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It goes without saying that 2020 presented many challenges for the worldwide EM community. As we enter 2021 I thought it important to reflect on what we did well in 2020, what made us proud to be EM docs, so that we keep this perspective and keep on growing as a community going forward. And this is what they said….
Let’s apply the ESC 2020 0/1 hour pathway [2], with some modifications based on the 2022 ACC guidelines [1]: Figure 1. The first hs-cTn results in the intermediate range on your assay-specific cutoff for the ESC 2020 pathway or high-STEACS pathway. An example is if the patient has a very low value (e.g., J Am Coll Cardiol.
Following is an ECG of a 73 years of male patient with a history of IHD with 3 stents presenting with intermittent mild central chest pain. You are shown this ECG. Describe the abnormalities and yo…
The following ECG is from a 52 year old male with a history of bipolar mood disorder and cardiomyopathy. He presents to ED complaining of increasing shortness of breath and leg swelling. The patie…
The below ECG is from a 69 year old male who presented to ED with general malaise and fatigue. The patient is has a background of metastatic colon cancer and depression.
A 50 year old female presents to ED complaining of chest pain. The patient is well known to the department, with frequent presentations with chest pain. Recent MPS shows mild reversible inferior ch…
A 50 year old female presents to ED complaining of chest pain. The patient is well known to the department, with frequent presentations with chest pain. Recent MPS shows mild reversible inferior ch…
You have been handed over a 58 year old male patient who presented yesterday with a seizure on a background history of alcohol dependence. He also has a history of depression and GORD. He has never…
The following ECG is obtained from a 70 year old female who has presented with thoracic back pain and fever. She has also noted reduced exercise tolerance over the preceding three days.
A 59 year old woman presents to her local nursing post with sudden onset palpitations and presyncope. She is a hour from your hospital, her vital signs are as follows;
You have been handed over a 58 year old male patient who presented yesterday with a seizure on a background history of alcohol dependence. He also has a history of depression and GORD. He has never…
The following ECG is obtained from a 70-year-old female who has presented with thoracic back pain and fever. She has also noted reduced exercise tolerance over the preceding three days.
UpToDate; Jul 17, 2020. Prevalence and clinical implications of hypocalcemia in acutely ill patients in a medical intensive care setting. Am J Med 1988; 84:209. Goltzman, D. Diagnostic approach to hypocalcemia. Accessed April 29, 2022. link] Kelly A, Levine MA. Hypocalcemia in the critically ill patient. J Intensive Care Med 2013; 28:166.
falciparum accounts for >70% of cases of imported malaria , primarily seen in those returning from travel in Sub-Saharan Africa (Mischlinger 2020) Other species include P. 2020 Mar 11;33(2):e00104-19. vivax , P. malariae , and the less common P. knowlesi and P. simium (Forgie 2022) P. vivax and P. vivax , P. knowlesi and P.
2020 Sep;38(9):1943. Epub 2020 Jan 29. Epub 2022 Aug 6. PMID: 35988367. Nebulized tranexamic acid for post-tonsillectomy hemorrhage in children: a promising game changer. Am J Emerg Med. doi: 10.1016/j.ajem.2020.01.042. 2020.01.042. PMID: 32024591. Rohe E, Gresham M, Rohde R, Cass L, Brinkmeier JV, Childers A.
Published Dec 9, 2020 Author information Mohamed Elhadi Abdelhameed, MD Emergency Medicine Physician Emergency Department Ibrahim Malik Teaching Hospital | The post Trick of Trade: Dual Foley catheter to control massive epistaxis appeared first on ALiEM. For our case, this dual catheter compression technique succeeded in halting the bleed.
2020, March 18). References Cline, D., Meckler, G. Stapczynski, J. Thomas, S. Tintinalli, J. E., & Yealy, D. In Tintinalli’s emergency medicine: A comprehensive study guide. essay, McGraw-Hill Education. Traumatic Hyphema.
This is true of hard ticks , which carry the majority of bacteria and viruses which can infect humans (Rochlin 2020) This is not true when the infectious agent is carried by a soft tick. Rochlin 2020) Shares many of the same symptoms as African tick-bite fever. In the US, outbreaks have been linked to rental cabins near national parks.
Date: December 16th, 2020 Reference: Butler et al. The Lancet 2020 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called First10EM.com. Date: December 16th, 2020 Reference: Butler et al.
Four studies with methodologic limitations were included in an SRMA of the ADD-RS and published in AEM 2020. [27] Some CDTs have been devised and tested for diagnosing AAS. 25,26] The Aortic Dissection Detection Risk Score (ADD-RS) is one CDT that has been derived and tested.
June 2024 Population: Children aged 7-17 years and their caregivers who presented to ten Canadian pediatric EDs between 2018 and 2020 Excluded: Children who remained medically unstable during their ED stay, had altered levels of consciousness, were suspected of being abused, or had a caregiver who was not their legal guardian.
Date: November 19th, 2020 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. AEM November 2020. Date: November 19th, 2020 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. AEM November 2020. AEM November 2020. Reference: Pines et al. Reference: Pines et al.
Date: December 10th, 2020 Reference: Ladde et al. AEM December 2020 Guest Skeptic: Dr. Kirsty Challen (@KirstyChallen) is a Consultant in Emergency Medicine and Emergency Medicine Research Lead at Lancashire Teaching Hospitals Trust (North West England). Date: December 10th, 2020 Reference: Ladde et al. Reference: Ladde et al.
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