Sat.Jun 22, 2024 - Fri.Jun 28, 2024

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ECG Blog #435 — Did Cath Show Acute Ischemia?

Ken Grauer, MD

The ECG in Figure-1 — was obtained from a middle-aged woman with positional tachycardia and diaphoresis with change of position from suprine to sitting. Although CP ( C hest P ain ) was not a prominent symptom — ACS ( A cute C oronary S yndrome ) was suspected from the chest lead T wave inversion seen on this ECG. QUESTIONS: How would YOU interpret the ECG in Figure-1 ?

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10 Things That Will Get You Sued – Part 1

The Trauma Pro

Many trauma professionals believe that they can only be sued if they make a medical error and some harm occurs. Unfortunately, this is not entirely true. Yes, this is one obvious way to spark a suit or claim. Unfortunately, it goes beyond that. Your patient may sue you if they even believe that they were harmed in some way, or think that something untoward happened while you were providing care.

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The pediatric can’t intubate can’t oxygenate scenario (Use a knife)

First 10 EM

A can’t intubate can’t oxygenate scenario will always be scary, but after years of mental rehearsal and some real world experience, the idea of surgical front of neck access in an adult doesn’t bother me much. (I think that is an important mental space for emergency physicians to find if you want to be able […] The post The pediatric can’t intubate can’t oxygenate scenario (Use a knife) appeared first on First10EM.

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A Discussion with Professor Venk Murthy on Coronary Artery Disease

Sensible Medicine

When I type the words coronary artery disease I bet that you picture angiograms with stenotic lesions— blockages in colloquial language. Indeed a high grade plaque from atherosclerosis in the inside of a coronary artery can limit flow to the heart muscle. But. But. Not as much as you think. You know why? Because there is something called the coronary microcirculation.

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Bridging Innovation & Patient Care: The Growing Role of AI

Speaker: Simran Kaur, Co-founder & CEO at Tattva.Health

AI is transforming clinical trials—accelerating drug discovery, optimizing patient recruitment, and improving data analysis. But its impact goes far beyond research. As AI-driven innovation reshapes the clinical trial process, it’s also influencing broader healthcare trends, from personalized medicine to patient outcomes. Join this new webinar featuring Simran Kaur for an insightful discussion on what all of this means for the future of healthcare!

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A woman in her 50s with multiple episodes of syncope

Dr. Smith's ECG Blog

By Sofiya Diurba MD, reviewed by Meyers, Grauer A woman in her 50s with PMH known RBBB and prior syncopal events presents to the ED for five syncopal events over the last 24 hours. Each event is associated with a prodrome of mild substernal CP, SOB, and “brain fog.” EMS reports intermittent sinus tachycardia and bradycardia secondary to some type of heart block during transport.

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The ETM Course Podcast is back! The Trauma Physician with Chris Bowles

ETM Course

We are excited to announce that after a hibernation period, the ETM Course podcast is back! In our first episode of the new podcast we talk to Dr Christine Bowles, Emergency Physician and Trauma Physician at St George Hospital, one of Sydney’s Major Trauma Centres. Also available on Apple Spotify YouTube iHeart Podchaser PlayerFM In this episode we talk in detail about the evolution of the “Trauma Physician” role and Emergency Physicians working on inpatient trauma services, th

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JC: The impact of double sequential shock timing on outcomes during refractory out-of-hospital cardiac arrest

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed Background Out-of-hospital cardiac arrest (OHCA) is a leading cause of morbidity and mortality globally, with a survival rate of less than 10% despite emergency medical services (EMS) interventions. Patients presenting […] The post JC: The impact of double sequential shock timing on outcomes during refractory out-of-hospital cardiac arrest appeared first on St.Emlyn's.

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Spinal Immobilization: a Twisted Tale

EM Ottawa

For decades, “spinal immobilization”, or spinal motion restriction (SMR) using backboards and cervical collars has been a “cornerstone of EMS protocols, aimed at minimizing secondary spinal cord injuries during trauma patient management. Originating in the 1960s, this practice was propelled by anecdotal evidence and early case reports suggesting that un-immobilized cervical spine injuries could worsen […] The post Spinal Immobilization: a Twisted Tale appeared first on EM

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Friday Reflection 41: Sometimes I Just Need to Complain

Sensible Medicine

A 76-year-old woman presents to a community hospital after waking with garbled speech and right-sided weakness. She is admitted with suspected stroke. Sensible Medicine is a reader-supported publication. If you appreciate our work, consider becoming a free or paid subscriber. I love my job. If I had it all to do again, there is no doubt that I would choose medicine in general and academic general internal medicine in particular, but occasionally we all have a bad week.

