ALiEM

AUGUST 26, 2024

A 27-year-old male with no past medical history presents to the Emergency Department with right eye pain. He states that approximately one week prior, he was working on a wire fence when he lost hold of a wire under tension, and it subsequently hit him in his right eye. He had immediate pain in his affected eye and was unable to see anything but light for the next three days.

Emergency Department 177

Emergency Department OR 177

EMCrit Project

AUGUST 26, 2024

We often joke that the right ventricle is the “forgotten ventricle,” but there is a sad truth behind this joke. Recently, there has been increased recognition of the importance of right ventricle failure and systemic congestion within some circles (e.g., nephrologists and resuscitationists). However, overall the right ventricular failure continues to be commonly overlooked.

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Core Ultrasound

AUGUST 26, 2024

In this video, we walk you through the essential ultrasound techniques used in the abdominal FAST exam. Remember, the FAST exam can be used for ANY cause of fluid in the abdomen, including hemoperitoneum from abdominal trauma. 5 Min Sono Vids RUSH Exam Courses The post 5 Minute Sono – The FAST Exam (Abdominal portion) 2024 first appeared on Core Ultrasound.

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Dr. Smith's ECG Blog

AUGUST 26, 2024

A 60-something woman with no cardiac history presented with epigastric and right upper quadrant pain after eating spicy food. She had an ECG recorded at triage: What do you think? This was sent to me without any info while I was out and about, and I looked at it on my phone. I responded: "That is a tough one. V2 is very worrisome. But no other leads are.

Critical Care 105

Critical Care OR 105

Life in the Fastlane

AUGUST 26, 2024

Caleb Lin Hyperbaric Oxygen for the ICU Patient OVERVIEW INTENSIVE CARE INDICATIONS PRACTICAL ISSUES IN CRITICAL CARE Consideration & Prior to Treatment In the Chamber A: ETT cuff to be filled with sterile water or connected to dynamic cuff inflator B: Titrate ventilation to PaCO2, note that EtCO2 is not linearly proportionate at higher pressures C: Haemodynamic shifts related to hyperoxic vasoconstriction D: Increased […]

ICU 101

ICU Critical Care OR 101

Don't Forget the Bubbles

AUGUST 26, 2024

While enjoying a well-deserved lunch break recently, a group of Paediatric Registrars and I discussed the usual topics of family-friendly dinners, recent interesting cases from the birth centre and fun scrub tops. As is typical in a large teaching hospital, this dialogue progressed to staffing levels and skill mix in Paediatrics. Then one of the Registrar’s said, ‘If not a single doctor turned up to work tomorrow I am sure that all of the patients would be fine, but I seriously doubt it if not a

OR 98

OR 98

First Responders Foundation

AUGUST 26, 2024

The First Responders Foundation is honored to recognize Mary Kirchofer, whose tireless dedication to the mental health and well-being of first responders has made a profound impact on the Omaha Police Department (OPD) and beyond. Honoring Mary Kirchofer: A Lifetime of Service and Mental Health Advocacy A Career Dedicated to Service Mary’s journey began with her education at the University of Nebraska at both Lincoln and Omaha campuses, culminating in a Bachelor of Science degree in Social Work i

First Responder 98

First Responder Public Safety Paramedic OR 98

FOAMfrat

AUGUST 26, 2024

In this conversation, Alex & I discuss thoracic dissections - specifically, the management of blood pressure and heart rate in an attempt to decrease the shearing force against the walls of the aorta. Dissection Goals (Anti-Impulse Therapy) Most sources will state a goal systolic of 100-120 mmHg and heart rate < 60 BPM. Typical Workflow Pain First A large amount of the sympathetic surge patients experience during a thoracic dissection is from the pain.

EMS 52

EMS OR 52

Paramedics World

AUGUST 26, 2024

Picture this: You’re going about your day when suddenly you experience a sharp pain in your chest, shortness of breath, and maybe even cough up blood. These could be signs… The post Decoding Pulmonary Embolism: Causes, Symptoms, and Prevention appeared first on Paramedics World.

Paramedic 52

Paramedic 52

#badEM

AUGUST 26, 2024

Episode 8 of the BadEM podcast is out, where we talk palliative care with Emergency Physician Dr Katya Evans. If everyone in the Healthcare system (regardless of your field) applies basic palliative care principles, we can improve the lives of patients, families and healthcare workers, as well as benefit the healthcare system in terms of cost, time and resource saving. 1.

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