Pediatric EM Morsels

JUNE 14, 2024

Ooooo the infamous chief complaint of “ weakness ” ……. We just love those don’t we? Although neurological complaints may not be a crowd’s favorite, it is one we must become comfortable with. Timely recognition and treatment can be life-improving and life-saving! So, with that goal in mind, let us digest another delicious morsel on weakness – Acute Transverse Myelitis in Children : Acute Transverse Myelitis in Children: Basics Rare, non-compressive, inflammatory condition of the spinal cord

Plasma 141

Plasma ALS OR EMS 141

St. Emlyn's

JUNE 14, 2024

St.Emlyn's - Emergency Medicine #FOAMed This secondary analysis of the DOSE VF trial highlights double sequential external defibrillation (DSED) as a superior strategy over standard and vector change defibrillation for refractory ventricular fibrillation (RVF) in out-of-hospital cardiac arrest, improving survival rates and neurological outcomes significantly.

Defibrillator 104

Defibrillator 104

Dr. Smith's ECG Blog

JUNE 14, 2024

Written by Willy Frick A 57 year old man with was admitted to the hospital with chest pain. He underwent coronary angiography which showed severe multivessel disease, and he agreed to proceed with workup for CABG. Overnight, his cardiac telemetry showed the following: Telemetry Sample 1 What do you think? The rhythm terminated before it could be captured on 12-lead.

Defibrillator 76

Defibrillator ALS Coronary OR 76

St. Emlyn's

JUNE 14, 2024

St.Emlyn's - Emergency Medicine #FOAMed This secondary analysis of the DOSE VF trial highlights double sequential external defibrillation (DSED) as a superior strategy over standard and vector change defibrillation for refractory ventricular fibrillation (RVF) The post Does the outcome from refractory VF differ from recurrent VF in DOSE-VF patients?

Defibrillator 52

Defibrillator 52

ACEP Now

JUNE 14, 2024

Nick Vasquez, MD, FACEP, gets to see the impact of social determinants of health every day in the emergency department. Like most in our specialty, he wants to help solve problems. He’s spent 12 years in this place “of inquiry and service,” as he calls it, trying to understand some of the root causes of health inequities. Dr. Vasquez honed in on one piece of the puzzle that he’s now passionate about trying to change: childhood literacy.

Emergency Department 52

Emergency Department OR 52

ACEP Now

JUNE 14, 2024

Question I’m now eligible for my 401(k), and I need to pick which mutual funds to invest my contributions into. I’m not sure exactly how to do this, but I can see which ones had the best returns over the last one, three, and five years, so I just thought I’d put all my money into the top two or three of them so I’m diversified. Is that the right approach?

OR 52

OR 52

ACEP Now

JUNE 14, 2024

Transferring patients from one ED to another hospital is an established part of emergency medicine practice. Patients who need inpatient services do not match the index hospitals’ capabilities, or the patient requests such a transfer, or the hospital has no available inpatient space. The rate of transfers was stable for many years, typically around 2 percent.

Emergency Department 52

Emergency Department ED Ambulance OR 52

ACEP Now

JUNE 14, 2024

Chronic obstructive pulmonary disease (COPD) is a chronic disease of the lungs caused by inflammatory and structural changes of the small airways and parenchyma of the lungs that result in chronic airflow obstruction and gas trapping. In 2019, the global prevalence of COPD was estimated to be 10.3 percent, and COPD is responsible for about three million deaths per year globally. 2,17 COPD is diagnosed by spirometry with a forced expiratory volume in one second to forced vital capacity (FEV1/FVC)

ALS 52

ALS Coronary OR Emergency Department 52

ACEP Now

JUNE 14, 2024

Ischemic priapism is not uncommonly encountered in the emergency department (ED) and essentially results in a compartment syndrome of the penis. Thus, time is erectile tissue. The prolonged erection in ischemic priapism leads to tissue edema and ultimately necrosis of the corpus cavernosa, with irreversible damage occurring after 24 hours. The best chance to reduce long-term sequelae is through rapid detumescence.

ALS 52

ALS ED OR Emergency Department 52