This Podcast Will Kill You

JULY 23, 2024

Official journal of the American College of Gastroenterology| ACG , 118 (1), pp.59-76. Annals of internal medicine , 172 (1), pp.ITC1-ITC16. ” BMC medicine 17 (2019): 1-20. . ” BMC medicine 17 (2019): 1-20. Gastroenterology , 160 (1), pp.63-75. Burki, Talha Khan. 2019): 100. Rubin, J.E. and Crowe, S.E.,

E-9-1-1 98

E-9-1-1 ALS OR 98

Dr. Smith's ECG Blog

DECEMBER 19, 2023

link] A 62 year old man with a history of hypertension, type 2 diabetes mellitus, and carotid artery stenosis called 911 at 9:30 in the morning with complaint of chest pain. Challenge QUESTION: The relative change in T-QRS-D is not the only thing that changes during period of time that passed between recording of the 2 ECGs shown in Figure-1.

E-9-1-1 123

E-9-1-1 Coronary ACS BLS 123

Dr. Smith's ECG Blog

DECEMBER 11, 2023

Moreover , the patient has ongoing symptoms and has an unexplained elevated troponin, so she is having an MI and the only question is whether it is type 1 or type 2 due to hypertension. Case continued She was loaded with aspirin 325 mg, and repeat troponin drawn around the time of EKG 1 resulted at 267 ng/L. At midnight. At midnight.

E-9-1-1 125

E-9-1-1 ACS Coronary STEMI 125

ACEP Now

FEBRUARY 13, 2024

A radiograph is shown (see figure 1). LEARN MORE The most common nerve blocks in this study are shown in Table 1. 1–4 Emergency physicians commonly prescribe opioid pain medications, and there is significant variability among prescribing patterns. 2023 Sep 2;15(9):e44583. 2016 May;31(5):478-85. J Patient Saf.

E-9-1-1 52

E-9-1-1 Emergency Department ED ALS 52

EMDocs

JUNE 27, 2024

Abdomen : ND, NT, no guarding or rebound MSK : Tenderness to palpation over L ribs 7-9 Derm : No rashes Imaging: Image 1: Case courtesy of Miriam Leiderer, Radiopaedia.org, rID: 81468 Chest radiograph (CXR) shows new left lower lobe opacity What’s most likely diagnosis? Other lung fields unremarkable. C or 100.4 mg/kg, max 0.4

E-9-1-1 75

E-9-1-1 ICU ACS EMS 75

Don't Forget the Bubbles

MARCH 18, 2024

The Royal Children’s Hospital in Melbourne summarises them in an easy-to-follow flow diagram (figure 1). Typical HUS has a diarrheal prodrome, usually caused by an infection with a Shiga-toxin-producing E. Typical HUS has a diarrheal prodrome, usually caused by an infection with a Shiga-toxin-producing E. What is typical HUS?

E-9-1-1 59

E-9-1-1 ALS OR 59

EMDocs

FEBRUARY 12, 2024

Introduction Arterial blood gas (ABG) or venous blood gas (VBG) testing is used to assess the pH and systemic carbon dioxide tension in patients, and, therefore, provide a more complete picture of their acid-base status than an isolated basic metabolic panel (BMP) (1). What alternative testing can be done in these circumstances?

Emergency Department 94

Emergency Department E-9-1-1 ED ICU 94

EMDocs

JANUARY 17, 2024

1) There are a limited number of antitussives on the US market which include benzonatate, codeine, dextromethorphan, diphenhydramine, and hydrocodone. 9) The safety announcement highlighted the mortality risk of exploratory ingestions in children under 10 years. What are the treatment options for a benzonatate overdose?

E-9-1-1 67

E-9-1-1 Overdose Emergency Medical Services Life Support 67

Don't Forget the Bubbles

FEBRUARY 26, 2024

Add in PEFR <33% and SpO2 <92% Management of acute asthma* * as per BTS guidelines Acute asthma is managed in a stepwise fashion using the following guidelines. Intubation, however, can be a significant challenge in these patients.

