Mon.Aug 14, 2023

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Support EMS Professionals Impacted by the Maui Fires

American Ambulance Association

Our hearts are broken for Maui residents and businesses impacted by this month’s unprecedented wildfires. Sadly, many EMS colleagues in the area have suffered total losses of their homes due to the […] The post Support EMS Professionals Impacted by the Maui Fires appeared first on American Ambulance Association.

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SAEM Clinical Images Series: The Color Purple

ALiEM

A 64-year-old female with a history of quadriplegia and bladder rupture secondary to a motor vehicle accident two years ago, complicated by chronic indwelling suprapubic foley, presents from her skilled nursing facility with fever, oliguria, tachycardia, low blood pressure, and a change in the color of her urine. Physical Exam Vitals : T 100.4°F; HR 126; BP 105/74; RR 24 General : Pleasant but mildly confused morbidly obese female smelling strongly of urine Genitourinary : Poorly maintained indw

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Miscarriage (Mis)management part 1: Evaluation and Diagnosis

First 10 EM

This is a guest post by Dr. Julia Dmytryshyn. Julia completed medical school at the University of Toronto and is now a 2nd year Family Medicine resident at the University of Toronto. She is the co-creator of the popular medical education podcast series The Vulva Diaries. Her areas of interest include emergency medicine and women’s […] The post Miscarriage (Mis)management part 1: Evaluation and Diagnosis appeared first on First10EM.

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Lab case 416

EMergucate

30 year old man presented with right knee pain and swelling.

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Episode 38 - Updates from the Jared and Mike, Finger Thoracostomy, and Sedation

FOAMfrat

In this episode, you get to find out all about what is new with Jared and Mike. They also answer questions about finger thoracostomy and analgesia/sedation considerations for your patients.

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Intravenous vitamin C for vasoplegia: A double-blinded randomised clinical trial (VALENCIA trial)

University of Maryland Department of Emergency Med

Background: There has been interest in vitamin C as an adjunctive therapy in patients with systemic inflammation and vasoplegia to reduce.

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An Herbal Hope: Is XBJ A Game-Changer in Sepsis Management?

REBEL EM

Background: Could Xuebijing (XBJ) catalyze a paradigm shift in sepsis management? XBJ is an herbal compound used in China to manage various inflammatory and infectious processes in recent years, including sepsis. 2-6 It is an herbal preparation comprising a blend of five herbs: Carthami Flos, Paeoniae Radix Rubra, Angelicae Sinensis Radix, and Salviae Miltiorrhizae. 2,5,6 Professor Jinda Wang developed it based on traditional Chinese medicine principles to combat infection and inflammation. 4 XB

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What does the ECG show in this patient with chest pain, hypotension, dyspnea, and hypoxemia?

Dr. Smith's ECG Blog

Written by Pendell Meyers, with some edits by Smith A man in his 40s with many comorbidities presented to the ED with chest pain, hypotension, dyspnea, and hypoxemia. The bedside echo showed a large RV (Does this mean there is a pulmonary embolism as the etiology?) Here is his triage ECG: What do you think? Lots of info here. The rhythm is 2:1 atrial flutter.

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