Sat.Apr 09, 2022 - Fri.Apr 15, 2022

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The Weekly Cheese 2.0: MG for AF with RVR?

Cook County EM Blog

This week we’ll be covering the LOMAGHI trial and use of magnesium in atrial fibrillation (AF) with RVR Background : AF with RVR is a common arrhythmia encountered in the emergency department. Typical initial rate control agents include beta blockers (BB) or calcium channel blockers (CCB), but what is the role of magnesium sulfate (MgSO4) as an adjunct in the treatment of AF with RVR?

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Aerosol terapia durante ventilazione meccanica. Parte 1

Trigger Lab

A cura di Alice Galesi Background La somministrazione di farmaci aerosolizzati è comunemente utilizzata per il trattamento di malattie polmonari [1], (ad esempio, asma, disturbi polmonari ostruttivi, fibrosi cistica, ipertensione arteriosa polmonare, malattia polmonare infettiva) [2]. L’uso dell’aerosolterapia durante la ventilazione meccanica è frequente per la somministrazione di broncodilatatori e steroidi nella broncopneumopatia ostruttiva e … Leggi tutto Aerosol terapia du

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EM Quick Hits 37 Introducing QI Corner, Skin Abscess, O2 Sat Monitor Pearls, Infantile Spasms, Atrial Fibrillation Rate Control

Emergency Medicine Cases

Tahara Bhate's new QI corner Quick Hits series, Hans Rosenberg & Michael Gottlieb on the evidence around ED diagnosis and management of skin abscesses using PoCUS, Anand Swaminathan on what the oxygen saturation monitor can tell you besides oxygen saturation, Sarah Reid on how to pick up infantile spasms and prevent poor neurologic outcomes, Elisha Targonsky on battle of the ED rate control medications for rapid atrial fibrillation.

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Pain (& analgesia)

PHEM Cast

This is the book Jon quotes, “Pain is a symphony…” The International Association for the Study of Pain’s revised definition of pain is available here. If you’d like to read more about ‘nocebo’ i.e. the non-pharmacological adverse effects of an intervention, have a look at this article. Penthrox For more information on Penthrox, you can read about it in the BNF , The Emergency Medicines Compendium and on the manufacturers own website.

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Are Roundabouts Safe?

Medical Law

A roundabout is an alternative to a traditional intersection. Using a roundabout can be confusing because it has no traffic lights or stops signs. Also known as a traffic circle , the traffic in a roundabout flows continuously in a counterclockwise direction. Roundabouts are common in Europe, and they are growing in popularity across the United States, including in Santa Barbara.

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Imaging Case of the Week 500 Answer

EMergucate

The following chest x-ray request reads ’70 year old with central chest pain. Consolidation?

EMS 52
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Spring Update on Medical Science

Stop and Think

I have recently written and spoken about a number of published studies. Some of these papers brought good news; some have been flawed. And, as always, the randomized controlled trial has shown its awesome power to inform clinicians and patients alike. Earlier this month, the American College of Cardiology held its annual meeting in Washington DC. That 11,000 people attended in-person was a hopeful sign.

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Vit-C = good? | tPA on NOAC

JournalFeed

The JournalFeed podcast for the week of April 4-8, 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. Vit-C = good? Spoon Feed: IV Vitamin C (IVVC) administration appeared to be safe and reduced overall mortality in this meta-analysis of critically ill patients, when given in higher doses and as monotherapy. tPA on NOAC There was no significant difference in intracranial hemorrhage, ser

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Knight- Health Disparities: Current Realities and the Path Forward

University of Maryland CC Project

Dr. Michael Knight, the Associate Chief Quality and Population Health Officer and Head of Healthcare Delivery Transformation at the George Washington University presents on Health Disparities as part of the DC5 lecture series. Dr. Michael Knight, the Associate Chief Quality and Population Health Officer and Head of Healthcare Delivery Transformation at the George Washington University presents on Health Disparities as part of the DC5 lecture series.

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Imaging Case of the Week 501

EMergucate

The following chest x-ray is from a 10 year old with fever and cough. What can be noticed?

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SGEM#364: Don’t You Forget About Me – DW:MRI Sensitivity for Transient Global Amnesia

The Skeptics' Guide to EM

Date: April 7th, 2022 Reference: Wong et al. Sensitivity of diffusion-weighted magnetic resonance imaging in transient global amnesia as a function of time from symptom onset. AEM April 2022 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. Case: A 65-year-old man presents to your emergency department with […] The post SGEM#364: Don’t You Forget About Me – DW:MRI Sensitivity for Transient Global Amnesia first appeared on The Sk

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Imaging Case of the Week 499 Answer

EMergucate

The frontal chest x-ray shows Bilateral ground glass opacity in the shape of a bat’s wing.

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ECG of the Week 13 April 2022 Answer

EMergucate

A 51 year old female presents to ED complaining of shortness of breath and chest pain.

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Lab case 357 interpretation

EMergucate

Answers PH = 7.025, that is severe acidaemia. pCO2 = 116 mmHg, so we have respiratory acidosis. Next, we calculate the compensation.

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Lab case 358

EMergucate

20 year old epileptic woman presented to the emergency department after polypharmacy overdose.

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ECG of the Week 13 April 2022

EMergucate

A 51 year old female presents to ED complaining of shortness of breath and chest pain.

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