Pediatric EM Morsels
MAY 5, 2023
Our world has become inundated with the newest food and diet crazes. It seems like every social media persona provides “expert” opinions on the best way to nourish our bodies. Adults are one thing, but how does that translate to our growing, developing pediatric patients? Today we are focusing on vegan diets in children , and which nutritional deficiencies we need to remain vigilant to spot!
The Trauma Pro
MAY 5, 2023
Some trauma centers receive a significant number of transfers from referring hospitals. Much of the time, a portion of the workup has already been done by the outside hospital. If the patient meets one or more of your trauma activation criteria, do you still need to activate your team when they arrive? And the answer is: sometimes. But probably not that often.
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EMCrit
MAY 4, 2023
My attempt to model my empirical experience with Burnout EMCrit Project by Scott Weingart, MD FCCM.
Science Based Medicine
MAY 5, 2023
None of us have to fantasize what we would have done during a pandemic. What you actually did the past three years is exactly what you would have done. The post Letter to a Medical Student: There Is No Elite RCT Strike Force first appeared on Science-Based Medicine.
PDC Healthcare
MAY 1, 2023
Patient tracking during large-scale events is a challenge. Patients may be passed between first responders, ground transport, air transport, and then transferred from one facility to another. For routine calls with individual patients, it’s feasible to track who transported the patient and where they ended up. But in mass-casualty incidents and large-scale hazards, chaotic scenes […] The post PDC Partners with Pulsara to Streamline Communication Between EMS, Hospital Personnel, and Emergen
The Trauma Pro
MAY 2, 2023
Injury can be a bloody business, and trauma professionals take replacement of blood products for granted. Some patients object to this practice on religious grounds, and their health care providers often have a hard time understanding this. So why would someone refuse blood when the trauma team is convinced that it is the only thing that may save their life?
NRC Health
MAY 2, 2023
At HUB23, you’ll find expanded, dynamic programming focused on bringing impact to your organization. The post HUB23 Preview: Jason A. Wolf, PhD, CPXP 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.
Taming the SRU
MAY 5, 2023
National Heart, Lung, and Blood Institute Prevention and Early Treatment of Acute Lung Injury Clinical Trials Network, Shapiro NI, Douglas IS, et al. Early Restrictive or Liberal Fluid Management for Sepsis-Induced Hypotension. N Engl J Med. 2023;388(6):499-510. doi:10.1056/NEJMoa2212663 BACKGROUND Sepsis, including severe sepsis and septic shock, is a frequently encountered condition in the emergency department and carries a high mortality rate.
Dr. Smith's ECG Blog
MAY 5, 2023
= Case Presentation by K EN G RAUER, MD ( 5/5 /2023 ): — Edits by Drs. Meyers & Smith. = Dr. Smith was reading ECGs — and he sent myself and Dr. Meyers the tracing shown in Figure-1. At the time we did not yet know the history. What do YOU think? Figure-1: The initial ECG in today's case. No history yet. Our Initial Thoughts on the ECG in Figure-1: Dr.
ACEP Now
MAY 5, 2023
A 32-year-old man presents in police custody for bizarre behavior. He was the driver of a vehicle which struck a telephone pole. He was reportedly singing and dancing naked in the street following the motor vehicle collision. The police would like to ask him some questions about what happened. Should the patient talk with the police? What is your role as the emergency physician?
Life in the Fast Lane
MAY 4, 2023
Andrew Davies Mastering Intensive Care 079 Run Larapinta Mastering Intensive Care 079 Run Larapinta with fellow intensivist Ed Litton who shares his passion for adventure and ultra-endurance exercise.
SheMD
MAY 4, 2023
Here at sheMD, we believe in the importance of practicing Evidence-Based Medicine. We believe the same principles apply to discussing Gender and Medical Education. Therefore, we are bringing you an entire Journal Club series! Our series will focus on foundational and new literature within the gender and medicine space. Today, we will be discussing the article entitled, Here to chair: Gender differences in the path to leadership.
Core Ultrasound
MAY 4, 2023
In this 5 Minute Sono video, we’ll guide you through the process of using ultrasound imaging to identify and diagnose inguinal and femoral hernias. Hernias can be difficult to identify with physical examination alone (and may actually be missed on CT!), but with ultrasound imaging, healthcare professionals can detect hernias at the bedside with greater accuracy and confidence.
