Mount Sinai EM

JULY 30, 2023

TR Pearl: Thyroid Storm Management Endocrine emergency: severe clinical manifestations of thyrotoxicosis Mortality rate of thyroid storm is 10-30% Often precipitated in patients with hx of hyperthyroidism by an acute event such as surgery (thyroid or non-thyroidal surgery), trauma, infection, acute iodine load (including amiodarone), or parturition Risk factor includes irregular use or discontinuation of antithyroid drugs Diagnosing Thyroid Storm : The distinction between severe thyrotoxicosis a

Administration 185

Administration COPD Wellness 185

The Trauma Pro

AUGUST 4, 2023

Please help figure out what is wrong here. I’m not going to give you much information, though. This male patient was brought to the trauma center after a high-speed car crash. He was unresponsive with GCS 3. A bleeding facial laceration was present, as was vomitus in the airway. Prehospital providers rapidly intubated the patient and inserted an orogastric tube.

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SheMD

JULY 30, 2023

Disclaimer: This post was written before the COVID-19 pandemic. Some of the interview information may not be relevant during the 2020-2021 & 2021-2022 academic years. Hello premeds! ,, AMCAS , ,, AACOMAS , and ,, TMDSAS all opened in the beginning of May. We are kicking it into high-gear with premeds so they can turn in their medical school applications as soon as they are able.

Academics 104

Academics Leadership Research Wellness 104

EM Ottawa

AUGUST 3, 2023

Case You and your partner arrive at a scene where a 67-year-old male had a witnessed collapse 5 minutes ago and CPR is in progress; he is in cardiac arrest. The initial rhythm is ventricular fibrillation. You continue CPR with a King LT and provide 3 shocks, along with a dose of epinephrine remembering that […] The post BHP Corner: Decision Points in Cardiac Arrest appeared first on EMOttawa Blog.

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CPR Shock EMS 98

Science Based Medicine

AUGUST 3, 2023

A new analysis of sports supplements shows that you cannot trust the label to tell you what's actually in the bottle. The post What’s really in that sports supplement? first appeared on Science-Based Medicine.

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The Trauma Pro

AUGUST 1, 2023

I wrote about posterior hip dislocation and how to reduce it using the “standard” technique quite some time ago (see link below). Emergency physicians and orthopedic surgeons at UCSF-Fresno have published their experience with a reduction technique called the Captain Morgan. Named after the pose of the trademark pirate for Captain Morgan rum , this technique simplifies the task of pulling the hip back into position.

Dislocations 130

Dislocations Operations 130

SheMD

AUGUST 3, 2023

Are you applying to medical school? This can be one of the most stressful times of you life, but sheMD is here to help! Student Doctor Andrea D. shares with us some lessons she's learned while applying to medical school! 1) It’s expensive! Applying to medical school is so expensive! You must budget for primary apps (AMCAS, AACOMAS, TMDSAS), secondary apps, transcript fees, MCAT, CASPer (depending on the school), and interview-related expenses.

Wellness 98

Wellness 98

EB Medicine

AUGUST 1, 2023

In this episode, Sam Ashoo, MD, and TR Eckler, MD, interview Al Sacchetti, MD, about the August 2023 Emergency Medicine Practice article, Evidence-Based Management of Pulmonary Embolism in the Emergency Department Etiology/pathophysiology Risk factors Differential diagnosis Prehospital care ED history and physical exam Diagnostic scoring systems Pregnant patients Diagnostic studies ECG D-Dimer Troponin & BNP Chest x-ray CT V/Q scans MRI US Treatment IV fluids Anticoagulation Vasopressor

Emergency Department 98

Emergency Department EKG/ECG 98

ACEP Now

AUGUST 1, 2023

Each year, ACEP’s Council elects new leaders for the College at its meeting. The Council, which represents all 53 chapters, 40 sections of membership, the Association of Academic Chairs of Emergency Medicine, the Council of Emergency Medicine Residency Directors, the Emergency Medicine Residents’ Association, and the Society for Academic Emergency Medicine, will elect four members to the ACEP Board of Directors when it meets in October, along with a new President-Elect, Council Speaker and Counc

Emergency Department 98

Emergency Department EMS Critical Access Hospitals 98

PulmCCM

JULY 31, 2023

New Practice Guidelines for Diagnosis and Management of Acute Respiratory Distress Syndrome As mentioned here previously , a group of U.S. and European experts arrived at a consensus of new recommendations for the management of acute respiratory distress syndrome (ARDS), now publishing their guidance in JAMA. The highlights include: A trial of high-flow nasal cannula oxygen was advised before intubating patients.

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Shock Documentation/Coding Outcomes Wellness 98

Science Based Medicine

JULY 31, 2023

A report in The Washington Post last week revealed just how badly state medical boards have been failing when dealing with physicians spreading COVID-19 misinformation and using quackery to prevent and treat the disease. None of this is anything new, unfortunately. The pandemic has merely stress tested state medical boards, and most have failed because of political choices made long ago.

