Emergency Medicine Cases

OCTOBER 25, 2022

In this main episode podcast, Dr. Arun Sayal creator of the CASTED course and Dr. Yatin Chadha a radiologist with a fellowship in MSK radiology, join Anton for Part 1 of 2 podcasts on Emergency Orthopedic Injuries. This episode focuses on a differential diagnosis of MSK injuries that are occult to X-ray with the help of the SCARED OF mnemonic. It ensures we pick up all the “can’t miss” diagnoses that can be easily overlooked when we do not integrate a pointed history and physical exam with the X

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The Skeptics' Guide to EM

OCTOBER 22, 2022

Date: October 18th, 2022 Reference: Moore et al. Head and thorax elevation during cardiopulmonary resuscitation using circulatory adjuncts is associated with improved survival. Resuscitation 2022 Guest Skeptic: Clay Odell is a Paramedic, Firefighter, and registered nurse (RN). Case: You are the Chief of your local Fire and EMS Department, and an individual contacts you saying […] The post SGEM#380: OHCAs Happen and You’re Head Over Heels – Head Elevated During CPR?

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Critical Care Scenarios

OCTOBER 12, 2022

Discussing pleural effusions in the critically ill, including how and when to drain them, methods of drainage, interpreting laboratory studies, and managing complications, with Dr. Emily Fridenmaker (@emily_fri), pulmonologist and intensivist at Charleston Area Medical Center in West Virginia. Continuing education for this episode CME credit provided courtesy of Academic CME.

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EMergucate

OCTOBER 11, 2022

A 17 year old female presents to ED complaining of chest pain and SOB on a background of ILI symptoms for the last 2 days. Vitals: HR 138 BP 110/70 Temp 37.7 RR 24.

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Medgadget

OCTOBER 27, 2022

A team of scientists at Penn State has bioprinted breast tumor mimics with significant complexity, including a form of vascularization and the ability to precisely place cells in certain locations within the construct. The scientists used a technique called aspiration-assisted bioprinting to achieve this. With many anti-cancer therapies failing at the clinical trial stage and the ethical considerations of animal studies, there is a need for better in vitro cancer models that allow for advanced t

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EMCrit Project

OCTOBER 21, 2022

Every Resus doc should be able to crash a patient on to APRV for lung rescue. EMCrit Project by Scott Weingart, MD FCCM.

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Emergency Medicine Cases

OCTOBER 11, 2022

In this month's ECG Cases blog Dr. McLaren explains the PACER mnemonic approach to patients with pacemakers: Pacemaker spike: is it appropriately presence/absent, is there pacemaker-mediated tachycardia (apply magnet) or is there failure to pace (apply magnet to stop sensing, cardio consult)? Aware (sensing): is it normal, is there oversensing (underpacing: apply magnet) or undersensing (treat reversible causes, cardio consult).

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Critical Care Scenarios

OCTOBER 26, 2022

Updates on the podcast, including how to claim credit for continuing education, how to support us by becoming a patron or buying merchandise, and our general perspective on making money through free medical education. Find us on Patreon here! Buy your merch here! Updates on the podcast, including how to claim credit for continuing education, how to support us by becoming a patron or buying merchandise, and our general perspective on making money through free medical education.

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EMergucate

OCTOBER 4, 2022

A 17 year old female presents to ED complaining of chest pain and SOB on a background of ILI symptoms for the last 2 days. Vitals: HR 138 BP 110/70 Temp 37.

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Medgadget

OCTOBER 11, 2022

Researchers at the University of California San Francisco have developed a suite of video games that have been designed to improve cognition in older adults who are otherwise healthy. The games aim to recreate common activities, such as banging a drum or driving a car. They also include a sophisticated algorithm that automatically adjusts the game difficulty depending on how well someone is playing, helping to stop less skilled players from becoming overwhelmed and more skilled players from beco

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EMCrit Project

OCTOBER 7, 2022

A review on dealing with HeartMate 3 (most common LVAD you will see) Emergencies. EMCrit Project by Katrina Augustin.

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Emergency Medicine Cases

OCTOBER 11, 2022

On this month's EM Quick Hits podcast: Best of University of Toronto EM with Yaron Finkelstein on pediatric cannabis poisoning pitfalls, Brit Long on recognition and management of esophageal perforation, Jesse McLaren on 3 questions to diagnose Brugada Syndrome, Tahara Bhate on QI Corner, Constance Leblanc on maintaining wellness in career transitions from CAEP 2022.

