Imaging Case of the Week 502 Answer
EMergucate
APRIL 29, 2022
The wrist x-ray shows 2 injuries. Radial styloid fracture (Chauffeur’s fracture) & scapholunate dissociation (Terry Thomas Sign).
April, 2022
130 
Of Twists and Turns
EMS 12-Lead
APRIL 28, 2022
David Didlake, NRP, APRN, ACNP-BC @DidlakeDW Expert analysis provided by Dr. Ken Grauer [link] @ekgpress EMS is called to the main reception area of a retirement center where an elderly female is found down, unconscious and unresponsive. She has a palpable pulse at the radial arteries, bilaterally, with shallow respirations. This particular facility is situated for independent living, thus no medical providers are on site to provide pertinent details for medical history, medication intake, or re
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ECG Cases 30 Beware Computer Interpretation Errors
Emergency Medicine Cases
APRIL 26, 2022
Computer interpretation of the ECG has been called a double-edged sword: when correct, it increases physician accuracy, but when incorrect it increases errors. This is especially problematic in the emergency department, where computer accuracy drops as clinical significance increases—with common errors for arrhythmias and ischemia. Jesse McLaren guides us through 10 cases where the computer interpretation misguides us and how to avoid these pitfalls.
Episode 46: Neurologic catastrophe and brain death with Casey Albin
Critical Care Scenarios
APRIL 24, 2022
We review a case of massive intraparenchymal hemorrhage progressing to brain death, including the process of brain death testing and declaration, with Dr. Casey Albin (@CaseyAlbin), neurologist and neurointensivist, assistant professor of Neurology and Neurosurgery at Emory and part of the NeuroEmcrit team. For 20% off the upcoming Resuscitative TEE courses (through July 23, 2022), … Continue reading "Episode 46: Neurologic catastrophe and brain death with Casey Albin" We review a case of massiv
SGEM Xtra: She Blinded Me with Science Communication
The Skeptics' Guide to EM
APRIL 23, 2022
Date: April 19th, 2022 Guest Skeptic: Sarah Mojarad is a Lecturer in Advanced Writing, #SciComm, & Mis/disinfo topics • Kavli Fellow • Reed Awardee. This is an SGEM Xtra episode. When planning a brief trip to Los Angeles for the EMRAP One Conference, I remembered that Sarah is from LA. I thought to myself, perhaps […] The post SGEM Xtra: She Blinded Me with Science Communication first appeared on The Skeptics Guide to Emergency Medicine.
Prehospital Emergency Care Podcast Ep. 112
Prehospital Emergency Care Podcast
APRIL 29, 2022
PEC Podcast Episode 112 is here! In this episode, we cover Volume 26 Number 1 of the Prehospital Emergency Care Journal. We highlight such manuscripts like: Overdose Receiving Centers – An Idea Whose Time Has Come? & Initial Prehospital Rapid Emergency Medicine Score (REMS) as a Predictor of Patient Outcomes Click here to download today! As always THANK YOU for listening.
Imaging Case of the Week 503 Answer
EMergucate
APRIL 29, 2022
The chest x-ray shows The PA chest x-ray shows obscuration of the right heart border by a density.
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Ep 168 Financial Planning for Emergency Physicians
Emergency Medicine Cases
APRIL 26, 2022
In this episode we discuss how to earn, spend, save and invest wisely and answer questions such as: What is time affluence and how should it guide our financial planning? Why should our goal be financial independence rather than retirement? What are the 4 evidence-based cornerstones for financial planning for happiness? What is the 4% rule for figuring out how much money one needs to be happy?
TIRBO #7: Selecting vasopressors
Critical Care Scenarios
APRIL 17, 2022
A practical approach to choosing and escalating vasopressors for patients in shock. A practical approach to choosing and escalating vasopressors for patients in shock.
SGEM#363: View Master – Virtual Reality Immersion Tool to Reduce Pediatric Anxiety
The Skeptics' Guide to EM
APRIL 2, 2022
Date: March 31st, 2022 Reference: Butt et al. Take-Pause: Efficacy of mindfulness-based virtual reality as an intervention in the pediatric emergency department. AEM March 2022 Guest Skeptic: Dr. Lauren Westafer is an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School – Baystate. She is the cofounder of FOAMcast and is a pulmonary embolism […] The post SGEM#363: View Master – Virtual Reality Immersion Tool to Reduce Pediatric Anxiety fir
Employee Spotlight: Logistics & Retention Manager Denise Goodman
On Time Medical Transportation
APRIL 27, 2022
This week, we caught up with Denise Goodman, On Time's Logistics & Retention Manager. We discussed the connection between scheduling and employee retention, the challenges of keeping track of crews and trucks, and the expectations for EMTs in terms of communication and availability.
ECG of the Week 27th April 2022 Answer
EMergucate
APRIL 27, 2022
A 53 year old male presents to ED complaining of chest pain.
