Sensible Medicine

APRIL 17, 2024

I have written my own essays about it on Sensible Medicine on September 28 th , 2022 , and January 11 th , 2024. Personally, I could not wait to put mask wearing behind me, but I still find the issue of masking in healthcare facilities interesting.

Patient Safety 106

Patient Safety Hospitals 106

Don't Forget the Bubbles

NOVEMBER 20, 2023

The 5 th and 6 th arches become rudimentary, so cysts may form from the 1st to 4th branchial clefts. Pre-auricular lumps result from disruption of the 1st branchial arch, parotid in the 2nd and the anterior cervical triangle of the neck in the 3 rd /4 th arch. The position of the lump depends on which cleft is affected.

Pediatrics 124

Pediatrics Documentation/Coding Emergency Department Hospitals 124

University of Maryland Department of Emergency Med

JUNE 16, 2023

million individuals), they are unfortunately th. While transgender and gender diverse individuals make up a minority of the US population (approx 1.4 Click to view the rest

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Sensible Medicine

OCTOBER 26, 2023

In 1999 I started teaching a course to 4 th year medical students called “Critical Appraisal of the Landmark Medical Literature.” By the time a medical student has reached the 4 th year, he or she has learned from textbooks, review articles, and lectures. ” The idea behind the course was simple.

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EMergucate

NOVEMBER 27, 2023

For That we use th… Answers: PH = 7.479, that is mild acidaemia. HCO3 = 30 mmol/L (that is high). So, we have metabolic alkalosis. Next we check the respiratory compensation for metabolic alkalosis.

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University of Maryland Department of Emergency Med

SEPTEMBER 21, 2023

Takeaway Points - A 10 percent reduction in ED volume reduces an ED patient's chance of dying by 24% at 30 days and by 17% at six months Th. Click to view the rest

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Medical Law

JULY 5, 2023

The decision to award two scholarships was not initially planned, but the exceptional quality of this year’s applications and the inspiring stories we encountered compelled us to extend our support to an additional student, who will be announced on July 6 th , 2023. The second winner will be announced on July 6 th , 2023.

Academics 52

Academics Wellness 52

University of Maryland Department of Emergency Med

AUGUST 15, 2023

Bystander CPR increases out-of-hospital CPR survival and direction by 911 telecommunicators increases the frequency of bystander CPR. Click to view the rest

CPR 61

CPR Hospitals 61

Ken Grauer, MD

APRIL 9, 2023

Th e patient was hemodynamically stable in association with this rhythm. This very short PR interval means that "something else" must have occurred before the PINK P wave has a chance to conduct — which confirms that th e wide and different-looking beat #8 must be a ventricular beat! No chest pain. What is the rhythm ?

EKG/ECG 195

EKG/ECG 195

Don't Forget the Bubbles

AUGUST 7, 2023

These results varied with age; the 95 th centile for heart rate was higher than APLS guidelines for all ages except for infants under one. The 5 th centile was also higher for almost every age range. Aim 2: What percentage of children’s HR and RR is higher than the “severe” cut-off ?

Sepsis 98

Sepsis Pediatrics Urgent Care Emergency Department 98

University of Maryland Department of Emergency Med

SEPTEMBER 13, 2023

DOACs (dabigatran*, apixaban, rivaroxaban) each have different dosing strategies based on indication and patient characteristics. Click to view the rest

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RebelEM

FEBRUARY 7, 2024

Rosen’s Emergency Medicine. Philadelphia, PA: Elsevier Saunders; 2014:2331-2350. Gorgas, D. “Infections related to pregnancy.” ” Emerg Med Clin North Am 26 (2): 345-366, viii. PMID: 18406978 Houry, D and B. Acute Complications of Pregnancy. In: Marx, J et al, ed. Rosen’s Emergency Medicine.

Sepsis 75

Sepsis Shock Hospitals Ultrasounds 75

Mind The Bleep

FEBRUARY 11, 2024

Blood pressure Ocular motility examination if patient complaining of diplopia, possible 6 th cranial nerve palsy. [2] Visual fields tend to be normal unless chronic with optic atrophy or in severe papilloedema. [2] 2] Neurological exam to identify any neurological deficit.

