Wed.Jul 26, 2023

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TIRBO #40: Ventilating the breathing patient

Critical Care Scenarios

The dilemma of lung-protective ventilation in patients with strong spontaneous breathing. The dilemma of lung-protective ventilation in patients with strong spontaneous breathing.

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REBEL Core Cast 105.0 – Methylxanthine Toxicity

REBEL EM

Take Home Points Methylxanthines are a drug class that includes caffeine, theophylline, and theobromine. The three main mechanisms that account for the clinical presentation of methylxanthine toxicity are: catecholamine release, adenosine antagonism, and phosphodiesterase inhibition. Beta agonism will lead to hyperlactatemia, hypokalemia, hyperglycemia, and tachycardia.

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Bohler Angle

University of Maryland Department of Emergency Med

"The normal value for the Böhler angle is between 25° and 40° 1. Although there is wide variation between individua.

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A Patient with Vertigo

Dr. Smith's ECG Blog

This patient presented with vertigo and had an ECG recorded What do you think? I saw this and was worried about inferior OMI due to some subtle STE in III with very worrisome reciprocal findings in aVL. But the well-formed Q-wave and the presence of a normal T-wave in inferior leads led me to believe this was Old Inferior MI with persistent ST Elevation, otherwise known as inferior LV aneurysm.

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First Time Seizure in the ED

Emergency Medicine Education

This is an observational study among patients presenting to 3 EDs with Seizure and they found approximately 12 % of patients had some neuroimaging findings!

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Cardiac Rhythms/ECG Module

Don't Forget the Bubbles

Topic Cardiology & the ECG Author Anna McCorquodale Duration 1-2 hours Facilitator Level ST4+ level used to seeing children acutely Learner level Anyone involved in initial assessment of children with cardiac symptoms; paediatric trainees, emergency trainees, foundation doctors Outline Pre-reading Basics Case 1 Case 1: Discussion Case 2 Case 2: Discussion Advanced Case 1 Advanced Case 1: Discussion Advanced Case 2 Advanced Case 2: Discussion Quiz Take Home Points Basics (15 mins) with sharin

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ToxCard: Smallpox

EMDocs

Authors: Whitney Ficker, MD (Pediatric Emergency Medicine Fellow, Atrium Health’s Carolinas Medical Center); Christine Murphy, MD (Emergency Medicine Attending, Medical Toxicologist, Atrium Health’s Carolinas Medical Center) // Reviewed by: James Dazhe Cao, MD (@JamesCaoMD, Associate Professor of EM, Medical Toxicology, UT Southwestern Medical Center, Dallas, TX); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case: A 13-month-old male presents to the Emergency Department (ED) with his

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