50 Shades of T
EMS 12-Lead
APRIL 14, 2022
David Didlake, NRP, APRN, ACNP-BC This case is provided by C. Madden, Paramedic. Many thanks for sharing! A 48 y/o Male called 911 after experiencing sudden onset chest discomfort while performing yard work. He presented to EMS with extreme pallor, Levine sign, diaphoresis, bilateral arm pain, and an apprehensive sense of doom. Past medical history included HTN, HLD, and MI 10 years prior.
EM Quick Hits 37 Introducing QI Corner, Skin Abscess, O2 Sat Monitor Pearls, Infantile Spasms, Atrial Fibrillation Rate Control
Emergency Medicine Cases
APRIL 12, 2022
Tahara Bhate's new QI corner Quick Hits series, Hans Rosenberg & Michael Gottlieb on the evidence around ED diagnosis and management of skin abscesses using PoCUS, Anand Swaminathan on what the oxygen saturation monitor can tell you besides oxygen saturation, Sarah Reid on how to pick up infantile spasms and prevent poor neurologic outcomes, Elisha Targonsky on battle of the ED rate control medications for rapid atrial fibrillation.
Lightning rounds #14: Abdominal compartment syndrome
Critical Care Scenarios
APRIL 10, 2022
Brandon and Bryan discuss a practical approach to abdominal compartment syndrome: when to suspect it, confirming the diagnosis with bladder pressure or other monitoring, management, and prognosis. Sorry for the audio on this one! Brandon and Bryan discuss a practical approach to abdominal compartment syndrome: when to suspect it, confirming the diagnosis with bladder pressure or other monitoring, management, and prognosis.
SGEM#365: Stop! It’s Not Always Hammer Time
The Skeptics' Guide to EM
APRIL 16, 2022
Date: April 16th, 2022 Reference: Blom et al. Common elective orthopaedic procedures and their clinical effectiveness: umbrella review of level 1 evidence. BMJ 2021 Guest Skeptic: Dr. Matt Schmitz, Pediatric Orthopedics, Adolescent Sports Medicine and Young Adult Hip Preservation Surgeon at San Antonio Military Medical Center in Texas. Disclaimer: The views and opinions of this blog […] The post SGEM#365: Stop!
NREMT Practice Test
BoostPrep
APRIL 26, 2022
Welcome to our free NREMT practice test page! Click on the “start quiz” buttons below to start a NREMT practice test. Our EMT test questions will give you a better idea of what will be on your exam. EMT Airway, Respiration, & Ventilation Practice Test Time limit: 0 Quiz Summary 0 of 10 Questions completed Questions: Information You have already completed the quiz before.
Imaging Case of the Week 503
EMergucate
APRIL 26, 2022
The chest x-ray is from a 40 year old with runny nose & dry cough. What can be observed?
Dark Side of the Moon
EMS 12-Lead
APRIL 8, 2022
David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Peer review by Dr. Stephen Smith @smithECGblog I was reviewing ECG’s in our LifeNet database and happened upon this one without any knowledge of clinical circumstances. Figure 1 Raw findings include Sinus Rhythm, narrow QRS duration, small q-waves in Leads I / aVL / V5 / V6 (which is not entirely atypical), an inverted P-wave in V1 to suggest possible lead malposition, a normal QRS/T angle, and a dispersion of alterna
Episode 85: Building the Better BVM (with Jonathan Merrill and Adam Scott)
The Overrun Podcast
APRIL 25, 2022
If you haven't heard of these two individuals, you may be very soon. The reason why? They may have just built the BVM we all wish we had, and the potential to help patients is very high. Dan sits down with Jonathan and Adam from Compact Medical, and talks about their new Butterfly BVM™ and the advantages it will bring to a tool that really hasn't changed in 50 years.
TIRBO #6: The many varieties of subclavian line
Critical Care Scenarios
APRIL 3, 2022
Reviewing the different approaches to placing central venous catheters in the subclavian vein. Reviewing the different approaches to placing central venous catheters in the subclavian vein.
I have your back.
Medic Mindset
APRIL 25, 2022
These two guests are partners: a flight medic and a flight nurse. They dig into their relationship in a way that will make the listener think about their own role as a partner. We also have a chance to hear the flight medic reflect on a near-miss with a medication error, what he wished he had learned more about in paramedic school, why he isn’t a firefighter and a wide range of other topics.
A woman in her 60s with palpitations
Dr. Smith's ECG Blog
APRIL 24, 2022
Case sent by Magnus Nossen MD, edits by Meyers A previously healthy woman in her 60s presented to an outpatient clinic for palpitations. Vitals were within normal limits other than heart rate. The ECG there reportedly showed an irregular tachycardia, and the patient was immediately referred to the emergency room. Here is her ECG on arrival: There is a wide complex tachycardia that is irregularly irregular (this is difficult to determine at these very high rates).
ECG of the Week 20th April 2022 Answer
EMergucate
APRIL 20, 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.