Ultrasounds 52

Ultrasounds 52

University of Maryland Department of Emergency Med

MAY 23, 2023

Clinician Well-Being and the Patient Experience Did you know that most patient experience responses are overwhelmingly positive? Click to view the rest

Wellness 40

Wellness 40

University of Maryland Department of Emergency Med

FEBRUARY 2, 2023

ACE-inhibitor (ACEi) induced angioedema is mediated by bradykinin and there are no proven medications for the treatment of this disease. Click to view the rest

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RCEM Learning

OCTOBER 9, 2023

My reflections from the 14 th NIHR Doctoral Research Training Camp – Applying for Further Funding 26-28 th June 2023 Imogen Skene I was pleased to be nominated by the NIHR Emergency Care Incubator to attend this year’s NIHR Doctoral Research Training Camp in Crewe. The attendees were PhD students from across the country.

Research 52

Research Teamwork Wellness 52

Ken Grauer, MD

FEBRUARY 3, 2024

I’ve taken th e l ead V 3 examples in Figure-3 from previous cases posted on Dr. Smith’s ECG Blog : T OP in Figure-3 — Despite the marked ST elevation in this lead V3 — this is not T-QRS-D, because there is well-defined J-point notching ( BLUE arrow ). A picture is worth 1,000 words.

EKG/ECG 382

EKG/ECG Resuscitation Hospitals Wellness 382

EB Medicine

MAY 15, 2020

EMplify May 2020 – The New Orleans Experience and Palliative Care : An Interview with Dr. Ashley Shreves EBMedicine Live Webinars: Thursday, June 4 th - Life-threatening Headaches + current considerations due to COVID-19 Wednesday, June 17 th – A New Timing-and-Triggers Approach to Diagnosing Causes of Acute Dizziness Click the link to register: [link] (..)

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EMergucate

FEBRUARY 7, 2021

Also attached is the CT scan slice for th… The following Axial CT scan slice of the abdomen is from a 70 year old who has presented with sudden onset of abdominal pain and syncope. What can be seen?

EMS 40

EMS 40

EMergucate

OCTOBER 24, 2020

He decided to come to th… An 18-year-old Sudanese man presents to ED with a penile erection for the last 6 hours. He woke up with an erection at 6 am but was too embarrassed to tell anyone about it.

EMS 40

EMS 40

ALiEM

SEPTEMBER 15, 2023

Trojian TH, Chu SM. Repetitive motion occupations, tobacco use, alcohol use, and diabetes are key risk factors. References Shih B, Bayat A. Scientific understanding and clinical management of Dupuytren disease. Nat Rev Rheumatol 2010; 6:715. Dupuytren’s disease: diagnosis and treatment. Am Fam Physician 2007; 76:86.

Academics 60

Academics 60

PEMBlog

OCTOBER 17, 2023

Clinical Pediatric Dermatology 5 th ed, Elsevier, 2016, 382-401. She completed two weeks of prednisone taper. References Paller, AS, Mancini, AJ. Chapter 16: Exanthematous Diseases of Childhood, In Paller, AS, Mancini, AJ, eds. Sridharan M, Ali U, Hook CC, et al. The Mayo Clinic Experience With Psychogenic Purpura (Gardner-Diamond Syndrome).

Urgent Care 69

Urgent Care Burns Pediatrics Emergency Department 69

Sensible Medicine

MARCH 18, 2024

Notably, the St Francis Heart study enrolled relatively young (average age 59) asymptomatic individuals with extremely high coronary calcium scores (>80 th percentile).

Stroke 145

Stroke Research 145

EMergucate

JULY 28, 2019

What other radiological findings can you expect with similar injury mechanism around th… The following coronal CT face image is from a 20 year old who has been punched in the face. What can be seen?

Radiology 40

Radiology Radiology EMS 40

PEMBlog

MAY 17, 2023

Chun TH, Sargent J, Hodas GR. Pediatrics 2021; 147. Sedel F, Baumann N, Turpin JC, et al. Psychiatric manifestations revealing inborn errors of metabolism in adolescents and adults. J Inherit Metab Dis 2007; 30:631. Psychiatric emergencies.

Psychiatric 80

Psychiatric Emergency Department Pediatrics Best Practices 80

Don't Forget the Bubbles

MAY 31, 2023

Children between the ages of 6 months to 16 years , across 49 paediatric EDs in the UK and Ireland who were member sites of Paediatric Emergency Research in the UK & Ireland (PERUKI), presenting with either New onset diabetes or Pre-existing diabetes with diabetic ketoacidosis (DKA) They looked at two time points: During the COVID-19 pandemic (1 (..)

