Sat.Sep 17, 2022 - Fri.Sep 23, 2022

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Imaging Case of the Week 521

EMergucate

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
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SGEM#376: I Wonder Why She Ran Away from the HINTS Exam

The Skeptics' Guide to EM

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
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TIRBO #18: Mastering dilation

Critical Care Scenarios

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.

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100
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Face Mask Detects Respiratory Viruses, Alerts User

Medgadget

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
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Lab case 378 interpretation

EMergucate

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.

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Another Piece of Equipment with Racial Bias

REBEL EM

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
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PEC podcast: Ep. 118 Vol 26 No 3

Prehospital Emergency Care Podcast

Fall is here! While you're enjoying the brisk morning walks, check out our latest podcast where we cover the PEC journal Volume 26 Number 3. In this episode, we cover fascinating manuscripts like Assessment of Fall-Related Emergency Medical Service Calls and Transports after a Community-Level Fall-Prevention Initiative Joint Statement on Lights & Siren Vehicle Operations on Emergency Medical Services Responses Click here to download today!

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ECG of the Week 21 September 2022 – Answer

EMergucate

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

ED 130
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Posterior leads can give false reassurance

Dr. Smith's ECG Blog

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
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REBEL Core Cast 86.0 – Hand Nerve Blocks

REBEL EM

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
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Smartphone Camera Measures Blood Oxygen

Medgadget

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

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Lab case 379

EMergucate

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

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EZ-IO® Emergency Burr Hole for Epidural Hematoma

Handtevy

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.

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Heads Up! There is No Association with Improved Outcomes for Head Up CPR: Why We Must Read Past the Abstract

REBEL EM

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
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Soft Robot Biodegrades Inside Body

Medgadget

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
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ECG of the Week 21 September 2022

EMergucate

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

ED 100
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Episode 12 - Time to Catch up!

The EMS Show

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
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Chiefs’ Inquiry Corner – 9/20/2022 - Clinical Correlations

Clinical Correlations

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?

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Stress Adaption

A Paramedic's Notebook

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
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Episode 12 - Time to Catch up!

The EMS Show

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