Sat.Feb 18, 2023 - Fri.Feb 24, 2023

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ECG Blog #365 — A 30yo with Pericarditis.

Ken Grauer, MD

The ECG in Figure-1 was obtained from a previously healthy 30-ish year old man — who presented to medical attention for vasovagal syncope. Based on this initial ECG — the patient was transferred to a PCI-capable center: Do YOU agree with the need for transfer? Hospital evaluation for this patient was negative for an acute coronary syndrome ( ie, CT coronary angiogram was normal — troponin was not elevated — and Echo was negative, with no sign of pericardial effusion ).

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EMCrit 344 – Sleep for the Weary II – General Sleep Stuff

EMCrit

All things Sleep--you will add years to your life if you sleep well, so the time investment to listen to this podcast may be well worth it EMCrit Project by Scott Weingart, MD FCCM.

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A man in his 40s with epigastric pain and ST Elevation

Dr. Smith's ECG Blog

Case submitted by Magnus Nossen MD, written by Pendell Meyers A previously healthy man in his 40s presented to the ED with epigastric abdominal pain off and on for several days. Vitals were within normal limits. It is unclear whether he had active pain at the time of the first ECG: What do you think? Here is PM Cardio's Queen of Hearts interpretation (AI ECG interpretation trained by Meyers, Smith, and PM Cardio team using thousands of cases and their outcomes): The output number ranges from 0 t

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HIPAA Regulations and Cybersecurity Training for Dental Healthcare Personnel

American Medical Compliance

The HIPAA Regulations and Cybersecurity Training for Dental Healthcare Personnel course educates employees and management on how to be compliant with the Health Insurance Portability and Accountability Act (HIPAA). This course also outlines the privacy and security laws that prevent security breaches and ultimately, keep patient information safe from cyber-attacks.

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ECG Blog #364 — VT in Need of Cardioversion?

Ken Grauer, MD

T he ECG in Figure-1 was obtained from a 60ish year old man on arrival to the ED ( E mergency D epartment ). The presenting complaint was chest pain — and the patient collapsed soon after arrival in the ED. QUESTION: A cardiologist interpreted the rhythm in Figure-1 as VT ( V entricular T achycardia ). Do YOU agree with this cardiologist ? Figure-1: The initial ECG in today's case — obtained from a 60ish year old man who collapsed in the ED shortly after this tracing was recorded. ( To improve v

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Pediatric Collab Preview: Patient experience strategy and infrastructure from the ground up

NRC Health

The NRC Health 2023 Pediatric Collaborative is truly a can’t-miss experience, with exceptional presentations that will stir innovative ideas for attendees to bring back to their larger PX and marketing teams. The post Pediatric Collab Preview: Patient experience strategy and infrastructure from the ground up appeared first on NRC Health.

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Lab case 399 Interepretation

EMergucate

Question 1: PH = 7.43 that is with in normal range, more toward alkalotic spectrum HCO3 = 39.9, that is elevated so we have metabolic alkalosis. Next we need to check the compensation process.

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REBEL Core Cast 96.0 – Acute Vision Loss I

RebelEM

Take Home Points: Suspect glaucoma in any patient with an acute change in vision and get an intraocular pressure measurement First line treatment in acute angle closure glaucoma is a topical beta blocker Consider giant cell arteritis in patients with unilateral headache, jaw claudication and change in vision Don’t wait for the biopsy to start steroids in giant cell arteritis as this therapy is vision saving REBEL Core Cast 96.0 – Acute Vision Loss I Click here for Direct Download of the Po

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NRC Health ranked #1 Best in KLAS for Patient Experience Improvement

NRC Health

This recognition as #1 in the patient experience improvement category, affirms our focus on transforming the healthcare industry with a human-first approach, and highly innovative solutions to pave the way for better outcomes for patients and healthcare organizations alike. The post NRC Health ranked #1 Best in KLAS for Patient Experience Improvement appeared first on NRC Health.

