Pediatric EM Morsels
JULY 28, 2023
Authors: Drs. Kendra Jackson and Rebecca Raffler While we’ve gotten to snack on a Morsel on this subject before , new guidelines and research surrounding DKA and cerebral edema have come to light since the first go ‘round! Thankfully, Dr. Fox wasn’t too “ salty” when we asked to rehydrate this topic. Rates of type 1 diabetes have increased since the COVID-19 pandemic.
The Trauma Pro
JULY 28, 2023
As a followup to my hip dislocation post on Tuesday, here is a short 5 minute video that goes through the entire process of reducing hip dislocations. There are lots of little tips and tricks. Enjoy! In the next post, a novel variant of the hip reduction technique, the Captain Morgan. Originally shown at Trauma Education: The Next Generation 2013 in St.
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Mount Sinai EM
JULY 24, 2023
This week, I wanted to touch a bit on Meconium Aspirators as apart of our GI Bleed intubation tool kit. At some point during second year, many of my fellow classmates and I started throwing these into airway boxes at Elmhurst. Especially in cardiac/resus, I think knowing to reach for one when you need one is critical, though I don’t think they need to be in every airway box.
EM Ottawa
JULY 27, 2023
Acute scrotal pain is a common in emergency departments, comprising ~ 0.5% of all presentations. However, torsion is another very time sensitive diagnosis that is ubiquitous across all ages as seen by this Rosen’s table. Incidence / Epidemiology Unfortunately, epidemiological data is poor. Acute scrotal complaints make up approximately 0.5% of all ED visits […] The post Testicular Torsion appeared first on EMOttawa Blog.
ECG Guru
JULY 24, 2023
This is a "classic" ECG of very good quality for you to use in a classroom setting. The Patient: A 57-year-old man who complains of a sudden onset of "sharp" chest pain while on a long bike ride. The pain does not radiate, and nothing makes it worse or better. He is pale, cool, and diaphoretic. His medical history is unknown. The ECG: This ECG could be considered "classic" for an inferior wall ST elevation M.I. caused by occlusion of the right coronary artery.
The Trauma Pro
JULY 25, 2023
Although posterior hip dislocation is an uncommon injury, the consequences of delayed recognition or treatment can be dire. The majority are caused by head-on car crashes, and 90% of these are posterior dislocations. The femoral head is forced across the back wall of the acetabulum, either by the knee striking the dash, or by forces moving up the leg when the knee is locked.
Don't Forget the Bubbles
JULY 24, 2023
Discitis is an inflammatory condition involving the intervertebral discs and end plates of vertebral bodies. It encompasses a spectrum of conditions that includes discitis , spondylodiscitis , and vertebral osteomyelitis. Discitis is uncommon. However, there is a bimodal peak in children, those under 6 years and adolescents. Neonates can also be affected.
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RebelEM
JULY 24, 2023
Background: Rapid Sequence Intubation (RSI) is a procedure fraught with potential complications including hypotension which, in turn, can result in cardiovascular collapse. While there are numerous potential causes of hypotension peri-RSI, induction medications represent an important, modifiable variable. Over the last decade, airway experts have advocated for reduced induction agent dosing to lessen the risk of hypotension particularly in at risk patients.
Life in the Fast Lane
JULY 26, 2023
Pramod Chandru Network Five: Emergency Medicine Case Series Network Five Emergency Medicine Case 1 discussing an interesting case of a patient who presents with chest pain and pre-syncope.
Canadian EM
JULY 25, 2023
A 50-year-old female presents to your ER with a chief complaint of palpitations. A 12-lead ECG shows supraventricular tachycardia at a rate of 165 bpm, and she is put on telemetry. She is clinically stable. You attempt the modified Valsalva maneuver with no effect. You explain that you will have to give her medication to bring her heart rhythm back to normal.
Science Based Medicine
JULY 26, 2023
An opinion piece falls for all the usual acupuncture misdirection. The post Washington Post Falls For Acupuncture Pseudoscience first appeared on Science-Based Medicine.
ALiEM
JULY 22, 2023
You have a severely dehydrated patient with a peripheral IV line, requiring urgent fluid resuscitation. However, the crystalloid fluids are not flowing freely. Multiple attempts were made to place this line with the latest having a flash of blood return and a smoothly flowing saline flush. You can not seem to find your pressure infusion cuff to squeeze the IV bag and accelerate fluid administration.
