Emergency Medicine Cases

MARCH 29, 2022

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?

OR 130

OR EMS 130

The Skeptics' Guide to EM

MARCH 26, 2022

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

OR 130

OR 130

EMergucate

MARCH 16, 2022

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.

ED 130

ED EMS 130

Critical Care Scenarios

MARCH 27, 2022

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.

Critical Care 100

Critical Care ICU CPR OR 100

Prehospital Emergency Care Podcast

MARCH 31, 2022

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!

Emergency Department 52

Emergency Department 52

First Responder Wellness

MARCH 30, 2022

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.

First Responder 52

First Responder OR 52

Emergency Medicine Cases

MARCH 29, 2022

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.

STEMI 130

STEMI EMS 130

EMergucate

MARCH 10, 2022

The lateral knee x-ray shows significant effusion in the knee joint and an indentation on the lateral femoral condyle (lateral … Continue reading →

EMS 130

EMS 130

Critical Care Scenarios

MARCH 20, 2022

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

ICU 100

ICU OR 100

The Overrun

MARCH 27, 2022

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?

EMS 52

EMS EMT EMT Emergency Transportation 52

First Responder Wellness

MARCH 30, 2022

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.

First Responder 52

First Responder Mental Health Services OR 52

Emergency Medicine Cases

MARCH 15, 2022

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?

EMS 130

EMS 130

Dr. Smith's ECG Blog

MARCH 22, 2022

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.

E-9-1-1 52

E-9-1-1 ALS OR 52

EMergucate

MARCH 10, 2022

The knee x-rays are from a 75 year old with right knee pain and inability to weight bear after a … Continue reading →

EMS 130

EMS 130

Critical Care Scenarios

MARCH 13, 2022

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.

100

100

The Overrun Podcast

MARCH 21, 2022

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.

EMT 52

EMT EMT Paramedic OR 52

Medic Mindset

MARCH 18, 2022

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?

Paramedic 52

Paramedic EMS 52

Emergency Medicine Cases

MARCH 1, 2022

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.

EMS 130

EMS 130

Emergency Medicine Ireland

MARCH 7, 2022

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.

Critical Care 52

Critical Care Plasma ICU OR 52

EMergucate

MARCH 24, 2022

The knee x-rays show lateral tibial plateau fracture. This is an easily overlooked fracture especially in elderly women.

EMS 130

EMS 130

Critical Care Scenarios

MARCH 6, 2022

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.

ICU 100

ICU 100

EM Literature of Note

MARCH 31, 2022

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

EMS 40

EMS OR 40

EMS 20/20

MARCH 30, 2022

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.

40

40

The EMS Show

MARCH 24, 2022

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!

EMS 40

EMS 40

Emergency Medicine Ireland

MARCH 21, 2022

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.

Critical Care 40

Critical Care OR 40

EMergucate

MARCH 24, 2022

The chest x-ray shows The frontal chest x-ray shows a retrocardiac density/consolidation with air bronchogram.

EMS 130

EMS 130

The EMS Educator

MARCH 2, 2022

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.

Organ Donor 40

Organ Donor EMS ED 40

The Skeptics' Guide to EM

MARCH 5, 2022

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

Epinephrine 100

Epinephrine ALS OR 100

EMS 20/20

MARCH 16, 2022

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.

OR 40

OR 40

The EMS Show

MARCH 24, 2022

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!

EMS 40

EMS 40

High Performance EMS

MARCH 1, 2022

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

AEMT 100

AEMT EMS ED OR 100

EMergucate

MARCH 3, 2022

70 year old female presents to ED with a 1 month history of vomiting and diarrhoea. Over the last few days she has started to feel increasingly weak and had a few episodes of confusion.

ED 100

ED EMS 100

EMergucate

MARCH 1, 2022

70 year old female presents to ED with a 1 month history of vomiting and diarrhoea. Over the last few days she has started to feel increasingly weak and had a few episodes of confusion.

ED 100

ED EMS 100

EMergucate

MARCH 7, 2022

The following abdominal x-ray is from a 7 day old with bilious vomiting. What can be noticed?

EMS 130

EMS 130

EMergucate

MARCH 8, 2022

You are reviewing a 49 year old man who presented with chest pain and an unremarkable ECG.

130

130

EMergucate

MARCH 15, 2022

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.

ED 100

ED EMS 100

EMergucate

MARCH 20, 2022

The following chest x-ray is from a 40 year old with fever and cough. What can be noted?

EMS 130

EMS 130