Sat.Feb 04, 2023 - Fri.Feb 10, 2023

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EM Cases Summit Video Streaming Package Now Available

Emergency Medicine Cases

If you missed The EM Cases Summit '23, no worries, we've got you covered! All the main stage talks of both the 2023 and 2021 Summits are now available for video streaming, on your own time, for a limited time only thru emcasessummit.com. Plus you get the 2023 and 2021 eBooks summarizing the talks as a bonus. New EM Cases swag too. The post EM Cases Summit Video Streaming Package Now Available appeared first on Emergency Medicine Cases.

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ECG of the Week 1 February 2023 – Interpretation

EMergucate

ECG of the Week 1 February 2023 – Interpretation The patient is in sinus rhythm with a rate of approximately … Continue reading →

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Tiny Patch for Cardiac Ultrasound Imaging

Medgadget

Engineers at the University of California San Diego have developed a wearable ultrasound system for cardiac imaging. The postage stamp-sized patch can be worn on the skin of the chest and uses AI and ultrasound waves to perform advanced imaging of the heart. The technology can even be worn to perform cardiac ultrasound imaging during exercise. Each patch can be worn for up to 24 hours, and provides information on how much blood the heart is pumping, a key metric in detecting and appraising a var

OR 129
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TIRBO #28: How I set PEEP

Critical Care Scenarios

A review of the methods of PEEP setting, including stress index, PV loops, esophageal manometry, and PEEP tables, and finally my preferred method of driving pressure trials. Find us on Patreon here! Buy your merch here! A review of the methods of PEEP setting, including stress index, PV loops, esophageal manometry, and PEEP tables, and finally my preferred method of driving pressure trials.

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INGENIOUS Final Event was a success

Ingenious

The INGENIOUS project organised its Final Event virtually on Tuesday 31 January 2023. After three years and five months of productive research work and innovation the INGENIOUS partners showcased the project’s results and outcomes and demonstrated the final INGENIOUS solution for the First Responder (FR) of the Future: A Next Generation Integrated Toolkit (NGIT) for Collaborative Response, increasing protection and augmenting operational capacity.

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Imaging Case of the Week 540

EMergucate

Left wrist pain following FOOSH. What can be seen? Answer will be posted in a few days.

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Neural Chip Detects, Suppresses Neurological Symptoms

Medgadget

Researchers at Ecole Polytechnique Fédérale de Lausanne in Switzerland have designed an advanced neural chip that can detect and suppress symptoms from a variety of neurological disorders, including Parkinson’s and epilepsy. The closed-loop neuromodulation system, which the researchers have called NeuralTree, includes soft implantable electrodes, a processor for machine learning, and a 256 channel sensing array.

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More Trending

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ECMO-CS

The Bottom Line

In patients with severe cardiogenic shock does immediate initiation of VA-ECMO, compared to a trial of conservative therapy and the possibility of rescue VA ECMO, reduce a composite outcome of death, resuscitated cardiac arrest or commencement of another mechanical circulatory support?

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Lab case 397 Interpretation

EMergucate

Question 1: PH = 7.32 ( less than 7.35) so, we have mild acidaemia. PCO2 = 48 (on arterial blood gas > 40), so we have respiratory acidosis.

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Hydrogel Cell Carrier for Fistula Healing

Medgadget

Researchers at Johns Hopkins created an injectable hydrogel carrier vehicle for stem cells that is intended to aid in healing a difficult complication of Crohn’s disease, perianal fistulas. Perianal fistulas are very challenging to treat, but stem cells have shown promise in assisting with this process. However, it is difficult to get the cells to remain in place.

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REBEL Core Cast 95.0 – Herpetic Keratitis

REBEL EM

Take Home Points: Fluorescein is an essential tool in the diagnosis of HSV keratitis Identifying the type of HSV keratitis is crucial, as it will guide treatment Update tetanus vaccination Consult ophthalmology if there is concern for HSV keratitis as these patients require close and frequent follow-up REBEL Core Cast 95.0 – Herpetic Keratitis Click here for Direct Download of the Podcast Definition: An infection of the cornea caused by the herpes simplex virus (HSV).

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Waukegan Police Department

First Responders Wellness Center

FIRST RESPONDERS WELLNESS CENTER has collaborated with the Waukegan Police Department to provide FREE and CONFIDENTIAL therapy services. Are you Stressed? Anxious? Depressed? Relationship Problems? Alcohol Abuse? Burned out? Panic attacks? Post-traumatic stress disorder? Sleep Issues? Call: 630-909-9094 All of our therapists are former first responders, veterans, or clinicians who worked directly with first responders.

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Lab case 398

EMergucate

75 year old man was brought to ED by ambulance in VF cardiac arrest , CPR in progress. His venous blood gases showed the following PH = 7.

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Antibacterial Peptide Spray Safe for Use on Wounds

Medgadget

Researchers at Chalmers University of Technology in Sweden have developed an antimicrobial spray that is safe to use on wounds and in the body, including as an antimicrobial coating on implantable or in-dwelling devices, such as urinary catheters. The technology is not based on harsh chemical antiseptics or antibiotic drugs that could aggravate tissue or result in microbial drug resistance.

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A man in his 60s with acute chest pain

Dr. Smith's ECG Blog

Sent by anonymous, written by Pendell Meyers A man in his 60s presented with acute chest pain with diaphoresis. He had received aspirin and nitroglycerin by EMS, with some improvement. His vitals were within normal limits. Here is his triage ECG: 2045: What do you think? The ECG is subtle, but diagnostic of infero-posterior OMI. The QRS is normal, yet in aVL the normal upright small QRS complex is followed by in appropriately large-volume T wave inversion, which is reciprocal to the T waves in l

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Episode 17: 2023 NAEMSP Recap and more

The EMS Show

As usual, the MORE tends to recognize the first 17 minutes of fellowship and hangout time. We welcome our old pal, Dr. Jeff Jarvis to the show to talk about what has been regarded as one of the best conferences of the year! (haha, it's only February) but seriously, the NAEMSP annual meeting in Tampa last week was really, really great. The 2 docs talk about some of their favorite moments.