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The Skeptics' Guide to EM

OCTOBER 15, 2022

Date: October 5th, 2022 Reference: Top Gun 1986 Guest Skeptic: Dr. Chris Carpenter is Professor of Emergency Medicine in the Department of Emergency Medicine at Washington University in St. Louis and co-wrote the book on “Evidence-Based Emergency Care: Diagnostic Testing and Clinical Decision Rules”. Chris will be moving to Rochester, Minnesota soon to become the Vice Chair of […] The post SGEM Xtra: Lead Me On – What I Learned from Top Gun first appeared on The Skeptics Guide to Emergency Medi

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Critical Care Scenarios

OCTOBER 19, 2022

Understanding the various needles in your central line kit, how to get really, really good at ultrasound guidance, what to do when your view stinks, and more needle-related tips. Understanding the various needles in your central line kit, how to get really, really good at ultrasound guidance, what to do when your view stinks, and more needle-related tips.

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EMergucate

OCTOBER 24, 2022

Question 1: Ph = 7.549, that is alkalaemia. pCO2 = 24.1 mmHg, then it is respiratory alkalosis. Next, we will calculate the compensation. From the story, the condition is acute.

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Medgadget

OCTOBER 11, 2022

At Johns Hopkins, clinical researchers have developed a set of surgical tools that allow them to more easily create a replacement ear for those born with malformed or missing ears. Currently, using cartilage harvested from the ribs, surgeons can create a new ear, but the process is difficult and requires some artistic talent to sculpt the cartilage into the right shape.

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EMCrit Project

OCTOBER 3, 2022

3 great cases from the NeuroEMCrit Team. EMCrit Project by NeuroEMCrit Team (Casey & Neha).

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The Overrun Podcast

OCTOBER 31, 2022

Kevin Hazzard is a paramedic and author who wrote the book A Thousand Naked Strangers , detailing his time as a ground paramedic in Atlanta. He's back with a new story, one that you absolutely need to read. American Sirens : The Incredible Story of the Black Men who Became America's First Paramedics is the story of a handful of Black men from Pittsburgh who were chosen to become paramedics.

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Broome Docs

OCTOBER 31, 2022

Ketamine vs etomidate in ICU intubation ? Matchett G, Gasanova I, Riccio CA, Nasir D, Sunna MC, Bravenec BJ, Azizad O, Farrell B, Minhajuddin A, Stewart JW, Liang LW, Moon TS, Fox PE, Ebeling CG, Smith MN, Trousdale D, Ogunnaike BO; EvK Clinical Trial Collaborators. Etomidate versus ketamine for emergency endotracheal intubation: a randomized clinical trial.

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Critical Care Scenarios

OCTOBER 5, 2022

Ensuring patient and operator safety with Seldinger guidewires, with considerations such as losing wires, transecting them, and perforating vessels. Ensuring patient and operator safety with Seldinger guidewires, with considerations such as losing wires, transecting them, and perforating vessels.

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EMergucate

OCTOBER 9, 2022

The pelvic x-ray shows right inferior pubic ramus fracture as well as right acetabular fracture.

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Medgadget

OCTOBER 25, 2022

Scientists at Oregon State University have developed a new treatment for COVID-19. The technology is based on mRNA, which has also been put to good use in COVID-19 vaccines. However, in this instance, the delivered mRNA encodes for human angiotensin-converting enzyme 2 (hACE2), which is the binding site for SARS-CoV-2 on airway cells. The lipid nanoparticle-encapsulated mRNA therapeutic is delivered to cells in the body, and then the cells begin to produce and release a free-floating form of hAC

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EMCrit Project

OCTOBER 26, 2022

Is there evidence for the classically taught nix on this medication? EMCrit Project by Scott Weingart, MD FCCM.

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Dr. Smith's ECG Blog

OCTOBER 28, 2022

Cortland Ashbrook from Spokane County, Washington, sent this message: Hey doctor Smith, I wondered if you’d give me your opinion on these ECG tracings I took as a paramedic in the field? Case: The call was an elderly gentleman who was at home when he experienced a sudden onset of vague chest discomfort along with nausea, and left arm aching. It started while walking, and began to decrease at rest but never fully resolved.

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Clinical Correlations

OCTOBER 28, 2022

By Amber Whitley, MD What comes to mind when you hear the word physician? Male, intelligent, arrogant, medicine, white, surgeon, healer, etc. Do you think of me, a black female physician in medicine? The number.

