Sat.Nov 19, 2022 - Fri.Nov 25, 2022

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3 More Efficient Ways to Identify Patients at an ASC

PDC Healthcare

3 More Efficient Ways to Identify Patients at an ASC According to a recent survey with PDC customers, a majority of Ambulatory Surgery Centers are using a printed label adhered to a paper or plastic wristband as their method of identifying patients. While this method enables them to satisfy the Joint Commission’s Two Patient Identifiers […]. The post 3 More Efficient Ways to Identify Patients at an ASC appeared first on connectID - PDC Healthcare Blog.

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Thanksgiving Memories

Dr. Mike Sevilla

My father passed away in 2020 right before Thanksgiving, and I admit that holiday time is a difficult time for me. But, what continues to bring be joy are the memories of him carving the turkey every year. For those, who don’t know he was a surgeon who practiced in the Youngstown, Ohio area for years. So, every Thanksgiving, I was impressed by his precision of his turkey carving.

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Noninvasive Ventilation: how to start?

Trigger Lab

Instructions for the reader: The text contains elements of the little experience I have. It can, therefore, be perfectly questionable, especially the units and data that emerged from literature. All ventilation settings are under medical supervision and approval (for lovers of nursing diagnosis, this is a collaborative problem). Since certain aspects are strongly linked to … Leggi tutto Noninvasive Ventilation: how to start?

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EM Quick Hits 44 Fluids in Pancreatitis, Nasal Fractures, Delirium, DOSE VF, Intimate Partner Violence

Emergency Medicine Cases

In this EM Quick Hits podcast: Justin Morgenstern on fluids in pancreatitis, Leeor Sommer on nasal fractures, Christina Shenvi on delirium, Sheldon Cheskes and Rohit Mohindra on Dose VF, and Noor Khatib and Kari Sampsel on intimate partner violence. The post EM Quick Hits 44 Fluids in Pancreatitis, Nasal Fractures, Delirium, DOSE VF, Intimate Partner Violence appeared first on Emergency Medicine Cases.

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Physician Burnout is Rising

American Medical Compliance

Physician burnout is on the rise, and the increase is sharpest among younger primary doctors. A new study conducted by the Commonwealth Fund found that over half of medical practitioners under the age of 55 have reported feeling burned out or stressed. The COVID-19 pandemic has contributed to the rise in stressed doctors. Physicians report taking on more work as a result of the pandemic.

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What do you think of this "Ventricular Bigeminy"?

Dr. Smith's ECG Blog

Written by Bobby Nicholson MD, with edits by Meyers A woman in her 50s with past medical history of heart failure, prior stroke, atrial fibrillation on Eliquis, lung cancer in remission, and CKD, presented to the emergency department for evaluation of cough and shortness of breath. EKG was obtained in triage and read as ventricular bigeminy. What do you think?

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ECG of the Week 16th November 2022 – Interpretation

EMergucate

Interpretation of ECG from 16 November 2022 The most obvious abnormality is ST segment elevation inferiorly (II, III, aVF) in … Continue reading →

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SGEM Xtra: How To Save A Life – Screening for Intimate Partner Violence in the Emergency Department

The Skeptics' Guide to EM

Date: November 19th, 2022 Reference: Khatib N, and Sampsel K. CAEP Position Statement Executive Summary: Where is the love? Intimate partner violence (IPV) in the Emergency Department (ED). CJE.M 2022 Nov Guest Skeptics: Dr. Nour Khatib is an emergency physician in Toronto working in community sites Markham Stouffville Hospital and Lakeridge health.

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Digital Education Fellows

RCEM Learning

Introduction RCEMLearning has grown significantly in recent years, and it is now embedded into the educational practice of the RCEM and wider EM community. RCEMLearning innovatively combines a Virtual Learning Environment (VLE) with Free Open Access Medical (FOAMed) resources, and it makes an invaluable contribution to how RCEM Fellows and Members prepare for exams, deliver teaching, refine critical appraisal skills, stay aligned with changes in evidence-based medicine, and maintain their ePortf

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ECG of the Week 23rd November 2022

EMergucate

The following ECG was printed when the ST segment alarm on the cardiac monitor started alarming: It is after hours … Continue reading →

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Global EM 1: Practicing EM in Bangladesh – Build It and They Will Come

Emergency Medicine Cases

Dr. Navpreet Sahsi describes the challenges of building an Emergency Department in Bangladesh and how the experience has shaped his outlook on Emergency Medicine practice in North America on EM Cases' first Global EM blog. The post Global EM 1: Practicing EM in Bangladesh – Build It and They Will Come appeared first on Emergency Medicine Cases.

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Go Scanner Go | How PEs Kill

JournalFeed

The JournalFeed podcast for the week of Nov 14-18, 2022. 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. Go Scanner Go Spoon Feed Newer CT scanners led to faster head CT by about 10 seconds, and this decreased the number of pediatric patients who required sedation.

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Own a dog to live long & prosper

University of Maryland Department of Emergency Med

Dog ownership has become more common especially during the pandemic. Almost 70% of US households own a pet and almost half own ≥1 dog.

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Imaging Case of the Week 527 Answer

EMergucate

The chest x-ray shows streaks of air around the mediastinum all the way up to the neck indicating the presence … Continue reading →

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Agitation Management in the Trauma Patient

EM Updates

From Management of Pain & Agitation in Trauma.

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A man in his 70s with chest pain

Dr. Smith's ECG Blog

Case submitted by Rachel Plate MD, written by Pendell Meyers A man in his 70s presented with chest pain which had started acutely at rest and has lasted for 2 hours. The pain was still ongoing at arrival. He also noted a bilateral "odd feeling" in his arms. He stated it was similar to prior heart attacks. He had history of prior MIs and CABG, as well as diabetes, hypertension, and hyperlipidemia.

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Imaging Case of the Week 528 Answer

EMergucate

The chest x-ray shows- hyperlucent lung fields especially in the upper zones (Westermark sign).

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Imaging Case of the Week 529 Answer

EMergucate

The CT image shows- a hypoattenuating wedge shaped area in the parenchyma of the left kidney.

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Lab case 387

EMergucate

A 27-year-old female presented with fever, diarrhoea and feeling unwell for 3 days.

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Lab case 386 interpretation

EMergucate

Question 1 answer PH = 7.222 that is acidaemia. (Moderate) PCO2 = 87.8.

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Patient in Single Vehicle Crash: What is this ST Elevation, with Peak Troponin of 6500 ng/L?

Dr. Smith's ECG Blog

A 30-something male was involved in a single vehicle crash and had multiple injuries. As a routine part of his critical trauma evaluation, he had an ECG recorded: There is an rSR" in V1 and V2, with downsloping ST segment and inverted T-wave which is very similar to a Brugada Type 1 phenocopy. I was shown this ECG and thought that it could perhaps be Brugada, but I was more suspicious for Right Ventricular (RV) myocardial contusion.

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