The Skeptics' Guide to EM
JUNE 10, 2023
Date: June 6th, 2023 Reference: Pines, Raja, Bellollo and Carpenter. Evidence-Based Emergency Care: Diagnostic Testing and Clinical Decision Rules 3rd Edition Guest Skeptic: Dr. Jesse Pines is the Chief Clinical Innovation at US Acute Care Solutions and a Clinical Professor and George Washington University and Professor of Emergency Medicine at Drexel University.
Pediatric EM Morsels
JUNE 16, 2023
The subcutaneous space is a vast region of potential space where things can collect. Sometimes this can be used to our advantage, like when we need to give subcutaneous fluids to a dehydrated patient without an IV, or when we need to give SQ medications for things like Sulfonylurea overdose , Hereditary Angioedema , or DVTs. Sometimes, however, these deeper layers of the subcutaneous space can collect dangerous infections , like Necrotizing Fasciitis.
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Core Ultrasound
JUNE 14, 2023
I’m so proud to be living my truth and sharing my story with you all! Join me in this special episode where I share just a little bit of my journey of coming out to the rest of the world as a transgender woman. Also, there are 5 other reasons to watch: I’ll share with you my favorite ultrasound cases of the past few months. I hope you enjoy this wide-ranging talk on some pretty important and amazing topics!
High Performance EMS
JUNE 12, 2023
During the height of the COVID pandemic, shortages led to many operational challenges that required creative solutions. One of the more challenging issues that has become as endemic as the disease itself is the recruitment and retention of EMS professionals. This shortage has disproportionally impacted paramedics, as evidenced in the NAEMT survey results published in May of 2022.
Don't Forget the Bubbles
JUNE 12, 2023
I remember how I felt when. I first watched “ Just a Routine Operation “, – the story of the events that led to the tragic death of Elaine Bromiley. Elaine Bromiley went into hospital for a routine operation. Despite an appropriate pre-operative assessment, the anaesthetists tasked with intubating Elaine found themselves in a Can’t Intubate, Can’t Oxygenate scenario, though they failed to recognise it at the time.
REBEL EM
JUNE 14, 2023
Anaphylactic Shock is an acute, life-threatening hypersensitivity disorder, with a generalized, rapidly evolving, multi-systemic allergic reaction (IgE-mediated disorder). If not treated rapidly can become fatal. Scott Weingart, MD put together a manual titled the Resuscitation Crisis Manual , which in short, is composed of two-page protocols for various situations that involve crashing patients.
First 10 EM
JUNE 12, 2023
Can herbs cure sepsis? The EXIT-SEP trial was just published, and demonstrated a decrease in all cause mortality from xuebijing – a product manufactured by a pharmaceutical company from a combination of Carthamus tinctorius flowers (Honghua in Chinese), Paeonia lactiflora roots (Chishao), Ligusticum chuanxiong rhizomes (Chuanxiong), Angelica sinensis roots (Danggui), and Salvia miltiorrhiza roots (Danshen). […] The post Finally, a cure fore sepsis: Herbs appeared first on First10EM.
Paramedicine Now brings together the best content for paramedicine professionals from the widest variety of thought leaders.
Don't Forget the Bubbles
JUNE 14, 2023
This post, from Ben Symon on XXX, is the first of our 2022 DFTB conference. Some tickets are still left for DFTB23 in Adelaide, so sign up while you can. Ben Symon is a pediatric emergency medicine physician. He’s fascinated by the interactions and boundaries between how we interact together as clinicians and with our patients. Kindness is central to our speciality – but it should be central to all of our specialities.
EMergucate
JUNE 13, 2023
The following chest x-rays are from an adult with fever and dyspnoea. What can be seen?
Dr. Smith's ECG Blog
JUNE 15, 2023
Written by Pendell Meyers Both of these cases were sent to me with no information other than adults with acute chest pain. What would be your response? Case 1: Case 2: What if I told you that Case 1 has an abnormal initial troponin, and Case 2 has a normal initial troponin? Case 1 An elderly male presented with chest pain. His vitals were within normal limits except some mild hypertension.
Medgadget
JUNE 12, 2023
The human body has a deep connection with electricity. The transmission of electrical impulses is responsible for the movement of our limbs, the functioning of our organs, and the formation and recall of memories. The signatures of the various electrical signals emanating from our body can be telltale signs of our health, and a jolt of electricity can literally bring us back from the brink of death.
Don't Forget the Bubbles
JUNE 14, 2023
Can’t get enough of Bubble Wrap? The Bubble Wrap Plus is a monthly paediatric journal club reading list from Anke Raaijmakers, working with Professor Jaan Toelen and his team at the University Hospitals in Leuven. This comprehensive list is developed from 34 journals, including major and subspecialty paediatric journals. We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research.
Clinical Correlations
JUNE 12, 2023
By Jonah Klapholz Peer Reviewed Telling patients.
Dr. Smith's ECG Blog
JUNE 11, 2023
Written by Bobby Nicholson MD and Pendell Meyers A man in his 30s presented to the ED for evaluation of chest pain and palpitations. He described it as a "jackhammering" sensation, associated with palpitations, diaphoresis, and shortness of breath, and he stated it started soon after consuming an "energy drink" (product/contents unknown). He stated these symptoms were the same as a prior episode which required cardioversion.
