ALiEM

OCTOBER 11, 2023

What is the most common primary cause of death from ingesting the pictured marine animal? Acute liver failure Acute renal failure Coagulopathy and DIC Respiratory failure Status epilepticus [Image from Canstockphoto] Reveal the Answer 4. Respiratory Failure The pufferfish, considered a delicacy in multiple countries, contains tetrodotoxin which causes sodium channel blockade and can lead to muscle paralysis, respiratory failure, and death.

E-9-1-1 204

E-9-1-1 ALS OR 204

Critical Care Scenarios

OCTOBER 11, 2023

We explore aortic dissection with Travis Hughes, vascular surgery fellow from the University of Kentucky, including classification, medical management, and nuances of the surgical perspective. Find us on Patreon here! Buy your merch here! Takeaway lessons We explore aortic dissection with Travis Hughes, vascular surgery fellow from the University of Kentucky, including classification, medical management, and nuances of the surgical perspective.

Naloxone 100

Naloxone Coronary OR 100

Medgadget

OCTOBER 11, 2023

Scientists at the University of Galway in Ireland and MIT have collaborated to create a soft robotic implant that can work to fight fibrotic encapsulation and deliver drugs despite the presence of fibrous scar tissue. The device, which the researchers have termed the FibroSensing Dynamic Soft Reservoir (FSDSR), is designed to reside in the body for extended periods and deliver drugs.

98

98

REBEL EM

OCTOBER 11, 2023

Take Home Points: Patients with recent onset atrial fibrillation can safely be cardioverted if they are 1) on anticoagulation 2) Low risk based on CHADS-VASC with onset < 48 hours or 3) High risk based on CHADS-VASC with onset < 12 hours. In anaphylaxis, think, “If A, B or C, give E.” If the patient has compromise to airway, breathing or circulation, they should get immediate epinephrine.

Epinephrine 81

Epinephrine EMS OR 81

Medgadget

OCTOBER 11, 2023

Researchers at the University of Washington have developed a technique to make saliva collection for diagnostic purposes a little less disgusting and a little more fun and pleasant. Saliva collection often acts as a less invasive alternative than throat swabs in the detection of a variety of pathogens, such as that causing streptococcal soar throat (strep throat).

95

95

University of Maryland Department of Emergency Med

OCTOBER 11, 2023

Background: It is estimated that nearly 6% of U.S. adults and children report having a food allergy.1,2 Epinephrine autoinjector.

Epinephrine 63

Epinephrine 63

EMS 20/20

OCTOBER 11, 2023

It might sounds crazy, but it ain't no lie. Spencer and Chris try to navigate what to do when a big mistake is made on a severe trauma patient. and it's not a mistake that is hard to make, either. It might sounds crazy, but it ain't no lie. Spencer and Chris try to navigate what to do when a big mistake is made on a severe trauma patient. and it's not a mistake that is hard to make, either.

40

40

Don't Forget the Bubbles

OCTOBER 11, 2023

A curious young girl was playing with rare earth magnets and wondered what they would taste like. She has had no abdominal pain or vomiting, and her observations were normal. Imaging confirmed two spherical magnets stuck together in the stomach. When you review her later in the week, they appear to have moved. Abdominal X-ray AP 12 hours post-ingestion Lateral view 12 hours post-ingestion Abdominal X-ray 24 hours later showed no progression of magnets.

OR 115

OR 115