E-9-1-1 72

E-9-1-1 Critical Care OR ALS 72

Don't Forget the Bubbles

JANUARY 17, 2024

Forrester reported data from the Texas Poison Centers surrounding 110 cases of superabsorbent polymer bead ingestions between 2011 and 2016. Around 80% of those reported pass spontaneously, with another 10-20% requiring endoscopic removal and only 1% requiring surgical intervention. BMC Pediatrics , 21 (1), Jackson, J.,

E-9-1-1 111

E-9-1-1 ALS Emergency Department OR 111

ACEP Now

JANUARY 9, 2024

FIGURE 1: Abdominal X-ray showing particulate radiopaque foreign bodies involving the stool. 1 Children are particularly vulnerable. 9 Lead exerts its toxic effects by interfering with various organ functions, primarily targeting the nervous system and hematopoietic system, as well as impairing liver and kidney functions.

E-9-1-1 52

E-9-1-1 ALS Emergency Department ED 52

EMDocs

NOVEMBER 4, 2023

Answer : Testicular abscess Epidemiology Abscesses limited to scrotal wall are similar to other abscesses on areas of the body Local trauma can increase risk of infection, normally start as progressive swelling of a small pustule 2 Staph aureus is the most common cause in spontaneous skin abscesses 3,4 Intrascrotal abscesses can occur as a result of (..)

EMS 68

EMS E-9-1-1 Emergency Department ALS 68

EMDocs

JUNE 25, 2024

Estimate TBSA: may use Lund-Browder chart (most accurate assessment in children and adults), Rule of Nines, or palm method (measure the burn by using patient’s entire palmar surface and fingers as 1% TBSA). Most common traumatic injuries are fractures, TBIs, and thoracic or abdominal injuries. Burns are dynamic and will evolve.

E-9-1-1 73

E-9-1-1 OR 73

Dr. Smith's ECG Blog

NOVEMBER 14, 2019

I’ve taken th e l ead V 3 examples in Figure-1 from previous cases posted on Dr. Smith’s ECG Blog : T OP in Figure-1 — Despite marked ST elevation in this lead V3 — this is not T-QRS-D, because there is well-defined J-point notching ( BLUE arrow ). Although simple to define — this finding may be subtle!

E-9-1-1 52

E-9-1-1 OR ED 52

Dr. Smith's ECG Blog

MARCH 22, 2022

see below for more info on this) 1. Although the overwhelming majority of young adults presenting for emergency care who manifest ER patterns on ECG have a benign prognosis — there is a small-but-present percentage of such individuals who go on to develop a lethal cardiac arrhythmic event ( Zakka & Refaat- ACC, 2016 ).

E-9-1-1 52

E-9-1-1 ALS OR 52

EMDocs

JULY 3, 2023

Presentation Traumatic SAH occurs following a direct or indirect traumatic mechanism leading to TBI that allows for bleeding into the subarachnoid space. 3 Common associated injuries may include skull fractures, intracerebral contusion, cervical spine injuries, and vascular injuries of the head and neck.

ED 85

ED E-9-1-1 ALS OR 85

NAEMSP

JANUARY 5, 2023

1] The Adult Cardiac Arrest ACLS algorithm currently includes epinephrine and either amiodarone or lidocaine as recommended pharmacologic therapies. 1] Table from Hamam et al. 9] Figure from Clemency et al. Or in other words, is IO access inferior to IV access? Below, we will examine the current literature.

E-9-1-1 52

E-9-1-1 Advanced Life Support Epinephrine Life Support 52

Don't Forget the Bubbles

MAY 29, 2023

A study of teams over a 1-year period highlights that people witnessing incivility are also affected, which could lead to individuals feeling unsupported in their teams. link] Isn’t it just ‘part of the job?’ Unfortunately, incivility may be familiar in your workplace. Incivility doesn’t just affect the person on the receiving end of it.

Critical Care 97

Critical Care E-9-1-1 Paramedicine Paramedicine 97

Don't Forget the Bubbles

JANUARY 10, 2024

The study asked TWO questions: 1. Transfusion guidelines in LMICs in sub-Saharan Africa differ significantly from the Western world. However, these recommendations are only based on expert opinion and have not been systematically evaluated. Some wonder if giving blood to children with a haemoglobin <6g/dl will improve outcomes.

