Ken Grauer, MD
JULY 15, 2023
The ECG in Figure-1 was obtained from a previously healthy middle-aged man — who while performing his regular exercise routine, developed "slight" chest discomfort and "palpitations". These symptoms persisted for over an hour, which led the patient to contact EMS. Surprisingly — he was hemodynamically stable with minimal discomfort at the time his initial ECG in Figure-1 was recorded.
Mount Sinai EM
JULY 21, 2023
Why is this a pearl? We get G-tube dislodgments quite often at Sinai, and they can be an easy patient encounter with a quick note and quick dispo. But they made me so nervous as an intern and early 2! Now I love ‘em and you can love ‘em too! ** GJ-tubes or J-tubes do not get replaced in the ED. Tell me about the PEG tube. Gastrostomy tube (G-tube) or Percutaneous Endoscopic Gastrostomy tube (PEG tube) is a tube placed in the stomach for long-term enteral nutritional support.
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The Trauma Pro
JULY 21, 2023
In the last post, I discussed what to do if your hospital is thinking about switching to an electronic trauma flow sheet (eTFS). Today I’ll give you some tips on what to do if the cat’s already out of the bag and it’s already been implemented. The number one priority is to show the impact of the eTFS on the trauma program. This involves the same two components I’ve already written about: Accuracy.
Ziqitza HealthCare Ltd
JULY 21, 2023
Ambulance emergency number It’s heartbreaking to know that millions of emergencies end in the loss of lives. What shakes us is the lack of awareness of ambulance emergency numbers and the affordability of ambulance services. These reasons may sound a little weird in the digital era we are living in, but it’s true. You may argue that one can simply Google for an emergency number when needed.
Science Based Medicine
JULY 17, 2023
Late last week, RFK Jr. endured some hilariously bad press about an NYC press event at which two of his supporters argued over climate change, one with lots of farts. However, the fart jokes soon gave way to darker side of the fundraise, a Q&A in which RFK Jr. shared an antisemitic conspiracy theory claiming that COVID-19 might have been "targeted" against Caucasians and Blacks, while sparing Jews and the Chinese.
First 10 EM
JULY 17, 2023
I have written about the resuscitation of anaphylaxis and asthma before. However, I was forwarded the AMAX4 algorithm for the patient with asthma or anaphylaxis who is either unconscious or requiring assisted ventilation, and I think it is an important addition for our sickest patients. The heartbreaking backstory to this algorithm and website, created by […] The post Critical anaphylaxis and asthma: The AMAX4 algorithm appeared first on First10EM.
The Trauma Pro
JULY 18, 2023
I’ve spent several posts showing you the major problems inherent in using an electronic trauma flow sheet (eTFS). It boils down to Garbage In / Garbage Out and time. It costs a lot of money and weakens an otherwise robust trauma performance improvement process. Here’s the real bottom line: ” A hospital using an electronic trauma flow sheet is paying a lot of money for a product that forces them to pay even more money for people to essentially transcribe inaccurate data back on
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
Science Based Medicine
JULY 21, 2023
Childhood vaccination rates worldwide tanked during the first two years of the pandemic. A recently released report from the UN revealed that 2022 was better, but the improvements weren't seen everywhere. And we still have a long way to go. The post Childhood Vaccination Rates Move (Slowly) in the Right Direction first appeared on Science-Based Medicine.
Core Medical Group
JULY 21, 2023
As a Recruiter in the Travel Nursing Division, Tristan has played a crucial role in connecting skilled medical professionals with rewarding placements. He recently was promoted to Surg Tech Team Lead. Today, we take a closer look at Tristan's trajectory and the positive impact he has made on both his colleagues and the healthcare industry.
Sensible Medicine
JULY 17, 2023
Coronary heart disease is a leading killer. Coronary heart disease can be silent until it presents with a severe heart attack or silent death. The idea of using technology to find these partial blockages before they cause a severe event makes perfect sense. You can call this the clogged pipe frame of cardiology. Many people, now including prominent podcasters, has joined the advocacy for early detection of atherosclerotic disease.
Emergency Live
JULY 21, 2023
On the evening of Tuesday 19, the award-winning volunteers for the third edition of the ‘Palma d’argento – Iustus ut palma florebit’ prize were announced in Acireale The award-winning volunteers for 2023 were announced and made public during an event at the Casa del Volontariato in Via Aranci. The afternoon was opened by a Eucharistic […] The post Luigi Spadoni and Rosario Valastro awarded the Silver Palm appeared first on Emergency Live.
