EMergucate

SEPTEMBER 21, 2022

A 70 year old male presents to ED complaining of shortness of breath.

ED 130

ED 130

The Skeptics' Guide to EM

SEPTEMBER 17, 2022

Date: September 16th, 2022 Reference: Gerlier C, et al. Differentiating central from peripheral causes of acute vertigo in an emergency setting with the HINTS, STANDING and ABCD2 tests: A diagnostic cohort study. AEM 2021 Guest Skeptic: Dr. Peter Johns has been practicing emergency medicine since 1985 and has been passionate about vertigo education for the last two […] The post SGEM#376: I Wonder Why She Ran Away from the HINTS Exam first appeared on The Skeptics Guide to Emergency Medicine.

ALS 130

ALS Emergency Department OR ED 130

Medgadget

SEPTEMBER 23, 2022

Scientists at Shanghai Tongji University in China have created a face mask that can alert the wearer to the presence of respiratory viruses in the surrounding environment, including the viruses behind COVID-19 and influenza. The mask includes aptamers, which are short sequences of DNA or RNA that can bind to protein targets. When viral particles bind to the aptamers, ion-gated transistors boost the signal so that the mask can sensitively detect small amounts of virus.

OR 108

OR 108

Critical Care Scenarios

SEPTEMBER 18, 2022

A deep dive into dilation during Seldinger techniques, such as central line placement: tips, pitfalls, and pearls. A deep dive into dilation during Seldinger techniques, such as central line placement: tips, pitfalls, and pearls.

100

100

EMergucate

SEPTEMBER 20, 2022

The following coronal CT face slice is from an 8 year old who was elbowed in the face. What radiological sign can be seen? What are the clinical features of this injury in paediatric population?

EMS 130

EMS 130

REBEL EM

SEPTEMBER 22, 2022

Background: Medical equipment that gives clinicians vital signs or other objective information must be reliable across populations as this data drives medical decisions. Many of these tools were not developed or validated in a racially diverse group of patients. We have already covered issues with pulse oximetry potentially missing hypoxemia in Black patients on REBEL EM ( Link is HERE ).

ALS 52

ALS EMS OR 52

Medgadget

SEPTEMBER 20, 2022

At the University of Minnesota a team of researchers has developed a 3D printed light sensing wearable that can help people with light-sensitive diseases, such as lupus, to understand more about the types of light that can exacerbate their symptoms. Many people with lupus are sensitive to light, such as sunlight or even regular indoor light, but they may not know what specific light conditions are likely to cause flare-ups.

OR 95

OR 95

EMergucate

SEPTEMBER 20, 2022

A 70 year old male presents to ED complaining of shortness of breath.

ED 100

ED 100

Dr. Smith's ECG Blog

SEPTEMBER 21, 2022

A 40-something woman with diabetes and peripheral vascular disease who frequently needs the ED for chronic pain called 911 for sudden severe chest pain. The patient was very agitated and could not hold still. I greeted medics at the door to view the prehospital ECG. Here it is: It is not normal, but there is no specific evidence of Occlusion MI (OMI) There are some Q-waves in inferior and lateral leads (of uncertain age) and there is some "terminal QRS distortion" in inferior leads and V4-V6, bu

STEMI 52

STEMI ED Coronary OR 52

Medgadget

SEPTEMBER 22, 2022

At the University of Washington a research team has developed a smartphone system that can measure blood oxygen levels. The technology uses the camera and flash of the phone to take the measurement, and the system is so easy to use that it may be well suited for at-home use. A person presses their finger over the camera, which gets illuminated by the flash, and the camera measures how much light from the flash the finger absorbs, which a deep-learning algorithm can then correlate with blood oxyg

Emergency Department 92

Emergency Department OR 92

REBEL EM

SEPTEMBER 21, 2022

REBEL Core Cast 86.0 – Hand Nerve Blocks Click here for Direct Download of the Podcast References: Core Ultrasound: Median Nerve Block Core Ultrasound: Radial Nerve Block Core Ultrasound: Ulnar Nerve Block Post Peer Reviewed By: Salim R. Rezaie, MD (Twitter: @srrezaie ) The post REBEL Core Cast 86.0 – Hand Nerve Blocks appeared first on REBEL EM - Emergency Medicine Blog.

EMS 52

EMS 52

EMergucate

SEPTEMBER 20, 2022

50 year old lady presented with fever and diarrhoea after returning from overseas trip.

100

100

Handtevy

SEPTEMBER 20, 2022

ATTENTION: DO NOT TRY THIS AT HOME What would do if you had a 17-year old with a post-traumatic epidural hematoma herniating right in front of you with the closest Trauma center an hour away? A study published in The Journal of Emergency Medicine titled “Complete Neurologic Recovery After Emergency Burr Hole Placement Utilizing EZ-IO® for Epidural Hematoma” sheds light on an innovative approach to treat post-traumatic epidural hematoma (EDH) in emergency settings.

Operating Room 52

Operating Room Emergency Medical Services ED Emergency Department 52

Medgadget

SEPTEMBER 19, 2022

Researchers at the City University of Hong Kong have developed a magnetic soft millirobot that can grab and release objects, and move around by rolling. The device can be controlled using magnetic fields, and consists of a biodegradable gelatin and iron oxide microparticles. The technology has significant potential as a minimally invasive drug delivery system, perhaps in the gastrointestinal tract, and may even lead to soft robots that can carry out surgical procedures within the body.

ACS 82

ACS 82

REBEL EM

SEPTEMBER 19, 2022

Background: There are only two interventions that have been proven in the medical literature to improved outcomes in cardiac arrest: high-quality CPR and early defibrillation. Over the years, we as a scientific community have worked extensively to find other interventions that improve outcomes. Some look promising (ie eCPR and application of US) while others have been considerably less effective or inconsistent (ie epinephrine and targeted temperature management).

CPR 52

CPR Defibrillator EMS Epinephrine 52

EMergucate

SEPTEMBER 18, 2022

Answers Question 1: PH = 7.42, that is within normal range, more to the alkalotic side. HCO3 = 36.8 mmol/L that is consistent with metabolic alkalosis. Next we will calculate the compensation.

100

100

Clinical Correlations

SEPTEMBER 20, 2022

Gouverneur Outpatient: What are indications for treatment in essential thrombocythemia? Bellevue Inpatient: Are patients with discoid lupus erythematosus at risk for systemic lupus erythematosus? VA Inpatient: What is the risk of and differential diagnosis for recurrent Bell’s Palsy?

40

40

The EMS Show

SEPTEMBER 19, 2022

Sheesh, with all the life changes going on, we know we have slacked off, but hey, were are back and getting caught up. Mike is settled in from the move and the boys get back to it. There is a lot of "peopley" stuff in this one with a little mix of EMS stuff. We are glad you are hanging with us!

EMS 40

EMS 40

A Paramedic's Notebook

SEPTEMBER 19, 2022

Exercise teaches us that to become stronger (read: more capable), you must grow through a process of exposure to controlled stress, recovery, then adaptation, so that you can handle the same stress loads with less conscious, intentional effort. This is a useful metaphor for handing other kinds of stress in our lives. Therefore, to overcome, you must develop your stress-capacity beyond whatever it is that is creating your fear, anxiety, or pain.

OR 40

OR 40

The EMS Show

SEPTEMBER 19, 2022

Sheesh, with all the life changes going on, we know we have slacked off, but hey, were are back and getting caught up. Mike is settled in from the move and the boys get back to it. There is a lot of "peopley" stuff in this one with a little mix of EMS stuff. We are glad you are hanging with us!

EMS 40

EMS 40