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HEMOTION – transfusion thresholds in TBI

The Bottom Line

Liberal or Restrictive Transfusion Strategy in Patients with Traumatic Brain Injury Turgeson AF. NEJM June 13 2024; doi:10.

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Is This The End?

MEDEST118

Do not move!

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EMCrit Wee – Adaptive Support Ventilation (ASV)

EMCrit

a unique ventilatory mode unfortunately only available on Hamilton vents EMCrit Project by Scott Weingart, MD FCCM.

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Impella, Mammograms and Med School Fails Students

Sensible Medicine

Common sense and original thinking in bio-medicine

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Podcast – May 2024 Monthly Round Up – RCEM conference highlights, being EPIC and more

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed The latest St Emlyn's monthly podcast with all the best from the blog in May 2024. The post Podcast – May 2024 Monthly Round Up – RCEM conference highlights, being EPIC and more appeared first on St.Emlyn's.

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The best medical schools in the world

Emergency Live

The Most Prestigious Medical Schools Globally When choosing a university for medical studies, education quality and university reputation are crucial factors. In this article, we’ll explore some of the world’s top medical faculties, providing an overview of their distinctive features and excellence programs. North America: Harvard University (USA) Harvard Medical School, located in Boston, is […] The post The best medical schools in the world appeared first on Emergency Live.

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EM Match Advice 44: Approaching your EM sub-internship clerkship – “Just gotta roll with it”

ALiEM

Dr. Sara Krzyzaniak (podcast host and Stanford University PD) and Dr. Michelle Lin (ALiEM Founder/UCSF) are joined by Dr. Jessica Bod (Yale University Clerkship Director and 2024 CDEM Clerkship Director of the Year award winner) in this episode to discuss how one might approach their emergency medicine sub-internship. Dr. Bod shares her her wealth of experience and wisdom to provide not only general advice but also answers more detailed questions like: What are some things NOT to do on a rotatio

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Deep Sedation Compliance Training

American Medical Compliance

The following Deep Sedation Compliance Training is designed to educate healthcare providers (HCP) on the principles of deep sedation in medical procedures; furthermore, education and training on sedation prepares medical providers to properly care for patients while also guaranteeing their health and safety. This course offers valuable insight and aims to achieve optimal education regarding the procedure.

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JC: The impact of double sequential external defibrillation timing on outcomes during refractory out-of-hospital cardiac arrest

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed Background – What is Double Sequential External Defibrillation? Out-of-hospital cardiac arrest (OHCA) is a leading cause of morbidity and mortality globally, with a survival rate of less than 10% despite […] The post JC: The impact of double sequential external defibrillation timing on outcomes during refractory out-of-hospital cardiac arrest appeared first on St.Emlyn's.

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Cannabis and health: between legalization and medical use

Emergency Live

Legalization, Medical Uses, and Health Impacts: Cannabis in the Global Debate Cannabis, a plant with multifaceted aspects, is gaining global traction both in medical and recreational contexts. While some countries have embarked on full legalization, others regulate its therapeutic use, offering new perspectives and raising questions about its safety.

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Therapeutics: Pacing Through Skin and Vein

Taming the SRU

Cardiac Pacing, both transcutaneous and transvenous, is a critical skill of the EM physician but also can be a black box of when to trigger action and escalation, we will cover both below… When to Pace: Bradycardia AHA Bradycardia algorithm - full guidelines at [link] Bradycardia can often be seen in patients following acute myocardial infarction (MI), most commonly in inferior or anterior MIs.

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PulmCrit Wee: Rational selection of infusion rate based on loading dose

EMCrit

Sometimes I encounter basic pharmacokinetic questions that don't seem to be readily answered in the immediately available literature. I've found FOAMed to be a useful way to make sure I'm doing this right (e.g., see a prior discussion of the appropriate loading dose based on intermittent maintenance dosing and half-life here). Today I want to […] EMCrit Project by Josh Farkas.

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JC: The impact of double sequential shock timing on outcomes during refractory out-of-hospital cardiac arrest

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed Background Out-of-hospital cardiac arrest (OHCA) is a leading cause of morbidity and mortality globally, with a survival rate of less than 10% despite emergency medical services (EMS) interventions. Patients presenting […] The post JC: The impact of double sequential shock timing on outcomes during refractory out-of-hospital cardiac arrest appeared first on St.Emlyn's.

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The Essential Qualities for Becoming an Ambulance Drivers

Emergency Live

Driving, Managing, Collaborating: Key Skills for Ambulance Drivers Driving Safely and Swiftly The ambulance driver is one of the crucial members of the rescue team. This professional, also known as an emergency medical technician (EMT) driver, is responsible for safely and swiftly driving the ambulance to the location where emergency assistance is needed, enabling medical […] The post The Essential Qualities for Becoming an Ambulance Drivers appeared first on Emergency Live.

