Mon.Sep 25, 2023

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SAEM Clinical Images Series: Blue is Bad

ALiEM

66 year-old-male with a history of type 2 diabetes and hypertension presented as a transfer for rapid progression of lower extremity pain, swelling, and blue-purple discoloration of the entire limb with concern for a possible necrotizing infection. His symptoms began earlier in the day and progressed over just a few hours. He had no known thromboembolic risk factors.

OR 152
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Delayed sequence intubation: An RCT

First 10 EM

Introduced to the world by our friend Scott Weingart, delayed sequence intubation (DSI) is often summarized as procedural sedation for the procedure of preoxygenation. (Weingart 2011, Weingart 2015) It is a brilliant concept, makes a ton of sense on paper, and anecdotally has seemed to help a number of my patients. However, any long time […] The post Delayed sequence intubation: An RCT appeared first on First10EM.

EMS 138
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Lab case 420 Interpretation

EMergucate

Answers: PH = 7.24 that is moderate acidaemia. HCO3 = 16 mmol/L, so we have metabolic acidosis. Next, we need to calculate the anion gap and the compensation.

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Midwest Region Burn Conference 2023

American Burn Association

Categories Advocacy Burn News MAC Spotlight Media Member Services Organization News Prevention Quality Care Research Return to News & Activities Hennepin Healthcare would like to extend an invite to you for our upcoming Midwest Burn Conference to be held at U.S. Bank Stadium in Minneapolis. Hennepin Healthcare is hosting The ABA’s Midwest Burn Conference – an amazing conference is planned!

OR 52
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Beyond Ketamine: When to use Facilitated Intubation in the ED

EMDocs

Authors: Joshua Lowe, MD (EM Attending Physician, USAF); John Patrick, DO (EM Attending Physician, USAF); Michael Yoo, MD (EM Attending Physician, USAF); Rachel Bridwell, MD (EM Attending Physician, USA) // Reviewed by: Alex Koyfman, MD (@EMHighAK) and Brit Long (@long_brit) Case: A morbidly obese (BMI >60) 25-year-old male with a past medical history of sickle cell anemia and type 1 diabetes presents to the ED with chest pain and shortness of breath.

ED 65
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Headlice

Don't Forget the Bubbles

Seven-year-old Flora and her twin sister Iris are brought to see you by their exasperated maternal grandmother Mary. They have headlice for the third time this school year, and Mary is fed up with wet combing. The twins live with her permanently after their parents went to prison 18 months ago for drug-related offences, and Mary is frustrated and ashamed that they seem so often to pick up headlice.

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