Sat.Jan 14, 2023 - Fri.Jan 20, 2023

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Global EM 2: The Emergency Physician – Global Health’s Missing Piece

Emergency Medicine Cases

Dr. Hiren Patel describes the complexities of being a global health practitioner and the skillset that emergency physicians possess giving them the potential to excel in this role on EM Cases' EM GEM blog on Global Emergency Medicine. The post Global EM 2: The Emergency Physician – Global Health’s Missing Piece appeared first on Emergency Medicine Cases.

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SGEM#389: Does Dex, Dex, Dex, Dexamethasone Help with Renal Colic?

The Skeptics' Guide to EM

Date: January 13, 2023 Reference: Razi et al. Dexamethasone and ketorolac compare with ketorolac alone in acute renal colic: A randomized clinical trial. AJEM 2022 Guest Skeptic: Dr. Kevan Sternberg is a urologist/endourologist. His focus is on the medical and surgical management of kidney stone disease. Dr. Sternberg did his medical school and residency training at […] The post SGEM#389: Does Dex, Dex, Dex, Dexamethasone Help with Renal Colic?

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ECG of the Week 11th January 2023 – Interpretation

EMergucate

ECG of the Week 11th January 2023 – Interpretation This is a very ischaemic looking ECG in a high risk … Continue reading →

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Lightning rounds #24: Getting into leadership roles

Critical Care Scenarios

After our recent episodes on publishing papers and giving talks, we close off with a review of leadership and academic rank: sitting on committees, educational roles, faculty appointments, and more. Find us on Patreon here! Buy your merch here! After our recent episodes on publishing papers and giving talks, we close off with a review of leadership and academic rank: sitting on committees, educational roles, faculty appointments, and more.

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ECG Cases 39 – Transient STEMI Pitfalls and Pearls

Emergency Medicine Cases

In this ECG Cases blog we look at 9 patients with possible transient STEMI and discuss pitfalls and pearls in ECG interpretation and management. The post ECG Cases 39 – Transient STEMI Pitfalls and Pearls appeared first on Emergency Medicine Cases.

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Artificial Neuron Uses Ions Like the Real Thing

Medgadget

Researchers at Linköping University in Sweden have developed artificial neurons that demonstrate 15 of the 20 characteristics of biological neural cells and can communicate with natural neurons in the body. The researchers call their device the “conductance-based organic electrochemical neuron,” or c-OECN, and it is based on materials that can conduct a negative charge, including organic electrochemical transistors and n-type conducting polymers.

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Lab case 395

EMergucate

72 year old man with history of COPD presented with shortness of breath. His chest auscultation revealed bilateral wheezes.

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JJ 22 Laceration Repair – Glue vs Strips vs Staples vs Sutures

Emergency Medicine Cases

In this Part 2 of our 3-part Journal Jam series on Laceration Management we dive into the evidence for the choice of material to close lacerations. Which is best for which kind of laceration? Surgical skin glue? Wound adhesive strips? Surgical staples? Absorbable sutures? Nonabsorbable sutures? The post JJ 22 Laceration Repair – Glue vs Strips vs Staples vs Sutures appeared first on Emergency Medicine Cases.

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Balance Boards to Stay Active in the Offfice: Interview with Joel Heath, CEO of FluidStance 

Medgadget

Fun and durable, the FluidStance balance board deck can be found at many offices these days as working professionals with desk jobs look for ways to stay active and healthy. Long hours slumped over at a desk means that your muscles remain inactive for long periods of time – a running hypothesis is that long periods of inactivity lead to issues with glucose regulation, as muscles cease their regular glucose uptake and the body adapts to a sedentary lifestyle.

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ECG of the Week 18th January 2023

EMergucate

The following ECG was obtained from a priority 1 ambulance transfer that arrived at 2245 hours on a weekday.

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The RAMPP Trial: Randomised Ambulatory Management of Primary Pneumothorax

REBEL EM

Background: Primary spontaneous pneumothorax, by definition, occurs without trauma or any underlying lung pathology. Often patients are otherwise young and healthy. However, management continues to be debated and may lead to unnecessary hospitalization. Previous studies regarding ambulatory management included randomized trials that lacked adequate power, and recently, a 2013 systematic review that, although showed promise in the ambulatory approach, had poor data quality with a high risk of bia

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A 60 year old with chest pain

Dr. Smith's ECG Blog

A 60 year old with chest pain presented to the ED. Here is his first ECG: What do you think? It looks bizarre, doesn't it? There are lots of ST-T abnormalities, but they just don't look recognizable. Whenever you see a bizarre ECG, look at leads I, II, and III. See if one of them does NOT look bizarre. In this case, lead I does not look bizarre, but all other leads do.

