Mon.Aug 12, 2024

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5 Minute Sono: HCM and LVOTO (2024)

Core Ultrasound

In this Five Minute Sono, we dive into the critical role of Point of Care Ultrasound (POCUS) in diagnosing Hypertrophic Cardiomyopathy (HCM) and the associated Left Ventricular Outflow Tract Obstruction (LVOTO). VTI RMWA EF Ultrasound Courses The post 5 Minute Sono: HCM and LVOTO (2024) first appeared on Core Ultrasound.

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The Doc Side of the Loon

ACEP Now

Every once in a while, I get a text from a friend of a meme decrying the inevitability of becoming interested in birds as you age. In a way, it’s true; it came out of nowhere for me. And granted it can seem peculiar to the uninitiated. But now that I have been indoctrinated for a couple of years, it has become much more than a hobby to me. I see it as a healthful exercise, a practice in mindfulness.

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Is “First do no harm” a “deepity”?

First 10 EM

The concept of a “deepity” was, I believe, coined by Daniel Dennet in his great book “Intuition pumps and other tools for thinking”. He says, “a deepity is a proposition that seems both important and true – and profound – but achieves this effect by being ambiguous. On one reading it is manifestly false, but […] The post Is “First do no harm” a “deepity”?

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The PROTECTION Trial – A Randomized Trial of Intravenous Amino Acids for Kidney Protection

REBEL EM

Background Information: Acute kidney injury (AKI) is one of the most frequent complications of cardiac surgery and the cause is complex. Renal hypoperfusion from decreased glomerular filtration rate after cardiopulmonary bypass is a major contributor. 1 This in combination with exogenous toxins, endogenous metabolites, oxidative stress, bleeding and reperfusion injury can all lead to the patient ending up on renal replacement therapy postoperatively.

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Managing raised intracranial pressure in severe traumatic brain injury – the basics

Don't Forget the Bubbles

One-liner… Understanding the underpinning principles and management of raised intracranial pressure is essential for reducing the morbidity and mortality of traumatic brain injuries. Seven-year-old Dan was involved in a motor vehicle collision. At the scene, he was vomiting and drowsy with a low Glasgow Coma Score (GCS). The air ambulance service intubated him at the scene and pre-alerted the department before arrival.

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Case Report: The Not So Normal, Normal EKG

ACEP Now

A 35-year-old male presented to the emergency department complaining of chest pain that started 1.5 hours prior to arrival. The patient had an EKG performed within 10 minutes of arrival while in triage (see Figure 1). In the absence of significant ST elevations, the EKG was signed and the patient was placed back in the queue to await a bed. FIGURE 1: First ED EKG.

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All About Lupus: Types, Diagnosis, and Management

Paramedics World

Welcome to the ultimate guide on Lupus – a mysterious and often misunderstood autoimmune disease that affects millions of people worldwide. Buckle up as we dive into everything you need… The post All About Lupus: Types, Diagnosis, and Management appeared first on Paramedics World.

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All About Cerebrovascular Accident: Prevention and Management

Paramedics World

Welcome to our comprehensive guide on everything you need to know about Cerebrovascular Accident (CVA), commonly known as a stroke. Whether you’re looking to understand the different types of strokes,… The post All About Cerebrovascular Accident: Prevention and Management appeared first on Paramedics World.

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Case Report: What’s Causing Uncontrolled Movements?

ACEP Now

A 61-year-old African American male with history of uncontrolled Type 2 diabetes mellitus, hypertension, anxiety, major depressive disorder, prior Bell’s palsy, and neuropathy, presented for worsening left upper extremity rhythmic movements and frequent falls over the last month. The movements worsened throughout the day, and he would hold his left arm at night to prevent hitting his partner.