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ECG Guru

JULY 30, 2023

Complex ECGs like this one have to be approached systematically. Firstly, we can see a normal sinus rhythm. A is the first beat of a wide complex tachycardia. This must be a ventricular tachycardia. Although there is a P-wave before the first beat of the tachycardia, it is not premature. Therefore, there is no SVT with aberrant conduction. The first beat of the tachycardia looks different from the subsequent beats because there is a fusion beat present.

EKG/ECG 98

EKG/ECG 98

The Skeptics' Guide to EM

JULY 29, 2023

Date: July 21, 2023 Reference: McDonald et al. Patterns of change in prehospital spinal motion restriction: a retrospective database review. AEM July 2023 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. He is also an avid FOAM supporter/producer through various online outlets including TheSGEM.

Head Injuries 98

Head Injuries EMS Research Emergency Department 98

Emergency Live

AUGUST 4, 2023

Pneumonia is inflammation of one or both lungs that is associated with an infection. Here's everything you need to know about this disease The post Pneumonia: symptoms, causes, diagnosis and treatment appeared first on Emergency Live.

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Science Based Medicine

AUGUST 2, 2023

SET appears to be another form of massage therapy with unsupported claims. The post Structural Energetic Therapy first appeared on Science-Based Medicine.

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Medagadget

AUGUST 4, 2023

Researchers at Chalmers University of Technology in Sweden have developed a new technique that could allow above-elbow amputees to better use robotic prostheses, including making individual finger movements. Unlike below-elbow amputees, these patients have a more limited number of remnant muscles with which to produce fine control of multiple bionic structures, such as bionic fingers.

Research 83

Research 83

Sensible Medicine

JULY 31, 2023

In Chapter 1 of this mini-series, I explained the disruption wrought by the COURAGE trial. Seriously? Stenting severe coronary lesions did not improve survival over simple tablets? Chapter 2 added to the oodles of studies showing how much doctors can be fooled by the placebo effect. The ORBITA trial demonstrated that the caring signal of placing a stent is massive.

Outcomes 81

Outcomes Academics Fractures Resuscitation 81

Emergency Live

AUGUST 3, 2023

Project ‘Safety on the Road – Life is a journey, let’s make it safer’ – Interview with Dr. Silvia Brufani, HR Director of Bridgestone Europe The project ‘Safety on the road – Life is a journey, let’s make it safer’ is launched As promised in the first part of the report dedicated to the project […] The post Bridgestone and Italian Red Cross together for road safety appeared first on Emergency Live.

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Core Medical Group

AUGUST 4, 2023

The ever-changing landscape of healthcare recruitment presents new challenges and opportunities daily. With a spirit fueled by his dedication and guided by the wisdom of his experiences, Drew eagerly anticipates his ongoing pursuit of creating a meaningful impact in the lives of healthcare professionals and the industry at large.

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Medagadget

AUGUST 2, 2023

Scientists at Queen Mary University of London have developed an artificial muscle that can change from soft to hard in response to a voltage change. The technology aims to mimic human muscles in both its movements and in its ability to sense forces and deformation. The muscle is made using carbon nanotubes that have been coated with silicone to form a cathode that can also sense forces, and an anode made from a soft metal mesh, forming an actuation layer between the anode and cathode.

Research 78

Research Wellness 78

Sensible Medicine

AUGUST 1, 2023

There are articles that change your practice. There are articles that clarify your understanding of medicine. There are articles that are great examples of study types, bias, and design errors. And then there are the articles that are just so interesting that although they don’t really impact the medicine you practice you find yourself referencing them every few months.

Burns 76

Burns Stroke 76

Emergency Live

AUGUST 2, 2023

Flood in Emilia Romagna (Italy), rescue vehicles Even though the last disaster to hit Emilia Romagna (Italy) was of a particular magnitude, it was not the only event to damage that territory. If we consider the data available since 2010, this region has in fact suffered as many as 110 disasters, all of course of […] The post Hydrogeological Disaster Preparedness and Response - Special Means appeared first on Emergency Live.

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Science Based Medicine

AUGUST 4, 2023

The unfortunate death of a teen in London has some experts calling for new warning labels on products containing large amounts of protein. But would that work? The post Should Protein Powder Have a Warning Label? first appeared on Science-Based Medicine.

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Medagadget

AUGUST 1, 2023

Researchers at the University of Hong Kong have developed a microneedle patch for the drug-free treatment of skin infections, such as acne. Acne is often treated using antibiotics, but these have limited effectiveness over the long term and can result in drug-resistant bacteria. In an effort to develop a drug-free alternative, these researchers have created a microneedle patch that is ultrasound responsive.

Ultrasounds 77

Ultrasounds Research 77

St. Emlyn

JULY 29, 2023

St.Emlyn's - Emergency Medicine #FOAMed Our third blog on teaching HALO procedures. This week we focus on team training and performance. @stemlyns #FOAMed The post Training for HALO procedures. Part 3: The Team. St Emlyn’s appeared first on St.Emlyn's.

