January, 2023

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Ep 178 Hand Injuries – Pitfalls in Assessment and Management

Emergency Medicine Cases

The hand is anatomically complex. Having an anatomical-based approach to the assessment of patients who present to the Emergency Department is important to preserve quality of life following a hand injury. Hand injuries are the second most common injury leading to days without work. It is no surprise then that open finger injuries land in the top 10 most common diagnoses that end up in court.

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SGEM#389: Does Dex, Dex, Dex, Dexamethasone Help with Renal Colic?

The Skeptics' Guide to EM

Date: January 13, 2023 Reference: Razi et al. Dexamethasone and ketorolac compare with ketorolac alone in acute renal colic: A randomized clinical trial. AJEM 2022 Guest Skeptic: Dr. Kevan Sternberg is a urologist/endourologist. His focus is on the medical and surgical management of kidney stone disease. Dr. Sternberg did his medical school and residency training at […] The post SGEM#389: Does Dex, Dex, Dex, Dexamethasone Help with Renal Colic?

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Airway Ultrasound 2023 update

Core Ultrasound

Airway ultrasound is something that can be quite complex but at its most basic, it can be used to help determine if you have endotracheal versus endobronchial intubation. This is definitely not something that needs to be done all the time, but is a great adjunct in the appropriate clinical setting!

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So You Want to Become an EMT

Chicago EMT Training

Becoming an EMT was one of the best things to happen in my life. It was at a time when I was on a premed track in undergrad. There are so many prerequisites you need to check off prior to applying to medical school. From great grades, volunteering, having extracurriculars, to trying to get some research published. Out of all the things, becoming an EMT really unveiled what healthcare might truly have in store for me.

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ECG of the Week 4th January 2023

EMergucate

The following is an ECG of a 70 year old man who was in a tachyarrhythmia about an hour ago at a rate of approximately 160bpm, who failed adenosine 6mg and 12mg, and was subsequently administered 1…

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TIRBO #27: The halo effect

Critical Care Scenarios

An important cognitive bias in medicine, and how the COVID pandemic has shown us that generalizing the assumption of competence is a treacherous pitfall. Find us on Patreon here! Buy your merch here! An important cognitive bias in medicine, and how the COVID pandemic has shown us that generalizing the assumption of competence is a treacherous pitfall.

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Global EM 2: The Emergency Physician – Global Health’s Missing Piece

Emergency Medicine Cases

Dr. Hiren Patel describes the complexities of being a global health practitioner and the skillset that emergency physicians possess giving them the potential to excel in this role on EM Cases' EM GEM blog on Global Emergency Medicine. The post Global EM 2: The Emergency Physician – Global Health’s Missing Piece appeared first on Emergency Medicine Cases.

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More Trending

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Artificial Neuron Uses Ions Like the Real Thing

Medgadget

Researchers at Linköping University in Sweden have developed artificial neurons that demonstrate 15 of the 20 characteristics of biological neural cells and can communicate with natural neurons in the body. The researchers call their device the “conductance-based organic electrochemical neuron,” or c-OECN, and it is based on materials that can conduct a negative charge, including organic electrochemical transistors and n-type conducting polymers.

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Achilles Tendon Rupture

Core Ultrasound

Peer reviewed by Ben Smith, MD on 1/23/23 Basic Knee Exam MSK Basics Courses

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ECG of the Week 25th January 2023 – Interpretation

EMergucate

ECG of the Week 25th January 2023 – Interpretation When examining ECGs, in addition to taking into account the clinical … Continue reading →

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Lightning rounds #24: Getting into leadership roles

Critical Care Scenarios

After our recent episodes on publishing papers and giving talks, we close off with a review of leadership and academic rank: sitting on committees, educational roles, faculty appointments, and more. Find us on Patreon here! Buy your merch here! After our recent episodes on publishing papers and giving talks, we close off with a review of leadership and academic rank: sitting on committees, educational roles, faculty appointments, and more.

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ECG Cases 39 – Transient STEMI Pitfalls and Pearls

Emergency Medicine Cases

In this ECG Cases blog we look at 9 patients with possible transient STEMI and discuss pitfalls and pearls in ECG interpretation and management. The post ECG Cases 39 – Transient STEMI Pitfalls and Pearls appeared first on Emergency Medicine Cases.

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SGEM#388: It Makes No Difference Now- Calcium Channel Blocker or Beta Blocker for Atrial Fibrillation with Rapid Ventricular Response & Heart Failure with Reduced Ejection Fraction

The Skeptics' Guide to EM

Date: January 4th, 2023 Reference: Hasbrouck et al. Acute management of atrial fibrillation in congestive heart failure with reduced ejection fraction in the emergency department. AJEM 2022 Guest Skeptics: Dr. Timlin Glaser currently a fourth-year resident in emergency medicine at Lehigh Valley Health Network and future medical toxicology fellow at the University of Arizona College of Medicine – […] The post SGEM#388: It Makes No Difference Now- Calcium Channel Blocker or Beta Blocker for Atrial

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Point-Of-Care Biosensor to Detect Oral Cancer

Medgadget

Researchers at the University of Florida have created a point-of-care biosensor that can rapidly detect a biomarker for oral cancer. The device uses test strips, such as those used in blood glucose tests, to spot cell proliferation regulating inhibitor of protein phosphatase 2A (CIP2A), a protein biomarker that can reveal the presence of oral cancer.