University of Maryland Department of Emergency Med
JUNE 15, 2023
What is this called? What does it indicate? Treatment? ANSWER: Tear Drop pupil. Globe rupture/corneal laceration. Prote.
EMDocs
JUNE 14, 2023
Authors: Daniel Escobar, MD (Emergency Physician, Mercy Hospital Northwest Arkansas, Rogers, Arkansas), Ann-Jeannette Geib, MD (Emergency Medicine Attending; Medical Toxicologist, Carolinas Medical Center, Charlotte, NC) // Reviewed by: James Dazhe Cao, MD (@JamesCaoMD, Associate Professor of EM, Medical Toxicology, UT Southwestern Medical Center, Dallas, TX); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case: A 34-year-old male presents to the Emergency Department with complaint of
Medgadget
JUNE 12, 2023
Engineers at the University of California San Diego have developed a low-cost cuffless blood pressure monitor. The device is a clip that attaches over a smartphone camera and flash. The user presses their finger against the clip, and the system can infer the amount of blood passing through the finger, and the amount of pressure being exerted on the clip by the finger.
REBEL EM
JUNE 15, 2023
A 45-year-old man is brought in by EMS after being found unconscious by his partner. He is confused and agitated. His vital signs are a BP of 90/60 mm Hg, HR of 120 bpm, RR of 24/min, and T of 37.6°C. His laboratory findings include the following: Sodium: 125 mEq/L Chloride: 90 mEq/L Potassium: 3.2 mEq/L Bicarbonate: 24 mEq/L Blood urea nitrogen: 28 mg/dL Creatinine: 1.0 mg/dL Ethanol: 322 mg/dL Glucose: 72 mg/dL Osmolality: 350 mOsm/kg Venous blood gas: pH 7.36, PCO 2 45 mm Hg, PO 2 95 mm Hg U
University of Maryland Department of Emergency Med
JUNE 16, 2023
While transgender and gender diverse individuals make up a minority of the US population (approx 1.4 million individuals), they are unfortunately th.
EMDocs
JUNE 10, 2023
We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: Grandma Broke Her Neck? Prevalence of C-Spine Injuries from Ground Level Fall Over 65 Years Spoon Feed This systematic review found that the prevalence of cervical spine injuries in patients 65 years or older after
EMCrit Project
JUNE 15, 2023
Massive Acetaminophen Overdose EMCrit Project by Scott Weingart, MD FCCM.
Paramedic Chiefs of Canada
JUNE 14, 2023
FOR IMMEDIATE RELEASE June 14, 2023 Paramedic Chiefs of Canada release vision for future focused on patients, evidence, and ongoing learning Report titled ‘Principles and Enabling Factors Guiding Paramedicine in Canada’ released with focus on new priorities for industry KELOWNA, B.C. – The Paramedics Chiefs of Canada (PCC) has published a paper outlining a new set of guidelines for the future of paramedicine in Canada at its national Leadership Summit in Kelowna, B.C.
University of Maryland Department of Emergency Med
JUNE 10, 2023
a 37 year old patient comes in with chest pain, you obtain the following ECG. Is this a STEMI or Pericarditis?
The EMS Educator
JUNE 12, 2023
Want to know more about the NREMT’s National EMS ID? NREMT initiated this project in early 2020 to help us gain insights into the EMS workforce, attrition, quality of education, provider credentialing and provision of quality patient care. The ID will enable NREMT to follow learners from pre-matriculation to retirement In this episode, Hilary Gates and Rob Lawrence explore the ID's current use, purpose, and future possibilities, including ways that EMS agencies, educators, leaders and clinici
ALiEM
JUNE 15, 2023
Which cardiotoxic plant is shown? Lily of the valley Moonflower Morning glory Water hemlock White snakeroot Reveal the Answer 1. Lily of the Valley What type of plant is lily of the valley? Lily of the valley ( Convallaria majalis ) is a woodland perennial with a sweet scented, white bell-shaped flower. It blooms from April to June in North America and bears orange-red berries in July [1].
EMDocs
JUNE 16, 2023
Original podcast posted on PEM Currents – Hosted by Brad Sobolewski ( @PEMTweets ) and co-authored by Dennis Ren ( @DennisRenMD ) This podcast series by PEM Currents is a co-production with the Emergency Medical Services for Children Innovation and Improvement Center (EMSC IIC), whose mission is to minimize morbidity and mortality of acutely ill and injured children across the emergency continuum.
University of Maryland Department of Emergency Med
JUNE 15, 2023
Author- Steve Schenkel, MD MPP Professor of Emergency Mediciner at UMEM: A recent Annals of Emergency Medicine Publication (here [link] Click to view the rest
University of Maryland Department of Emergency Med
JUNE 14, 2023
Lithium toxicity can present acutely with gastrointestinal symptoms and chronically with neurologic symptoms such as tremor and ataxia. Diagnosis.
University of Maryland Department of Emergency Med
JUNE 15, 2023
What is this called? What does it indicate? ANSWER: Seidel Sign. Assoicated with corneal perforation.
University of Maryland Department of Emergency Med
JUNE 15, 2023
Omphalitis is a soft tissue infection involving the umbilicus and surrounding tissues with redness and induration around the umbilical.
University of Maryland Department of Emergency Med
JUNE 12, 2023
Takeaways: Physicians who have symptoms of burnout as measured by standard burnout scales are more likely to be involved in patient safety in.
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