Pediatric EM Morsels

MAY 12, 2023

We all know that Gravity Works ! While this fact can adversely affect anyone, it offers the greatest challenge for those who cannot protect themselves , like children less than 3 months of age ! We last pondered this in 2011 Morsel , just a couple years after PECARN head injury data was published. Since that time there have been several studies externally validating the PECARN rule in all age groups and in multiple different countries.

OR 130

OR EMS 130

High Performance EMS

MAY 11, 2023

I am pleased to announce the availability of my latest paperback book. As a consultant working with agencies across the nation that are representative of many distinct models of service, as well as being an EMS provider and a chief fire officer myself, I feel highly invested in the process to improve strategic dispatch and deployment decisions. It is my unique collective experience gained over more than 13 years of consultation and experimentation that is shared through these pages.

Ambulance 130

Ambulance Paramedic EMS OR 130

Emergency Medicine Cases

MAY 10, 2023

In this ECG Cases blog we look at 10 cases of patients with chest pain, including false positive STEMI, false negative STEMI, and other causes to help hone your ECG interpretation skills in time-sensitive cases where those very ECG skills might save a life. The post ECG Cases 42 – Approach to ECG Interpretation in Patients with Chest Pain: OMI, False Positive & Negative STEMI & Other Causes appeared first on Emergency Medicine Cases.

STEMI 130

STEMI EMS 130

Core Ultrasound

MAY 8, 2023

At long last, Core Ultrasound Image Review episode #20! In this episode, we discuss median nerve blocks, fibroids, pneumonia, pleural effusions, CRAO, AAA, abscesses, endocarditis, DVTs, CVC confirmation and gallstones. Check out the YT for the full video! CUIR #19 CUIR #18 CUIR #17 The post Core Ultrasound Image Review, Episode 20! first appeared on Core Ultrasound.

130

130

EMergucate

MAY 9, 2023

The chest x-ray is from a patient with severe dyspnoea. Patient has a past history of chronic airway obstruction.

EMS 130

EMS 130

The Skeptics' Guide to EM

MAY 6, 2023

Date: April 25, 2023 Reference: Walsh et al. Revisiting “Excited Delirium”: Does the Diagnosis Reflect and Promote Racial Bias? WJEM 2023 Guest Skeptic: Dr. Brooks Walsh is a former paramedic, and is currently an emergency physician in the Bridgeport Hospital, Yale-New Haven Health in Connecticut. This is an SGEM Xtra episode. Brooks reached out to me recently to see […] The post SGEM Xtra: I’m So Excited – But Don’t Call It Excited Delirium first appeared on The Skeptics Guide to Emergency Medi

Emergency Medical Services 101

Emergency Medical Services Paramedic ALS EMS 101

Emergency Medicine Cases

MAY 9, 2023

In this Part 1 or our two-part podcast series on STIs we discuss a general approach to cervicitis, vulvovaginitis and urethritis, elucidate some key historical features, debate who needs a pelvic exam in the ED, understand who needs what testing, debate self swabs vs physician taken swabs, dig into some specific under-recognized organisms like Mycoplasma Genitalium, figure out who needs what kind of empiric treatment, sexual partner treatment and which discharge instructions are key.

ED 130

ED OR EMS 130

Critical Care Scenarios

MAY 10, 2023

Bryan and Brandon share their favorite podcasts, blogs, social media, and other online channels for medical education. Podcasts Blogs/websites Twitter accounts So, with Twitter, we could post all day and still leave a bunch of people out. Here are a few…the best way to find good Twitter followers is to start with these and see … Continue reading "Lightning rounds #27: Our favorite FOAM" Bryan and Brandon share their favorite podcasts, blogs, social media, and other online channels for medical ed

Critical Care 100

Critical Care ICU Life Support 100

EMergucate

MAY 8, 2023

PH = 7.395, that is within normal range. pCO2 = 42 mmHg, Normal for venous blood gases ( Normal pCO2 is 40 mmHg for arterial blood and 48 mmHg for venous). HCO3 = 25 mmol/L.