E-9-1-1 78

E-9-1-1 ALS OR Critical Care 78

ECG & Echo Learning

OCTOBER 2, 2022

Most agents exhibit both vasopressor and inotropic effects (Figure 1). μg/kg/min Bolus : 1 mg IV every 3 to 5 min (max 0.2 mg/kg) IM: (1:1000): 0.1 mg (max 1 mg) Safe for peripheral use ++ + N/A Beta-effect more pronounced at low doses. μg/kg/min Bolus : 1 mg IV every 3 to 5 min (max 0.2 mg/kg) IM: (1:1000): 0.1

E-9-1-1 52

E-9-1-1 ALS Coronary Epinephrine 52

EMDocs

AUGUST 22, 2024

1 However, we recognize that many patients prefer to speak a language other than English regardless of their English proficiency, and this does not indicate a deficiency. 9 Less likely to be satisfied with their care and have a lower understanding of their discharge instructions. 11 Unlikely to receive language assistance.

Emergency Department 82

Emergency Department ALS E-9-1-1 ED 82

Paramedic Training Spot

DECEMBER 8, 2021

If you’ve been struggling to decide between serving as a Soldier in the United States Army or becoming a paramedic , venture no further; you’ve come to the right place. In this article, we will explore the intersection between the medical profession and military service. Let’s start with defining the subject of our discussion today—the paramedic.

Paramedic 52

Paramedic E-9-1-1 EMT EMT 52

ALiEM

MARCH 7, 2024

Ultrasound probes from left to right: linear (nenoates), phased array (infants/younger children), and curvilinear (older children/adolescents) Pro tips for performing renal/bladder POCUS on a child [1] Addressing potential anxiety leads to a more efficient and comfortable examination. Pre-warmed ultrasound gel is helpful when available.

E-9-1-1 177

E-9-1-1 Emergency Department ALS ED 177

Don't Forget the Bubbles

JULY 22, 2024

study from 200 9. The most recent meta-analysis , published in 2016 (comparing eleven studies from 1986 to 2009), struggled to reach a consensus because the trials were too heterogeneous to make robust conclusions. Compare this with the Panickar et al. The children were younger (10-72 months, mean 25 months) were younger.

E-9-1-1 105

E-9-1-1 ALS ACS ED 105

Dr. Smith's ECG Blog

AUGUST 3, 2017

There are two main etiologies of ischemic ST-depression: 1) subendocardial ischemia 2) reciprocal to ST-elevation in an opposite wall Here there are distinct R-waves with marked ST-depression throughout most of the precordium. Tips for recognizing Acute Posterior STEMI: 1. References: 1. This can help in confirmation.

STEMI 52

STEMI E-9-1-1 Coronary ALS 52

Pediatric EM Morsels

AUGUST 4, 2023

Oka, 2023) A systematic review linked SMA syndrome to the immediate post-operative period after surgery for scoliosis in pediatric patients, and found the mean days to onset of symptoms was 9. Reece, 2016) There is multiple cases of sudden death from undiagnosed SMA syndrome in the literature attributed to a variety of causes at autopsy.

E-9-1-1 246

E-9-1-1 ED OR EMS 246

Dr. Smith's ECG Blog

JULY 22, 2023

A prior ECG from 1 month ago was available: The presentation ECG was interpreted as STEMI and the patient was transferred emergently to the nearest PCI center. Patients that develop a Type 1 pattern without any precipitating or provoking factors have a risk of SCD of 0.5-0.8% He denied chest pain or shortness of breath.

E-9-1-1 70

E-9-1-1 CAD OR STEMI 70

Dr. Smith's ECG Blog

AUGUST 14, 2024

R waves 6 through 9 have no preceding P waves and are suspiciously regularly spaced. Impulses E, F, G, H, and I were blocked. Progress in Biophysics and Molecular Biology , 120 (1–3), 164–178. Science Translational Medicine , 9 (400). Simonetti, O. Mohler, P. Janssen, P. & Fedorov, V. link] Li, N., Hansen, B.

