Sat.Sep 10, 2022 - Fri.Sep 16, 2022

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ECG of the Week 14 September 2022 Answer

EMergucate

A 64 year old male presents to ED after multiple seizure episodes that day. It was reported that the patient would have 20 seconds of seizure activity and then make a full recovering.

ED 130
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ECG Cases 35 – ECG Approach to Takotsubo Syndrome

Emergency Medicine Cases

Takotsubo Syndrome is usually triggered by an emotional or physical stress leading to acute catecholaminergic myocardial stunning. The initial ST elevation phase of Takotsubo Syndrome mimics Occlusion MI, can not be distinguished by patient factors or POCUS findings, and requires immediate angiogram. The subsequent phase of Takotsubo Syndrome has T wave inversion in an apical distribution, which can mimic reperfusion, but often has very deep T wave inversions and a very long QT interval.

OR 130
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SGEM#375: Only One versus Two-Dose Dexamethasone for Mild to Moderate Pediatric Asthma Exacerbations

The Skeptics' Guide to EM

Date: August 25th, 2022 Reference: Martin et al. Single-dose dexamethasone is not inferior to 2 doses in mild to moderate pediatric asthma exacerbations in the emergency department. Pediatr Emerg Care. 2022 Guest Skeptic: Dr. Harrison Hayward is a Pediatric Emergency Medicine fellow at Children’s National Hospital. He finished his General Pediatrics residency at Yale-New Haven Hospital.

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Episode 51: Resuscitating and deresuscitating with hypertonic saline, with Sean Barnett

Critical Care Scenarios

We explore the controversial area of using hypertonic saline to support hemodynamics, protect the kidneys, and facilitate diuresis in the critically ill patient. Our guest is Dr. Sean Barnett, hypertonic aficionado and nephrologist with a focus in critical care. Takeaway lessons The furosemide stress test in the shocked patient is a useful means to assess … Continue reading "Episode 51: Resuscitating and deresuscitating with hypertonic saline, with Sean Barnett" We explore the controversial area

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Imaging Case of the Week 520

EMergucate

The following chest x-ray is from a 40-year-old febrile patient with chronic renal failure. What can be noticed?

EMS 130
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EM Quick Hits 42 – Subsegmental PE, Trauma Analgesia, Drowning, Polio, Head-up CPR

Emergency Medicine Cases

In this EM Quick Hits podcast: Salim Rezaie on venous thromboembolism recurrence in subsegmental pulmonary embolism, Andrew Petrosoniak on pain management in the polytrauma, Nour Khatib on a rural EM case on management of near-drowning patient, Sara Reid delivers a polio primer, Anand Swaminathan on head-up CPR. The post EM Quick Hits 42 – Subsegmental PE, Trauma Analgesia, Drowning, Polio, Head-up CPR appeared first on Emergency Medicine Cases.

CPR 130
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Motion Sensors to Detect Age-Related Disease

Medgadget

Researchers at the University of Bern in Switzerland have developed a motion tracking system that is intended to assist in detecting age-related disease in elderly people. The system could be installed in someone’s home or in assisted-living facilities, and consists of a series of motion sensors that can monitor for signs of unusual movement. The system can inform caregivers if an emergency arises, such as a fall, which can be detected when someone does not return to their bed at night or is sta

OR 115

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ECG of the Week 14 September 2022

EMergucate

A 64 year old male presents to ED after multiple seizure episodes that day. It was reported that the patient would have 20 seconds of seizure activity and then make a full recovering.

ED 100
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Great Time to Be a Medical Assistant: Demand and Rising Salaries

NHCPS Save a Life

National Medical Assistant Week is fast approaching (Oct 19-23). It’s time to celebrate the tremendous contribution of Medical Assistants to patient care. And we’ll also take a look at: Career paths, pay, and job outlook for 2022 What’s driving Medical Assistant demand…and will it continue? What it takes to be a Medical Assistant How Medical […] The post Great Time to Be a Medical Assistant: Demand and Rising Salaries appeared first on SaveaLife.com.

52
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3D Printed Tablets for Controlled Drug Release

Medgadget

Researchers at the University of the Basque Country have developed a technique that allows them to 3D print pharmaceutical tablets using different types of starch. By modifying the types of starch used and the shape of the tablets, the team can fine-tune drug release to be either rapid or slow. This includes full release of the encapsulated drug in as little as ten minutes to as long as six hours, providing significant scope to address a wide variety of therapeutic situations.

