The Skeptics' Guide to EM

JUNE 12, 2022

Date: June 12th, 2022 Reference: Finfer et al. Balanced Multielectrolyte Solution versus Saline in Critically Ill Adults. NEJM 2022. Guest Skeptic: Dr. Aaron Skolnik is an Assistant Professor of Emergency Medicine at the Mayo Clinic Alix School of Medicine and Consultant in the Department of Critical Care Medicine at Mayo Clinic Arizona. He is board certified […] The post SGEM#368: Just A Normal Saline Day in the ICU – The PLUS Study first appeared on The Skeptics Guide to Emergency Medicine.

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EMS 12-Lead

JUNE 20, 2022

David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Peer review provided by Dr. Steve Smith @SmithECGblog I was conducting QA/QI on two very recent cases and was struck by the uniqueness of both. CASE 1 A 45 y/o Male called 911 for new onset central chest discomfort, non-radiating, 5/10 pain scale, and without any vomiting, diaphoresis, or pallor.

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Emergency Medicine Cases

JUNE 21, 2022

In this ECG Cases blog we review 8 cases of patients with prehospital ECGs and explore prehospital ECGs for diagnosing STEMI, Occlusion MI, false STEMI, code STEMI, dynamic ischemic changes, truncated voltages. Can you avoid the pitfalls and spot the pearls that help to make the diagnosis? The post ECG Cases 32 Prehospital ECG pearls and pitfalls appeared first on Emergency Medicine Cases.

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STEMI Paramedic EMS 130

EMergucate

JUNE 8, 2022

A 50 year old male presents to ED at 06h45 with chest pain radiating to his left arm which woke him up at 02h00 Below is the patients ECG

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Critical Care Scenarios

JUNE 19, 2022

Brandon walks Bryan through a case of new, unexplained hypotension in the ICU, with a focus on approaching shock, the use of POCUS, and risk stratifying unexplained problems. Takeaway lessons Sudden changes in vital signs or other status are often due to precipitating factors, such as iatrogenic stimuli, whereas more gradual changes are often due … Continue reading "Episode 48: Undifferentiated hypotension" Brandon walks Bryan through a case of new, unexplained hypotension in the ICU, with a foc

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Medgadget

JUNE 29, 2022

Researchers at the University of Helsinki in Finland created a smart jumpsuit that can track toddler movements. The idea is to closely monitor motor development and identify any issues early, allowing for earlier interventions. Issues with motor development can be related to wider neurodevelopmental problems, and so tracking a young child’s activity can provide a window into their overall development.

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OR 118

The Skeptics' Guide to EM

JUNE 18, 2022

Date: June 18th, 2022 Reference: Crombie et al. Resuscitation with blood products in patients with trauma-related haemorrhagic shock receiving prehospital care (RePHILL): a multicentre, open-label, randomised, controlled, phase 3 trial. The Lancet Haematology 2022 Guest Skeptic: Dr. Casey Parker is a Rural Generalist that includes in his practice emergency medicine, anaesthesia and critical care.

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Emergency Medicine Cases

JUNE 21, 2022

In this month's EM Quick Hits podcast Justin Morgenstern & Eddy Lang discuss the problem of overdiagnosis in EM, Anand Swaminathan's approach to indications and dosing of thrombolytics for submassive (intermediate risk) pulmonary embolism, Tahara Bhate's QI Corner on a patient with unexplained shortness of breath, Brit Long on emergency treatment of the bleeding hemophilia patient.

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EMS 130

EMergucate

JUNE 26, 2022

A 24 year old Indigenous female P2 G3 31/40 pregnant presents to ED with left sided non pleuritic chest pain and shortness of breath.

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ED EMS 130

Critical Care Scenarios

JUNE 12, 2022

Advanced techniques for manipulating the guidewire during non-fluoroscopic bedside procedures such as central line placement. Advanced techniques for manipulating the guidewire during non-fluoroscopic bedside procedures such as central line placement.

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Medgadget

JUNE 28, 2022

Percutaneous coronary intervention is an incredibly useful technique to minimally invasively investigate and treat cardiac issues, such as blockages in the coronary arteries, but it requires a significant amount of skill to perform safely and effectively. Manipulating a guidewire through the tortuous vasculature is not for the faint hearted, with the possibility of perforating a vessel always near.

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Coronary 108

EMCrit Project

JUNE 16, 2022

NeuroEMCrit dissects the new ASA sICH Guidelines. EMCrit Project by Scott Weingart, MD FCCM.

