Sun.Sep 29, 2024

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Non-invasive or arterial pressure monitoring in PHEM?

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed This blog post reviews a study comparing non-invasive blood pressure (NIBP) and invasive blood pressure (IBP) monitoring in pre-hospital critical care. Using a retrospective cohort design, the study found that NIBP measurements are often inaccurate in patients with haemodynamic instability, particularly in hypotensive and hypertensive states.

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The Art of Precepting with Keith Velaski

Medic Mindset

Some people love doing crosswords or Sudoku. I love finding my learner’s cheat code. I love figuring out what really works for this person versus the previous people that I had. It’s an opportunity for me to exercise my creativity. Keith Velaski Prodigy provides CAPCE approved CE for listening to selected Medic Mindset episodes. Thank you, iSimulate Eastern Kentucky University offers a Bachelors in Emergency Medical Care that is 100% online, offers free textbooks to all students, 

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EMCrit Wee – Did this Really Just HAPPEN? – The HAPPEN Trial Hot Take – NIPPV for COPD

EMCrit Project

The HAPPEN Trial on NIPPV for AECOPD EMCrit Project by Scott Weingart, MD FCCM.

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50 yo with V fib has ROSC, then these 2 successive ECGs: what is the infarct artery?

Dr. Smith's ECG Blog

A 50 yo was resuscitated from ventricular fibrillation. He had a prehospital ECG recorded after ROSC: What do you think? This certainly looks like an anterior STEMI (proximal LAD occlusion), with STE and hyperacute T-waves (HATW) in V2-V6 and I and aVL. Although one may have all kinds of ischemic findings as a result of cardiac arrest (rather than cause of cardiac arrest), this degree of ST elevation and HATW is all but diagnostic of acute proximal LAD occlusion.

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The Perception of Risk

Don't Forget the Bubbles

Importance of Safety-netting Safety netting is crucial to ensure patients and parents have a clear plan to return when discharged if any concerning symptoms arise. A patient’s condition can change rapidly, and while they may be fit for discharge now, their health could deteriorate before it improves. Children are resilient and are generally fit and healthy.

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After 25 Years of Research here comes Eden-XP

Stem EMS

In medical transport, the stability and safety of the patient during transit are crucial. Since 2000, with the launch of the Eden project, Stem has developed one of the most […] L'articolo After 25 Years of Research here comes Eden-XP proviene da Stem Ems.

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Thiamine, Lactate Clearance and Mortality in Septic shock

Emergency Medicine Education

A retrospective study published in the Critical Care journal investigated the impact of intravenous thiamine administration on clinical outcomes in septic patients. The study evaluated key parameters, including lactate clearance and overall mortality.

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Hypertension Guideline

Emergency Medicine Education

The history of publishing hypertension guidelines traces back to the Joint National Committee (JNC) on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. The most recent guideline published under the JNC banner was the JNC 7 , which was released by the National Heart, Lung, and Blood Institute (NHLBI). The latest JNC 8 was published by JAMA in 2014.

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