Target Acquired
EMS 12-Lead
APRIL 2, 2022
David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Expert commentary provided by Dr. Ken Grauer CASE 1 An 82 y/o Male called 911 for sudden onset dizziness while at rest. Upon arrival he was found alert and oriented, and without gross distress. He denied difficulty breathing, epigastric pain, or chest discomfort. BP 110/67 HR 68 RR 14 (non-labored) SpO2 95 RA Physical exam revealed slight pallor and diaphoresis.
Travel Paramedicine
Best Practice Medicine
APRIL 22, 2022
Travel paramedics are part of the workforce solution healthcare desperately needs. Best Practice Medicine (BPM) created and is rapidly scaling the nation's first dedicated travel paramedic agency in support of ambulance and hospital operations nationwide.
EMT Spotlight: Field Supervisor Dayle Gibson
On Time Medical Transportation
APRIL 19, 2022
Dayle Gibson is a Field Supervisor at On Time Ambulance. Starting as an EMT with the company in 2019, Dayle has held the roles of EMT Mentor, Field Training Officer, and now Field Supervisor. We caught up with Dayle to ask about what motivates her, the unique learning experiences in EMS, and what it takes to succeed in the field.
Episode 84: So, You Want To Be A MIlitary Medic?
The Overrun Podcast
APRIL 11, 2022
If you've been anywhere in this world the last few weeks, you know what's been going on in Ukraine. Once again, military medicine has taken front row. But what actually is military medicine about? What are some of the misconceptions? And what can we as civilians take away from our colleagues in service? On this episode, Dan and Ed are civilians talking medicine in the military to Dr.
Chest pain, a ‘normal’ ECG, a 'normal trop', and low HEART and EDACS scores: Discharge home? Stress test? Many errors here.
Dr. Smith's ECG Blog
APRIL 22, 2022
Written by Jesse McLaren, with comments from Smith and Grauer A 60 year old presented with three weeks of intermittent non-exertional chest pain without associated symptoms. ECG was labeled ‘normal’ by the computer (confirmed by the overreading cardiologist) and the high-sensitivity Troponin I was normal at a value of 11 ng/L (Abbott Alinity assay, where normal is S in V2.
Imaging Case of the Week 502
EMergucate
APRIL 19, 2022
Following wrist x-rays are from a 38 year old with wrist pain and swelling after a fall on outstretched hand.
Boldly Going (To The Birthing Center)
EMS 20/20
APRIL 27, 2022
Spencer and Chris Boldly examine a call that occurs in a birthing center where a patient is hypotensive for obvious reasons. or are they? Spencer and Chris Boldly examine a call that occurs in a birthing center where a patient is hypotensive for obvious reasons. or are they?
Cardioverting Atrial Fibrillation: Ant-Lat vs AP
Emergency Medicine Education
APRIL 25, 2022
Does Anterior-Posterior electrode pad work better than the Anterior-Lateral position? A multicenter Danish study in 468 patients with atrial fibrillation showed the Ant-Lat position was more effective than AP for biphasic cardioversion and converting to sinus rhythm. There was no safety concern between these 2 methods.
Beyond the Textbook: #FOAMed in the Classroom
The EMS Educator
APRIL 20, 2022
Learn how to create effective, meaningful learning experiences for students in your EMS classroom. Hear from fellow educators about creative ways to implement FOAMed. Benji McCollum, NRP, RN, Paramedic Program Director at Midlands Technical College describes teach-back presentations, using SMEs, and teaching hands-on skills in a virtual environment.
Tasty Morsels of Critical Care 060 | The post cardiac surgery patient
Emergency Medicine Ireland
APRIL 4, 2022
Welcome back to the tasty morsels of critical care podcast. Oh chapter 26 devotes a whole chapter to this and for those of us in cardiac units the arrival of several post cardiac surgery patients a day in your unit. Read More » Welcome back to the tasty morsels of critical care podcast. Oh chapter 26 devotes a whole chapter to this and for those of us in cardiac units the arrival of several post cardiac surgery patients a day in your unit is a routine part of the day.
A woman in her 30s with sudden chest pain, nausea, and diaphoresis. Was her cardiology management appropriate?
Dr. Smith's ECG Blog
APRIL 8, 2022
Case written and submitted by Brandon Fetterolf MD, edits by Meyers A woman in her early 30s with multiple autoimmune disorders including vasculitis presented with 2-3 hours of mid-left side chest discomfort with radiation to neck and left arm and associated with nausea, diaphoresis and dizziness. Initial ECG on presentation at 1554 (no prior for comparison): What do you think is happening to his 30s woman?
Imaging Case of the Week 501 Answer
EMergucate
APRIL 16, 2022
The chest x-ray shows : There is consolidation involving the left upper lobe with silhouetting of the left cardiac border … Continue reading →
Overdosed on AMS
EMS 20/20
APRIL 13, 2022
Spencer and Chris try to stay with a crew as they wind down the treacherous rabbit hole that is an altered mental status patient. Do they take the wrong path? In short. probably, but listen and find out why they go where they go on this week's episode! Spencer and Chris try to stay with a crew as they wind down the treacherous rabbit hole that is an altered mental status patient.
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