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Hydrogel Scaffold Makes a Living Electrode

Medgadget

A team of researchers at the Harvard Wyss Institute have developed a soft, hydrogel scaffold that can function as a living electrode for brain-computer interface applications. The researchers used electrically conductive materials and created a porous and flexible scaffold using a freeze-drying process. They then seeded the scaffold with human neural progenitor cells (NPCs) and cultured the scaffolds for extended periods, prompting the cells to differentiate into a variety of neurons and astrocy

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Imaging Case of the Week 537

EMergucate

The ankle x-rays are from a 12 year old who twisted their ankle and now unable to weight bear.

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Pacing/Pressor Pressure

EMS 20/20

Special Guests from GuardianCME! Jason Seitz and Dr. Chris Seitz join the guys as they attempt to cook up an answer to a fork in the road on this weeks episode! Special Guests from GuardianCME! Jason Seitz and Dr. Chris Seitz join the guys as they attempt to cook up an answer to a fork in the road on this weeks episode!

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OMI can be very subtle and easy to miss, but be a very large infarction.

Dr. Smith's ECG Blog

I was reading ECGs on the system and came across this one. There is minimal STE in II, III, with an inverted T-wave in aVL. There is a very flat ST segment in V2, with 0.5 mm of STD, highly suspicious for posterior OMI. We showed in this paper that ANY amount of STD maximal in V1-V4 (especially in V2) in a patient with chest symptoms is posterior OMI until proven otherwise I knew that if this is a patient with chest discomfort, that it is an infero-posterior OMI.

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Biobots Use Optogenetic Muscle Actuators for Movement

Medgadget

Researchers at the University of Illinois at Urbana-Champaign have developed centimeter-scale biobots that combine soft materials, mouse muscle tissue, and wireless electronic components. The tiny devices can be controlled remotely through optogenetics. The muscle within the devices forms an optogenetic actuator and creates movement when exposed to light.

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Lab case 394 Interpretation

EMergucate

Answers: Question 1: PH = 7.475, that is mild alkalaemia. pCO2 = 24 mmHg. So, we have respiratory alkalosis.

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Management of STEMI (ST-Elevation Acute Myocardial Infarction)

ECG & Echo Learning

This page summarises the most current recommendations for the management of acute coronary syndromes with persistent ST-segment elevations (i.e STEMI , ST-segment elevation acute myocardial infarction ). 1 Initial diagnosis of STEMI ECG Management Recommendation Level of evidence A 12-lead ECG should be interpreted immediately (within 10 minutes) at first medical contact.

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Episode 16 - NFL Medicine with Dr. Ron Roth

The EMS Show

Mike and Ritu welcome Ron Roth, MD, FACEP. Fun fact.he was Ritus attending while he was in his residency at Pitt! (did we say Ritu knows everyone?) Dr. Roth is an integral part of the Pittsburgh sports scene in his role as team physician for the National Football League’s Pittsburgh Steelers. Over more than two decades with the team, Dr. Roth has seen it all.

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AK.Medic No More.

EMT City

The time has come, and admittedly it has been with extreme mixed emotions, confusion, and moments of "lost identity".As of 12/31/2022, for the first time since 1993, I no longer hold an active EMS License. It's over. I opted to not renew my licenses. I knew this day would come; however, I always expected it to be on my terms. In December of 2019, I suffered a catastrophic work-related injury.

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Should we be giving antibiotics prior to or after chest tube insertion

University of Maryland Department of Emergency Med

A systemic review and meta-analysis revealed that the literature and science surrounding timing and effectiveness of prophlactic antibiotic.

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Episode 16 - NFL Medicine with Dr. Ron Roth

The EMS Show

Mike and Ritu welcome Ron Roth, MD, FACEP. Fun fact.he was Ritus attending while he was in his residency at Pitt! (did we say Ritu knows everyone?) Dr. Roth is an integral part of the Pittsburgh sports scene in his role as team physician for the National Football League’s Pittsburgh Steelers. Over more than two decades with the team, Dr. Roth has seen it all.

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Advanced airway management in pediatric prehospital cardiac arrest

University of Maryland Department of Emergency Med

Should EMS place an advanced airway in out of hospital cardiac arrests? Current studies suggest that advanced airway management is not sup.

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