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In this ECG Cases blog we review 10 cases of possible artifact, lead reversal and lead misplacement. Can you spot the abnormalities and avoid the misdiagnosis? The post ECG Cases 29 Misdiagnosis from Lead Misplacement, Artifact and Lead Reversal appeared first on Emergency Medicine Cases.
Date: March 26th, 2022 Guest Skeptic: Professor Melanie Trecek-King Associate professor of biology at Massasoit Community College in Massachusetts. Founder and creator of Thinking Is Power. Reference: Trecek-King M.A Life Preserver for Staying Afloat in a Sea of Misinformation. Skeptical Inquirer March/April 2022 This is an SGEM Xtra episode. I met Melanie through our online interactions […] The post SGEM Xtra: Float Away, Float Away, Float Away – from Misinformation first appeared on The Skept
We discuss the clinical presentation and management of AFE with guests Dr. Stephanie Martin (Twitter: @OBCriticalCare, Instagram: @criticalcareob), medical director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist in Scottsdale, Arizona with expertise in critical care obstetrics. She is also co-host of the Critical Care Obstetrics podcast.
March Madness is here! To help distract you from the craziness of college basketball, the PEC Podcast team is happy to discuss the Prehospital Emergency Care Journal Volume 25 Number 6 where we cover manuscripts like: Ketamine for Prehospital Pain Management Does Not Prolong Emergency Department Length of Stay & Child Abuse Recognition Training for Prehospital Providers Using Deliberate Practice Click here to download today!
Assisting a loved one, who also happens to be a first responder, to recover from substance abuse can result in many unexpected responses. While we genuinely want what is best for family, friends, and our closest colleagues, the strain of addiction impacts more people than the individual experiencing it. The repercussions of addictive behavior usually extend to the person’s family, immediate social circle, colleagues at work, and beyond.
Why should pericarditis be considered a diagnosis of exclusion? Which clinical features are most useful in the diagnosis of pericarditis? What are the most common pitfalls in the ECG interpretation? What are the best ways to differentiate the ECG of pericarditis from that of MI and early repolarization? How is uncomplicated viral pericarditis treated differently compared to pericarditis with other etiologies?
Date: March 3rd, 2022 Reference: Macnow et al. Effect of Screen Time on Recovery From Concussion: A Randomized Clinical Trial. JAMA Pediatrics 2021 Guest Skeptic: Dr. Catherine Varner is an Assistant Professor and Clinician Investigator in the Department of Family and Community Medicine at the University of Toronto. She is an emergency physician at Mount Sinai […] The post SGEM#362: Screen Time – Can’t Take My Eyes Off of You – But Should I Post-Concussion?
Date: March 3rd, 2022 Reference: Macnow et al. Effect of Screen Time on Recovery From Concussion: A Randomized Clinical Trial. JAMA Pediatrics 2021 Guest Skeptic: Dr. Catherine Varner is an Assistant Professor and Clinician Investigator in the Department of Family and Community Medicine at the University of Toronto. She is an emergency physician at Mount Sinai […] The post SGEM#362: Screen Time – Can’t Take My Eyes Off of You – But Should I Post-Concussion?
A look at rehabilitation and mobility in the critically ill, from the perspective of our skilled therapists—with Heidi Engel, PT, DPT of UC San Francisco, long-term provider of acute care therapy, researcher in ICU rehabilitation, and founding member of the SCCM’s ICU Liberation program. Takeaway lessons Tolerance of pressure support ventilation is often a good … Continue reading "Episode 44: Physical therapy with Heidi Engel" A look at rehabilitation and mobility in the critically ill, from the
I apologize in advance to Sebastian Junger and his excellent book, The Perfect Storm. If you’ve read it or seen the movie with Mark Wahlberg; (and you should read the book), you know it’s about a combination of circumstances that come together in an unprecedented way to cause devastation. It was a best-seller and blockbuster movie, because who doesn’t like watching disasters?
According to the Substance Abuse and Mental Health Services Administration (SAMHSA), over 30 percent of first responders suffer from a mental health condition, including post-traumatic stress (PTS). With the rise in critical incidents against civilians and towards our men and women in uniform, first responders must be able to identify PTS. PTS is a response to experiencing a shocking tragedy or a terrifying event accompanied by a physical or emotional reaction.
In this month's EM Quick Hits podcast: Brit Long on Surving Sepsis Campaign -2021 Updates, Nour Khatib on rural medicine case - angle closure glaucoma, Reuben Strayer on bougie vs endotracheal tube and stylet on first-attempt intubation, Justin Hensley on management of frostbite, Sarah Foohey on the hot and altered patient, and Andrew Petrosoniak on central cord syndrome.
Written by Pendell Meyers Interpret this ECG first without context. You don't need context yet because this ECG is nearly pathognomonic. After having learned about benign T wave inversion pattern years ago on this blog, and having seen many cases on this blog and in my practice since then, I instantly recognize this as BTWI, a fairly common normal variant.
A quick review of tracheoinnominate fistulas: how they happen, what they look like, and most importantly, what you’ll need to do. A quick review of tracheoinnominate fistulas: how they happen, what they look like, and most importantly, what you’ll need to do.