Science Based Medicine
JULY 19, 2023
A third drug either FDA approved or showing clinical benefit for Alzheimer's disease confirms that the world of AD treatment has changed forever. The post Yet Another Alzheimer’s Drug first appeared on Science-Based Medicine.
EMCrit
JULY 20, 2023
So we used a mean guy on twitter to spur a discussion on Oxygenation Physiology and talk about when PaO2s are necessary and you can't use the pulse ox (hint: not often). My discussant is Alex Yartsev. EMCrit Project by Scott Weingart, MD FCCM.
Emergency Medicine Cases
JULY 18, 2023
On this month's EM Quick Hits podcast David Carr on differential diagnosis of normal unenhanced CT renal colic, Leeor Sommer on recognition and management of perichondritis and auricular abscess, Suzanne Schuh on IV magnesium sulphate for pediatric asthma, Jess McLaren on Occlusion MI ECG interpretation requiring cath lab activation and Justin Morgenstern on update on steroids for pneumonia.
Emergency Live
JULY 16, 2023
According to the WHO (World Health Organization), back pain is the leading cause of disability in the world. A very common disorder that, according to estimates, affects 40% of people The post Back pain: what causes low back pain and when to be alarmed appeared first on Emergency Live.
Medagadget
JULY 18, 2023
Researchers at the University of British Columbia have developed a protein-based hydrogel that is highly adapted for articular cartilage repair. A major challenge in creating biomaterial therapies to repair damaged articular cartilage is matching the mechanical properties of this highly specialized tissue. Cartilage is very tough, resisting breaking under force, but also very stiff, meaning that it resists being bent or deformed.
Science Based Medicine
JULY 16, 2023
The second installment in debunking the antivaxxer book "Turtles All the Way Down": Chapter 2, supposedly concerned with “The Science of Adverse Events”. The post The Grand Debunk of the antivaxxer book “Turtles All the Way Down” (part 2/10) first appeared on Science-Based Medicine.
Dr. Smith's ECG Blog
JULY 17, 2023
A young man presented with weakness and fever. His pulse was 186. An ECG was recorded: What do you think? There is a regular narrow complex tachycardia. Thus, it is supraventricular tachycardia. It is important to remember that SVT includes Sinus Tachycardia! That is why I like to call re-entrant SVT "Paroxysmal" SVT, or PSVT). The sinus node is "supraventricular" and in young people it can beat VERY fast.
Emergency Live
JULY 20, 2023
While it is true that in some cases red eyes are due to external factors such as air pollution or dryness, other times the redness is a symptom of something better investigated through an eye examination The post Red eyes: causes, symptoms, diagnosis and treatment appeared first on Emergency Live.
St. Emlyn
JULY 18, 2023
St.Emlyn's - Emergency Medicine #FOAMed Our regular podcast round up from June 2023. AMAX4, PATCH trial, Wessex conference, ICSSOA conference and more. #FOAMed @stemlyns The post June 2023 Podcast. St Emlyn’s appeared first on St.Emlyn's.
Taming the SRU
JULY 21, 2023
Setting the scene You sign up for “eye problem” on the board and you walk in the room. You think the eye might be infected… but now what? Do you treat them with antibiotics? Do nothing? Call ophthalmology? Let’s take a closer look and see just what you need to focus in on your H&P so you can triage and appropriately manage the most common eye infections you might see walk into the ED.
EMDocs
JULY 17, 2023
Authors: Christopher Whiting, MD (EM Resident Physician, University of Vermont) and Joseph Kennedy (EM Attending Physician, University of Vermont) // Reviewed by: Joshua Lowe (EM Attending Physician, USAF), Marina Boushra (EM-CCM Attending Physician, Cleveland Clinic Foundation); Brit Long, MD (@long_brit) Case A 57-year-old man with a past medical history of hypertension and tobacco use presents to the emergency department (ED) with five days of abdominal pain.
Emergency Live
JULY 17, 2023
REAS 2023: an unmissable event for innovation in emergency Not long to go before the most eagerly awaited event of the year in the Italian emergency sector: the International Emergency Exhibition, better known as REAS. In the 2022 edition, REAS shone for the resonance it had, with 20 conferences, more than 100 speakers, and a […] The post REAS 2023, The Benchmark in the Emergency Sector appeared first on Emergency Live.
Science Based Medicine
JULY 20, 2023
His ‘Biggest Secret’ is a tiny sticker selling for hundreds of dollars The post Novak Djokovic credits the TaoPatch for his success: What does the science say? first appeared on Science-Based Medicine.