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Prehospital Emergency Care Podcast

OCTOBER 27, 2022

PEC podcast Deep Dive Series! Happy Halloween PEC podcast listeners. While Halloween is all about fright, let's talk about the thing that scares a majority of prehospital clinicians, pediatrics. To be more specific, kids who are having seizures. To help assuage some of your fears the PEC podcast team (and guest interviewer) delve into the manuscript: The Effectiveness of Intranasal Midazolam for the Treatment of Prehospital Pediatric Seizures: A Non-inferiority Study with the author Denise

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EMergucate

OCTOBER 17, 2022

Answers: Question 1: PH = 7.49 (> 7.45) so we have alkalaemia HCO3 = 41 (> 24) so we have metabolic alkalosis. Next we look at compensation, Expected PCO2 for metabolic alkalosis = 0.

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Medgadget

OCTOBER 25, 2022

Researchers at Osaka University in Japan engineered a wearable electroencephalography (EEG) device that can measure brain activity, potentially letting clinicians monitor conditions such as depression or dementia. At present, assessing brain activity requires a trip to a facility with bulky and expensive equipment, making long-term monitoring difficult.

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On Time Medical Transportation

OCTOBER 25, 2022

Over the past couple years, we’ve been doing what we call EMT Spotlights, showcasing individual stories here on our website and asking members of the On Time team a variety of questions about their work. One of our favorites is, “ Do you have any advice for new EMTs, or for people thinking about getting into this li ne of work? ” Here are some of the best responses that On Time employees have shared.

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Dr. Smith's ECG Blog

OCTOBER 25, 2022

Written by Bobby Nicholson MD, with edits by Meyers, Smith, Grauer A woman in her early 40s presented to the emergency department for evaluation of palpitations. She reported that she has been experiencing this since she was diagnosed with COVID a little over 1 week ago. She reported a prior history of SVT and has previously performed vagal maneuvers at home with symptom resolution.

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NHCPS Save a Life

OCTOBER 19, 2022

2020-2025 ILCOR Guideline Updates While the ILCOR releases its updated guidelines and recommendations in 5-year cycles, with the last round of updates being the 2020-2025 guidelines, researchers have committed to a continuous evidence-evaluation process. These research-driven updates have allowed us to update our material as new recommendations emerge, ensuring our lifesavers are equipped with the […] The post Content Updates Based on the Latest ILCOR Guidelines appeared first on SaveaLife

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Handtevy

OCTOBER 20, 2022

IV, IM, and Intranasal Ketamine for analgesia have become common in many EMS systems. But what about NEBULIZED Ketamine? A study titled “Nebulized Ketamine for Analgesia in the Prehospital Setting: A Case Series” was published in Prehospital Emergency Care. The study, conducted by Casey Patrick, Michael Smith, Zubaid Rafique, Kelly Rogers Keene, and Xavier De La Rosa, explores the use of nebulized ketamine for pain management in an urban, ground-based emergency medical services (EMS)

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EMergucate

OCTOBER 4, 2022

The chest x-rays are from a 3.5-year-old with increased work of breathing. What can be seen?

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Medgadget

OCTOBER 3, 2022

A team at the University of Illinois at Urbana-Champaign has developed a DNA net system that can ensnare Sars-CoV-2 and bind to the notorious spike protein. The nets contain aptamers that bind the spike protein and emit an intense fluorescent signal once they’re bound together to the protein. This signal can be easily measured using a handheld fluorimeter.

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Clinical Correlations

OCTOBER 19, 2022

By Michael Papazian Peer Reviewed Let’s start with a case. Mr. B is a 67-year-old male with a history of hypertension, type 2 diabetes, and coronary artery disease. As his primary care physician, you.

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Dr. Smith's ECG Blog

OCTOBER 21, 2022

Submitted by Dr. Arjun J V in India, An elderly patient presented to the ED with multiple complaints. An ECG was recorded in triage: What do you think? Classic for those who have seen it before. The ECG shows a regular narrow complex rhythm which is difficult to see amongst the very severe high voltage artifact which is occurring with a frequency of approximately 300 cycles per minute.

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REBEL EM

OCTOBER 19, 2022

Take Home Points Severe hypocalcemia can cause hypotension and QTc prolongation leading to Torsades de Pointes. Treat moderate to severe symptoms and any EKG changes with IV calcium salts Always search for and treat the underlying cause of hypocalcemia REBEL Core Cast 88.0 – Hypocalcemia Click here for Direct Download of the Podcast Definition: A serum calcium level < 8.5 mg/dL or an ionized calcium level < 2.0 mEq/L Background Exists in two states Free ionized form (approx.

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