EMCrit Project

MAY 4, 2023

My attempt to model my empirical experience with Burnout EMCrit Project by Scott Weingart, MD FCCM.

136

136

Pediatric EM Morsels

MAY 5, 2023

Our world has become inundated with the newest food and diet crazes. It seems like every social media persona provides “expert” opinions on the best way to nourish our bodies. Adults are one thing, but how does that translate to our growing, developing pediatric patients? Today we are focusing on vegan diets in children , and which nutritional deficiencies we need to remain vigilant to spot!

E-9-1-1 130

E-9-1-1 OR EMS 130

EMergucate

MAY 5, 2023

The neck x-ray shows Prevertebral soft tissue swelling, raising suspicion for a retropharyngeal inflammatory process (cellulitis/abscess).

130

130

Core Ultrasound

MAY 4, 2023

In this 5 Minute Sono video, we’ll guide you through the process of using ultrasound imaging to identify and diagnose inguinal and femoral hernias. Hernias can be difficult to identify with physical examination alone (and may actually be missed on CT!), but with ultrasound imaging, healthcare professionals can detect hernias at the bedside with greater accuracy and confidence.

130

130

Medgadget

MAY 3, 2023

Researchers at MIT have developed a printer that can create large numbers of microneedle patch-style vaccines in places where they are needed quickly. Moreover, the printed patches can deliver thermostable mRNA vaccines, whereby the mRNA therapeutic is encapsulated in lipid nanoparticles before printing to enhance its shelf-life at room temperature and avoid the need for cold storage and transport.

OR 114

OR 114

Critical Care Scenarios

MAY 3, 2023

Reflections on the definition of a central line, whether it’s arbitrary, and the clinical implications of making the distinction. Reflections on the definition of a central line, whether it’s arbitrary, and the clinical implications of making the distinction.

100

100

EMergucate

MAY 5, 2023

The facial x-ray (OM view) shows Irregularity of the left infra-orbital wall.

EMS 130

EMS 130

Medgadget

MAY 1, 2023

Researchers at Northwestern University and the University of Texas at Austin have developed a thin and flexible graphene “tattoo” that can be affixed to the outside of the heart, and which can monitor heart rhythms and apply corrective electrical impulses to treat arrhythmias. The patch is optically clear, allowing the researchers to also use light to monitor and stimulate the heart.

Defibrillator 111

Defibrillator 111

The Skeptics' Guide to EM

APRIL 29, 2023

Date: April 26, 2023 Reference: Han et al. The effect of telemental versus in-person mental health consults in the emergency department on 30-day utilization and processes of care. AEM April 2023 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. Case: You are moonlighting at the Veterans […] The post SGEM#402: Call Me – On the Telemental Health Line first appeared on The Skeptics Guide to Emergency Medicine.

Emergency Department 100

Emergency Department ED ALS OR 100

EMergucate

MAY 5, 2023

The knee x-ray shows a bipartite patella.

EMS 130

EMS 130

Dr. Smith's ECG Blog

MAY 5, 2023

= Case Presentation by K EN G RAUER, MD ( 5/5 /2023 ): — Edits by Drs. Meyers & Smith. = Dr. Smith was reading ECGs — and he sent myself and Dr. Meyers the tracing shown in Figure-1. At the time we did not yet know the history. What do YOU think? Figure-1: The initial ECG in today's case. No history yet. Our Initial Thoughts on the ECG in Figure-1: Dr.

E-9-1-1 52

E-9-1-1 NARCAN Naloxone Overdose 52

Medgadget

MAY 1, 2023

Researchers at Linköping University in Sweden created a wound dressing that can provide a visual indication if the underlying wound is infected. Chronic wounds are difficult to manage, and presently healthcare staff must remove the dressing regularly to check if an infection is developing. However, this can disrupt the wound by damaging the scab, impairing healing, and may even introduce pathogens in the process.

OR 101

OR 101

ACEP Now

MAY 5, 2023

A 32-year-old man presents in police custody for bizarre behavior. He was the driver of a vehicle which struck a telephone pole. He was reportedly singing and dancing naked in the street following the motor vehicle collision. The police would like to ask him some questions about what happened. Should the patient talk with the police? What is your role as the emergency physician?

Emergency Department 52

Emergency Department ED Public Safety OR 52

EMergucate

MAY 2, 2023

The following left knee x-rays are from a 60 year old with mild knee pain following a fall.

