Sat.Jun 18, 2022 - Fri.Jun 24, 2022

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Formula Utilization

EMS 12-Lead

David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Peer review provided by Dr. Steve Smith @SmithECGblog I was conducting QA/QI on two very recent cases and was struck by the uniqueness of both. CASE 1 A 45 y/o Male called 911 for new onset central chest discomfort, non-radiating, 5/10 pain scale, and without any vomiting, diaphoresis, or pallor.

ACS 130
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ECG Cases 32 Prehospital ECG pearls and pitfalls

Emergency Medicine Cases

In this ECG Cases blog we review 8 cases of patients with prehospital ECGs and explore prehospital ECGs for diagnosing STEMI, Occlusion MI, false STEMI, code STEMI, dynamic ischemic changes, truncated voltages. Can you avoid the pitfalls and spot the pearls that help to make the diagnosis? The post ECG Cases 32 Prehospital ECG pearls and pitfalls appeared first on Emergency Medicine Cases.

STEMI 130
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Imaging Case of the Week 511

EMergucate

The following chest x-ray is from an elderly patient who has presented with palpitations. What can be seen?

EMS 130
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Episode 48: Undifferentiated hypotension

Critical Care Scenarios

Brandon walks Bryan through a case of new, unexplained hypotension in the ICU, with a focus on approaching shock, the use of POCUS, and risk stratifying unexplained problems. Takeaway lessons Sudden changes in vital signs or other status are often due to precipitating factors, such as iatrogenic stimuli, whereas more gradual changes are often due … Continue reading "Episode 48: Undifferentiated hypotension" Brandon walks Bryan through a case of new, unexplained hypotension in the ICU, with a foc

ICU 100
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SGEM#369: Romeo is Bleeding – Does He Need a RePHILL?

The Skeptics' Guide to EM

Date: June 18th, 2022 Reference: Crombie et al. Resuscitation with blood products in patients with trauma-related haemorrhagic shock receiving prehospital care (RePHILL): a multicentre, open-label, randomised, controlled, phase 3 trial. The Lancet Haematology 2022 Guest Skeptic: Dr. Casey Parker is a Rural Generalist that includes in his practice emergency medicine, anaesthesia and critical care.

Plasma 100
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EM Quick Hits 39 Overdiagnosis, Lytics for Submassive PE, Pericardial Effusion, Hemophilia Treatment

Emergency Medicine Cases

In this month's EM Quick Hits podcast Justin Morgenstern & Eddy Lang discuss the problem of overdiagnosis in EM, Anand Swaminathan's approach to indications and dosing of thrombolytics for submassive (intermediate risk) pulmonary embolism, Tahara Bhate's QI Corner on a patient with unexplained shortness of breath, Brit Long on emergency treatment of the bleeding hemophilia patient.

EMS 130
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ECG of the Week 22 June 2022

EMergucate

A 24 year old Indigenous female P2G3 31/40 pregnant presents to ED complaining of left sided non pleuritic chest pain … Continue reading →

ED 100

More Trending

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House Appropriations Committee Approves FY23 Defense Bill

American Burn Association

Categories Advocacy Burn News MAC Spotlight Media Member Services Organization News Prevention Quality Care Research Return to News & Activities On June 22, the House Appropriations Committee approved its Fiscal Year (FY) 2022 defense appropriations bill , which provides $10 million in continued annual funding for the Military Burn Research Program.

OR 52
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EMT Spotlight: Stephanie Santiago, FTO

On Time Medical Transportation

This week, we caught up with Stephanie Santiago, an EMT and Field Training Officer to talk about working as an AVO while in EMT school, helping people during some of their hardest times, and learning from others along the way.

EMT 52
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Imaging Case of the Week 510 Answer

EMergucate

The lateral knee x-ray shows a large effusion in the knee joint.

EMS 130
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One-Step Manufactured Meta-Bots with Medical Potential

Medgadget

Engineers at the University of California Los Angeles have developed “meta-bots,” which are fingernail sized robots that can move, sense, and navigate their environment. Strikingly, the robots are essentially ready for use when they emerge from the 3D printer, and consist of piezoelectric actuators that can respond to or generate electricity. The robots consist of an intricate structure of piezoelectric components that allow them to rapidly flex and rotate.

OR 97
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IBNCC – Acute Demyelinating Disorders

EMCrit Project

Acute demyelinating disorders are not a common cause of ICU admission. However, these are encountered occasionally (especially acute transverse myelitis, acute disseminated encephalomyelitis, and osmotic demyelination syndrome). Additionally, some of these disorders may be triggered by COVID, so this chapter will help us understand the neurological manifestations of COVID.

ICU 52
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Addressing Bias in Your Hiring Practices: Part 2 of 2

The EMS Educator

A more diverse EMS workforce provides more equitable care, so how can we help EMS look more like the population it serves? We must examine our policies and their impact on who we are hiring and retaining. Hear from guests Katie O’Connor, EMS Educator and simulation expert in LA County and Washington D.C.’s GWU, Sahaj Khalsa, Santa Fe (NM) Community College's EMS Program Director and Prodigy's Medical Director Dr.

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Lab case 368

EMergucate

17 year old girl presented to ED with aspirin overdose. Her VBG showed the following: PH = 7.

Overdose 100
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Polymer Brushes Capture and Release Proteins on Demand

Medgadget

Researchers at the Chalmers University of Technology in Sweden have developed a “polymer brush” system that can capture and release proteins on using electrical stimulation. Protein therapeutics are increasingly in demand, but creating them efficiently is still a challenge. Isolating therapeutic proteins from the liquid surrounding the cells used to produce them in biotechnological processes is difficult and inefficient, but the researchers behind this latest technology hope that the new techniq

OR 88
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Fight and Flight

EMS 20/20

The guys get to talk about helicopters and weather and flight things in today's episode where a flight crew walks in on a call at a local ER that is being run perfectly. They have very little to add and things go smoothly. Except the opposite. Can they ultimately put the pieces of the puzzle back together to help this patient? Listen and find out! The guys get to talk about helicopters and weather and flight things in today's episode where a flight crew walks in on a call at a local ER that is b

40
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Should Paramedic Programs be CoAEMSP or let the states approve?

EMT City

Looks like the NREMT is getting pressure to allow states to approve Paramedic courses in leu of CoAEMSP. [link] Is the CoAEMSP requirement limiting the amount of new Medics? Should the states have control over the programs vs a 3rd party?

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Lab case 367 interpretation

EMergucate

Answers: Bilirubin = 107 umol/L. That is elevated.

OR 100
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Flexible Microprobe for Neural Interfacing

Medgadget

Researchers at the University of California San Diego have developed a tiny neural probe that is approximately one fifth of the width of a human hair. The probe is flexible and can be implanted for extended periods without aggravating the immune system, in part because of its small and unobtrusive profile. Its miniature size means that it may also be suitable for implantation in areas where other probes can’t fit, such as between the vertebrae and into the spinal cord.

OR 79
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POSTED IN GILEAD: WHAT TO DO ABOUT THE END OF ROE V. WADE

The Overrun

EDIT: This was written at the time of the leaked draft opinion of the Supreme Court. The official decision was released today. We weren’t supposed to find out. The decision was supposed to be out at the end of the term, and leaks from the Supreme Court are unheard of. But for some reason, someone wanted this to get out, and the fallout has been nothing short of earth-shattering.

EMT 52