Sat.Feb 18, 2023 - Fri.Feb 24, 2023

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Lab case 399 Interepretation

EMergucate

Question 1: PH = 7.43 that is with in normal range, more toward alkalotic spectrum HCO3 = 39.9, that is elevated so we have metabolic alkalosis. Next we need to check the compensation process.

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Fracture identification and Hematoma blocks

Core Ultrasound

In this intro video, we demonstrate the use of ultrasound imaging to identify fractures. Ultrasound-guided fracture identification is a minimally invasive technique that allows for quick and accurate diagnosis of fractures, without the need for radiation or contrast agents. Additionally, it can be used during reductions to assist in identification of adequate alignment without the need for a C-arm!

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SGEM#393: You Down with APP, Yeah You Know Me

The Skeptics' Guide to EM

Date: February 17, 2023 Reference: Gettel et al. Rising high-acuity emergency care services independently billed by advanced practice providers, 2013 to 2019. AEM Feb 2023 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and Assistant Professor at the University of Calgary. He is also an avid FOAM supporter/producer through various online outlets including TheSGEM.

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TIRBO #29: Understanding blood transfusion

Critical Care Scenarios

A review of the basics of blood donation, storage, typing, screening, matching, and transfusion. Transfusion medicine series at Critical Concepts Find us on Patreon here! Buy your merch here! A review of the basics of blood donation, storage, typing, screening, matching, and transfusion. Transfusion medicine series at Critical Concepts Find us on Patreon here!

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Imaging Case of the Week 540 Answer

EMergucate

The wrist x-ray shows At first glance, the frontal wrist x-ray reveals a radial styloid fracture.

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Raman-Based Urine Sensor Detects Cancer Metabolites

Medgadget

Researchers at the Korea Institute of Materials Science (KIMS) creaetd a Raman-spectroscopy-based urine test that can detect metabolic compounds that are produced by pancreatic and prostate cancers, potentially allowing for rapid and convenient cancer screening. The technology consists of a paper strip onto which a urine sample can be added. The paper contains ‘coral-shaped’ structures that assist in amplifying the optical signal of cancer metabolites in the urine when the paper strip is illumin

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EMCrit 344 – Sleep for the Weary II – General Sleep Stuff

EMCrit Project

All things Sleep--you will add years to your life if you sleep well, so the time investment to listen to this podcast may be well worth it EMCrit Project by Scott Weingart, MD FCCM.

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Imaging Case of the Week 542

EMergucate

Chest x-ray from a 20 year old with cough. What can be seen? Answer will be posted later.

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Electrostatic Face Mask Self-Charges with Breathing

Medgadget

Researchers at City University of Hong Kong have developed an electrostatically charged face mask that can replenish its charge through the wearer’s breathing action. The electrostatic charge helps the mask to adsorb tiny particles, such as SARS-CoV-2 viruses. However, such masks typically lose their charge and ability to bind particles over time, particularly in humid environments such as right in front of the mouth.

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A man in his 40s with epigastric pain and ST Elevation

Dr. Smith's ECG Blog

Case submitted by Magnus Nossen MD, written by Pendell Meyers A previously healthy man in his 40s presented to the ED with epigastric abdominal pain off and on for several days. Vitals were within normal limits. It is unclear whether he had active pain at the time of the first ECG: What do you think? Here is PM Cardio's Queen of Hearts interpretation (AI ECG interpretation trained by Meyers, Smith, and PM Cardio team using thousands of cases and their outcomes): The output number ranges from 0 t

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REBEL Core Cast 96.0 – Acute Vision Loss I

REBEL EM

Take Home Points: Suspect glaucoma in any patient with an acute change in vision and get an intraocular pressure measurement First line treatment in acute angle closure glaucoma is a topical beta blocker Consider giant cell arteritis in patients with unilateral headache, jaw claudication and change in vision Don’t wait for the biopsy to start steroids in giant cell arteritis as this therapy is vision saving REBEL Core Cast 96.0 – Acute Vision Loss I Click here for Direct Download of the Po

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Imaging Case of the Week 539 Answer

EMergucate

The right costophrenic angle is obliterated suggestive of an effusion on the right.

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NextGen COVID-19 Antibodies Destroy Spike Protein

Medgadget

Researchers at the Garvan Institute of Medical Research in Australia have developed a new generation of antibodies to treat COVID-19. So far, the antibodies have been shown to neutralize several of the viral variants behind COVID-19, and the researchers hope that they will form an effective treatment for at-risk patients. Previously developed antibody treatments for COVID-19 have been rendered largely useless as the virus has mutated.

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Get New Resources to Educate Patients About COVID-19 Treatments

The Vocal CORD

We have new resources to help you speak with your patients about COVID-19 treatments. These free print and digital materials are available for ACEP members to use to help educate patients about: Who is at increased risk for severe illness from COVID The availability of COVID treatments The importance of getting treated early These resources include information from the U.S.

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Episode 96: Chief John Moon and Freedom House EMS

The Overrun Podcast

We had an amazing talk with Chief John Moon, (ret) of Pittsburgh EMS and Freedom House Ambulance, one of the first paramedics in the United States. If you don't know the story of Freedom House, you should. Before Seattle, Miami, and yes, even Squad 51, Freedom House was providing bleeding-edge care to the citizens of the Hill and greater Pittsburgh, in a world where they were not regarded as equals in emergency services or healthcare.

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Opinion: There’s Nothing “Basic” About an EMT

NCOAE

It’s been more than a decade since the National Registry of Emergency Medical Technicians (NREMT) stopped using the certification designations EMT-B and EMT-Basic. The change from EMT-B to EMT was not just in title. It was accompanied by an expanded set of knowledge and skill expectations for emergency medical technicians (EMTs). There is nothing “basic” about what an EMT learns or the skills he or she can perform.

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The Weatherman

Medic Mindset

Paramedic, Taylor Kellogg ( @kello011 on Twitter ) joins us. This episode is a chance to take a break from clinical learning and listen to the story of a medic who has a passion for meteorology. Wildland fires in Southern California, a thunderstorm on a goat ranch, tornadoes while on shift, flooding that brought him eye-to-eye with a snake knocking on the station door & winter storms in Central Texas.

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EFFORT

The Bottom Line

In critically ill patients, does a higher dose of protein compared to usual dose protein, improve time-to-discharge-alive from hospital up to 60 days?

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Caution Do Not Attempt This at Home. Airway Pressure Release Ventilation Should Not Routinely Be Used in Patients With or at Risk of Acute Respiratory Distress Syndrome Outside of a Clinical Trial

University of Maryland Department of Emergency Med

Given my previous post on APRV (11/6/2022) and while I take issue with many of the author's statements, I wanted to share a very well re.

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21 year old with wrist pain

University of Maryland Department of Emergency Med

21-year-old college softball player presents for evaluation of Left hand/wrist pain following batting practice. She states her pinky is.

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