Emergency Live
JULY 28, 2023
More European Canadairs against fires in Mediterranean countries The increasing threat of forest fires in Mediterranean countries has prompted the European Commission to take decisive measures to protect the affected regions. The news of the purchase of 12 new Canadair aircraft, financed entirely by the European Union, has raised a ray of hope in the […] The post Fighting forest fires: EU invests in new Canadairs appeared first on Emergency Live.
Medagadget
JULY 25, 2023
Engineers at the Federal University of Espirito Santo in Brazil have developed smart pants that can non-intrusively track physical movements and provide updates to caregivers if the people they’re taking care of are showing signs of distress. This application could be very useful for people who are monitoring elderly patients in healthcare facilities.
Science Based Medicine
JULY 28, 2023
Conspirituality is a must-read for anyone who seeks to understand the daunting task we face in repairing the damage done by disinformation doctors. The post Conspirituality: A Book Recommendation first appeared on Science-Based Medicine.
Core Medical Group
JULY 28, 2023
Behind every successful venture lies a passionate individual, and Holly's story showcases just that. With a career spanning 5 years at CoreMedical Group, she has earned her place as a seasoned and revered Senior Recruiter. Her dedication to her job has allowed her rise to the top of her division, becoming one of the go-to people for nurses seeking the ultimate travel experience.
Emergency Live
JULY 23, 2023
Pervious foramen ovale is a frequent condition in adulthood, will be encountered occasionally and some patients may present with paradoxical embolism followed by symptomatic cerebral ischaemic events The post Cerebral ischaemia: the strategy of percutaneous closure of the patent foramen ovale appeared first on Emergency Live.
The Skeptics' Guide to EM
JULY 22, 2023
Date: July 21, 2023 Reference: Prekker et al. Video versus Direct Laryngoscopy for Tracheal Intubation of Critically Ill Adults. NEJM 2023 Guest Skeptic: Dr. Jeff Jarvis is the Chief Medical Officer and System Medical Director for the Metropolitan Area EMS Authority in Fort Worth, Texas, also known as MedStar. He is board certified in both Emergency Medicine […] The post SGEM#410: Do You See What I See?
Science Based Medicine
JULY 24, 2023
Dr. Peter McCullough and a number of "anti-COVID-19 vaccine" antivaxxers out there has pivoted to quackery to "detox" from the supposedly malign effects of COVID-19 vaccines. Everything old is new again, this time with nattokinase. The post “Base Spike Detox” and Signature Spike Support Formulas: Nattokinase quackery to treat COVID-19 and COVID-19 “vaccine injury” first appeared on Science-Based Medicine.
Medagadget
JULY 25, 2023
Scientists at the City University of Hong Kong have developed a coating for wearable technologies that can help to dissipate heat, reducing the chances of skin burns and increasing the life of such devices. Electronic devices can generate heat, but this can be problematic for wearables that are in constant contact with the skin. The heat may be uncomfortable, may overheat the device itself, and could even cause skin burns.
Emergency Live
JULY 27, 2023
New Technologies in Frontline Fire Fighting With rising summer temperatures and the increasing threat of forest fires, Italy is stepping up its efforts to tackle these emergencies. A key part of firefighting involves the use of aerial means, helicopters and drones. This year, the summer firefighting campaign is well equipped with a fleet of 34 […] The post REAS 2023: Drones, aerial vehicles, helicopters against fires appeared first on Emergency Live.
Sensible Medicine
JULY 28, 2023
MJ is a 24-year-old man who presents to his primary care physician on March 16, 2020 with fever, myalgia, and sore throat. He recently came home to Chicago from New York City after his college sent the students home. Sensible Medicine is a reader-supported publication. If you appreciate our work, consider becoming a free or paid subscriber. My career has been bracketed by an epidemic and a pandemic.
Science Based Medicine
JULY 25, 2023
The third installment in debunking the antivaxxer book “Turtles All the Way Down”: Chapter 3, “Deficient by Design: The Vaccine Adverse Event Reporting System (VAERS)”. The post The Grand Debunk of the antivaxxer book “Turtles All the Way Down” (part 3/10) first appeared on Science-Based Medicine.
EM Literature of Note
JULY 22, 2023
The results of this paper are hardly surprising, since the witnessed phenomenon – “anchoring bias” – exists as defined. However, it’s always fun to see it demonstrated objectively. In this little piece of research, authors collated four years of encounters to Veterans Affairs emergency departments in the U.S. and parsed out the triage reason between “congestive heart failure” versus all others.