E-9-1-1 96

E-9-1-1 OR ALS 96

REBEL EM

NOVEMBER 30, 2023

Article: Vaeli Zadeh A, Wong A, Crawford AC, Collado E, Larned JM. Guideline-based and restricted fluid resuscitation strategy in sepsis patients with heart failure: A systematic review and meta-analysis [published online ahead of print, 2023 Aug 9]. Am J Emerg Med. 2023;73:34-39. Studies without a mortality breakdown for patients.

E-9-1-1 120

E-9-1-1 ALS ACS ICU 120

Pediatric EM Morsels

NOVEMBER 17, 2023

Bibl K, Pracher L, Küng E, Wagner M, Roesner I, Berger A, Hermon M, Werther T. 1994 Jul;125(1):57-62. 2019 Sep;74(9):1186-1190. 2016 Feb;30(1):3-11. On this 10 year anniversary, we chose to throw this one back in the oven to include some even more delicious data on cuffed endotracheal tube (ETT) use. vs uncuffed 3.0-4.7%)

E-9-1-1 183

E-9-1-1 Operating Room Emergency Department ALS 183

Don't Forget the Bubbles

JUNE 30, 2023

He has already climbed Ben Nevis in Scotland, visited the Gobi desert (possibly from the comfort of his parents 4 x 4, but who’s judging) and has his bronze D of E nailed. She calls out her findings: A – OK B – 1 puncture mark to the anterior left chest wall, covered with a three-sided dressing. RR 25-30. Actively oozing.

E-9-1-1 139

E-9-1-1 FFP Plasma Emergency Department 139

This Podcast Will Kill You

JANUARY 2, 2024

2002): 1-7. 2016): 62-76. Nature Reviews Endocrinology , 7 (9), pp.540-557. ” Orthopedic research and reviews (2016): 41-55. Endocrine reviews , 43 (1), pp.61-90. Molecular and Cellular Pediatrics , 7 (1), pp.1-9. Sochett, E. .” Annals of Anatomy-Anatomischer Anzeiger 184.1 1657-1671. .

E-9-1-1 52

E-9-1-1 ALS OR 52

Don't Forget the Bubbles

SEPTEMBER 18, 2023

However, symptoms may also be non-specific, including irritability, headache, poor feeding, vomiting, or diarrhoea. The diagnosis is clinical and can be made by directly visualising erythema or bulging of the tympanic membrane. Treatment is mainly symptomatic with analgesia. A throat culture is the gold standard for confirming a bacterial infection.

Emergency Department 142

Emergency Department E-9-1-1 ALS OR 142

Don't Forget the Bubbles

JULY 17, 2023

You will find the list is broken down into four sections: 1.Reviews 2023 Jun 1. 2023 Jun 1 Adverse Effects of α-2 Adrenergic Agonists and Stimulants in Preschool-age Attention-deficit/Hyperactivity Disorder: A Developmental-Behavioral Pediatrics Research Network Study. 2023 Jun 9. 2023 Jun 6:1-11. 2023 Jun 9.

E-9-1-1 98

E-9-1-1 ALS Emergency Department Emergency Medical Services 98

NAEMSP

APRIL 19, 2023

This CI does include 1; and further and further analysis of the data showed that the likelihood that calcium has a beneficial effect (e.g. The overall conclusion was that as less than 1% of cardiac arrest etiologies fall into a group that would potentially benefit from calcium, that routine use should be avoided (Padrao, et.

E-9-1-1 52

E-9-1-1 Advanced Life Support Overdose CPR 52

EMDocs

FEBRUARY 17, 2024

1 Dissolvable illicit substances such as heroin are commonly strained through cotton or cigarette filters. Duration of opioid use greater than 1 year and type of opioids used are contributing factors. 2016) compares vital sign abnormalities and symptom duration between available case reports. 137 129/47 2,000 5 Table 1.

EMS 84

EMS E-9-1-1 ALS OR 84

Don't Forget the Bubbles

FEBRUARY 28, 2024

Outcomes were: (1) crusting of the lesions; then (2) complete healing of lesions -the end goal of treatment. The conclusions of this study corroborate with three previous smaller studies (9-11) on immunocompromised children with HZ infection. Kuchar E, Szenborn L, Lis I, Jaroszewska A, Czeladzka J. 2016; 38(5):394-7.

E-9-1-1 59

E-9-1-1 ALS OR 59