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EMCrit 342 – More Cardiac Arrest Mastery with PO Berve – Pre-Tidal CO2

EMCrit Project

More cardiac arrest mastery with the sonorambler EMCrit Project by Scott Weingart, MD FCCM.

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ECG of the Week 28th December 2022 – Interpretation

EMergucate

ECG of the Week 28th December 2022 – Interpretation The patient is in a sinus rhythm with bradycardia (rate ~50) … Continue reading →

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TIRBO #26: RadioPEEP discordance

Critical Care Scenarios

On today’s TIRBO: A sinister pitfall that may lead you to injuring lungs and worsening outcomes. Find us on Patreon here! Buy your merch here! On today’s TIRBO: A sinister pitfall that may lead you to injuring lungs and worsening outcomes. Find us on Patreon here! Buy your merch here!

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JJ 22 Laceration Repair – Glue vs Strips vs Staples vs Sutures

Emergency Medicine Cases

In this Part 2 of our 3-part Journal Jam series on Laceration Management we dive into the evidence for the choice of material to close lacerations. Which is best for which kind of laceration? Surgical skin glue? Wound adhesive strips? Surgical staples? Absorbable sutures? Nonabsorbable sutures? The post JJ 22 Laceration Repair – Glue vs Strips vs Staples vs Sutures appeared first on Emergency Medicine Cases.

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Intra-articular Lidocaine vs Procedural Sedation and Analgesia for Closed Reduction of Acute Anterior Shoulder Dislocation

REBEL EM

Background: Many clinicians have transitioned from procedural sedation and analgesia (PSA) in favor of intra-articular lidocaine (IAL) to manage anterior shoulder dislocation. PSA, also referred to as intravenous sedation in this paper, requires considerable resources, including 1:1 nursing observation, and burdens the emergency department (ED). In addition, many hospitals are still reeling from the COVID-19 pandemic and face crippling staff shortages, and sparing a nurse for PSA will be difficu

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Bioprinted Eye Tissue to Study Retinal Diseases

Medgadget

Researchers at the National Eye Institute, which is part of the National Institutes of Health, have created a method to 3D bioprint eye tissue that forms the outer blood-retina barrier. This tissue supports the photoreceptors in the retina and is implicated in the initiation of age-related macular degeneration. The outer blood-retina barrier is the interface of the retina and the choroid, including Bruch’s membrane and the choriocapillaris.

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EMCrit – Ghali Grills 2 – Should You Tube the Patient in Severe Hemorrhagic Shock if there is a Delay to OR?

EMCrit Project

Another grilling from Sam Ghali EMCrit Project by Scott Weingart, MD FCCM.

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ECG of the Week 11th January 2023 – Interpretation

EMergucate

ECG of the Week 11th January 2023 – Interpretation This is a very ischaemic looking ECG in a high risk … Continue reading →

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Episode 55: Undifferentiated encephalopathy and autoimmune encephalitis, with Casey Albin

Critical Care Scenarios

How to evaluate the patient with unexplained encephalopathy, and a practical approach to diagnosing autoimmune encephalitis with an emphasis on anti-NMDA receptor encephalitis—with Dr. Casey Albin (@CaseyAlbin), neurologist and neurointensivist, assistant professor of Neurology and Neurosurgery at Emory, and part of the NeuroEmcrit team. Claim your CME credit here!

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EM Quick Hits 45 ETCO2 in Cardiac Arrest, Organ Donation, Paraphimosis, Medicolegal Myths, QI Corner

Emergency Medicine Cases

Understanding why ETCO2 is recommended in cardiac arrest with Swami, practical steps to organ donation in the ED with Dr. Andrew Healy, using your hospital food court to treat paraphimosis, rectal prolapse and food bolus obstruction with Dr. Sarah Foohey, QI Corner with Dr. Tahara Bhate, 4 Medicolegal Myths with Dr. Jennifer C. Tang on this month's EM Quick Hits podcast.

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First10EM Journal Club: January 2023

Broome Docs

We are back with another episode of the BroomeDocs and First10EM podcast. In this episode we try to answer some of the big questions in Emergency Medicine, we also answer a few that you probably would never have thought to ask! Like… How much electricity should we use in refractory VF? Should we suck clots out of legs? Should you put Tegaderm on eyeballs?