ACEP Now
MAY 4, 2023
Case A 37-year-old white male with no past medical history presented to the emergency department (ED) for left testicular pain, redness, and swelling. He had presented to urgent care for the same complaint a week before, but did not seek follow-up at an ED despite their recommendation. The pain and swelling returned days later, which prompted the patient to present to the ED.
NRC Health
MAY 4, 2023
OSF HealthCare aimed to improve awareness, preference, image, reputation, and advertising recall—testing five service lines simultaneously and against each other. The post Innovative advertising testing research shows valuable results for OSF HealthCare appeared first on NRC Health.
Taming the SRU
MAY 3, 2023
CLINICAL CASE: History of Present Illness: An elderly female initially presented to an outside hospital with a variety of respiratory symptoms and was subsequently diagnosed with COVID-19 pneumonia. During her hospitalization, her respiratory status gradually deteriorated and five days into her hospitalization, she unfortunately required endotracheal intubation.
Science Based Medicine
MAY 3, 2023
Australia's planned ban on recreational vaping has a solid base in current evidence. The post Is Australia’s Planned Vaping Ban A Good Idea? first appeared on Science-Based Medicine.
ACEP Now
MAY 4, 2023
Case FIGURE 1: Chest X-ray of multiple rib fractures (arrows). (Click to enlarge.) A 58-year-old male with a history of alcohol abuse presented to the emergency department (ED) as a category 2 trauma for a fall with a reported flail chest. The patient had been drinking with friends when he was witnessed to trip and fall a distance of one step. His right chest wall struck a protuberance, initially reported to be the edge of a stair and later noted to be tree stump.
EB Medicine
MAY 3, 2023
In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the May 2023 Emergency Medicine Practice article on Emergency Department Management of Gastrointestinal Foreign Body Ingestion Epidemiology Etiology - types of ingestions Anatomy - common locations by age Food impaction Sharp objects Button batteries Magnets Colorectal foreign bodies Prehospital care History and Physical Imaging Expectant management Endoscopic removal Non-endoscopic techniques Body Packing Glucagon Gastric button batt
Taming the SRU
MAY 1, 2023
CPC WITH Dr. Davis and Dr. Paulsen - Taming the SRU: ETHYLENE GLycol POISONING WITH Dr. KletseL - R1 CLinical DIAGNOSTICS: Toxic Plants WITH Dr. Arnold - Quick Hit: FASCICULAR Blocks WITH Dr. Baez - Research Lit Blitz WITH Dr. Wosiski-Kuhn and Dr. Zalesky - Oral Boards CPC WITH Dr. Davis and Dr. Paulsen Patient is a teenager with a history of a seizure disorder… The patient is presenting for concerns of a midline neck mass that is 2-3cm that is tender to palpation and mobile with swallowing Note
Science Based Medicine
MAY 1, 2023
Earlier this month a study showed that papers about COVID-19 that are retracted tend to be cited far more than average and continue to be heavily cited after retraction. Clearly, scientific publishing and the scientific community need to do better. The post Retracted papers about COVID-19 are more highly cited than they should be first appeared on Science-Based Medicine.
ACEP Now
MAY 3, 2023
Question: A 22-year-old man presents with chest pain. He has a history of sickle cell anemia. Vital signs are: Temperature, 38.6 C; Heart rate, 118; BP 96.5; Respiratory rate, 36. What is the diagnosis? Acute chest syndrome Aspiration pneumonia Community acquired pneumonia Tuberculosis See the answer here. The post Visual Dx Question: Patient Presents with Chest Pain + Sickle Cell Anemia appeared first on ACEP Now.
PHARM
MAY 1, 2023
Abbey Wrathall / ACCS (EM) CT2 / North Wales The Mountain Leader (ML) award is the qualification for leading groups of people walking in the UK hills… Thinking outside the box for diversifying medical work
Pediatric Education
APRIL 30, 2023
Patient Presentation A 3-year-old female came to clinic for her initial health maintenance visit after moving to the area. She had a history of neonatal stroke for which she had received physical and occupational therapy. She still had some minor difficulty with her left hand and needed a referral to a new occupational therapist for continued therapy.