Taming the SRU
JULY 19, 2023
Fundamentals of ECMO - leadership curriculum - ultrasound GR - macgyver techniques fundamentals of ecmo WITH dr. bonomo ECPR from the ED: The ideal patients: Young patients with refractory VF/VT arrest ≤ 30 min since arrest onset Poisonings with cardiogenic shock Severe hypothermia with arrest Massive PE with arrest Key points: Good CPR/advanced ACLS LUCAS Initial rhythm identification Epinephrine drip Speed to cath lab Pre-procedural checklist (must meet all inclusion criteria): No asystole Lac
EMDocs
JULY 20, 2023
Welcome back to the “52 in 52” series. This collection of posts features recently published must-know articles. Today we look at the DAWN trial. Author: Austin G. MacDonald, MD (Resident, Emergency Medicine Physician, San Antonio, TX); Brannon L Inman, MD (Critical Care Fellow, Orlando, FL) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Thrombectomy 6 to 24 Hours after Stroke with a Mismatch between Deficit and Infarct AKA: The “DAWN” Trial Clinical question: Does th
Emergency Live
JULY 19, 2023
Two Canadairs depart from Italy to provide relief in Greece In response to a request for help from the Greek authorities, the Italian Civil Protection Department decided to send two Canadair CL415 aircraft of the Italian Fire Brigade to fight the extensive fires that have been affecting parts of the country for days. The planes […] The post Forest fires in Greece: Italy activated appeared first on Emergency Live.
ALiEM
JULY 20, 2023
Welcome to the AIR Infectious Disease Module! After carefully reviewing all relevant posts in the past 12 months from the top 50 sites of the Social Media Index, the ALiEM AIR Team is proud to present the highest quality online content related to related to infectious diseases in the Emergency Department. 6 blog posts met our standard of online excellence and were approved for residency training by the AIR Series Board.
Medagadget
JULY 19, 2023
Researchers at UCLA have developed a wearable patch that can measure muscle movements in underlying tissues. The patch contains nanomagnets, and movements in underlying muscles can deform the resulting magnetic fields, creating an electric current. This both provides a readable signal for the system, and also means that the system is self-powered and does not require a battery.
EM Literature of Note
JULY 21, 2023
It is the long, cold dark here in Christchurch – improved dramatically by leaving for the U.S. for four weeks! Firstly, the blog may be making a bit of a comeback – the ugly demise of Twitter seems to necessitate a better method of knowledge translation, such as blog posts that can be replicated across whichever platform is progressing towards dominance.
Emergency Live
JULY 15, 2023
Carpal tunnel syndrome (CTS) is pressure on a nerve in your wrist. It causes tingling, numbness and pain in your hand and fingers The post Carpal tunnel syndrome (CTS): Causes, Symptoms, Diagnosis And Treatment appeared first on Emergency Live.
Science Based Medicine
JULY 18, 2023
Remembering the old days of Madonna, courting, and naloxone use. The post Madonna !?! first appeared on Science-Based Medicine.
Medagadget
JULY 19, 2023
Researchers at Florida Atlantic University have developed a soft robotic glove that can assist stroke patients to relearn how to perform dexterous tasks with their hands. The glove contains soft actuators that helps patients to move their fingers as they perform tasks, and sensors that help to create tactile sensations. So far, the researchers have focused on using the gloves to assist patients to play music.
RebelEM
JULY 20, 2023
INTRODUCTION You’re moonlighting in a remote access hospital. EMS radios in for a burn patient and to anticipate a difficult airway. You can hear the tension in their voice. They’re rolling up now. The patient is horribly burned. She was smoking with her home O2 on and has severe mixed partial and full thickness burns to the chest, neck, face, and airway.
Emergency Live
JULY 21, 2023
Sea rescue, what is the POS rule The Coast Guard has numerous rules regarding rescuing people on board boats. Although it is therefore easy to think that rescuing someone in distress at sea is straightforward and without many bureaucratic hurdles, unfortunately there are several rules to follow. Safe harbour or nearby port In this case, […] The post The Crucial Role of the 'Place Of Safety' appeared first on Emergency Live.
Sensible Medicine
JULY 19, 2023
A few years ago, I put a pithy slide up on twitter. The slide was meant for new medical student graduates about to start residency. I came up with this list after reflecting on what did and did not work for me during my training – at least when viewed from the proverbial retrospectoscope. 1. Immerse yourself – residency is when you get your 10,000 hours 2.
Medagadget
JULY 19, 2023
Scientists at Penn State have developed an assay that lets them to directly measure HIV viral load in a drop of blood. The technology is also faster and less expensive than current approaches. At present, RT-PCR is typically used to assess HIV levels in a patient’s blood, requiring genetic material to be amplified before it can be measured. This is time-consuming and does not provide a direct measurement of viral loads, but rather a close estimate.
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