One of the most misunderstood pieces of equipment we have is the bag valve mask. Easy to operate, but hard to master, it’s one of the fundamental skills we need to master. Rommie Duckworth is a nationally-known paramedic and educator in Connecticut who is truly passionate about education and ventilation, and Dan gets to pick his brain and talk about what really matters when we have to breathe for our patients who can’t do it for themselves.
Get CE for listening to this episode -> here. White Tiger, Dr. JR Pickett is back! Previously, he has talked to us about Syncope and Shortness of Breath. This time it’s all about abdominal pain. He emphasizes the history and physical exam and includes a few ultrasound nuggets. What’s the difference between a thoracic aortic dissection and an abdominal aortic aneurysm?
Welcome back to the tasty morsels of critical care podcast. Of the many things I poorly understand, I suspect that haematology holds a special place. Knowing the intricacies of the haematological malignancies was not exactly core knowledge for emergency medicine. Read More » Welcome back to the tasty morsels of critical care podcast. Of the many things I poorly understand, I suspect that haematology holds a special place.
Just a quick update to the blog to collate various items from around the web. The Annals of Emergency Medicine monthly podcast is updated through February 2022, freely available from your choice of services: Apple Podcasts SoundCloud Google Podcasts Likewise, the Annals of Emergency Medicine Journal Club is freely available: To Bougie or Not to Bougie: Bougie versus Stylet for First-Pass Intubation Success Immediate Versus Delayed Cardiac Catheterization in Post-Arrest Patients Without ST Elevat
Brandon and Bryan reflect on the qualities that define good and bad ICU nurses, the challenges they face, and how APPs and physicians can enable them to be their best. Brandon and Bryan reflect on the qualities that define good and bad ICU nurses, the challenges they face, and how APPs and physicians can enable them to be their best.
You ever want to intubate someone, but they tell you no? Chris swears a little less (barely) in today's episode that examines DNR's, POLST forms, and inaccurate SaO2 probes. We also get another rant from Chris! You ever want to intubate someone, but they tell you no? Chris swears a little less (barely) in today's episode that examines DNR's, POLST forms, and inaccurate SaO2 probes.
In this episode, we meet Dr. Mike Levy, current President of the National Association of EMS Physicians (NAEMSP) and Medical Director from Anchorage, Alaska. If you are here for the jackassery.then you will love this episode. Thanks for joining us and subscribing!
Welcome back to the tasty morsels of critical care podcast. Today we’re talking about dead space. While it may sound like something from The Expanse, we’re actually talking about the physiological concept of dead space here. This is pretty core. Read More » Welcome back to the tasty morsels of critical care podcast. Today we’re talking about dead space.
EMS should use lights and sirens selectively, the same as any clinical intervention for our patients. On Feb. 14, 2022, leaders of many EMS associations published a statement calling for decrease in use of red lights and sirens for EMS responses and transports. Data from NHTSA and Dr. Doug Kupas's seminal paper on the use of red lights and sirens in EMS that fewer than 7% of patients transported to the hospital with lights and sirens received a life-saving intervention upon arrival in the ED.
The below ECG is from a 69 year old male who presented to ED with general malaise and fatigue. The patient is has a background of metastatic colon cancer and depression.
Date: February 24th, 2022 Reference: Parish et al. An umbrella review of effect size, bias, and power across meta-analyses in emergency medicine. AEM 2021 Guest Skeptic: Professor Daniel Fatovich is an emergency physician and clinical researcher based at Royal Perth Hospital, Western Australia. He is Head of the Centre for Clinical Research in Emergency Medicine, […] The post SGEM#361: Under My Umbrella, Ella, Ella – Review of Meta-Analyses in Emergency Medicine first appeared on The Skeptics Gu
Spencer and Chris go on a crazy adventure as they explore the choices made by Bill and Bob, two partners taking care of a patient that either stayed on or fell off the wagon. with a hard thud. Is it trauma? Is it alcohol? Did they miss something? Listen and find out on this week's episode! Spencer and Chris go on a crazy adventure as they explore the choices made by Bill and Bob, two partners taking care of a patient that either stayed on or fell off the wagon. with a hard thud.
In this episode, we meet Dr. Mike Levy, current President of the National Association of EMS Physicians (NAEMSP) and Medical Director from Anchorage, Alaska. If you are here for the jackassery.then you will love this episode. Thanks for joining us and subscribing!
As we begin to wind down on the pandemic-level of constant 911 calls and the endless hours waiting on a room in the ED, we find ourselves in a time to reflect a little before our next call. Like so many services, we have a new influx of eager young professionals. Recently, a new student asked me, “ how do you guys keep doing this day after day ?” Not an unusual thing to ask lately, and my reply was this: “ determination and our perseverance to make sure our patient gets the definitive care and t
Why does myocarditis often present a diagnostic challenge? What are the range of ECG findings in myocarditis? Does a negative high sensitivity troponin or CRP rule out myocarditis? What is the role of PoCUS in the diagnosis and prognosis of myocarditis? When should we consider myocarditis or pericarditis in patients with recent COVID-19 infection or COVID mRNA vaccination, and which of these patients require workups?
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