Emergency Medicine Cases
FEBRUARY 28, 2022
Jesse McLaren explains his AFIB mnemonic for approach to atrial fibrillation that involves 4 questions: 1. Is it atrial fibrillation? 2. If it is atrial fibrillation and there is rapid ventricular response, is it fast from a secondary cause? 3. If it is atrial fibrillation with a rapid ventricular response without a secondary cause, what is the intervention?
The Skeptics' Guide to EM
FEBRUARY 26, 2022
Date: February 21st 2022 Reference: Kim et al. Emergency psychiatric assessment, treatment, and healing (EmPATH) unit decreases hospital admission for patients presenting with suicidal ideation in rural America. AEM February 2022. Guest Skeptic: Dr. Kirsty Challen (@KirstyChallen) is a Consultant in Emergency Medicine and Emergency Medicine Research Lead at Lancashire Teaching Hospitals Trust (North West England).
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EMergucate
FEBRUARY 25, 2022
The chest x-ray shows a double left heart border.
Critical Care Scenarios
FEBRUARY 20, 2022
The hows, whys, logistics, and applications of focused, bedside transesophageal echocardiography performed by critical care and EM providers, with Felipe Teran, assistant professor of emergency medicine at Weill Cornell and director of the Resuscitative TEE Project. Takeaway lessons As a rule, resuscitative TEE is performed in patients with a secured airway.
Prehospital Emergency Care Podcast
FEBRUARY 28, 2022
Happy February from the PEC podcast crew! Even though Punxsutawney Phil's shadow predicted another 6 weeks of winter, the PEC podcast team is happy to keep you company while you're keeping warm. In this episode, we cover the Prehospital Emergency Care Journal Volume 25 Number 5 where we cover manuscripts like: Impact of a Standardized EMS Handoff Tool on Inpatient Medical Record Documentation at a Level I Trauma Center Documentation of Child Maltreatment by Emergency Medical Services in a Natio
The Overrun Podcast
FEBRUARY 28, 2022
Remle Crowe is a statistics rockstar. Her primary areas of research in EMS include burnout, and how to improve performance in our industry. There's a lot to cover, and a lot we discussed, so everything is listed below. Take some time to listen to the episode and read all the studies linked below. It'll make your practice better. Promise. August 2017 Prehospital emerg.
Emergency Medicine Cases
FEBRUARY 14, 2022
In this Journal Jam podcast we dig deep into the science of FDA-approved outpatient medications for COVID with 3 critical appraisal masters: Dr. Andrew Morris, Dr. Rohit Mohindra and Dr. Justin Morgenstern. What is the evidence for the neutralizing monoclonal antibody medications like Sotrovimab? The nucleoside analogs like Remdesivir and Paxlovid? The inhaled corticosteroids like Budesonide and Ciclesonide?
Paramedicine Now brings together the best content for paramedicine professionals from the widest variety of thought leaders.
EMergucate
FEBRUARY 25, 2022
The chest x-ray shows triangular peripheral based pleural opacity with apex towards the hilum. This is Hampton’s hump.
Critical Care Scenarios
FEBRUARY 27, 2022
Why an assumption in your training should be to call for assistance, but expect it will never arrive. Plan to manage problems yourself. Let help surprise you—otherwise hope becomes your plan. Why an assumption in your training should be to call for assistance, but expect it will never arrive. Plan to manage problems yourself. Let help surprise you—otherwise hope becomes your plan.
Silk City Blog
FEBRUARY 24, 2022
Background:Patients diagnosed with COVID-19 have an increased risk of thromboembolic events, including pulmonary embolism and deep vein thrombosis (DVT). In addition, COVID-19 patients with increased coagulation parameters such as D-dimer, fibrin degradation products, prothrombin time, and activated partial thromboplastin time are at higher risk of morbidity and mortality.
