EMCrit 336 – Team NeuroEMCrit’s Critical Neuro Cases – Part 2
EMCrit
NOVEMBER 3, 2022
SAH and Hypoxic Encephalopathy. EMCrit Project by NeuroEMCrit Team (Casey & Neha).
Sat.Oct 29, 2022 - Fri.Nov 04, 2022
102 
90 year old with acute chest and epigastric pain, and diffuse ST depression with reciprocal STE in aVR: activate the cath lab?
Dr. Smith's ECG Blog
NOVEMBER 4, 2022
Case submitted and written by Mazen El-Baba MD, with edits from Jesse McLaren and edits/comments by Smith and Grauer A 90-year old with a past medical history of atrial fibrillation, type-2 diabetes, hypertension, dyslipidemia, presented with acute onset chest/epigastric pain, nausea, and vomiting. BP was 110 and oxygen saturation was normal. What is your ECG interpretation and what would you do next?
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Pediatric Ocular Trauma
EB Medicine
NOVEMBER 3, 2022
In this episode, Sam Ashoo, MD, interviews Ami Shah, MD, MPH, and Don Walker, MD, about eye injuries in the pediatric population. Why ocular injuries? Why did you pick this topic? What kind of injuries are included and at what age are they most common? Injury zones and terminology Differential Diagnosis What should we keep in mind when we are confronted with an ocular injury?
Doctor Burnout Levels Increasing as a Result of the Pandemic
American Medical Compliance
NOVEMBER 3, 2022
Amidst the COVID-19 pandemic, there has been an influx of doctor burnout. A recent study published in the medical journal Mayo Clinic Proceedings found that physician burnout increased during the first two years of the COVID-19 pandemic following a six-year drop that ended in 2020. Helping Doctors Through Extensive Burnout. In a press release, American Medical Association President Dr.
EMCrit Wee – Resus SCRAM Kit Dump Bag, Crash RX Drug Bag, and the Equipment I prefer for Resuscitative Intubation
EMCrit
NOVEMBER 2, 2022
Finally it is here. EMCrit Project by Scott Weingart, MD FCCM.
The All-Important Endpoint of a Medical Study
Stop and Think
NOVEMBER 2, 2022
We need to stop and think about the endpoints measured in a medical experiment. In cardiology, we have long tested new treatments in randomized controlled trials. This means that patients with a specific problem, say, heart failure, get randomized to either the new drug or a placebo. Both groups are treated with the most up-to-date medications. The question is if the new drug adds benefit to the standard regimen.
Opiate overdose, without chest pain or shortness of breath. Cognitive dissonance.
Dr. Smith's ECG Blog
NOVEMBER 1, 2022
I was reading EKGs on the system and saw this one. What did I put in as my interpretation? Interpretation : "Acute LAD occlusion until proven otherwise. " There is non-diagnostic ST Elevation in V1-V3, with rather large T-waves but in the context of a deep S-wave (high voltage). HOWEVER, lead V4 is diagnostic of OMI. This is massive ST Elevation, huge hyperacute T-wave, and loss of S-wave (which in V4, unlike V2-3, can be normal but should greatly raise suspicion.
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SGEM#381: Put Your Hand on My Shoulder and Reduce It
The Skeptics' Guide to EM
NOVEMBER 1, 2022
Date: October 27th, 2022 Reference: Hayashi et al. Comparative efficacy of sedation or analgesia methods for reduction of anterior shoulder dislocation: A systematic review and network meta-analysis. AEM October 2022 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called First10EM.com Case: A 19-year-old man presents to the emergency […] The post SGEM#381: Put Your Hand on My Shoulder and Reduce It first appeared on The Skeptics Guide to E
Lab case 384
EMergucate
NOVEMBER 1, 2022
30 year-old-lady sent by her GP for increasing tiredness over the last few months. She has been under too much stress, due to increasing work demands and hers wedding planning.
Chiefs’ Inquiry Corner – 11/3/2022 - Clinical Correlations
Clinical Correlations
NOVEMBER 3, 2022
Chief residents of the NYU Langone Internal Medicine Residency give quick-and-easy, evidence-based answers to interesting questions posed by house staff, both in their clinics and on the wards.
Bell’s Roids | WATEFALL RCT
JournalFeed
OCTOBER 29, 2022
The JournalFeed podcast for the week of Oct 24-28, 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. Bell’s Roids Spoon Feed There was no statistical difference in 1, 3, or 6 month facial recovery with prednisolone vs placebo for children with Bell's palsy in this underpowered RCT.
The LOVIT Trial: Orange Crushed
RebelEM
OCTOBER 31, 2022
Background: Vitamin C dissociates to ascorbate at physiological pH and is not organically synthesized by the human body. Vitamin C can function as an antioxidant and may mitigate endothelial oxidative stress in sepsis. (Amrein 2018) A small, single-center, before-and-after study utilized a sepsis cocktail consisting of IV thiamine, hydrocortisone, and vitamin C and discovered a significant decrease in mortality compared to the control group.
Imaging Case of the Week 527
EMergucate
NOVEMBER 1, 2022
The chest x-ray is from a 14 year old who has presented with dyspnea. What can be seen?
EMTALA and Patient Transfers
Northwestern EM Blog
OCTOBER 31, 2022
Written by: Mike Tandlich, MD (NUEM ‘24) Edited by: David Feiger, MD (NUEM ‘22) Expert Commentary by : Michael Schmidt, MD Expert Commentary While EMTALA was first enacted to address issues with “patient dumping”, it has had broad influence on how patients are treated, dispositioned, and transferred in emergency department and hospital settings. In addition, EMTALA law has taken on almost mythic proportions among healthcare workers and administrators, likely due to high-profile cases, the fear o
Lab case 384 interpretation
EMergucate
NOVEMBER 4, 2022
Question 1 PH = 7.47 that is mild alkalaemia. HCO3 = 39.
Imaging Case of the Week 524 Answer
EMergucate
OCTOBER 30, 2022
The forearm x-ray shows lunate dislocation. A dedicated view of the wrist is needed to assess associated wrist injuries.
ECG of the Week 2nd Nov 2022
EMergucate
NOVEMBER 1, 2022
A 55 year old male presents to ED feeling unwell.
Imaging Case of the Week 526 Answer
EMergucate
OCTOBER 30, 2022
The chest x-ray view shows a widened mediastinum.
Imaging Case of the Week 525 Answer
EMergucate
OCTOBER 30, 2022
The knee x-ray shows Segond fracture.
REBEL Core Cast 89.0 – Spontaneous Bacterial Peritonitis
RebelEM
NOVEMBER 2, 2022
Take Home Points Spontaneous Bacterial Peritonitis (SBP) is a difficult diagnosis to make because presentations are variable. Consider a diagnostic paracentesis in all patients presenting to the ED with ascites from cirrhosis An ascites PMN count > 250 cells/mm 3 is diagnostic of SBP but treatment should be considered in any patient with ascites and abdominal pain or fever Treatment of SBP is with a 3rd generation cephalosporin with the addition of albumin infusion in any patient meeting AAS
Etomidate Vs. Ketamine: A Systematic Review and Meta-Analysis
RebelEM
NOVEMBER 3, 2022
Background: Rapid sequence intubation (RSI) induction agent selection remains a heavily debated matter. Etomidate causes adrenal suppression in critically ill patients triggering a groundswell of support in favor of ketamine. (Albert 2011, Jabre 2009) However, the existing literature comparing etomidate and ketamine is conflicting. In 2017, a single-centered, retrospective study found a lower incidence of clinical hypotension with ketamine compared to etomidate following endotracheal intubation
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