First 10 EM
MAY 1, 2023
Although incredibly nerdy and somewhat difficult to digest, I think the EBM bibliography might be the most valuable resource I have created, at least for those with any interest in learning about evidence based medicine. I continue to (slowly) update this resource. These are the new papers that I have added in the past few […] The post EBM bibliography updates – April 2023 appeared first on First10EM.
ACEP Now
MAY 3, 2023
Answer: The correct answer is acute chest syndrome (a). Acute chest syndrome (ACS) is a potentially life-threatening complication of sickle cell disease characterized by lung infiltrates, fever, and respiratory symptoms, including cough, tachypnea, wheeze, increased work of breathing or shortness of breath, and reduced oxygen saturation. ACS is the second most common reason for hospitalization in children and adults with sickle cell disease and is their leading cause of mortality.
Core Ultrasound
MAY 1, 2023
In this Five Minute Sono video, Paul Khalil (with the help of Rob Farrow), walks us through the bedside diagnosis of testicular torsion. This disease is quite important to diagnose as early as possible and using this tool may dramatically increase the chance of testicular salvage. Hydronephrosis Bladder Vol. Meas.
Cook County EM Blog
MAY 1, 2023
The Case: A 56-year-old male with no significant past medical history presents to the emergency department with worsening swelling, pain, and erythema of the right elbow. The patient had been seen two days earlier at an outside hospital, where he received an aspiration of his right elbow out of concern for septic arthritis, though the aspirated fluid demonstrated no organisms.
Board Bombs
APRIL 30, 2023
Hypotensive patient? Just reflexively give 30 cmL/kg, trend lactates, and broad spec antibiotics right? NOPE. Turns out, the heart could really care less. In fact, it might just decide to kill the patient if you do that. Let’s talk about a lesser common cause of shock. Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here: emrapidbombs.supercast.com.
ACEP Now
MAY 3, 2023
Dr. Charlotte Yeh’s day-to-day work as the CMO of AARP Services, Inc. is a bit like emergency medicine, she says: “Every day is different with a different set of circumstances and range of problems to be solved.” When she took the role in 2008, it was a newly created job tasked with expanding AARP’s approach to making health products and services available to its members from third party companies.
SheMD
APRIL 30, 2023
Here at sheMD, we believe in the importance of practicing Evidence-Based Medicine. We believe the same principles apply to discussing Gender and Medical Education. Therefore, we are bringing you an entire Journal Club series! Our series will focus on foundational and new literature within the gender and medicine space. Today, we will be discussing the article entitled, IMPACT survey: IMpaired fecundity in Physicians and Association with Clinical Time.
Life in the Fast Lane
APRIL 30, 2023
Mike Cadogan, James Miers and John Mackenzie Emergency Procedures Introducing the SECOND iteration of the FOAMed online, peer reviewed, evidence based, Emergency Procedures app for iOS and android
Dr. Smith's ECG Blog
APRIL 29, 2023
A 50-something with no previous cardiac history and no risk factors presented to the ED with acute chest pain (pressure) that radiated to the left arm. An ECG was immediately recorded: Computer read: Normal ECG What do you think? There is ST depression in V1-V3. We showed that this is diagnostic of OMI (of the posterior wall). Moreover, there is ST elevation in V6 (which is getting close to the location of posterior lead V7).
EMergucate
MAY 5, 2023
The neck x-ray shows Prevertebral soft tissue swelling, raising suspicion for a retropharyngeal inflammatory process (cellulitis/abscess).
Kings County Downstate EM
MAY 5, 2023
Author: Shane Solger MD Peer Editor: Nicole Anthony MD, Alec Feuerbach MD As emergency physicians, we pride ourselves on being resourceful, but communicating with patients in a language they understand should not require the same “MacGyver” skillset as “creative ways to remove a foreign body from the ear.” As discussed […] The post Language Justice: Demanding More From Our Institutions appeared first on County EM.
Life in the Fast Lane
MAY 5, 2023
Michael Gibbs MD Neuroimaging Cases 001 April 2022 neuromaging cases and interpretation with Andrew Perron, Faith Meyers MD and Steven Perry MD and Professor Michael Gibbs.
Stop and Think
MAY 4, 2023
He asked: John, why do journals publish so many terrible studies? It made me Stop and Think. The feedback concerned my first topic on last week’s podcast. I covered an extremely flawed observational study that evaluated the use of lead extraction in patients who had cardiac devices (pacemakers and ICDs) and bacterial infection in the heart (endocarditis).
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