Sat.Nov 05, 2022 - Fri.Nov 11, 2022

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Website Privacy Policies and HIPAA’s Notice of Privacy Practices

Total Medical ComplianceHIPAA

If you have spent any time on the Internet, you have been asked what you would like a website to do with its cookies. A cookie is information saved by your web browser. Cookies are like flags that allow a website to recognize and remember your device if you return to that site in the future. Some cookies can also keep track of your device over time.

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Drucker on How to Manage Change

33 Charts

Peter Drucker, the father of modern day management, inspired a generation of leaders with his quote, “ One cannot manage change. One can only be ahead of it.” This needs to be reconsidered. Because there’s the fantasy of staying ahead of change and then there’s the modern reality. Early in this century technological progress exceeded the system’s ability to keep up.

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Trending Sources

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Intranasal Topical Application of Tranexamic Acid in Atraumatic Anterior Epistaxis

EMergucate

Original paper Findings Intranasal topical TXA is associated with a lower rate of need for anterior nasal packing and a shortened stay in the ED Bottom line Topical TXA for epi…

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An elderly woman with acute vomiting, presyncope, and hypotension, and a wide QRS complex

Dr. Smith's ECG Blog

Written by Pendell Meyers Family of an elderly woman with many comorbidities called EMS when she suddenly experienced shortness of breath, nausea, vomiting, and near syncope. She was alert and oriented and hypotensive with initial BP 70/50. A 12 lead ECG was obtained by EMS and is shown below: What do you think? There is sinus tachycardia (do not be fooled into thinking this is VT or another wide complex tachycardia!

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It’s Your Call – November 2022

Total Medical ComplianceHIPAA

HIPAA: True or False: If a practice has a website, a current copy of its HIPAA Notice of Privacy Practices (NPP) must be available there. True. The HIPAA Privacy Rule requires covered entities to post the current version of its NPP at a prominent location on their website. The Office for Civil Rights (OCR) clarified “prominent location” by providing two examples: Through a drop-down menu on the home page.

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ECG Cases 37 ECG interpretation in electrolyte emergencies

Emergency Medicine Cases

While most of us have a clear algorithm in our minds for the management of life-threatening hyperkalemia, the same may not be said about the other life-threatening electrolyte abnormalities. In this ECG Cases blog Dr. Jesse MacLaren gives us an approach to potassium, calcium and magnesium abnormalities including risk factor assessment, ECG interpretation and management pearls.

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Election Day 2022

Dr. Mike Sevilla

Just wanted to encourage everyone to get out there and vote today. I know that the news usually says that it’s always, “The most important election in our lifetime,” at least until the next election. I just read a local news article saying that the local board of elections is only expecting about 60% turnout today. We have got to do better than that.

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Pediatric IVC Collapse

Ultrasound Gel

Another Bonus Cuts author interview - this time with Amy Zhou, Pediatric Emergency Medicine specialist and first author of the recently reviewed article on IVC collapse duration. Zach and Mike ask the hard questions about how this paper came to be and how we should be thinking about the IVC in our pediatric patients. [link] Another Bonus Cuts author interview - this time with Amy Zhou, Pediatric Emergency Medicine specialist and first author of the recently reviewed article on IVC collapse durat

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Ep 176 Orthopedic X-rays Master Class – Pitfalls in Obtaining and Interpreting MSK X-rays

Emergency Medicine Cases

Do not let a negative X-ray rule the day! Like almost all medical tests X-rays are far from perfect and should be ordered and interpreted only in the context of a thorough history and physical exam. In this 2nd part of our 2-part series on orthopedic x-rays with Dr. Arun Sayal and Dr. Yatin Chadha we discuss the pitfalls of obtaining and interpreting orthopedic X-rays, when orthopedic X-ray decision tools lead us astray, how understanding the concept of central ray helps dictate how we should or

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7 Tips for a Safe and Healthful Holiday Season

Advanced Medical Reviews

It seems like just yesterday summer was on the scene, bringing warm weather, family vacations and an array of outdoor sporting activities. However, winter will be here soon, with the season starting in the Northern Hemisphere on December 21.

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SGEM Peds Xtra: Making Research Better, Faster, Stronger

The Skeptics' Guide to EM

Date: October 24, 2022 Guest Skeptic: Dr. Damian Roland is a Consultant at the University of Leicester NHS Trust and Honorary Professor for the University of Leicester’s SAPPHIRE group. He specializes in Pediatric Emergency Medicine and is a passionate believer and advocate of FOAMed. Damian is also part of the Don’t Forget the Bubbles team. […] The post SGEM Peds Xtra: Making Research Better, Faster, Stronger first appeared on The Skeptics Guide to Emergency Medicine.

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Optimizing product/market fit through user research

MDisrupt

In practice, achieving product market fit is not as easy as digital health companies think. Learn here how to get product market fit effectively and easier.

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Marino – Oxygen: Creating a New Paradigm

University of Maryland CC Project

Dr. Paul Marino, Critical Care Specialist at Cayuga Medical Center, and esteemed author of "The ICU Book", the largest-selling textbook on critical care medicine in the United States, presents a lecture entitled Oxygen: Creating a New Paradigm. Dr. Paul Marino, Critical Care Specialist at Cayuga Medical Center, and esteemed author of “The ICU Book”, the largest-selling textbook on Critical Care medicine in the United States, presents a lecture entitled Oxygen: Creating a New Paradigm

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ECG of the Week 9th November 2022

EMergucate

A 60 year old man, who speaks little English, is triaged as a category 2 for left sided chest pain after being brought to hospital by ambulance.

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EMCrit – RACC Lit Review Oct/Nov 2022

EMCrit

Oct/Nov 2022. EMCrit Project by Scott Weingart, MD FCCM.

