EMCrit
SEPTEMBER 12, 2022
Today, the errors and procedural missteps I commonly observe while teaching 100 docs per year how to cannulate for ECMO (but the lessons are not about ECMO, they are about all vascular access in the femoral vessels.). EMCrit Project by Scott Weingart, MD FCCM.
EMergucate
SEPTEMBER 14, 2022
A 64 year old male presents to ED after multiple seizure episodes that day. It was reported that the patient would have 20 seconds of seizure activity and then make a full recovering.
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Dr. Mike Sevilla
SEPTEMBER 14, 2022
For the fall issue of the Ohio Family Physician magazine , I wrote the following essay. The theme of the issue was the topic of Health Myths……. When people typically hear the term “Health Myths” they typically think of things having to do with misinformation on the internet, misinformation about COVID-19, and other ideas. You probably have never thought about health myths following the end of someone’s life.
Emergency Medicine Cases
SEPTEMBER 13, 2022
Takotsubo Syndrome is usually triggered by an emotional or physical stress leading to acute catecholaminergic myocardial stunning. The initial ST elevation phase of Takotsubo Syndrome mimics Occlusion MI, can not be distinguished by patient factors or POCUS findings, and requires immediate angiogram. The subsequent phase of Takotsubo Syndrome has T wave inversion in an apical distribution, which can mimic reperfusion, but often has very deep T wave inversions and a very long QT interval.
Ultrasound Gel
SEPTEMBER 12, 2022
In our second in the series of Bonus Cuts, Zach and Mike interview the illustrious Ryan Gibbons for his take on arthrocentesis and a discussion of his research in the field. What an exciting joint venture! [link] In our second in the series of Bonus Cuts, Zach and Mike interview the illustrious Ryan Gibbons for his take on arthrocentesis and a discussion of his research in the field.
RebelEM
SEPTEMBER 12, 2022
Background: Coronary artery disease can result in hibernating myocardium (chronic myocardial contractile dysfunction) due to ischemia. The theory is that there is reduced coronary blood flow and increased myocardial demand resulting in impaired contractility. Whether reversal of myocardial hibernation by coronary revascularization is possible and can improve outcomes is debatable.
Dr. Mike Sevilla
SEPTEMBER 12, 2022
Happy September! Yes, where has the year gone? And, yes, I realize that is has been a few months since I wrote here. You know how it goes, when a new year starts, you have all kinds of plans to do this and to do that, and then February comes, and then, you get back to the status quo. Why does this happen? Anyway, I was biking riding recently, and I decided that I had to write a post here.
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American Medical Compliance
SEPTEMBER 12, 2022
Medical experts are proposing that a noticeable increase in flu cases could occur in the United States this year. This means that getting a flu shot this year is extremely important. Flu season has been different from its usual patterns due to COVID-19, meaning this year’s season is likely to be unpredictable. Influenza rates were extremely low in 2021 due to protective measures relating to COVID-19.
EMergucate
SEPTEMBER 11, 2022
The following chest x-ray is from a 40-year-old febrile patient with chronic renal failure. What can be noticed?
Clinical Correlations
SEPTEMBER 13, 2022
Bellevue Outpatient: What are the indications for parathyroidectomy in patients with asymptomatic primary hyperparathyroidism? Bellevue Inpatient: What are treatments for acute dystonia? Tisch-Kimmel Inpatient: How does Glucagon treat beta-blocker toxicity?
JournalFeed
SEPTEMBER 10, 2022
The JournalFeed podcast for the week of Sept 5-9, 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. Spoon Feed Patients with long COVID had a host of symptoms, poorer quality of life, and more anxiety and depression, but they did not have a specific cause identified for symptoms despite a comprehensive exam and battery of tests.
RebelEM
SEPTEMBER 15, 2022
Background: Patients presenting with acute exacerbations of congestive heart failure are frequently treated with intravenous loop diuretics. Despite being treated with loop diuretics, the problem is many are discharged from the hospital with residual clinical signs of volume overload despite optimal treatment. One option to improve diuresis may be the addition of acetazolamide, however evidence supporting this strategy is sparse.
EMergucate
SEPTEMBER 13, 2022
A 64 year old male presents to ED after multiple seizure episodes that day. It was reported that the patient would have 20 seconds of seizure activity and then make a full recovering.
Northwestern EM Blog
SEPTEMBER 12, 2022
Written by: August Grace, MD (NUEM ‘24) Edited by: Andrew Rogers, MD, MBA (NUEM ‘22) Expert Commentary by : Andra Farcas, MD (NUEM ‘21) Introduction In the setting of trauma, most hospitals are adept at treating and managing patients with a variety of injuries. However, the ability of a hospital to handle a mass casualty incident (MCI) requires a completely different approach and, most importantly, adequate triage and pre-planning.
PHEM Cast
SEPTEMBER 14, 2022
Road traffic collisions are a leading cause of death and injury. Following a road traffic collision many patients will remain trapped in their vehicle. Extrication is the process by which injured or potentially injured people are removed from their vehicle by the rescue services. Rescue service training focuses on the absolute movement minimisation of potentially injured patients’ spine and has developed extrication techniques with the focus of movement minimisation.
The Skeptics' Guide to EM
SEPTEMBER 10, 2022
Date: August 25th, 2022 Reference: Martin et al. Single-dose dexamethasone is not inferior to 2 doses in mild to moderate pediatric asthma exacerbations in the emergency department. Pediatr Emerg Care. 2022 Guest Skeptic: Dr. Harrison Hayward is a Pediatric Emergency Medicine fellow at Children’s National Hospital. He finished his General Pediatrics residency at Yale-New Haven Hospital.
EMergucate
SEPTEMBER 11, 2022
The lateral ankle image shows mildly displaced fracture of the anterior process of calcaneus.
EMergucate
SEPTEMBER 11, 2022
The abdominal x-ray was performed with clinical concern for a small bowel obstruction.
EMergucate
SEPTEMBER 13, 2022
52-year-old lady presented to the emergency department with recurrent vomiting. She was found to have a slipped lapband.
EMergucate
SEPTEMBER 11, 2022
Findings In this series, 84% of patient was discharged from ED, 55.3% with antibiotic. Only 1.
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