Sat.Oct 22, 2022 - Fri.Oct 28, 2022

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Ep 175 Emergency Orthopedics Differential: SCARED OF Mnemonic – When X-rays Lie

Emergency Medicine Cases

In this main episode podcast, Dr. Arun Sayal creator of the CASTED course and Dr. Yatin Chadha a radiologist with a fellowship in MSK radiology, join Anton for Part 1 of 2 podcasts on Emergency Orthopedic Injuries. This episode focuses on a differential diagnosis of MSK injuries that are occult to X-ray with the help of the SCARED OF mnemonic. It ensures we pick up all the “can’t miss” diagnoses that can be easily overlooked when we do not integrate a pointed history and physical exam with the X

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SGEM#380: OHCAs Happen and You’re Head Over Heels – Head Elevated During CPR?

The Skeptics' Guide to EM

Date: October 18th, 2022 Reference: Moore et al. Head and thorax elevation during cardiopulmonary resuscitation using circulatory adjuncts is associated with improved survival. Resuscitation 2022 Guest Skeptic: Clay Odell is a Paramedic, Firefighter, and registered nurse (RN). Case: You are the Chief of your local Fire and EMS Department, and an individual contacts you saying […] The post SGEM#380: OHCAs Happen and You’re Head Over Heels – Head Elevated During CPR?

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3D Bioprinted Breast Tumors for Immunotherapy Testing

Medgadget

A team of scientists at Penn State has bioprinted breast tumor mimics with significant complexity, including a form of vascularization and the ability to precisely place cells in certain locations within the construct. The scientists used a technique called aspiration-assisted bioprinting to achieve this. With many anti-cancer therapies failing at the clinical trial stage and the ethical considerations of animal studies, there is a need for better in vitro cancer models that allow for advanced t

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Lab case 383 interpretation

EMergucate

Question 1: Ph = 7.549, that is alkalaemia. pCO2 = 24.1 mmHg, then it is respiratory alkalosis. Next, we will calculate the compensation. From the story, the condition is acute.

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Lightning rounds #21: CME, merch, Patreon, and other podcast updates

Critical Care Scenarios

Updates on the podcast, including how to claim credit for continuing education, how to support us by becoming a patron or buying merchandise, and our general perspective on making money through free medical education. Find us on Patreon here! Buy your merch here! Updates on the podcast, including how to claim credit for continuing education, how to support us by becoming a patron or buying merchandise, and our general perspective on making money through free medical education.

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EMCrit Wee – Is there Evidence of Harm for Nitroglycerin in Right Ventricular MI? #Dogmalysis

EMCrit Project

Is there evidence for the classically taught nix on this medication? EMCrit Project by Scott Weingart, MD FCCM.

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mRNA Therapy Prevents COVID Virus Entering Cells

Medgadget

Scientists at Oregon State University have developed a new treatment for COVID-19. The technology is based on mRNA, which has also been put to good use in COVID-19 vaccines. However, in this instance, the delivered mRNA encodes for human angiotensin-converting enzyme 2 (hACE2), which is the binding site for SARS-CoV-2 on airway cells. The lipid nanoparticle-encapsulated mRNA therapeutic is delivered to cells in the body, and then the cells begin to produce and release a free-floating form of hAC

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I'm so sorry when medics get abused for activating the cath lab

Dr. Smith's ECG Blog

Cortland Ashbrook from Spokane County, Washington, sent this message: Hey doctor Smith, I wondered if you’d give me your opinion on these ECG tracings I took as a paramedic in the field? Case: The call was an elderly gentleman who was at home when he experienced a sudden onset of vague chest discomfort along with nausea, and left arm aching. It started while walking, and began to decrease at rest but never fully resolved.

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The Hidden Faces in Medicine - Clinical Correlations

Clinical Correlations

By Amber Whitley, MD What comes to mind when you hear the word physician? Male, intelligent, arrogant, medicine, white, surgeon, healer, etc. Do you think of me, a black female physician in medicine? The number.