EMS 130

EMS 130

Firefighters and EMS Fund

MAY 4, 2023

In a recent announcement, U.S. Senate Majority Leader Chuck Schumer revealed the successful passage of the Fire Grants and Safety Act of 2023 in the US Senate. The new legislation aims to secure federal funding for fire departments across the country, specifically the Assistance to Firefighters Grant (AFG) Program and Staffing for Adequate Fire and […] The post Fire Grants and Safety Act of 2023 Passes Senate appeared first on Firefighters and EMS Fund.

Firefighter 52

Firefighter EMS 52

Medgadget

MAY 2, 2023

Engineers at MIT have developed a patch that uses ultrasound to deliver drugs through the skin. Ultrasound can create temporary openings in skin, allowing drugs to pass through. The skin is typically a difficult area for drug delivery, as it forms a tough barrier. However, the patch, which contains piezoelectric transducers, can push drugs through the skin highly efficiently.

97

97

ACEP Now

MAY 4, 2023

Case A 37-year-old white male with no past medical history presented to the emergency department (ED) for left testicular pain, redness, and swelling. He had presented to urgent care for the same complaint a week before, but did not seek follow-up at an ED despite their recommendation. The pain and swelling returned days later, which prompted the patient to present to the ED.

ED 52

ED Emergency Department OR 52

EMergucate

APRIL 30, 2023

PH = 7.745, that is severe alkalaemia. pCO2 = 36 mmHg is low so we have respiratory alkalosis. However this value is very close to normal value of 40.

100

100

EMCrit Project

MAY 1, 2023

Are you saying? EMCrit Project by Scott Weingart, MD FCCM.

OR 52

OR 52

Medgadget

MAY 2, 2023

Researchers at the Harvard Wyss Institute have developed a new type of cell therapy for multiple sclerosis patients. The technique involves taking a blood sample from the patient being treated, isolating a sample of myeloid white blood cells, and then modifying them with ‘backpacks’ that contain anti-inflammatory molecules. The modified cells can then be administered back to the patient, and the backpack ensures that they maintain an anti-inflammatory phenotype.

OR 90

OR 90

ACEP Now

MAY 4, 2023

Case FIGURE 1: Chest X-ray of multiple rib fractures (arrows). (Click to enlarge.) A 58-year-old male with a history of alcohol abuse presented to the emergency department (ED) as a category 2 trauma for a fall with a reported flail chest. The patient had been drinking with friends when he was witnessed to trip and fall a distance of one step. His right chest wall struck a protuberance, initially reported to be the edge of a stair and later noted to be tree stump.

EMS 52

EMS Operating Room ICU Emergency Department 52

EMergucate

APRIL 30, 2023

25 year-old-man with type 1 DM presented with diarrhoea and vomiting. His VBG showed the following: PH = 7.

100

100

First 10 EM

MAY 1, 2023

Although incredibly nerdy and somewhat difficult to digest, I think the EBM bibliography might be the most valuable resource I have created, at least for those with any interest in learning about evidence based medicine. I continue to (slowly) update this resource. These are the new papers that I have added in the past few […] The post EBM bibliography updates – April 2023 appeared first on First10EM.

52

52

Medgadget

MAY 2, 2023

GrayMatters Health , a medtech company based in Israel, has developed Prism for PTSD , a self-neuromodulation therapy. The company has identified what they describe as brain-mechanism-specific biomarkers for certain mental disorders. These involve combining fMRI and EEG data. The Prism for PTSD system targets a specific biomarker called amygdala-derived-EFP, which is involved in the fight or flight response, and which can frequently be triggered in those with PTSD.

OR 86

OR 86

ACEP Now

MAY 3, 2023

Question: A 22-year-old man presents with chest pain. He has a history of sickle cell anemia. Vital signs are: Temperature, 38.6 C; Heart rate, 118; BP 96.5; Respiratory rate, 36. What is the diagnosis? Acute chest syndrome Aspiration pneumonia Community acquired pneumonia Tuberculosis See the answer here. The post Visual Dx Question: Patient Presents with Chest Pain + Sickle Cell Anemia appeared first on ACEP Now.