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Instructors' Collection ECG: Hyperacute T Waves: de Winter T Waves

ECG Guru

The Patient This ECG is from a 57-year-old man complaining of sub-sternal chest pain for 30 minutes. EMS found him pale, diaphoretic, and anxious. We don't have other clinical information or past medical history. The ECG The rhythm is normal sinus rhythm at 98 bpm. The QRS is narrow, and the PR and QTc intervals are within normal limits. In precordial leads V2 through V4, ST segments begin at a J point that is below the baseline by one small block (the computer reads all precordial leads a

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Meet Our QA Team: Behind the Scenes of Healthcare Staffing (Part 1)

Core Medical Group

At CoreMedical Group , our QA team is the backbone of your job placement journey. From finding travel nursing and therapy opportunities to getting you started in new locations, our QA experts, alongside your recruiter, ensure everything is top-notch. Whether it’s your first or fiftieth assignment , we’ve got your back with personalized service, helping with applications, licensing, housing, and even some local tips for your new destination.

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Workplace culture: Reader Input Needed

Sensible Medicine

Recently, a colleague of mine switched institutions. He works as a faculty in cardiology, and attends on service with fellows. Over the course of the year, he gives scattered lectures on the interpretation of clinical trials. I think it is fair to say he has similarities to John Mandrola— a consummate cardiologist and clear evidence based thinker.

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Leaders will reveal healthcare experience innovations at HUB24

NRC Health

Jason Hahn, Chief Revenue Officer; Jennifer Baron, Chief Experience Officer; and Vinitha Ramnathan, Chief Product Officer—will discuss accelerating innovation to meet the growing demand for insights and solutions in the healthcare sector—and specifically what that means for Human Understanding now and in the future. The post Leaders will reveal healthcare experience innovations at HUB24 appeared first on NRC Health.

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How to Properly Install and Maintain an Outdoor AED Cabinet

AED Leader

Installing and properly maintaining an outdoor Automated External Defibrillator (AED) cabinet is crucial for ensuring the safety and accessibility of this life-saving device. This blog post will guide you through installing and maintaining an outdoor AED cabinet , highlighting the key considerations and best practices. Whether you are a business owner, facility manager, or community member, understanding the proper installation and maintenance of an outdoor AED cabinet will enable you to create

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Reteplase vs alteplase for ischemic stroke

PulmCCM

Alteplase (recombinant tissue plasminogen activator or r-tPA) has been widely used for many years as a reperfusion therapy for ischemic stroke.

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Australasian Wilderness and Expedition Medicine Society Conference 2023: Discover New Heights

PHARM

Patrick McAllister / Registered Nurse & Paramedic / Ballarat, Australia Pat McAllister travels to the beautiful Blue Mountains, New South Wales, to … Australasian Wilderness and Expedition Medicine Society Conference 2023: Discover New Heights

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Massage Therapy’s Healing Power of Touch: How It Lowers Stress and Anxiety

Ziqitza HealthCare Ltd

Massage therapy is an age-old practice used to heal chronic pain and promote relaxation as part of the traditional holistic system of healing methods. Massage therapists firmly rub and knead the body’s tissues, such as the muscles, connective tissues, ligaments, tendons, and skin, with varying pressure and movement. Historically, massage therapy has been used to prevent and treat illnesses, heal injuries, and relieve pain.

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How the Heart Start AED Can Save Lives in Emergency Situations

AED Leader

Having the right equipment can make all the difference in emergencies where every second counts. One life-saving device is the Heart Start AED (Automated External Defibrillator). With its advanced technology and user-friendly design, the Heart Start AED has become essential for businesses and individuals in providing immediate care to those experiencing sudden cardiac arrest.

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Lab case 446 interpretation

EMergucate

PH = 7.238, that is moderate acidaemia. pCO2 = 49.1 mmHg. that is suggestive of respiratory acidosis HCO3 = 20.2 mmol/L, that is suggestive of metabolic acidosis.

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Clinical Governance Day – Wed 3rd Jul 2024

Greater Sydney Area HEMS

Visit the post for more.

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Understanding the 2025 HCAHPS changes: Improving patient experience measures

NRC Health

This podcast discusses the upcoming changes to the HCAHPS survey in 2025, focusing on why these updates are happening and how they will benefit patients and healthcare providers. The post Understanding the 2025 HCAHPS changes: Improving patient experience measures appeared first on NRC Health.

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Expert Tips for Maintaining and Servicing Your Philips AED

AED Leader

An automated external defibrillator (AED) can be a life-saving asset for any business or organization. Philips is a well-known and trusted brand in the AED market, providing reliable and user-friendly devices. However, like any other piece of equipment, regular maintenance and servicing are essential to ensure the optimal functioning of your Philips AED.