ALiEM

NOVEMBER 1, 2023

What clinical presentation and medication is associated with this urinary discoloration? Critical illness requiring intubation and propofol sedation Cyanide toxicity requiring sodium thiosulfate Iron toxicity treated with deferoxamine Refractory vasoplegic shock treated with methylene blue Septic shock treated with vancomycin and cefepime Reveal the Answer 3.

E-9-1-1 161

E-9-1-1 ALS OR ED 161

Core EM

NOVEMBER 1, 2023

We discuss Electrical Storm (VT storm) and how to care for the very irritable heart. Hosts: Brian Gilberti, MD Reed Colling, MD [link] Download Leave a Comment Tags: Cardiology Show Notes Background/Overview of VT: Definition: What makes it a storm Three or more sustained episodes of VF, VT, or appropriate ICD shocks in a 24-hour period Pathophysiology: Understanding the origin and mechanism Sympathetic drive/adrenergic surge Underlying pathology: Sodium channelopathies, infiltrative disease li

OR 130

OR 130

Medgadget

NOVEMBER 1, 2023

Researchers at the Wyss Institute at Harvard University have developed a microfluidic chip that can recreate some of the features of radiation-induced lung injury. The lungs are very sensitive to radiation, and this can limit the application of radiotherapy to treat cancer. Accurately modeling radiation-induced lung injury could assist in developing new methods to prevent and treat the phenomenon, but it has been difficult to study this before the advent of advanced organ-on-a-chip models.

106

106

Critical Care Scenarios

NOVEMBER 1, 2023

A review of the physiological and practical reasons to position patients with ARDS in the prone position. A review of the physiological and practical reasons to position patients with ARDS in the prone position.

100

100

EMDocs

NOVEMBER 1, 2023

Authors: Katey DG Osborne, MD (EM Attending Physician; Tacoma, WA), Rachel Bridwell, MD (EM Attending Physician; Tacoma, WA) // Reviewed by: Alex Koyfman, MD (@EMHighAK, EM Attending Physician, UTSW / Parkland Memorial Hospital) and Brit Long, MD (@long_brit, EM Attending Physician, San Antonio, TX) Welcome to emDOCs revamp! This series provides evidence-based updates to previous posts so you can stay current with what you need to know.

Critical Care 93

Critical Care ED EMS OR 93

Medgadget

NOVEMBER 1, 2023

Researchers at Rice University have developed a magnetoelectric material that converts a magnetic field into an electric field. The material can be formulated such that it can be injected into the body, near a neuron, and then an alternating magnetic field can be applied to the area from outside the body. Magnetic fields are very useful in this context, as they can easily penetrate tissue without causing any damage.

OR 91

OR 91

REBEL EM

NOVEMBER 1, 2023

What is Flow? Simply put, flow is the peak of human performance, maximum focus with maximum responsiveness, an optimal state of consciousness. This state of mind is accessible to anyone under the right circumstances and has huge implications to how we live, work and train. REBEL Cast Book Club Episode 4 — The Rise of Superman: Decoding the Science of Ultimate Human Performance Click here for Direct Download of the Podcast In “The Rise of Superman,” Steven Kotler details the flow state throug

ED 73

ED EMS OR 73

Don't Forget the Bubbles

NOVEMBER 1, 2023

With millions upon millions of journal articles published yearly, it is impossible to keep up. This month, Bubble Wrap has teamed up with Sheffield Children’s Hospital Emergency Department to have a look at what’s new in paediatric literature. Sheffield Children’s Hospital is a stand-alone tertiary children’s hospital in the heart of Sheffield with a paediatric MTC.

Emergency Department 140

Emergency Department ALS OR Ambulance 140

Dr. Smith's ECG Blog

NOVEMBER 1, 2023

This ECG was texted to me by a colleague. I assumed it was from a patient with symptoms compatible with ACS/OMI. What do you think? There is sinus rhythm with RBBB and ST Elevation in V2 which is concordant with the QRS. The ST segment in RBBB should be ST depression , discordant to the positive R'-wave (i.e., opposite direction of the upright R'-wave).

ACS 122

ACS ALS STEMI OR 122