Dr. Smith's ECG Blog
FEBRUARY 18, 2022
A young man had an accidental exposure to carbon monoxide (CO). He was comatose and intubated and his initial Carboxyhemoglobin level was over 50%. An ECG is always recorded for CO toxicity. This was his ECG. It was shown to me with worry for ischemic ST elevation, which is certainly possible from severe CO toxicity, or concomitant ACS. In fact, there is laboratory evidence that CO toxicity increases Plateletneutrophil aggregates and plasma myeloperoxidase (MPO) concentration and thus may precip
On Time Medical Transportation
FEBRUARY 9, 2022
Elizabeth sheds light on becoming an EMT, training new employees, staying safe during a pandemic, and learning from talented people around you.
The Skeptics' Guide to EM
FEBRUARY 5, 2022
Date: February 7th, 2022 Reference: Williams et al. Short- vs standard-course outpatient antibiotic therapy for community-acquired pneumonia in children: the scout-cap randomized clinical trial. JAMA Pediatrics 2022 Guest Skeptic: Dr. Dennis Ren is a pediatric emergency medicine fellow at Children’s National Hospital in Washington, DC. Case: A three-year-old boy presents to the emergency department (ED) with fever […] The post SGEM#359: Meet Me Halfway on the Duration of Antibiotics for Non-Seve
EMergucate
FEBRUARY 25, 2022
The following knee x-rays are from a 15 year old with knee pain & swelling after a twisting injury.
Critical Care Scenarios
FEBRUARY 14, 2022
When do interventions need to be “weaned”? Stop using this word when you don’t mean it! Titrate, target to effect, but only wean when there is a physiologic dependence. When do interventions need to be “weaned”? Stop using this word when you don’t mean it! Titrate, target to effect, but only wean when there is a physiologic dependence.
Medic Mindset
FEBRUARY 8, 2022
Ginger Locke speaks to the topic of Feedback. In this recording from University of Washington’s Grand Rounds, she explains that paramedics are not getting enough feedback. She outlines theories for why it is so scare, what we can do about it, and how feedback might look in the future. A really great conversation about feedback on Rob Orman’s Stimulus podcast.
Dr. Smith's ECG Blog
FEBRUARY 4, 2022
A 40 something otherwise healthy man presented with substernal chest pain. It had occurred once 3 days prior and resolved without any medical visit. He had a triage ECG at time zero: Here is the computer interpretation (Normal) This was the Veritas algorithm. What do you think? This ECG is DIAGNOSTIC of acute LAD Occlusion. The T-waves are hyperacute, but most important, the minimal ST Elevation is accompanied by Terminal QRS Distortion , or at least nearly so.
EMS 20/20
FEBRUARY 23, 2022
On this weeks episode a very sick patient is taken to the hospital. but do issues of patient abandonment arise when a Paramedic refused to be the primary provider? Listen to this weeks call and find out if Spencer and Chris can close the case. On this weeks episode a very sick patient is taken to the hospital. but do issues of patient abandonment arise when a Paramedic refused to be the primary provider?
Emergency Medicine Ireland
FEBRUARY 21, 2022
Welcome back to the tasty morsels of critical care podcast. Today we’re looking at a small section of Oh Chapter 58 covering myasthenia gravis. I don’t think I’ve ever looked after a true myasthenic crisis in the ICU. Likely because. Read More » Welcome back to the tasty morsels of critical care podcast. Today we’re looking at a small section of Oh Chapter 58 covering myasthenia gravis.
EMergucate
FEBRUARY 22, 2022
The following ECG is from an 82 year old man with metastatic mesothelioma on immunotherapy treatment with a background of … Continue reading →
Critical Care Scenarios
FEBRUARY 6, 2022
Brandon and Bryan talk about the practicalities of communication, collaboration, and compromise in a surgical ICU, when the surgical and critical care teams are both involved, one is the “primary” team on paper, but everyone needs to be heard. Brandon and Bryan talk about the practicalities of communication, collaboration, and compromise in a surgical ICU, when the surgical and critical care teams are both involved, one is the “primary” team on paper, but everyone needs to be heard.
Emergency Medicine Education
FEBRUARY 20, 2022
Very interesting study in patients who got ROSC and had an ECG. Patients with an ECG before 7 minutes after ROSC had more false positive ECG findings in favor of STEMI vs 8-33 minutes and more than 33 minutes.
