Sat.Sep 03, 2022 - Fri.Sep 09, 2022

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Early Reperfusion

EMS 12-Lead

Coronary thrombosis is a dynamic process of platelet aggregation and subsequent coagulation. During spontaneous reperfusion -- whether via thrombolysis, or recruitment of collateral circulation -- there exists characteristic ST/T changes on the ECG.

Coronary 130
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SGEM Xtra: A Hero Is Rising – Season#8 Book

The Skeptics' Guide to EM

Date: September 3rd, 2022 Reference: Milne WK, Carpenter CR and Young T. A Hero Is Rising – Season#8 Book Guest Skeptic: Dr. Tayler Young is a first year Family Medicine resident at Queen’s University. Her interests are quality improvement and Free Open Access to Medical Education (FOAMed). This is an SGEM Xtra to announce Season#8 has now been […] The post SGEM Xtra: A Hero Is Rising – Season#8 Book first appeared on The Skeptics Guide to Emergency Medicine.

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ECG of the week 7th September 2022 – Answer

EMergucate

A 85 year old female presents to ED. She has been complaining of nausea and lethargy over the past week. Her GP has recently started her on new medication for her heart.

ED 130
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TIRBO #17: Being cool is a privilege

Critical Care Scenarios

Ruminations on nursing post-nominals, understated wealth, and how it’s easiest to not show your power when you already plenty of it. Ruminations on nursing post-nominals, understated wealth, and how it’s easiest to not show your power when you already plenty of it.

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In Review: Lead Placement

EMS 12-Lead

Accurate lead placement is invaluable, and makes a significant impact on appropriate care trajectory, or misdiagnosis with unnecessary utilization of resources. A common finding associated with V1 / V2 malposition is P wave inversion, and rSr’ QRS with T wave inversion -- potentially leading clinicians to suspect Brugada pattern, for example, when no such entity exists.

Coronary 130
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Surface Coating Rapidly Kills Pathogens, Lasts Months

Medgadget

A team at the University of Michigan has developed a coating for frequently touched surfaces that can rapidly kill a wide array of pathogens, including MRSA and SARS-CoV-2. The technology incorporates polyurethane that contains crosslinked compounds from essential oils with wide-spectrum anti-microbial action. The researchers fine-tuned the crosslinking process so that the oils were available to kill microbes but not sufficiently free to evaporate rapidly.

OR 111
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Imaging Case of the Week 519

EMergucate

The following abdominal x-ray is from a 45-year-old with abdominal pain & vomiting. What can be seen?

EMS 130

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ECG of the Week 7th September 2022

EMergucate

A 85 year old female presents to ED. She has been complaining of nausea and lethargy over the past week. Her GP has recently started her on new medication for her heart.

ED 100
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Pneumatic Assistive Device for People with Disabilities

Medgadget

Researchers at Rice University have developed a pneumatic assistive device for people with disabilities. The technology includes an air pump that is mounted in the wearer’s shoe, providing pneumatic power with each step. This power is stored in a wearable belt that includes an “arm” that can reach out and grip items when activated. The device may be very practical for people with arm weakness who struggle to lift objects.

OR 109
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AI Device Monitors Breathing to Diagnose Parkinson’s

Medgadget

Researchers at MIT have developed an AI system that can diagnose Parkinson’s disease and track its progression, simply by monitoring someone’s breathing patterns as they sleep. The device looks like an internet router and can be mounted on the wall in a bedroom. It emits radio waves and then a neural network analyzes the reflected waves to assess breathing patterns.

OR 96
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The BOX Trial: BP & O2 Targets in Comatose Survivors of Cardiac Arrest

REBEL EM

Background: Hypoxemia and hypoperfusion are important factors in outcomes after ROSC. While hypoxemia (SpO2 <90%) is clearly deleterious, it is unclear if hyperoxia is beneficial. Recent studies on patients requiring critical care have demonstrated that hyperoxia is harmful and instead we should be targeting normoxia (SpO2>93%). Similarly, while it is clear hypotension/hypoperfusion will result in worse outcomes, it is unknown whether we should be targeting higher blood pressures after

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