52

52

Dr. Smith's ECG Blog

MAY 1, 2023

Case written by Brandon Friedman M.D., edits by Meyers A woman in her 60s with a history of chronic atrial fibrillation on Eliquis, ESRD on hemodialysis, type-II diabetes mellitus, prior CVA, hypertension, and hyperlipidemia presented to the emergency department with multiple complaints after missing dialysis. She described a feeling of general unwellness, diarrhea, right-sided abdominal pain, bilateral leg pain, bilateral leg swelling, and diffuse itching.

OR 52

OR STEMI Emergency Department 52

University of Maryland Department of Emergency Med

APRIL 29, 2023

Click to view the rest

52

52

Medgadget

MAY 3, 2023

Researchers at MIT have developed a nanoparticle system that is designed to deliver immunostimulatory drugs to tumors. These drugs are intended to stimulate immune cells in the vicinity of tumors to begin destroying tumor cells, but when delivered systemically they cause unacceptable dose limiting side-effects such as systemic inflammation. These particles are bottle-brush shaped, with the inactive drug being conjugated to the “brush backbone”.

85

85

ACEP Now

MAY 3, 2023

Answer: The correct answer is acute chest syndrome (a). Acute chest syndrome (ACS) is a potentially life-threatening complication of sickle cell disease characterized by lung infiltrates, fever, and respiratory symptoms, including cough, tachypnea, wheeze, increased work of breathing or shortness of breath, and reduced oxygen saturation. ACS is the second most common reason for hospitalization in children and adults with sickle cell disease and is their leading cause of mortality.

ACS 52

ACS OR 52

Dr. Smith's ECG Blog

APRIL 29, 2023

A 50-something with no previous cardiac history and no risk factors presented to the ED with acute chest pain (pressure) that radiated to the left arm. An ECG was immediately recorded: Computer read: Normal ECG What do you think? There is ST depression in V1-V3. We showed that this is diagnostic of OMI (of the posterior wall). Moreover, there is ST elevation in V6 (which is getting close to the location of posterior lead V7).

Critical Care 52

Critical Care Coronary ED OR 52

University of Maryland Department of Emergency Med

MAY 4, 2023

Neonatal rashes are common and, usually, benign. There are some skin findings, however, that require early recognition and treatment for be.

40

40

Medgadget

MAY 2, 2023

Researchers at Rice University have developed a “Stimu Sock” that can help to treat balance issues and pain in the feet caused by diabetic neuropathy. The socks contain an insole that can provide haptic feedback if someone is overbalancing, helping them to correct things. It can also administer transcutaneous electrical nerve stimulation that can help to reduce pain in the feet.

OR 75

OR 75

ACEP Now

MAY 3, 2023

Dr. Charlotte Yeh’s day-to-day work as the CMO of AARP Services, Inc. is a bit like emergency medicine, she says: “Every day is different with a different set of circumstances and range of problems to be solved.” When she took the role in 2008, it was a newly created job tasked with expanding AARP’s approach to making health products and services available to its members from third party companies.

ED 52

ED Emergency Department EMS 52

Don't Forget the Bubbles

MAY 3, 2023

With millions of journal articles published yearly, it is impossible to keep up. Every month we ask some of our friends from PERUKI (Paediatric Emergency Research in the UK and Ireland) to point out something that has caught their eye. This time the PEM MSc team from QML , in association with DFTB, are taking over… Article 1: Insulin infusion in paediatric DKA – high or low?

CPR 52

CPR Emergency Department ALS ICU 52

University of Maryland Department of Emergency Med

MAY 1, 2023

As emergency physicians, we use etomidate to intubate patients most of the time, although there was controversy whether etomidate would su.

40

40

Medgadget

MAY 3, 2023

AI is increasingly being used in healthcare to reduce clinician workloads and improve patient outcomes. AI-driven technologies are helping to automate mundane tasks, freeing up clinicians to focus on more complex clinical decisions. AI-powered tools can also help identify patterns in medical data that can lead to faster diagnoses and better patient outcomes.

Critical Care 80

Critical Care OR ICU 80

First Responders Wellness Center

APRIL 30, 2023

I was a Police Officer in Wisconsin for 21 years. On Friday, April 8, 2016, at 5:15 p.m., I was involved in a critical incident when I used deadly force against someone who armed themselves with a hatchet inside a busy department store. This person died. I faced many personal and professional mental health challenges after my critical incident. I have been diagnosed with a mental illness, and it has taken me many years to get back on track.

OR 52

OR 52