Emergency Department 135

Emergency Department Research Documentation/Coding Outcomes 135

ACEP Now

MAY 4, 2023

Trojian TH, Lishnak TS, Heiman D. Scrotal pyocele: uncommon urologic emergency. J Emerg Trauma Shock. 2012;5(2):206. Hackett B, Sletten Z, Bridwell RE. testicular abscess and ischemia secondary to epididymo-orchitis. 2020;12(7):e8991. Epididymitis and orchitis: an overview. Am Fam Physician. 2009;79(7):583-7.

Urgent Care 52

Urgent Care Ultrasounds Sepsis Emergency Department 52

Medical Law

NOVEMBER 2, 2021

Cottage Rehabilitation Hospital (CRH) was one of four local organizations honored during the 16 th annual Santa Barbara Mayor’s Award ceremony by Mayor Cathy Murillo on Thursday, October 28, 2021. They were recognized for their outstanding support of people with disabilities.

Hospitals 52

Hospitals Stroke 52

Ken Grauer, MD

FEBRUARY 28, 2023

The 11 different colors for th e arrows in Figure-2 make it evident that we are! As a result, in order to differentiate MAT from the much more commonly encountered irregularly irregular rhythm ( which is AFib ) — we need to be certain we are seeing multiple different P wave morphologies that are constantly changing.

EKG/ECG 195

EKG/ECG Documentation/Coding Sepsis COPD 195

The Skeptics' Guide to EM

MARCH 25, 2023

The literature on POCUS for diagnosing acute biliary disease tends to compare th. Many small trials have compared the accuracy of POCUS to the “gold standard” of “Radiology-performed ultrasound”.

Ultrasounds 52

Ultrasounds Emergency Department Dislocations Radiology 52

Broome Docs

JUNE 20, 2023

So we are planning to take this show on th eraod and do some live sessions later in 2023. Big news this month is that Justin has just been invited to visit my home shop as the honorary WG Smith Fellow and deliver a series of EBM lectures to the local teams in Western Australia.

Emergency Department 135

Emergency Department Sepsis Best Practices 135

ACEP Now

OCTOBER 26, 2023

After an initial setback in District Court, the plaintiffs appealed to the 4 th Circuit Court of Appeals who agreed with the plaintiffs and sent the case back to District Court. In April 2023, US senior federal court judge Henry Hudson decided in favor of the plaintiffs and struck down the Downcoding Provision.

Documentation/Coding 124

Documentation/Coding Hospitals Administration Emergency Department 124

Ken Grauer, MD

MAY 6, 2023

Th e importance of being aware of this phenomenon — is to recognize that the increase in PR interval for beats #2,5,8,11 and 14 in today's tracing — is the result of concealed conduction ( and not due to Mobitz I, 2nd-degree AV block ).

EKG/ECG 195

EKG/ECG 195

Sensible Medicine

NOVEMBER 25, 2023

On November 8 th , the Times published an article titled, Pasta and Rice May Be Healthier as Leftovers. Here’s Why.

Outcomes 69

Outcomes Research 69

EMergucate

MARCH 29, 2015

What abnormality does th… The following lateral right wrist x-ray is from a 30 year old who sustained a right wrist injury in a motor vehicle accident. Is this a lunate or a peri-lunate dislocation?

Dislocations 40

Dislocations EMS 40

ACEP Now

OCTOBER 26, 2023

DR. GUNDERSON is a 4 th year medical student at UCLA David Geffen School of Medicine. Permitted uses and disclosures: exchange for treatment. HHS website. Published January 2016. Accessed October 9, 2023. DR. TALAN is professor of emergency medicine and infectious diseases at UCLA.

Infectious Diseases 52

Infectious Diseases Hospitals Documentation/Coding Administration 52

Medical Law

FEBRUARY 3, 2021

This is not the same for a child who must wait until their 18 th birthday to receive the funds. Once the child has become a legal adult at the age of 18, they will have two years from the date of their 18 th birthday to file most personal injury lawsuits. How Children Receive Compensation.

Wellness 52

Wellness 52