Sat.Dec 24, 2022 - Fri.Dec 30, 2022

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Stop the Bleed

Chicago EMT Training

Learning how to stop the bleed and procuring the materials to do so is an inexpensive insurance policy. Especially if you're in an area that is prone to gun violence. You don't need a license or permit to carry these things. You never know when you'll need it or someone around you may need it. [link] First up is the Tourniquet. There are a few varieties that have been heavily tested.

OR 130
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Imaging Case of the Week 533 Answer

EMergucate

The pelvic x-ray shows: Right iliac wing fracture Right acetabular fracture Right inferior pubic ramus fracture Diastasis of the pubic … Continue reading →

EMS 130
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TIRBO #25: Two things NOT to hear

Critical Care Scenarios

On today’s TIRBO: A couple common lines I’d rather stop hearing people say in the ICU. On today’s TIRBO: A couple common lines I’d rather stop hearing people say in the ICU.

ICU 100
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Microbial Fuel Cell Powers Ingestible Devices

Medgadget

Researchers at Binghamton University have developed a microbial fuel cell that can power ingestible devices, such as cameras, that can detect health issues in the gastrointestinal tract, and specifically within the small intestine. The fuel cell contains dormant Bacillus subtilis endospores that only germinate and become active when they encounter nutrient-rich intestinal fluid.

OR 88
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EMCrit 340 – End of Year Round-Up on Surgical Critical Care Tips and Remimazolam with Joe Shiber and Sean Rees

EMCrit Project

For this last podcast of the year, I had a couple of pieces that were going to become Wees, but I thought I would combine them for synergistic goodness and make this end-of-year podcast. Today, we speak about some tips from a EM Surgical Intensivist and discussion of a brand new sedative, Remimazolam. EMCrit Project by Scott Weingart, MD FCCM.

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ECG of the Week 21st December 2022 – Interpretation

EMergucate

ECG of the Week 21st December 2022 – Interpretation Looking at the rhythm strip, there is sinus rhythm, interspersed with … Continue reading →

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How Did the COVID Pandemic Affect EMS Education?

The EMS Educator

In 2020, the Commission on Accreditation for Prehospital Continuing Education (CAPCE) reported a 179% increase in course completions compared to the two prior years, as well as a 185% increase in online distributive learning. Live/in person education represented just 1% of CAPCE-accredited refresher completions in 2020. What does this say about the future of EMS education?

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7d vs 14d of Antibiotics in Afebrile Men with UTI

REBEL EM

Background: Urinary tract infection (UTI) is one of the most common reasons for anti-microbial use (Tan, 2016). However, the optimal treatment duration for UTI in men is not well studied, and current practice guidelines are based on historical dogma. One clinical trial demonstrates that afebrile UTI can be treated successfully with antibiotics for seven days in women, but that seven days is inferior to 14 days during short-term follow-up and non-inferior during long-term follow-up (van Nieuwkoop

E-9-1-1 52
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Imaging Case of the Week 534

EMergucate

The hand x-ray is from a 30-year-old with wrist pain following fall on outstretched hand. What can be seen?

EMS 130
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Universal Human Rights (submitted by Dr. Alvin Varghese)

University of Maryland Department of Emergency Med

Universal Human Rights Human rights are rights inherent to all human beings, whether our nationality, place of residency, sex, national or eth.

OR 40
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ECG of the Week 28th December 2022

EMergucate

This is one of the serial ECGs on a 66 year old man who presented to ED following post-coital exertion.

ED 130
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Lab case 391 interpretation

EMergucate

Answers: PH = 7.579, that is severe alkalaemia HCO3 = 45 mmol/L. So, we have metabolic alkalosis. Next, we need to calculate the expectation.

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Lab case 392

EMergucate

48-year-old alcoholic woman presented with confusion; her venous blood gases showed the following: PH = 7.

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