RebelEM
JULY 26, 2023
Take Home Points Methylxanthines are a drug class that includes caffeine, theophylline, and theobromine. The three main mechanisms that account for the clinical presentation of methylxanthine toxicity are: catecholamine release, adenosine antagonism, and phosphodiesterase inhibition. Beta agonism will lead to hyperlactatemia, hypokalemia, hyperglycemia, and tachycardia.
Emergency Live
JULY 27, 2023
In the field of psychiatry and psychotherapy, sociopathy is defined by the term "antisocial personality disorder" The post Sociopathy and antisociality: causes, symptoms, diagnosis and treatment appeared first on Emergency Live.
Medagadget
JULY 24, 2023
Researchers at the National University of Singapore have created a wound sensor patch that measures various wound biomarkers that can indicate would healing. Chronic wounds are an ongoing problem for many patients, and developing new ways to monitor and treat these painful lesions would be very useful. This battery-free wound patch contains five colorimetric sensors that change color in response to various wound biomarkers.
EM Literature of Note
JULY 23, 2023
It is safe to say the honeymoon phase of large language models has started to fade a bit. Yes, they can absolutely pass a medical licensing examination when given carefully constructed prompts. The focus now turns to practical applications – like, in this example, using ChatGPT to write an entire scientific paper for you! There is no reason to go through the details of the paper, the content, the findings, or any aspect of fruit and vegetable consumption.
St. Emlyn
JULY 27, 2023
St.Emlyn's - Emergency Medicine #FOAMed The TOP-ART trial of Artesunate in the treatment of bleeding trauma patients. This RCT shows no benefit and potential harm, but it may be more complex than that. Further work may be needed on immunomodulation in bleeding trauma patients. @stemlyns #FOAMed The post JC: The TOP-ART study: Artesunate for bleeding trauma patients.
Emergency Live
JULY 28, 2023
Onychocryptosis is a disorder known as 'ingrown toenail': this condition, sometimes painful and unsightly, occurs when the corner of the toenail creeps into the skin The post Onychocryptosis: what it is and how to deal with an ingrown toenail appeared first on Emergency Live.
EMDocs
JULY 22, 2023
We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: Macrolides and Long-Term Survival in ICU Patients with Community-Acquired Pneumonia Spoon Feed Empiric macrolide therapy was associated with improved six and twelve-month survival among ICU patients with community-a
EM Literature of Note
JULY 27, 2023
Platelets are the good little minions of hemostasis. In their absence, invasive procedures develop additional risk, ranging from minimal to clinically important, and the mitigation strategy ranges from avoidance, the alternative procedural techniques, to prophylactic platelet transfusions. Platelets, like any blood product, are associated significant risks, not limited to acute lung injury, transfusion-related circulatory overload, allergic reactions, and more.
Taming the SRU
JULY 26, 2023
Social EM - alcohol use disorder - The cases that haunt me - patient evaluations - neuroimaging - oral boards social em WITH drs. jarrel, pulvino and kimmel “One can view the ED (by law, the most accessible door into our healthcare system) as the social barometer of its community. Within the waiting room the emergency physicians witness the confluence of social determinants of health and their deconstruction into pathology.
Emergency Live
JULY 25, 2023
Osteomyelitis is an infection of the osteoarticular system which, if not properly treated, can become chronic The post Osteomyelitis: definition, causes, symptoms, diagnosis and treatment appeared first on Emergency Live.
Emergency Medicine Journal
JULY 24, 2023
Introduction Pain is the most common presenting feature within the ED, yet undertreatment of pain in the ED is a well-documented problem worldwide. Despite the development of interventions to address this problem, there is still limited understanding of how pain management can be improved within the ED. This systematic mixed studies review aims to identify and critically synthesise research exploring staff views of barriers and enablers to pain management to understand why pain continues to be u
Medagadget
JULY 25, 2023
Engineers at the University of Sydney have developed a photonic radar that allows them to monitor breathing rates without the need to attach equipment to a patient’s skin. Wired or more invasive systems may not be suitable for everyone – for instance, burn patients with damaged skin or infants with a tiny body surface area may not be able to avail of such systems.
Taming the SRU
JULY 24, 2023
THE CASE A male in his 60s presented to the emergency department for right upper quadrant abdominal pain. His past medical history included coronary artery disease, type II diabetes, atrial fibrillation, alcohol use disorder, cirrhosis complicated by portal venous hypertension, chronic kidney disease, prior Escherichia coli (E. coli) empyema due to complicated pneumonia, and a prior perisplenic abscess requiring percutaneous drainage.
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