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EMCrit 343 – CV-EMCrit: Who to Refer for VV ECMO – Patient Selection and When to Call for Help

EMCrit Project

Who and When to Refer for VV ECMO EMCrit Project by Scott Weingart, MD FCCM.

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Voice-Activated Sample Prep for Safer Handling

Medgadget

Researchers at Kyung Hee University in South Korea have developed a voice-activated DNA sample pre-treatment device to assist clinicians dealing with outbreaks of infectious disease to stay safer. Dealing with highly infectious patient samples puts clinicians and lab technicians at risk. Minimizing sample handling and exposure is important in reducing the risk of transmission, and a system that can perform some of these steps automatically, without a clinician even having to interact with it phy

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Zone Out! Penetrating neck trauma

University of Maryland Department of Emergency Med

The classic teaching regarding penetrating neck trauma is violation of the platysma muscle in zones 1 and 3 requires angiography, endoscopy and b.

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Episode 17: 2023 NAEMSP Recap and more

The EMS Show

As usual, the MORE tends to recognize the first 17 minutes of fellowship and hangout time. We welcome our old pal, Dr. Jeff Jarvis to the show to talk about what has been regarded as one of the best conferences of the year! (haha, it's only February) but seriously, the NAEMSP annual meeting in Tampa last week was really, really great. The 2 docs talk about some of their favorite moments.

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Emergency Evidence Updates – January 2023

The Bottom Line

What’s new in the Critical Care literature – monthly updates

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Bottlebrush Particle for Synergistic Drug Combinations

Medgadget

A scientific team at MIT has developed a bottlebrush-shaped nanoparticle that can deliver combinations of drugs for synergistic efficacy. The particles contain a central backbone and demonstrate side-chains that sprout from this backbone, similar to the handle and bristles of a bottlebrush. Several drugs can be mixed in different ratios and combined with polymer building blocks during particle preparation, and then the drugs are released from the particle when the bristles are enzymatically clea

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Trauma Patients and Substance Use Disorders

University of Maryland Department of Emergency Med

In December 2022, The American College of Surgeons released a practice guidine discussing screening trauma patients for mental health dis.

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ALL NYC EM Conference

Silk City Blog

Join us at the ALL NYC EM Conference on March 29, 2023!

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Critical Care Evidence Updates – January 2023

The Bottom Line

What’s new in the Critical Care literature – monthly updates

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Focused Ultrasound Releases Brain Biomarkers

Medgadget

Researchers at Washington University in St. Louis have developed a technique that can release difficult-to-access biomarker proteins from the brain. At present, the researchers are focused on releasing tau proteins that are implicated in Alzheimer’s disease and other neurodegenerative diseases. These proteins are typically locked behind specialized blood vessels in the brain, otherwise known as the blood-brain barrier, but allowing them to enter the bloodstream could enable clinicians to rapidly

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Prolonged recovery from concussion

University of Maryland Department of Emergency Med

Prolonged post-concussion symptoms are loosely defined as those lasting more than three or four weeks versus typical recovery, typic.

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Tasty Morsels of Critical Care 069 | Sub Arachnoid Haemorrhage

Emergency Medicine Ireland

Welcome back to the tasty morsels of critical care podcast. Nestled towards the end of Oh Chapter 51 we have a section dedicated to SAH. Given that a lot of ICU bed days are given over to managing SAH, I felt it might have warranted its own chapter. Indeed, looking at its prevalence in fellowship examinations it does seem that a fair deal of attention should be given to SAH.

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EMS Burnout and Mental Health

NAEMSP

EMS Perspectives: An OpEd Page on the History and Future of EMS Authors: David Wright, PA-C, NRP, FAEMS; Kate Randolph, PA-S; Kim King, FNP Introduction Mental health and wellness are on the forefront of everyone’s minds these days, and the past few years have been an exceptionally challenging time for healthcare workers around the world. During a time when EMS systems were already understaffed and overworked, COVID decided to make an appearance.

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Antibacterial Smart Sutures Visible in CT Scans

Medgadget

Researchers at RMIT University in Australia have developed ‘smart stitches’ that can fight bacteria and reveal the location of the sutured area in CT scans. The sutures have been developed to reduce the chances of surgical site infections and also make life a little easier for clinicians, as the material shows up in CT scans, allowing for identification of the location of the sutures in the body and quick assessment if they are performing as required.

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Sodium Bicarbonate for Nonshockable OHCA

University of Maryland Department of Emergency Med

Background: The use of sodium bicarbonate in the treatment of out-of-hospital cardiac arrest (OHCA) has been longstanding desp.

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This patient did not present with chest pain

Dr. Smith's ECG Blog

This was posted a few years ago. I'm highlighting it again, with comments from Ken Grauer below. This was sent to me by Jason Winter. @JasonWinterECG This is a 36 yo m with h/o TBI and epilepsy. He had a seizure this morning and rolled out of bed unable to get up. There were no injuries and no chest pain and he appeared well. He complained of 3 days of diarrhea and abdominal pain.

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Terahertz Spectroscopy to Assess Severity of Skin Burns

Medgadget

Scientists at Stony Brook University in New York have developed a hand-held scanner that uses terahertz time-domain spectroscopy and neural network data analysis to non-invasively assess the severity of skin burns. At present, it is difficult to visually assess the depth of a burn injury, which could negatively influence treatment outcomes. The device probes the burn injury with pulses of terahertz radiation.