Leadership 76

Leadership EMS 76

Emergency Live

AUGUST 1, 2023

Canada’s fires choke America – the reason why Tragedies can be many things, sometimes even ecological, but sometimes the consequences can be truly dramatic. In this case, we have to talk about the various fires that raged in Canada, and how they choked other American states precisely because of the nature of that fire. It […] The post Devastating Flames, Smoke and Ecological Crisis - An Analysis of Causes and Consequences appeared first on Emergency Live.

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EM Literature of Note

AUGUST 1, 2023

In case you missed this beautiful little article, it’s worth re-highlighting regarding the paradoxical “cost” of “quality” In theory, high-quality care is its own reward. Timely actions and interventions, thoughtful and thorough evaluations, and appropriate guideline adherence when applicable are all goals with reasonable face validity for healthcare delivery.

Administration 69

Administration Sepsis Hospitals 69

Medagadget

AUGUST 4, 2023

Researchers at Duke University have developed a gravity-powered microfluidic device that is intended for use as a diagnostic technology in low-resource areas. Microfluidics have enormous potential for point-of-care diagnostics, but the inclusion of tiny pumps and other sophisticated electronic components dramatically increases the complexity and cost of such devices.

Point-of-Care Testing 76

Point-of-Care Testing Research Operations Hospitals 76

EMCrit

JULY 30, 2023

Lower dose peripheral infusion for sick pulmonary embolism patients EMCrit Project by Scott Weingart, MD FCCM.

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Emergency Live

AUGUST 1, 2023

How Artificial Intelligence is Revolutionising First Aid Artificial Intelligence (AI) is showing enormous promise in making first aid interventions easier, faster and more effective. Using smartphones and road accident detection systems, AI can automatically notify help, reducing critical response times. This innovative technology could have a significant impact on the survival of victims of severe […] The post New Frontiers for Fast Response Times and Effective Training appeared first on

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EMDocs

JULY 29, 2023

Authors: Veronica Morgan, MD (EM Resident Physician: UTSW – Dallas, TX); Andrew Stricklin, MD (Assistant Professor of EM/Attending Physician: UTSW – Dallas, TX) // Reviewed by: Sophia Görgens, MD (EM Resident Physician, Zucker-Northwell NS/LIJ, NY); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Alex Koyfman, MD (@EMHighAK) ; Brit Long, MD (@long_brit) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providing an exp

EMS 69

EMS Dehydration Ultrasounds Emergency Department 69

Medagadget

AUGUST 2, 2023

Researchers at Northwestern University have developed a cardiac monitoring device that is intended for use in patients who have suffered a cardiac event. The soft and flexible patch can be affixed to the outside of the heart during a routine procedure, but does not require a second procedure to remove the device later, as it is fully biodegradable. The patch is transparent, and so should allow clinicians to image the heart as normal, while the microelectrode array within it helps to monitor hear

Research 72

Research Telemedicine 72

Dr. Smith's ECG Blog

AUGUST 3, 2023

? OMI Pocket Guide The OMI Pocket Guide ( [link] ) is a user-friendly online resource designed to help healthcare professionals learn how to recognize subtle signs of acute coronary occlusion on the ECG which represent occlusion myocardial infarctions (OMI). Learning to recognize OMIs is an important clinical skill because it helps identify the subpopulation of "NSTEMIs" who are likely to be found with total thrombotic occlusion at the time of cardiac catherization.

EKG/ECG 65

EKG/ECG Wellness Research Hospitals 65

Emergency Live

JULY 30, 2023

The aortic counterpulsator is a device that is used in cardiology because it is capable of providing temporary circulatory assistance The post Circulatory assistance to the left ventricle: the intra-aortic counterpulsation appeared first on Emergency Live.

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Stop and Think

AUGUST 3, 2023

The two most important US medical journals have recently published editorials on policy matters. This worries me. Before I tell you about these editorials, I should set out two givens. The first is that the longer I practice medicine, the more I appreciate the job. Helping people through illness provides great meaning. It also takes serious attention to lifelong learning.

Hospitals 68

Hospitals Wellness 68

Medagadget

AUGUST 2, 2023

Researchers at the Terasaki Institute for Biomedical Innovation in California have developed an implantable sponge that can monitor for signs of a hemorrhage, and then help to control bleeding once it has occurred. The researchers used silk fibroin, a protein produced by the Bombyx mori silkworm, to create the sponge, and took advantage of its biodegradation and anti-inflammatory properties to create a porous and highly absorbent shape-memory sponge.

Research 65

Research 65

EMDocs

AUGUST 1, 2023

Here’s another case from Medical Malpractice Insights – Learning from Lawsuits , a monthly email newsletter for ED physicians. The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. To opt in to the free subscriber list, click here. Stories of med mal lawsuits can save lives.

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Patient Safety EMS Hospitals 60