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Prehospital Emergency Care Podcast

JUNE 29, 2022

The PEC Podcast with host Dr. Maia Dorsett brings you our Deep Dive Series with: Daniel Joseph MD Kevin Burns EMT-P, PA-C Aman Shah MD who discuss their manuscript: STEMI Equivalents and Their Incidence during EMS Transport Click here to download today! As always THANK YOU for listening.

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STEMI EMT EMT EMS 52

Emergency Medicine Cases

JUNE 7, 2022

In this part 2 of our 2-part podcast series on Cardiac Arrest - The When, Why & How, we discuss some of the finer art of cardiac arrest care and answer questions such as: how should we best communicate to EMS, the ED team and the family of the patient to keep the team focused, garner the most important info and keep the flow of the code going? How should we integrate PoCUS into cardiac arrest care so we do not interrupt the core components, yet we gain valuable data?

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CPR EMS ED 130

EMergucate

JUNE 15, 2022

A 52 year old male presents to ED with shortness of breath for the last 2 weeks. The patient had been on a 6 hour flight 2 weeks ago.

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ED EMS 130

Critical Care Scenarios

JUNE 5, 2022

Brandon and Bryan talk about how they assemble, implement, and leverage case-based learning, from this podcast to simulation to oral scenarios to internal visualization. Brandon and Bryan talk about how they assemble, implement, and leverage case-based learning, from this podcast to simulation to oral scenarios to internal visualization.

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Medgadget

JUNE 21, 2022

Clinical researchers at Nagoya City University in Japan have tested an AI-powered surgical robot in its ability to assist with percutaneous nephrolithotomy, which is a minimally invasive procedure to remove large kidney stones. The technique involves accessing the kidney through the skin, and typically requires a highly experienced surgeon. The robot, called the Automated Needle Targeting with X-ray (ANT-X) was developed by NDR Medical Technology , a medical startup based in Singapore.

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Gold Cross Ambulance Service

JUNE 29, 2022

No two calls for an ambulance are ever exactly the same. That being said, the underlying reason for the call may be similar. Certain emergencies are more common than others and oftentimes elicit a call to emergency services. In today’s blog, we take a closer look at 10 of the most common reasons that people call for an ambulance. What Are The Most Common Emergencies?

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Ambulance Heart Attack Emergency Medical Services Overdose 52

The Overrun Podcast

JUNE 27, 2022

GLAM is back, taking on the aftermath of Roe v. Wade. Jess, Anna, and their guest Judyth Brown have a multigenerational conversation about women’ health and rights, where we go from here, and how we can get involved. This is a raw topic with a lot of honest shared experiences and stories, so be prepared. Call the Midwife: [link] Freakonomics: [link] The American Civil Liberties Union: [link] Planned Parenthood: [link] We can ALL do something.

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EMCrit Project

JUNE 25, 2022

The neurological manifestations of COVID is a rapidly moving target. Different strains of virus, rising levels of immunity, and challenges in sorting out causation from correlation make it impossible to write a perfect chapter on this. Nonetheless, some patterns and concepts may be helpful. The IBCC chapter is located 👉 here. The podcast & comments […].

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EMergucate

JUNE 21, 2022

The following chest x-ray is from an elderly patient who has presented with palpitations. What can be seen?

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EMS 130

Critical Care Scenarios

JUNE 26, 2022

Some musings in response to people who are impressed by the work we do. Some musings in response to people who are impressed by the work we do.

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Medgadget

JUNE 22, 2022

Engineers at the University of California Los Angeles have developed “meta-bots,” which are fingernail sized robots that can move, sense, and navigate their environment. Strikingly, the robots are essentially ready for use when they emerge from the 3D printer, and consist of piezoelectric actuators that can respond to or generate electricity. The robots consist of an intricate structure of piezoelectric components that allow them to rapidly flex and rotate.

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OR 97

American Burn Association

JUNE 23, 2022

Categories Advocacy Burn News MAC Spotlight Media Member Services Organization News Prevention Quality Care Research Return to News & Activities On June 22, the House Appropriations Committee approved its Fiscal Year (FY) 2022 defense appropriations bill , which provides $10 million in continued annual funding for the Military Burn Research Program.

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OR 52

On Time Medical Transportation

JUNE 23, 2022

This week, we caught up with Stephanie Santiago, an EMT and Field Training Officer to talk about working as an AVO while in EMT school, helping people during some of their hardest times, and learning from others along the way.