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Can I Order a Preeclamptic for Delivery, Please?

Kings County Downstate EM

Author: Harry Nonez, MD Edited by: Nicole Anthony, MD You are a senior resident working in the critical care area of a busy ED. You are juggling eight patients, and the triage nurse pulls you aside to evaluate another one. The patient is a 35-year-old woman at 37 weeks gestation […] The post Can I Order a Preeclamptic for Delivery, Please? appeared first on County EM.

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Bosslet – Public Health and Our “Lane”: Lessons I Learned from the COVID-19 Pandemic

University of Maryland CC Project

Dr. Bosslet is an Associate Professor of Clinical Medicine in the Department of Pulmonary, Critical Care, Sleep and Occupational Medicine at Indiana University and Fellowship Director for Pulmonary and Critical Care Medicine. Dr. Bosslet presents a lecture entitled "Public Health and Our "Lane": Lessons I Learned from the COVID-19 Pandemic". Dr. Bosslet is an Associate Professor of Clinical Medicine in the Department of Pulmonary, Critical Care, Sleep and Occupational Medicine at Indiana Univers

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Venous Congestion Spanish Style: Dr. Curro Miralles-Aguiar! #FOAMED, #FOAMCC, #VEXUS

Thinking Critical Care

So I’ve been meaning to put this up for a while, along with many other #FOAMed lectures I want to share and get out there in our neverending quest to cut down on the KT on bedside physiological management. For years now I have enjoyed collaborating with my friend Curro Miralles, who is a fantastic clinician on top of being the latin leading man heir apparent to Antonio Banderas who somehow ended up as a physician instead.

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Imaging Case of the Week 528

EMergucate

The chest x-ray is from a 30 year old patient with dyspnea. What can be seen?

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Sugammadex for Neurologic Exams in TBI Patients (Submitted by Ashley Martinelli)

University of Maryland Department of Emergency Med

Sugammadex works by chelating non-depolarizing neuromuscular blocking agents (NMBA) such as rocuronium and vecuronium to reverse the effects of.

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Garg – Endocarditis & the Critical Care Setting

University of Maryland CC Project

Vaani Panse Garg, MD, is a Cardiologist at MedStar Washington Hospital Center. She is board certified in internal medicine, cardiovascular disease, nuclear cardiology, and adult comprehensive echocardiography. She presents a lecture entitled "Endocarditis and the Critical Care Setting" as part of the DC5 Lecture Series. Vaani Panse Garg, MD, is a Cardiologist at MedStar Washington Hospital Center.

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I was shown this ECG without any information. What do you think?

Dr. Smith's ECG Blog

I was shown this ECG; "Steve, what do you think of this?": What is going on? I said: "This is pulse tapping artifact and a long QT" Why did I say that? Whenever you see a very bizarre EKG, you should think about pulse tapping artifact. This is when one of the limb lead electrodes is placed over an artery, especially when placed over a dialysis fistula.

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Lab case 385

EMergucate

21-year-old girl with history of type I DM. Her BSL level at home was 37 mmol/L. So, she self-administered 10 units of Actrapid.

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DOSE VF (DOuble SEquential External Defibrillation for Refractory VF) Trial

University of Maryland Department of Emergency Med

DOSE VF (DOuble SEquential External Defibrillation for Refractory VF) Trial Background - High quality data regarding the use of.

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Barbash – ICU Telemedicine: the COVID-19 Pandemic and Beyond

University of Maryland CC Project

Ian J. Barbash M.D, M.S, Assistant Professor of Medicine in Pulmonary, Allergy, and Critical Care Medicine at the University of Pittsburgh and Medical Director of UPMC TeleICU, presents on Critical Care Grand Rounds, a lecture entitled "ICU Telemedicine: the COVID-19 Pandemic and Beyond". Ian J. Barbash M.D, M.

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HypoK Isn’t HypoMg | Traumatic Pregnancies

JournalFeed

The JournalFeed podcast for the week of Oct 31 to Nov 4th, 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. HypoK ¹ HypoMg Spoon Feed This retrospective single-center study found that hypokalemic patients who received magnesium within 4 hours of their potassium supplementation had no significant difference in time to serum potassium normalization.

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Albin – You Are What You Tweet: Using Social Media in Medicine

University of Maryland CC Project

Dr. Catherine Albin, Assistant Professor of Neurology and Neurosurgery in the Division of Neurocritical Care at the Emory University School of Medicine presents on Critical Care Grand grounds, a lecture entitled "You are What you Tweet: Using Social Media in Medicine" Dr.

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Singham – Temporary Mechanical Circulatory Devices in the CICU

University of Maryland CC Project

Dr. Narayana Sarma V. Singham, a Critical Care Cardiologist at Washington Hospital Center Heart & Vascular Institute presents a lecture entitled "Temporary Mechanical Circulatory Devices in the CICU" as part of the DC5 lecture series. Dr. Narayana Sarma V. Singham, a Critical Care Cardiologist at Washington Hospital Center Heart & Vascular Institute presents a lecture entitled “Temporary Mechanical Circulatory Devices in the CICU” as part of the DC5 lecture series.

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Intimate Partner Violence (submitted by Dr. Kinjal Sethuraman)

University of Maryland Department of Emergency Med

IPV can occur once or over years by a current or former romantic partner. Types of IPV include: Physical and/or Sexual vio.

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Opioids & NSAIDs for MSK pain in the ED: Effectiveness and Harms

University of Maryland Department of Emergency Med

Opioids & NSAIDs for MSK pain in the ED: Effectiveness and Harms Study selection: A recent systematic review i.

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