EMCrit Project

OCTOBER 21, 2022

Every Resus doc should be able to crash a patient on to APRV for lung rescue. EMCrit Project by Scott Weingart, MD FCCM.

135

135

EMergucate

OCTOBER 18, 2022

The following knee x-ray is from a patient who has fallen from a height. What can be seen?

EMS 130

EMS 130

Medgadget

OCTOBER 19, 2022

Researchers at Hokkaido University in Japan have developed a biomarker test for Alzheimer’s disease that detects amyloid ? binding exosomes in a blood sample. While amyloid ? plaques in the brain are characteristic of Alzheimer’s, these researchers have previously reported that amyloid ? build-up in the brain is associated with an increase in amyloid ?

ALS 106

ALS 106

Critical Care Scenarios

OCTOBER 19, 2022

Understanding the various needles in your central line kit, how to get really, really good at ultrasound guidance, what to do when your view stinks, and more needle-related tips. Understanding the various needles in your central line kit, how to get really, really good at ultrasound guidance, what to do when your view stinks, and more needle-related tips.

100

100

Dr. Smith's ECG Blog

OCTOBER 21, 2022

Submitted by Dr. Arjun J V in India, An elderly patient presented to the ED with multiple complaints. An ECG was recorded in triage: What do you think? Classic for those who have seen it before. The ECG shows a regular narrow complex rhythm which is difficult to see amongst the very severe high voltage artifact which is occurring with a frequency of approximately 300 cycles per minute.

Defibrillator 52

Defibrillator ED OR 52

EMergucate

OCTOBER 17, 2022

A 58 year old male presents to ED complaining of a headache and weakness to his left side.

ED 130

ED 130

Medgadget

OCTOBER 17, 2022

Medical researchers at Washington University School of Medicine in St. Louis have developed a fluorescence imaging technique that allows them to illuminate a tumor in situ and calculate its depth below the surface of the body. The technique could assist surgeons in accurately removing a tumor and successfully excising an appropriate margin of healthy tissue to reduce the chances of tumor recurrence.

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105

Dr. Smith's ECG Blog

OCTOBER 19, 2022

Thanks to our Electrophysiologists Omar Iqbal and Rehan Karim for the below strips and the explanations I will be giving on this post. A patient had 3rd degree AV block in the ED. A transvenous pacer was placed in the Emergency Department by the emergency physicians. Capture was obtained and a 12-lead ECG was recorded: What do you see here and what complication can occur?

ED 52

ED ICU OR Emergency Department 52

EMergucate

OCTOBER 17, 2022

A 72 year old female presents with a 5 week history of atypical chest pain.

130

130

Medgadget

OCTOBER 17, 2022

Researchers at RMIT University in Melbourne, Australia, have developed an app that is intended to provide early diagnosis for Parkinson’s disease and severe COVID-19. The artificial intelligence-powered technology works by analyzing voice recordings, having previously been trained to recognize the vocal hallmarks of these diseases by listening to recordings of patients.

98

98

Clinical Correlations

OCTOBER 19, 2022

By Michael Papazian Peer Reviewed Let’s start with a case. Mr. B is a 67-year-old male with a history of hypertension, type 2 diabetes, and coronary artery disease. As his primary care physician, you.

Coronary 52

Coronary 52

REBEL EM

OCTOBER 19, 2022

Take Home Points Severe hypocalcemia can cause hypotension and QTc prolongation leading to Torsades de Pointes. Treat moderate to severe symptoms and any EKG changes with IV calcium salts Always search for and treat the underlying cause of hypocalcemia REBEL Core Cast 88.0 – Hypocalcemia Click here for Direct Download of the Podcast Definition: A serum calcium level < 8.5 mg/dL or an ionized calcium level < 2.0 mEq/L Background Exists in two states Free ionized form (approx.

ED 52

ED ALS EMS OR 52

EMergucate

OCTOBER 18, 2022

50-year-old man presented to the emergency department after syncopal episode. His venous blood gases showed the following: PH = 7.

Emergency Department 100

Emergency Department 100

Medgadget

OCTOBER 20, 2022

Researchers at Caltech came up with a technique to coat flexible electronic circuits with graphene to enhance their durability on folding, as well as to improve their resistance to sweat (in the case of graphene-coated gold) and their conductivity. The method could enhance the flexible electronics that are employed in many medical wearables. The approach avoids the need for high temperatures and harsh chemicals that are typically used to grow graphene sheets, making it suitable for use with deli

Plasma 92

Plasma ACS 92

Dr. Smith's ECG Blog

OCTOBER 17, 2022

This ECG has ST Elevation in multiple leads. Is it normal STE? Or is it ischemic STE? What do you think? This ECG is interesting because it mimics TQRSD. There are no S-waves in V2 and V3. BUT look at the very prominent J-waves (J point notching)!! It is several mm high! This is a normal ECG. This patient had CO poisoning but did not have myocardial injury or OMI.