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Wearable EEG Patch Measures Brain Activity

Medgadget

Researchers at Osaka University in Japan engineered a wearable electroencephalography (EEG) device that can measure brain activity, potentially letting clinicians monitor conditions such as depression or dementia. At present, assessing brain activity requires a trip to a facility with bulky and expensive equipment, making long-term monitoring difficult.

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ECG of the Week 26 Oct 2022

EMergucate

A 37 year old male presents to ED complaining of central chest pain.

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PEC podcast: Ep. 119 Deep Dive The effectiveness of IN Midaz

Prehospital Emergency Care Podcast

PEC podcast Deep Dive Series! Happy Halloween PEC podcast listeners. While Halloween is all about fright, let's talk about the thing that scares a majority of prehospital clinicians, pediatrics. To be more specific, kids who are having seizures. To help assuage some of your fears the PEC podcast team (and guest interviewer) delve into the manuscript: The Effectiveness of Intranasal Midazolam for the Treatment of Prehospital Pediatric Seizures: A Non-inferiority Study with the author Denise

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Advice for People Interested in EMS & New EMTs (Best Responses)

On Time Medical Transportation

Over the past couple years, we’ve been doing what we call EMT Spotlights, showcasing individual stories here on our website and asking members of the On Time team a variety of questions about their work. One of our favorites is, “ Do you have any advice for new EMTs, or for people thinking about getting into this li ne of work? ” Here are some of the best responses that On Time employees have shared.

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Flexible Catheter for Brain Access Bioinspired by Wasps

Medgadget

Researchers at Imperial College London in the UK have developed a flexible catheter system that is designed to enable access and treatment of the deep areas of the brain. At present, catheters intended for such applications can suffer from rigidity, making it difficult to access the brain safely and effectively. This latest technology includes a robotic arm that steers the catheter through the brain.

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Back to basics: what is this rhythm? What are your options for treating this patient?

Dr. Smith's ECG Blog

Written by Bobby Nicholson MD, with edits by Meyers, Smith, Grauer A woman in her early 40s presented to the emergency department for evaluation of palpitations. She reported that she has been experiencing this since she was diagnosed with COVID a little over 1 week ago. She reported a prior history of SVT and has previously performed vagal maneuvers at home with symptom resolution.

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Chief’s Inquiry Corner 10/27/22 - Clinical Correlations

Clinical Correlations

Bellevue Inpatient: Is there a role for acetazolamide in acute decompensated heart failure with volume overload? Bellevue Outpatient: Who should undergo screening for Barrett's Esophagus? VA Inpatient: How do you treat aspiration pneumonia?

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The Bourne Lift Assist

EMS 20/20

Chris and Spence are joined by Dr. Ritu Sahni and Mike Verkest of the EMS Show! Have a listen to this uplifting cross over episode that suffers from a little bit of title confusion. Chris and Spence are joined by Dr. Ritu Sahni and Mike Verkest of the EMS Show! Have a listen to this uplifting cross over episode that suffers from a little bit of title confusion.

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Neck Sensor Helps Masked Clinicians Communicate

Medgadget

Researchers at Pohang University of Science & Technology in South Korea developed an auditory sensor that lets people wearing face masks, such as clinicians, to communicate more easily. The device is essentially a wearable microphone that picks up the vibrations of the skin in the neck that occur when someone talks. The researchers hope that it could be useful for clinicians who must wear face masks as protection against pathogens such as COVID-19, but who also need to communicate with each

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30 yo woman with trapezius pain. HEART Pathway = 0. Computer "Normal" ECG. Reality: ECG is Diagnostic of LAD Occlusion.

Dr. Smith's ECG Blog

This is a repost of this amazing case: Echocardiography, even (or especially) with Speckle Tracking, can get you in trouble. The ECG told the story. A completely healthy 30-something year old woman with no cardiac risk factors had sudden onset of bilateral trapezius pain that radiated around to her throat. It resolved after about 5 minutes, but then recurred and was sustained for over an hour.

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