Tue.Nov 07, 2023

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Journal Club 5 Appendicitis Delay to Appendectomy – Safe?

Emergency Medicine Cases

You diagnose uncomplicated appendicitis in the ED. The on call General Surgery team wants to wait until the next morning to perform an appendectomy. Is your patient at risk for appendiceal perforation with a delay to surgery? Dr. Rohit Mohindra and Dr. Shelley McLeod analyze the latest RCT that attempts to answer this question, the PERFECT study, on this EM Cases Journal Club.

EMS 258
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2023 AAA Board of Directors Election Results

American Ambulance Association

The winners of the 2023 AAA Board of Directors election are listed below. Each Director will serve a 3-year term beginning January 1, 2024. Please join us in thanking all […] The post 2023 AAA Board of Directors Election Results appeared first on American Ambulance Association.

Ambulance 130
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Ep 188 Hemoptysis – ED Approach and Management

Emergency Medicine Cases

Key principles and approach to management of both non-massive and massive hemoptysis with Dr. Scott Weingart and Dr. Bourke Tillmann, who answer questions such as: What are the factors to consider in the decision to intubate patients with massive hemoptysis? How can one reliably distinguish hemoptysis from pseudohemoptysis? What is the evidence for tranexamic acid in patients with hemoptysis?

ED 230
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The Difficulty of an EMT class

Chicago EMT Training

The class usually starts out optimistic and hopeful with how the rest of the semester will play out. Not unlike when I applied to Malcolm X College years ago, we try to forewarn the amount of time it takes to truly understand the material in this class. It's not inherently difficult but rather the volume of content that is overwhelming. We all have something going in outside of the EMT class.

EMT 130
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Global EM 5 Is it Ethical? 5 Core Principles When Choosing a Global Health Project

Emergency Medicine Cases

Dr. Navpreet Sahsi outlines 5 core ethical principles in choosing and participating a global health project on EM Cases' Global EM blog. The post Global EM 5 Is it Ethical? 5 Core Principles When Choosing a Global Health Project appeared first on Emergency Medicine Cases.

EMS 134
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Imaging Case of the Week 571

EMergucate

The following knee x-ray is from an adult with knee swelling post twisting injury. What can be seen?

EMS 130
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November 2023 News from the College

ACEP Now

ACEP Calls Out Insurer Abuses During Surprise Billing Congressional Hearing ACEP member Seth Bleier, MD, FACEP, testified in front of the influential House Ways and Means Committee during a public hearing in October to call out insurers and advocate for fixes to the severely flawed implementation of the No Surprises Act. Dr. Bleier raised concerns that the Independent Dispute Resolution process has been virtually inaccessible for smaller practices and called out cases where physician groups were

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emDOCs Podcast – Episode 89: Antibiotics for Uncomplicated Diverticulitis

EMDocs

Today on the emDOCs cast with Brit Long, MD ( @long_brit) , we discuss the controversy of antibiotics for patients with uncomplicated diverticulitis. For more on the ED evaluation of diverticulitis, please see Part 1. Episode 89: Antibiotics for Uncomplicated Diverticulitis Background: Previously antibiotics were utilized for all patients with diverticulitis.

ACPE 88
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Episode 80 – A Scleroderma Crisis

The Curious Clinicians

Why do we use ACE inhibitors to treat scleroderma renal crisis? In a day of seeing adult patients in any type of clinic, it’d be hard to not hear the words “ACE inhibitor” at least once. Since the introduction of captopril in the mid-1970s and subsequent family members like lisinopril, ACE inhibitors have been game changers in controlling blood pressure, preventing cardiac remodeling, and protecting renal function.

ACS 52
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Episode 128 Skin Cancer: We love and fear the sun

This Podcast Will Kill You

For every article about the risks of sun exposure or a guide to sunscreens, you don’t have to look far to find one about the health benefits of sunshine or a how-to for achieving the best tan. Messaging around sun exposure is mixed, to say the least, and it’s no wonder that despite having more sun protection tools than ever before, rates of skin cancer have never been higher.

E-9-1-1 52
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ACEP Council Tackles Key Issues During Philadelphia Meeting

ACEP Now

More than 60 resolutions were considered during the ACEP23 Council Meeting in Philadelphia in October, with many of them drawing considerable debate before 44 were ultimately adopted. The ACEP Council, the College’s representative governing body, meets annually to discuss and consider resolutions on issues impacting emergency physicians. The Council consists of members representing ACEP’s 53 chapters, 39 sections of membership, the Association of Academic Chairs of Emergency Medicine, the Counci

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CJEM Visual Abstract – Machine learning for the diagnosis of acute coronary syndrome using a 12-lead ECG: a systematic review

CanadiEM

For the October 2023 issue of CJEM, we collaborated with their team to present “Machine learning for the diagnosis of acute coronary syndrome using a 12-lead ECG: a systematic review”​1​​ in a visually simplified format. Many of us see the interpretation that is included on the top or side of each ECG, with common practice being to approach these diagnoses with caution.

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Tips for Real-Time Information Sharing with Patients

ACEP Now

Background As Electronic Health Information (EHI) has increased in prominence, the U.S. federal government has set the standard for increasing transparency and transmission of such data. The 2015 Edition Cures Act sought to promote “transparency, modern standards, and enhanced health IT capabilities by fostering innovation in the health care technology ecosystem to deliver better information to patients, clinicians, and other users.” 1 In 2016, the 21st Century Cures Act (Cures Act) took additio

ED 52
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What Is the Best Defibrillation Strategy for Refractory Ventricular Fibrillation?

ACEP Now

A 67-year-old man presents to the emergency department (ED) in cardiac arrest. He was found by bystanders after he collapsed and 911 was called. EMS physicians report he was found in ventricular fibrillation. Multiple attempts at defibrillation, epinephrine, and amiodarone have been unsuccessful. On ED presentation, he is unresponsive and the monitor shows ventricular fibrillation.