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EMT EMT 52

EMCrit Project

JUNE 23, 2022

Acute demyelinating disorders are not a common cause of ICU admission. However, these are encountered occasionally (especially acute transverse myelitis, acute disseminated encephalomyelitis, and osmotic demyelination syndrome). Additionally, some of these disorders may be triggered by COVID, so this chapter will help us understand the neurological manifestations of COVID.

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ICU 52

EMergucate

JUNE 7, 2022

The frontal chest x-ray shows A left sided pneumothorax. Difficult to spot unless one pays close attention.

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EMS 130

Best Practice Medicine

JUNE 16, 2022

Advanced Emergency Medical Technicians (AEMTs) are the sweet spot of Emergency Medical Services. Two AEMT courses are upcoming at Best Practice Medicine, get registered today to secure your spot!

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AEMT Emergency Medical Technician EMT EMT 52

Medgadget

JUNE 29, 2022

A team of researchers at Daegu Gyeongbuk Institute of Science & Technology in Korea created a centrifugal system to separate circulating tumor cells from blood samples. Resembling a DVD, the device separates the cells using the centrifugal force created when it is spun. A layer of white blood cells and circulating tumor cells is formed during the spinning process and then antibody-studded magnetic beads bind and remove the white blood cells, leaving the circulating tumor cells in the final s

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OR 92

First Responder Wellness

JUNE 14, 2022

Post traumatic stress , or PTS, is a psychological condition caused by experiencing or witnessing a traumatic event. This may be an event that happened in a moment, such as a serious accident or act of violence, or it may be a series of events that occurred over a long period of time, such as repeated exposure to violence and suffering, or abuse. People with PTS often display symptoms that come and go, sometimes triggered by an external person, place, or circumstance.

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Public Safety First Responder OR 52

NHCPS Save a Life

JUNE 12, 2022

How well do you know workplace bloodborne pathogens (BBP) safety? Are you prepared to maintain exposure control during an emergency? Take our bloodborne pathogens quiz to see if you’d benefit from BBP training. BBP Safety Quiz 1. Which best describes epidemiology? a. A standard for managing blood-borne pathogens b. Symptoms of contracting a bloodborne infection […] The post Workplace Bloodborne Pathogens (BBP) Quiz: Test Your Knowledge appeared first on SaveaLife.com.

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Life Support 52

EMCrit Project

JUNE 13, 2022

EEG is an increasingly utilized tool among critically ill patients. This chapter explores how to interpret the clinical significance of various EEG patterns which are commonly encountered in the ICU. The IBCC chapter is located 👉 here. The podcast & comments are below. Follow us on iTunes. EMCrit Project by Josh Farkas.

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ICU 52

EMergucate

JUNE 27, 2022

The hand x-ray is from a 33 year old with wrist pain and swelling after a fall on outstretched hand.

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EMS 130

The Vocal CORD

JUNE 6, 2022

The EM Applicant/Advisor Supplemental Guide to Preference/Program Signaling (PS) is now available on the CORD website ! This guide is meant to serve as a complement to (not a substitute for) the AAMC Supplemental ERAS Application Guide. We recommend reading the AAMC guide first to review the mechanics on how to submit signals via the ERAS Supplemental Application.

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EMS 52

Medgadget

JUNE 16, 2022

Researchers at the Indian Institute of Science created footwear that can self-regulate the pressure distribution when a person walks, helping to avoid pain and friction that can lead to issues for people with diabetes. Patients with diabetes can have an abnormal gait, sometimes because of pain or numbness in the extremities, potentially leading to complications such as foot ulcers when shoes rub or otherwise damage feet.

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OR 88

American Burn Association

JUNE 2, 2022

Categories Advocacy Burn News MAC Spotlight Media Member Services Organization News Prevention Quality Care Research Return to News & Activities The American Burn Association (ABA) hosted a Strategic Quality Summit in Chicago, IL on June 13–14, 2022. The ABA convened burn care quality leaders to propose a quality roadmap that integrates data, verification, certification, research, and clinical practice guidelines.

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Dr. Smith's ECG Blog

JUNE 1, 2022

A 40-something male with no previous cardiac disease presented with chest pain. Here is his ECG: There is no clear evidence of OMI or ischemia. There is a tiny amount of STE in aVL, but it is NOT in the context of a tiny R-wave. There is a tiny amount of STD in lead III, with some non-specific T-wave flattening. I am glad that Ken Grauer (below) brings up the issue of whether the presence of "T-wave in V1 taller than T-wave in V6" is evidence for OMI.

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STEMI Coronary OR ALS 52