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In this main episode podcast, Dr. David Carr joins Anton to give us his simplified approach to syncope based solely on history, physical and ECG to help guide disposition decisions. We answer questions such as: What features have the best likelihood ratios to help distinguish syncope from seizure? What key clinical features on history and physical exam can help us distinguish orthostatic and reflex syncope from the more sinister cardiac syncope?
Date: July 28th, 2022 Reference: Brower et al. Point-of-Care Ultrasound-First for the Evaluation of Small Bowel Obstruction: National Cost Savings, Length of Stay Reduction, and Preventable Radiation Exposure. AEM July 2022 Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. She is also the creator of all those wonderful Paper in a Pictures. […] The post SGEM#373: Going Ultrasound for Small Bowel Obstructions first appeared on The Skeptics Gu
Brandon and Bryan chat about academic presentations… how to prepare and submit them, selecting the right venue, giving a good talk, and the elephant in the room: why to do it at all. Brandon and Bryan chat about academic presentations… how to prepare and submit them, selecting the right venue, giving a good talk, and the elephant in the room: why to do it at all.
Scientists at the Royal College of Surgeons in Ireland and partners at the National College of Art and Design in Dublin have developed a silicone heart model that is intended to model heart failure with preserved ejection fraction. The device, which represents a ‘mock circulatory loop’, includes a simulated version of the left atrium and left ventricle, and each chamber is independently controlled to model the entire cardiac cycle.
This chapter explores the approach to acute neuromuscular weakness in the ICU, as well as selected disorders. As with any acute presentation, an organized approach is essential. Understanding the limitations of various tests is also critical (since there is considerable confusion about this). The IBCC chapter is located 👉 here. The podcast & comments are […].
The origin of these ECGs cannot be revealed. Time 0: Sinus rhythm with an intraventricular conduction delay (QRS is about 120 ms) Hyperacute T-waves in V2-V5, Diagnostic of Proximal LAD occlusion, but without ANY ST Elevation except for less than 1 mm in aVL, and 0.25 mm in lead I. There is also minimal STE in aVL with reciprocal STD in II, III, aVF.
The origin of these ECGs cannot be revealed. Time 0: Sinus rhythm with an intraventricular conduction delay (QRS is about 120 ms) Hyperacute T-waves in V2-V5, Diagnostic of Proximal LAD occlusion, but without ANY ST Elevation except for less than 1 mm in aVL, and 0.25 mm in lead I. There is also minimal STE in aVL with reciprocal STD in II, III, aVF.
Researchers at the University of Sydney in Australia engineered a new spray coating for surfaces that provides long-term protection against bacterial and viral contamination. The material is intended as a long-term alternative to disinfectant sprays and combines hydrophobic properties with antimicrobial nanoparticles to reduce microbial contamination.
We need to be ready to resuscitate any patient that comes to our EDs and ICUs. Being Resus Ready for bariatric patients requires forethought and planning. Let's discuss some resuscitation strategies for the obese patient. EMCrit Project by Scott Weingart, MD FCCM.
Welcome to another episode of the Journal Club with Dr Justin Morgenstern. This one is a bit epic and we start with a really important discussion around diagnostic strategies for palliative patients in the ED. There are a bunch of papers around PE and some interesting old school stuff that you likely would never consider unless you read it here! As always the articles are linked to free PDFs so you can make your own decisions.
By Mahip Grewal Peer Reviewed Nonalcoholic fatty liver disease (NAFLD) is estimated to affect 25% of the world’s population. 1 NAFLD is a spectrum of disease ranging from nonalcoholic fatty liver (NAFL), which is generally nonprogressive isolated.
Columbia University scientists and collaborators at Rover Diagnostics have created a rapid PCR test that can be used at the point of care. Weighing in at two pounds, the portable device can rival the sensitivity and accuracy of traditional lab-based PCR testing equipment, but providing results in as little as 23 minutes. The new device includes miniaturized optical components and relies on plasmonic thermocycling.
On today's episode Spencer and Chris exam a broken system and some broken. Calcium Channels? A sweetly named crew takes on an overdose! Do they succeed? Listen and find out! On today's episode Spencer and Chris exam a broken system and some broken. Calcium Channels? A sweetly named crew takes on an overdose! Do they succeed? Listen and find out!
Lumen is the first device and app available to anyone that provides real-time feedback on whether you’re burning carbohydrates or fats. These measurements are usually only made for athletes or patients through special testing centers, hospitals, or clinics, but with Lumen they are now available to everyone, anywhere. Nutrition is a very individualized topic, while metabolism is just as nuanced – one size does not fit all when it comes to diet and nutrition plans – and that’s why dieticians and n
So, ya might have heard of some hubbub surrounding a proposed plan from the NREMT to give options to programs to conduct EMS primary education without being accredited. This has created some significant backlash in the industry and strong feelings on both sides. We welcome the Executive Director of CoAEMSP, George Hatch to discuss the situation and to tell us more about what accreditation means and what we may be in store for in the future.
Last week, I shared the insight that brakes enable a car to go faster. This week is a reflection on the issues inherent in progress. I generally assume progress to be a good thing, but it’s important that we critically examine the consequences when we break through barriers. Brakes allow us to go faster, but this increase in speed means that accidents are likely to be more severe due to the increased forces of collisions.
Welcome back to the tasty morsels of critical care podcast. In yet another departure from the stone tablets of Oh’s manual, today we’ll talk a little about one of favourite gram +ve cocci: staphylococcus aureus. Diagnosis and management of infections with this bug are a common occurence in the ICU and it behoves us to have a working knowledge of some of the complexities of its investigation and treatment that often fall to our micro or ID colleagues.
So, ya might have heard of some hubbub surrounding a proposed plan from the NREMT to give options to programs to conduct EMS primary education without being accredited. This has created some significant backlash in the industry and strong feelings on both sides. We welcome the Executive Director of CoAEMSP, George Hatch to discuss the situation and to tell us more about what accreditation means and what we may be in store for in the future.
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