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Smart Walking Stick for Visually Impaired People

Medgadget

Researchers at the University of Colorado at Boulder have developed a smart walking stick that can assist blind or visually impaired people to navigate their environment, from grocery shopping to finding a seat in a busy café. The system employs cameras to visualize the environment and items within it, such as products in a supermarket, and uses AI to identify objects and provide guidance for the user.

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QS-wave in V2: 2 cases, different paradigms lead to different treatment times (STEMI - NSTEMI vs. OMI - NOMI)

Dr. Smith's ECG Blog

Submitted by anonymous, written by Pendell Meyers. Additional case by Smith. Case 1 A middle aged woman presented with acute chest pain and shortness of breath, unclear time since onset, and likely with episodic symptoms off and on throughout the day. Her vitals were within normal limits. ED1 @1512 What do you think? Meyers : Very clear and specific for acute LAD OMI, with hyperacute T waves in the LAD distribution including leads V2-V6, II, III and aVF.

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Lab case 395

EMergucate

72 year old man with history of COPD presented with shortness of breath. His chest auscultation revealed bilateral wheezes.

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Pigtail Catheter vs Large Bore Chest Tube for Pneumothorax

Silk City Blog

Written by Jessica DiPeri, MD This post first appeared on REBEL EM Background: Pneumothorax management is a common clinical condition in the emergency department (ED) occurring in patients of varying ages and caused by multiple etiologies, including spontaneous, traumatic, and iatrogenic pneumothorax. Regardless of the cause, a thoracostomy is often required for treatment (Currie 2007).

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Top 10 of 2022 – EM Cases Podcasts & Blogs Highlights of the Year

Emergency Medicine Cases

Based on a blend of number of listens, feedback from listeners, website visits and my personal faves, here is EM Cases Top 10 of 2022. The post Top 10 of 2022 – EM Cases Podcasts & Blogs Highlights of the Year appeared first on Emergency Medicine Cases.

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CLOVERS

The Bottom Line

In patients with sepsis-induced hypotension does a restrictive fluid strategy (with early vasopressor usage) compared to a liberal fluid strategy result in lower mortality before discharge by day 90?

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Balance Boards to Stay Active in the Offfice: Interview with Joel Heath, CEO of FluidStance 

Medgadget

Fun and durable, the FluidStance balance board deck can be found at many offices these days as working professionals with desk jobs look for ways to stay active and healthy. Long hours slumped over at a desk means that your muscles remain inactive for long periods of time – a running hypothesis is that long periods of inactivity lead to issues with glucose regulation, as muscles cease their regular glucose uptake and the body adapts to a sedentary lifestyle.

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Infant CPR: How to Save a Baby’s Life

NHCPS Save a Life

A baby is less than 1/15 the size of the average adult. So, naturally, you should never perform Adult CPR on an infant. Instead, to save a baby’s life, you must learn Infant CPR and how it’s different. Read on to find out! Why is CPR Different for Infants? A baby’s musculature, bone density, size, […] The post Infant CPR: How to Save a Baby’s Life appeared first on SaveaLife.com.

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ECG of the Week 18th January 2023 – Interpretation

EMergucate

ECG of the Week 18th January 2023 – Interpretation The key determination here is what the patient’s rhythm is.

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PEC Ep. 123: Deep Dive DEI Position Statement

Prehospital Emergency Care Podcast

Hello from the NAEMSP 2023 EMS Conference! The PEC Podcast team brings you our deep dive series where we cover NAEMSP's Diversity, Equity, and Inclusion position statement titled: Essential Principles to Create an Equitable, Inclusive, and Diverse EMS Workforce and Work Environment: A Position Statement. In this episode we interview Rickquel Tripp, MD MPH CDR USN @prettyrickyMD Sylvia Owusu-Ansah MD, MPH @MdOwusu Ameera Haamid MD @HaamidtheMD Click here to download today!

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The “Diamond of Death” in Trauma – Hypocalcemia

FOAMcast

Apple Podcasts , Spotify , or Listen Here References: Wray JP, Bridwell RE, Schauer SG, Shackelford SA, Bebarta VS, Wright FL, Bynum J, Long B. The diamond of death: Hypocalcemia in trauma and resuscitation. Am J Emerg Med. 2021 Mar;41:104-109. doi: 10.1016/j.ajem.2020.12.065. Epub 2020 Dec 28. PMID: 33421674. Giancarelli A, Birrer KL, Alban RF, Hobbs BP, Liu-DeRyke X.

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INGENIOUS Conference Paper published – DisasterMM: Multimedia Analysis of Disaster-Related Social Media Data Task at MediaEval 2022

Ingenious

The INGENIOUS Conference Paper titled “DisasterMM: Multimedia Analysis of Disaster-Related Social Media Data Task at MediaEval 2022” was submitted to the MediaEval 2022 Workshop which was held on 12-13 January 2023, collocated with MMM 2023 in Bergen, Norway and also online. The paper is written by our partners in CERTH and the preliminary proceedings of the workshop are available here.

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