The EMS Show
FEBRUARY 10, 2022
Austin-based EMS Educator and friend Ginger Locke joins Mike and Ritu as we discuss thinking and decision-making in EMS. We barely scratched the surface.leaving you wanting more.we are sure of that. Appreciate you subscribing to our channel and our podcast, wherever you may listen!
EMS 20/20
FEBRUARY 16, 2022
A crew find a patient that rapidly deteriorates, prompting quick action. Baffling monitor readings are the result, so the Chris and Spence bring in back up: Nicole Johnson, a seasoned ICU RN and host of the Found Down podcast join the team to figure out some crazy numbers in one of our biggest episodes yet! A crew find a patient that rapidly deteriorates, prompting quick action.
Dr. Smith's ECG Blog
FEBRUARY 10, 2022
This is written and contributed by Jesse McLaren (@ECGCases), with comments and edits by Smith, and commentary by Ken Grauer (@EKGPress) An 80 year-old female presented with weakness and a fall, with normal vitals and no injuries. The ECG was labeled ‘normal’ by the computer (Marqette 12SL), later confirmed by the cardiologist. What do you think? There’s normal sinus rhythm, normal conduction, normal axis, normal R wave progression, and normal voltages.
EMergucate
FEBRUARY 22, 2022
The following chest x-ray is from an adult patient with right sided chest pain. What can be seen?
Critical Care Scenarios
FEBRUARY 2, 2022
When should you place a line or perform other procedures using your left (or non-dominant) hand? Brandon reflects on a few situations. When should you place a line or perform other procedures using your left (or non-dominant) hand? Brandon reflects on a few situations.
Silk City Blog
FEBRUARY 3, 2022
Listen while PGY-3 emergency medicine resident at St Joseph's Regional Medical Center, Dr. Scott Wilder discuss environmental emergencies with a focus on hypothermia.
The EMS Show
FEBRUARY 10, 2022
Austin-based EMS Educator and friend Ginger Locke joins Mike and Ritu as we discuss thinking and decision-making in EMS. We barely scratched the surface.leaving you wanting more.we are sure of that. Appreciate you subscribing to our channel and our podcast, wherever you may listen!
EMS 20/20
FEBRUARY 9, 2022
In an-almost-Valentines-Day special, the guys pick a part a call that has some unusual possibilities for symptoms that started during unusual circumstances that results in an unusual diagnosis. Can the guys shed any light on this unusual episode? In an-almost-Valentines-Day special, the guys pick a part a call that has some unusual possibilities for symptoms that started during unusual circumstances that results in an unusual diagnosis.
Dr. Smith's ECG Blog
FEBRUARY 8, 2022
A middle-aged man was found outside in the cold in full arrest in ventricular fibrillation. Chest compressions and ventilation were begun. On arrival, CPR was continued and core temperature was measured at 18° C (64.4° F). The patient was put on Extracorporeal Life Support in the ED 3 hours after initial resuscitation, the core temp was 30° C and the patient was defibrillated with a single attempt.
EMergucate
FEBRUARY 16, 2022
The following ECG is from a 52 year old male with a history of bipolar mood disorder and cardiomyopathy. He presents to ED complaining of increasing shortness of breath and leg swelling.
Emergency Medicine Cases
FEBRUARY 1, 2022
How many civil actions against Emergency Physicians does CMPA handle and what have been the outcomes? What are the 4 aspects of medical negligence and the anatomy of a legal action against physicians in Canada? What are the 3 stages of civil action in a medicolegal law suit in Canada? How should you respond when you are served with a medicolegal action?
EMergucate
FEBRUARY 15, 2022
The following chest x-rays are from a 65 year old with left sided chest pain and cough.
EMergucate
FEBRUARY 10, 2022
The chest x-ray shows The chest x-ray is technically inadequate, having been performed in the resuscitation area.
EMergucate
FEBRUARY 10, 2022
The pelvic x-ray shows a right sided hip effusion in this skeletally immature patient.
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