Wed.Oct 02, 2024

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Lightning rounds 45: Noelia Bischoff on transitioning nursing roles

Critical Care Scenarios

We chat with Noelia Bischoff, recently off orientation in the medical ICU at Johns Hopkins as a nurse practitioner, about the transition from her role as a bedside ICU nurse. Check out the Intensive Care Academy here! Find us on Patreon here! Buy your merch here! We chat with Noelia Bischoff, recently off orientation in the medical ICU at Johns Hopkins as a nurse practitioner, about the transition from her role as a bedside ICU nurse.

ICU 124
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REBEL Core Cast 128.0 – Toxic Alcohols

REBEL EM

Take Home Points Toxic alcohols generally refer to methanol and ethylene glycol as these substances pose significant metabolic derangement and end-organ damage. Patient who present shortly after ingestion will simply look inebriated – no different than ethanol intoxication. At this point, patients will have an elevated osmolar gap and little to no anion gap.

EMS 108
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Episode 97 – Cascading Prescriptions

The Curious Clinicians

Why does gabapentin cause edema? The medication lists of many older adults require some scrolling to get from top to bottom. In fact, the lists are often so lengthy and complicated that it’s difficult to discern what conditions a patient doesn’t have. One reason for this unwieldiness is a phenomenon known as the “ prescribing cascade ,” in which the side effects of one medication require treatment with another, and so on.

ACS 105
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ECG Pointers: A Dynamic Approach to Tachydysrhythmias

EMDocs

Authors: Lloyd Tannenbaum, MD (EM Attending Physician, Geisinger Wyoming Valley, PA); Mai Saber, DO (EM Attending Physician, Hackensack University Medical Center, NJ); Rachel Bridwell, MD (EM Attending Physician, Charlotte, NC) // Reviewer: Brit Long, MD (@long_brit) Hello and welcome back to ECG Pointers, a series designed to make you more confident in your ECG interpretations.

EMS 88
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Enhancing federal public safety operations with FirstNet

FirstNet Authority

Enhancing federal public safety operations with FirstNet Blog joseph.rey@fir… Wed, 10/02/2024 - 08:39 By Charlotte Whitacre, Director of Government Engagement, First Responder Network Authority Learn more about how FirstNet is transforming public safety communications — contact your local FirstNet Authority Public Safety Advisor and sign up for our discipline newsletters.

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Bubble Wrap PLUS – October 2024

Don't Forget the Bubbles

Can’t get enough of Bubble Wrap? The Bubble Wrap Plus is a monthly Paediatric Journal Club reading list from Professor Jaan Toelen (University Hospitals Leuven) and Dr Anke Raaijmakers (Sydney Children’s Hospital). This comprehensive list is developed from 34 journals, including major and subspecialty paediatric journals. We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research.

ALS 52
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Upcoming Medicare Coding Changes

American Burn Association

Categories Advocacy Burn News MAC Spotlight Media Member Services Organization News Prevention Quality Care Research Return to News & Activities New Medicare coding and payment policy changes will be implemented effective October 1, 2024, which may have big implications on how hospitals are paid by Medicare when treating patients with inadequate housing or housing instability.

OR 52

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Hyperosmolar Therapy For Raised ICP – Salty or Sweet?

Don't Forget the Bubbles

A previously well 6-year-old boy is brought into the emergency department at a major trauma centre via HEMS following a road traffic accident, in which he was hit by a car while crossing the road. A full primary survey is carried out. Imaging is performed, including a CT Head. He is diagnosed with a traumatic brain injury and a fracture to his right tibia and fibula.

OR 49
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Special Edition: Ruptured Confidence

EMS 20/20

In this weeks MASTER YOUR MEDICS SPECIAL EDITION, Spencer throws Chris a call that requires both clinical prowess and bedside expertise as Spencer hopes to even the odds. VOTE ON OUR INSTA! In this weeks MASTER YOUR MEDICS SPECIAL EDITION, Spencer throws Chris a call that requires both clinical prowess and bedside expertise as Spencer hopes to even the odds.

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Transfusion Reactions

Core EM

Author: Natalie Bertrand, MD Editor: Naillid Felipe, MD Background: Definition: adverse reaction to blood product administration Incidence: more common in children than adults, except for delayed hemolytic transfusion reactions Allergic (non-anaphylaxis) – Platelets 1-3%; RBCs 0.1-0.3% Febrile Non-hemolytic (FNHTR) – 1% Transfusion-associated circulatory overload (TACO) – 1% Transfusion-related acute lung injury (TRALI) – <0.01% Anaphylaxis/ABO incompatibility –