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Fracture identification and Hematoma blocks

Core Ultrasound

In this intro video, we demonstrate the use of ultrasound imaging to identify fractures. Ultrasound-guided fracture identification is a minimally invasive technique that allows for quick and accurate diagnosis of fractures, without the need for radiation or contrast agents. Additionally, it can be used during reductions to assist in identification of adequate alignment without the need for a C-arm!

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Protecting Information from Cybersecurity Threats

American Medical Compliance

Banner Health had to pay a $1.25 million settlement due to a cybersecurity breach that resulted from a hacking incident. As a result, almost 3 million people had their information exposed. This was a violation of HIPAA requirements based on the security rule. The purpose of the security rule is to protect consumers’ health information from cybersecurity threats like this one.

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166. UTI: infections down under

Board Bombs

Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here: emrapidbombs.supercast.com. You’ve heard of Planet Earth. You’ve heard of UTIs. Well, we were able to hire Sir David Attenborough for this rare episode where we discuss UTI: Infections Down Under. We have the ultimate koala-fications to tell you about presentations, diagnosis, why CT should not be routinely done, and tips/tricks on antibiotics.

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Modernity and Health

Stop and Think

A recent report on incidental findings from a cardiac monitoring study bolsters my view that modernity is shredding our health. The paper is a re-analysis of one of the most important cardiac trials of the decade—the LOOP trial. First LOOP, then the new study. In LOOP, more than 6000 older patients (age 75) without atrial fibrillation—but with high-stroke-risk features--were randomized to having an implantable loop recorder (ILR) vs standard Danish primary care.

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Time IS Muscle | STANDING Vertigo Algorithm

JournalFeed

The JournalFeed podcast for the week of Feb 13-17, 2023. 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. Time IS Muscle Spoon Feed Patients with STEMI or STEMI equivalent who were treated within goal treatment times had significantly lower in-hospital mortality.

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SGEM#393: You Down with APP, Yeah You Know Me

The Skeptics' Guide to EM

Date: February 17, 2023 Reference: Gettel et al. Rising high-acuity emergency care services independently billed by advanced practice providers, 2013 to 2019. AEM Feb 2023 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and Assistant Professor at the University of Calgary. He is also an avid FOAM supporter/producer through various online outlets including TheSGEM.

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EFFORT

The Bottom Line

In critically ill patients, does a higher dose of protein compared to usual dose protein, improve time-to-discharge-alive from hospital up to 60 days?

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Imaging Case of the Week 540 Answer

EMergucate

The wrist x-ray shows At first glance, the frontal wrist x-ray reveals a radial styloid fracture.

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Grand Rounds Recap 2.15.23

Taming the SRU

EMS Grand Rounds with Dr. Connelly - R4 Case Follow up with Dr. Broadstock - R1 Clinical Knowledge: Vitamin Deficiencies WITH Dr. de Castro - Lecture R3 Small Groups Tox,Tasks,Rashes WITH Dr. Fabiano, Dr. Kein, and Dr. Martella4 - Palliative Medicine Consultation WITH Dr. Kiser EMS Grand Rounds WITH Dr. ConnelLy What I learned in my time with Sydney HEMS The area of NSW is nearly twice the size of Ohio Staffing model Rotor wing Fixed wing Clinical Capabilitis Limb Escaratomies Peripheral nerve b

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Caution Do Not Attempt This at Home. Airway Pressure Release Ventilation Should Not Routinely Be Used in Patients With or at Risk of Acute Respiratory Distress Syndrome Outside of a Clinical Trial

University of Maryland Department of Emergency Med

Given my previous post on APRV (11/6/2022) and while I take issue with many of the author's statements, I wanted to share a very well re.

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Imaging Case of the Week 542

EMergucate

Chest x-ray from a 20 year old with cough. What can be seen? Answer will be posted later.

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Imaging Case of the Week 539 Answer

EMergucate

The right costophrenic angle is obliterated suggestive of an effusion on the right.

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21 year old with wrist pain

University of Maryland Department of Emergency Med

21-year-old college softball player presents for evaluation of Left hand/wrist pain following batting practice. She states her pinky is.

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