OR 108
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The ADVOR Trial: Acetazolamide in Acute Decompensated Heart Failure

REBEL EM

Background: Patients presenting with acute exacerbations of congestive heart failure are frequently treated with intravenous loop diuretics. Despite being treated with loop diuretics, the problem is many are discharged from the hospital with residual clinical signs of volume overload despite optimal treatment. One option to improve diuresis may be the addition of acetazolamide, however evidence supporting this strategy is sparse.

ALS 52
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Imaging Case of the Week 518 Answer

EMergucate

The lateral ankle image shows mildly displaced fracture of the anterior process of calcaneus.

EMS 130
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What's in the Salad? (AMS)

EMS 20/20

In these week's episode, Spencer and Chris pick apart a BLS call with really, really weird symptoms. Chris is put through the gauntlet as he tries to figure out what's causing the patient's odd behavior. Spoiler: Chris fails. In these week's episode, Spencer and Chris pick apart a BLS call with really, really weird symptoms. Chris is put through the gauntlet as he tries to figure out what's causing the patient's odd behavior.

BLS 40
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Wearable Pneumatic Assistive Tech with Logic Gate Control

Medgadget

Researchers at Rice University have developed a textile control system, free of any electronics, for pneumatic wearable technology that is designed to be helpful for people with limited mobility. Medgadget recently covered the pneumatic ‘gripper’ developed by Rice researchers. Now, they have created a textile control system for such wearables, that consists of tubes through which compressed air can pass and a series of logic gates, similar to those used in computer systems, that can control the

OR 86
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The REVIVED Trial: PCI in Patients with Severe Ischemic Left Ventricular Systolic Dysfunction?

REBEL EM

Background: Coronary artery disease can result in hibernating myocardium (chronic myocardial contractile dysfunction) due to ischemia. The theory is that there is reduced coronary blood flow and increased myocardial demand resulting in impaired contractility. Whether reversal of myocardial hibernation by coronary revascularization is possible and can improve outcomes is debatable.

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Imaging Case of the Week 519 Answer

EMergucate

The abdominal x-ray was performed with clinical concern for a small bowel obstruction.

EMS 130
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Chiefs’ Inquiry Corner-9/13/22 - Clinical Correlations

Clinical Correlations

Bellevue Outpatient: What are the indications for parathyroidectomy in patients with asymptomatic primary hyperparathyroidism? Bellevue Inpatient: What are treatments for acute dystonia? Tisch-Kimmel Inpatient: How does Glucagon treat beta-blocker toxicity?

40
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Granular Hydrogels for Improved Bioinks

Medgadget

Researchers at Penn State have developed a granular hydrogel that contains both hydrogel microparticles and self-assembling nanoparticles, and which could be highly suited for bioprinting purposes. The concept involves the nanoparticles becoming adsorbed onto the hydrogel microparticles and reversibly adhering the microparticles together, providing a printed gel structure that is porous enough to permit cell viability, but which maintains a desired shape and mechanical properties.

OR 84
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Sustainable Effort in Work

A Paramedic's Notebook

I reflected in my journal today that, once again, I went through another weekend without circling back on to do’s I had intended to get to when I left the office on Friday. Whether I have a good reason for not working on the weekend (such as us hosting family this weekend) or I just absentmindedly forget to look at my notebook at home, the net result is the same – my good intention effort to squeeze in work was never realized.

OR 40
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Lab case 378

EMergucate

52-year-old lady presented to the emergency department with recurrent vomiting. She was found to have a slipped lapband.

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BCS Releases MARVLIS Version 4.5

High Performance EMS

Dale Loberger FOR IMMEDIATE RELEASE: 9/13/22 BCS, Inc. (803) 641-0960 dloberger@bcs-gis.com BCS Releases MARVLIS Version 4.5 MARVLIS 4.5 Available Featuring Significant New Features and Updates Aiken, SC : BCS today announced the release of MARVLIS version 4.5. This major release provides new and updated features focused on our rapidly changing world.

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Alveoli on a Chip to Reveal Airflow Characteristics in Disease and Drug Delivery

Medgadget

Researchers at the Harbin Institute of Technology in China have developed a microfluidic-style chip that models the alveoli present in our airways. The tiny air sacs in our lungs are crucial for gas exchange, but they can be difficult to study and model. A better understanding of airflow patterns in these structures could be very useful in informing the design of inhalable medications, understanding respiratory threats in the form of inhaled particulate pollutants, and also in understanding resp

81
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Efficacy of empiric abx for septic olecranon bursitis without aspiration in ED

EMergucate

Findings In this series, 84% of patient was discharged from ED, 55.3% with antibiotic. Only 1.

ED 100