
St.Emlyn's - Emergency Medicine #FOAMed Although these terms may be heard more often in a Build-a-Bear factory or a kitchen at Christmas than a Emergency Department, it doesn’t mean they’re any less relevant. What on earth … Packers, Pushers and Stuffers – Drug Concealment in the ED Read More » The post Packers, Pushers and Stuffers – Drug Concealment in the ED appeared first on St.Emlyn's.
Sensible Medicine
MAY 30, 2023
Thank goodness John Ioannidis exists. Inter alia, if it wasn’t for his research, plenty of the work of academic journal editors and science publishers would go unnoticed, through thick and thin. Instead, his meta-research prompts us to question about these professions and about the future of science communication. Two of his very recent papers pushed me to reflect - from my possibly biased point of view (I am a scientific publisher) – on what is an important issue also to those who w
Dr. Smith's ECG Blog
MAY 30, 2023
A 50-something man presented in shock with severe chest pain. His prehospital ECG was diagnostic of inferior posterior OMI. The patient was in clinical shock with a lactate of 8. BP was 108 systolic (if a cuff pressure can be trusted) but appeared to be maintaining BP only by very high systemic vascular resistance. He appeared gray in color, with cool skin.
Medagadget
MAY 30, 2023
Researchers at UMass Chan Medical School have developed a small interfering RNA (siRNA) technology that is stable enough for inhalation into the lungs, where it can potentially treat diseases as diverse as asthma, pulmonary fibrosis, and viral infections such as COVID-19. siRNA is not typically stable enough to survive for long in the lungs, but the researchers chemically modified the constituent nucleotides to stabilize the molecules and help them to evade immune destruction.
ECG Guru
MAY 31, 2023
This ECG comes from a 75 yo man who had 2 syncopes in the past few weeks. The 12-lead-EKG at the family doctor showed an inconspicuous finding. Here you can see a section of the patients Holter ECG. There is a very slow junctional escape rhythm. How can this be recognized?
St. Emlyn
MAY 30, 2023
St.Emlyn's - Emergency Medicine #FOAMed Quick post to highlight the GECCO conference in Edinburgh on June 6th. global health projects, programmes & research: who does what in emergency care? All welcome and looks great. #FOAMed @GECCoUK The post GECCo: UK global health projects, programmes & research – who does what in emergency care?
Dr. Smith's ECG Blog
MAY 31, 2023
I received the following text message with these 3 EKGs (providers text me ECGs all day every day; most are false positives; many are subtle true positives): "Hi Steve, here are 3 EKGs for you (my colleague's case). A 67 yo f developed chest pain this morning." EKG #1 Followed 15 minutes by this #2 EKG: Then the patient received aspirin and Dilaudid (hydromorphone, same effect as morphine) and the pain went away and there was this 3rd ECG: Smith comment: hydromorphone will make any pain go away
Canadian EM
MAY 31, 2023
Hi Folks! The second day of CAEP truly embodied the essence of phrase “Work Hard, Play Hard.” It was a jam-packed day filled with remarkable talks, enlightening presentations, and a thought-provoking plenary by Dr. Heather Patterson on using photography to cope with burnout. To wrap up the day on a high note, we were treated to the highly anticipated annual Docs that Rock concert.
ECG Guru
MAY 27, 2023
This ECG is from an 80-year-old lady who has collapsed or had sycopal episodes several times. The ECG comes from a Holter monitor. She has arterial hypertension and coronary artery disease. The ECG shows a second-degree, Mobitz Type II AV block. In both types of AVB, the PP intervals are usually the same.
Science Based Medicine
MAY 29, 2023
Some of your fans want public health officials to suffer. Should you care? The post Open Letter to a Medical Student Part 2: “It Was Criminal in My Mind” first appeared on Science-Based Medicine.
University of Maryland CC Project
MAY 29, 2023
Anica Law, MD, MS, Assistant Professor of Medicine/Pulmonary Center at the Boston University School of Medicine presents Critical Care Grand Rounds with a lecture entitled "After Our Work Here is Done: Survivorship After the ICU." Anica Law, MD, MS, Assistant Professor of Medicine/Pulmonary Center at the Boston University School of Medicine presents Critical Care Grand Rounds with a lecture entitled “After Our Work Here is Done: Survivorship After the ICU.
EMDocs
MAY 27, 2023
We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: And the Best Shoulder Reduction Award Goes to… Spoon Feed This meta-analysis found Boss-Holzach-Matter/Davos and FARES had the most favorable value for success rates, while both FARES and modified external rotation
Life in the Fast Lane
MAY 28, 2023
Mike Cadogan Eponymous ankle and talus injuries Eponymythology associated with signs, symptoms, investigation and management of ankle and talus injuries, fractures and conditions.
ECG Guru
JUNE 2, 2023
Why is this left atrial atypical atrial flutter ( ECG 1 )? Atrial fibrillation can be excluded because nice flutter waves (all look the same) can be clearly identified. With typical right atrial flutter, the reentry circle runs counterclockwise and we see typical saw tooth patterns in the inferior leads (negative flutter waves). The flutter waves are positive in V1 ( ECG 2 ).
EM Ottawa
JUNE 1, 2023
Well, the CAEP 2023 (#CAEP23) (Canadian Associated of Emergency Physicians) conference is officially over. We’ve head back to our respective homes and departments, and by now the melancholy has fully kicked in. It was the first time, in a while, that the CAEP conference felt. normal. Like a reunion of sort. The theme of ‘Together […] The post CAEP 2023 in review!
EB Medicine
JUNE 1, 2023
In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the June 2023 Emergency Medicine Practice article, Hypertensive Emergencies: Guidelines and Best Practice Recommendations Epidemiology Etiology Differential diagnosis Prehospital care History and physical Diagnostics Treatment Acute decompensated heart failure Acute ischemic stroke Acute coronary syndrome Intracerebral hemorrhage Subarachnoid hemorrhage Aortic dissection Hypertensive encephalopathy Severe pre-eclampsia and eclampsia C
ACEP Now
JUNE 1, 2023
Recently, large language models (LLMs), like ChatGPT and Med-PaLM, have generated a lot of buzz in the press and among emergency physicians. LLM’s are designed to process large amounts of data, synthesize information, generate text, and even translate it to other languages. These abilities are similar to those performed by emergency physicians. Our specialty is a fast-paced, dynamic medical field that demands rapid decision-making and adaptability.
NRC Health
MAY 31, 2023
Report details new data, trends, and strategies for healthcare organizations. The post NRC Health partners with ICD as lead sponsor of 7th Annual Patient Experience Symposium appeared first on NRC Health.
Ziqitza HealthCare Ltd
MAY 30, 2023
In today’s fast-paced world, many people prioritize their work over their health, often neglecting to take preventive measures to avoid common health issues. However, preventive healthcare is crucial in maintaining a healthy and fulfilling life. By prioritizing your health, you can avoid major health concerns and detect and treat any issues early on.
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