Fri.Nov 17, 2023

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SAEM Clinical Images Series: Pediatric Genitourinary Bleeding

ALiEM

A 4-year-old female with no significant past medical history is brought to the Emergency Department by her grandmother for concern for two days of progressive vaginal bleeding. The grandmother first noted blood in the patient’s underwear the previous morning when she was helping the patient wipe and she noticed it again prior to arrival, this time saturating the patient’s underwear.

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Cuffed Endotracheal Tubes for Children: ReBaked Morsel

Pediatric EM Morsels

While doing literature review for my scholarly project it dawned on me that it might be time to dust off a classic morsel from the bottom of the cookie jar. On this 10 year anniversary, we chose to throw this one back in the oven to include some even more delicious data on cuffed endotracheal tube (ETT) use. No matter whether you have the wisdom of many years of practice ( old doc like Dr.

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CMS Ambulance Open Door Forum 11/30

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post CMS Ambulance Open Door Forum 11/30 appeared first on American Ambulance Association.

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Massive Haemorrhage: Science and Practice

Broome Docs

This is another lecture by the always amazing Dr Justin Morgenstern from the series of talks he delivered on his tour of Perth in September 2023. In this talk I challenged Justin to go on a very deep dive into the literature around the modern management of the massively bleeding trauma patient. What is the best way to resuscitate and replace all those blood products in these severely unwell people?

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Acute Dyspnea and Right Bundle Branch Block

Dr. Smith's ECG Blog

I was texted this ECG just as I was getting into bed. It is of an elderly woman who complained of shortness of breath and had a recent stent placed. I was told that the Queen of Hearts had called it OMI with high confidence. What do you think? Ken (below) is appropriately worried about pulmonary embolism from the ECG. What I had not told him before he made that judgement is that the patient also had ultrasound B-lines of pulmonary edema.

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Use of reverse shock index times GCS to predict Peds trauma needs

University of Maryland Department of Emergency Med

This small study suggests using reverse shock index times the Glasgow Comma Scake score may give a prognostication on pediatric trauma seve.

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EMCrit 362 – Jonathan Edlow, Lead Author of GRACE-3, on Dizziness

EMCrit Project

Dizziness and Vertigo with the lead author of GRACE-3 EMCrit Project by Scott Weingart, MD FCCM.

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Episode 25: Dr. Frank Guyette

The EMS Show

Mike and Ritu welcome Dr. Frank Guyette to the show! Dr. Guyette is a Professor of Emergency Medicine, University of Pittsburgh Medical Director - STAT MedEVAC as well as the Principal Investigator for the ongoing PACT Trial. We took some time to get to know Dr. Guyette and talk some EMS Research!