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!
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.
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EMergucate
MAY 5, 2023
The neck x-ray shows Prevertebral soft tissue swelling, raising suspicion for a retropharyngeal inflammatory process (cellulitis/abscess).
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.
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.
Core Ultrasound
MAY 1, 2023
In this Five Minute Sono video, Paul Khalil (with the help of Rob Farrow), walks us through the bedside diagnosis of testicular torsion. This disease is quite important to diagnose as early as possible and using this tool may dramatically increase the chance of testicular salvage. Hydronephrosis Bladder Vol. Meas.
EMergucate
MAY 2, 2023
The following left knee x-rays are from a 60 year old with mild knee pain following a fall.
Paramedicine Now brings together the best content for paramedicine professionals from the widest variety of thought leaders.
EMCrit Project
MAY 4, 2023
My attempt to model my empirical experience with Burnout EMCrit Project by Scott Weingart, MD FCCM.
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.
EMergucate
MAY 5, 2023
The facial x-ray (OM view) shows Irregularity of the left infra-orbital wall.
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.
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?
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.
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.
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.
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.
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.
EMergucate
APRIL 30, 2023
25 year-old-man with type 1 DM presented with diarrhoea and vomiting. His VBG showed the following: PH = 7.
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.
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.
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.
EMergucate
MAY 5, 2023
The knee x-ray shows a bipartite patella.
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.
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.
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).
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.
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.
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.
EMCrit Project
MAY 1, 2023
Are you saying? EMCrit Project by Scott Weingart, MD FCCM.
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.
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”.
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.
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?
University of Maryland Department of Emergency Med
APRIL 30, 2023
In this study the researchers looked at patients presenting to the emergency department with high suspicion for ACS and explored if.
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.
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.
University of Maryland Department of Emergency Med
APRIL 29, 2023
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