E-9-1-1 52

E-9-1-1 STEMI OR 52

The EMS Educator

OCTOBER 20, 2022

It's Recert season! The NREMT has permanently removed limits on distributive education for recertification. What does “distributive education” mean and how does this change impact clinicians and educators alike? Join us as we discuss how to use education to cultivate curiosity in our learners, support lifelong learning and improve equity. Some educational delivery models are better suited than others to meet learning objectives: what are they?

Organ Donor 40

Organ Donor Paramedic EMS 40

EMergucate

OCTOBER 17, 2022

Answers: Question 1: PH = 7.49 (> 7.45) so we have alkalaemia HCO3 = 41 (> 24) so we have metabolic alkalosis. Next we look at compensation, Expected PCO2 for metabolic alkalosis = 0.

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100

Medgadget

OCTOBER 17, 2022

The COVID-19 pandemic has put lung health firmly in our minds. For those with chronic lung diseases, such as asthma and COPD, an important way to keep track of lung health is to use a spirometer to measure how well air can move in and out of the lungs during forced breathing. However, patients would typically attend with a lung specialist to perform this test.

ED 92

ED OR 92

Dr. Smith's ECG Blog

OCTOBER 15, 2022

Pendell (Pendell Meyers, of course), with a little help from Smith, coined a new LAD Occlusion pattern "Precordial Swirl," in which there is rightward STE vector, with STE in V1 and aVR, with reciprocal STD in V5 and V6. It is due to transmural ischemia not only of the anterior wall and apex, but due to transmural ischemia of the septum, usually due to occlusion proximal to the first septal perforator.

OR 52

OR E-9-1-1 STEMI 52

EM Literature of Note

OCTOBER 20, 2022

Spring is here down in this nuclear-free hemisphere. This blog is still effectively in stasis – but the productivity continues elsewhere! Don’t forget the Annals of Emergency Medicine Podcast , a lighthearted feel-good romantic comedy with Rory Spiegel, available for free on your choice of streaming platforms: Apple Podcasts Google Podcasts Soundcloud Bimonthly #FOAMed in ACEPNow : Updates from the 2022 International Stroke Conference A skeptical look at new tools for diagnosing sepsis An

Epinephrine 40

Epinephrine 40

Emergency Medicine Education

OCTOBER 19, 2022

Based on this European study that involved colleagues from France, Italy, Switzerland included 2164 patients, 69% needed emergency hemorrhage control, 6 % received prehospital PRBC transfusion, 25% had massive transfusion. They concluded that “early norepinephrine infusion was not associated with 24-hour or in-hospital mortality among patients with blunt trauma and hemorrhagic shock.

OR 40

OR 40

Medgadget

OCTOBER 20, 2022

Scientists at Cortical Labs in Melbourne, Australia, along with international collaborators, have developed “DishBrain”, which is essentially a collection of neurons in a dish that have demonstrated learning and, incredibly, can play the classic computer game Pong. The findings could create exciting new opportunities to understand the human brain, model neurological diseases, and test the effects of medications on the brain more easily.

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91

Emergency Medicine Ireland

OCTOBER 17, 2022

Welcome back to the tasty morsels of critical care podcast. This time we look at Oh Chapter 52, focused on cerebral protection. There is, I must admit some repetition and cross over here, particularly with tasty morsels 20 and 39 respectively which cover more with regards to TBI. But in all honesty a little repetition is often very helpful for such subjects.

Critical Care 40

Critical Care ICU Plasma OR 40

The Skeptics' Guide to EM

OCTOBER 15, 2022

Date: October 5th, 2022 Reference: Top Gun 1986 Guest Skeptic: Dr. Chris Carpenter is Professor of Emergency Medicine in the Department of Emergency Medicine at Washington University in St. Louis and co-wrote the book on “Evidence-Based Emergency Care: Diagnostic Testing and Clinical Decision Rules”. Chris will be moving to Rochester, Minnesota soon to become the Vice Chair of […] The post SGEM Xtra: Lead Me On – What I Learned from Top Gun first appeared on The Skeptics Guide to Emergency Medi

OR 100

OR 100

Handtevy

OCTOBER 20, 2022

IV, IM, and Intranasal Ketamine for analgesia have become common in many EMS systems. But what about NEBULIZED Ketamine? A study titled “Nebulized Ketamine for Analgesia in the Prehospital Setting: A Case Series” was published in Prehospital Emergency Care. The study, conducted by Casey Patrick, Michael Smith, Zubaid Rafique, Kelly Rogers Keene, and Xavier De La Rosa, explores the use of nebulized ketamine for pain management in an urban, ground-based emergency medical services (EMS)

Emergency Medical Services 52

Emergency Medical Services ED EMS Emergency Department 52

Emergency Medicine Ireland

OCTOBER 17, 2022

Welcome back to the tasty morsels of critical care podcast. The subject of solid tumours in the ICU gets a whole chapter in Oh’s hallowed pages, number 46. I suppose the term solid is in place to distinguish it from the “liquid” tumours of the bone marrow and domain of the haematologists, something we covered in tasty morsel number 58 Historically the idea of admitting people to the ICU with malignancy was somewhat unusual and the idea of admitting someone with some degree of m

Critical Care 40

Critical Care ICU OR 40