Critical Care Scenarios

JULY 12, 2023

5 things you pretty much must be doing if you want to be excellent at critical care. See also on the blog: The ten laws of critical care Practicing medicine like an adult 5 things you pretty much must be doing if you want to be excellent at critical care.

Critical Care 100

Critical Care 100

Don't Forget the Bubbles

JULY 12, 2023

4-year-old Mark presents with lethargy, jaundice, and abdominal pain after eating one portion (40g) of broad beans. Could he have G6PD deficiency? G6PD , short for glucose-6-phosphate dehydrogenase, is an enzyme active in all cell types and is key to protecting red blood cells from oxidative damage and early destruction. A child with reduced G6PD enzyme activity has increased red blood cell breakdown – haemolysis – when exposed to specific triggers.

OR 98

OR 98

First 10 EM

JULY 12, 2023

I have spent a lot of time reading and talking about the TXA literature. The more literature I see, the less valuable TXA seems. However, trauma remains the one area of practice with a clearly positive trial, with the CRASH2 trial that started it all. Despite its size, the CRASH2 trial was imperfect, and replication […] The post PATCH-trauma: Another negative (but complicated) TXA trial appeared first on First10EM.

EMS 91

EMS 91

Medgadget

JULY 12, 2023

Moximed , a medtech company based in California, has developed the MISHA knee system, an implantable shock absorber for use in patients with knee osteoarthritis. The system is designed as an alternative to total knee replacement, and can help to reduce pain and discomfort for patients when performing daily activities, such as walking. The system is implanted on the outside of the knee, beneath the skin, and there is no need to remove bone, muscle, or ligament, resulting in a much faster patient

OR 73

OR 73

Dr. Smith's ECG Blog

JULY 12, 2023

I come in early for every shift to read the ECGs on the system that have not yet been "confirmed". I came across this one: The computer calls is: "SINUS RHYTHM. NORMAL ECG" What do you think? Be VERY careful when the computer calls the ECG "Normal". I saw the inferior ST depression (which is reciprocal to subtle STE in aVL) and the subtle ST depression in precordial leads and thought: "If this patient came in with chest pain, then it is an acute OMI.

ED 71

ED Coronary Ambulance OR 71

University of Maryland Department of Emergency Med

JULY 12, 2023

Citrate is an anticoagulant added to blood products to maintain stability for storage. With the administration of large volumes of blood pr.

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University of Maryland Department of Emergency Med

JULY 12, 2023

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