100

100

Emergency Medicine Cases

MAY 9, 2023

In this Part 1 or our two-part podcast series on STIs we discuss a general approach to cervicitis, vulvovaginitis and urethritis, elucidate some key historical features, debate who needs a pelvic exam in the ED, understand who needs what testing, debate self swabs vs physician taken swabs, dig into some specific under-recognized organisms like Mycoplasma Genitalium, figure out who needs what kind of empiric treatment, sexual partner treatment and which discharge instructions are key.

ED 130

ED OR EMS 130

Medgadget

MAY 12, 2023

Researchers at Northwestern University have trailed an implanted ultrasound device in patients, which is used in combination with microbubbles to transiently open pores in the blood brain barrier, allowing chemo drugs to enter. We have reported on this technique before as a lab-based concept (see flashbacks below), but this is the first time that it has actually been trialed in human patients, in this case patients with glioblastoma, a difficult to treat brain cancer.

109

109

REBEL EM

MAY 11, 2023

Background: The emergency department is frequently visited by patients suffering from symptomatic alcohol withdrawal, and the traditional management has been dominated by repeated doses of benzodiazepines. 1, 2 Phenobarbital has been studied as an alternative or adjunct to benzodiazepines with encouraging results, but primarily among inpatient services. 3, 4 Much of the appeal of phenobarbital lies in its ability to stave off severe alcohol withdrawal symptoms days after administration, without

Emergency Department 98

Emergency Department ED EMR OR 98

Don't Forget the Bubbles

MAY 10, 2023

In May 2022, Holly and Joe, two students on the joint QMUL and DFTB PEM MSc , created video presentations on human factors. We’ve incorporated some of our favourite elements from their presentations in this blog post. You’re in the paediatric emergency department, typing some notes for the child you’ve just discharged. You’re just about aware of the tannoy in the background.

Emergency Department 91

Emergency Department ED CPR OR 91

Emergency Medicine Cases

MAY 10, 2023

In this ECG Cases blog we look at 10 cases of patients with chest pain, including false positive STEMI, false negative STEMI, and other causes to help hone your ECG interpretation skills in time-sensitive cases where those very ECG skills might save a life. The post ECG Cases 42 – Approach to ECG Interpretation in Patients with Chest Pain: OMI, False Positive & Negative STEMI & Other Causes appeared first on Emergency Medicine Cases.

STEMI 130

STEMI EMS 130

Medgadget

MAY 10, 2023

Researchers at the University of Texas at Austin have developed a new chest wearable that can obtain both electrocardiogram and seismocardiogram data from the underlying heart. While basic ECG can be monitored via smart watches, no other wearable combines it with seismocardiography, which would conventionally be obtained by listening to the heart using a stethoscope.

107

107

EMergucate

MAY 9, 2023

60 year-year-old man with history of DM and x-smoker but not known to have COPD.

Emergency Department 100

Emergency Department 100

ACEP Now

MAY 8, 2023

Question I was shocked to see bank runs in March 2023. I thought those went away after regulatory changes in the Great Depression. What takeaway should there be from the troubles that Silicon Valley Bank (SVB) and other banks had during March 2023? Answer In March 2023, depositors of SVB engaged in a classic “bank run” that resulted in the Federal Deposit Insurance Corporation (FDIC) stepping in and putting the bank into receivership.

OR 59

OR 59

REBEL EM

MAY 8, 2023

Background: Clinically significant pneumothoraces in patients on mechanical ventilation can be dangerous as positive pressure ventilation can cause an increase in intrapleural pressure and trigger tension physiology. Occult pneumothoraces are those not suspected clinically or not evident on plain radiographs but later identified on computerized tomography (CT) imaging.

E-9-1-1 59

E-9-1-1 Critical Care ICU OR 59

Medgadget

MAY 12, 2023

Researchers at the University of California San Diego have developed a wearable ultrasound patch that is intended to provide information on the stiffness of underlying tissues as deep as 4 cm below the surface of the skin. The patch consists of a flexible 16 x 16 ultrasonic array with a silver-epoxy composite backing layer that is designed to absorb excessive vibrations.

OR 100

OR 100

EMergucate

MAY 10, 2023

Rocuronium ≤1.5 mg/kg versus >1.

100

100

Dr. Smith's ECG Blog

MAY 10, 2023

This was sent by a colleague. A 34 yo woman with a history of HTN, h/o SVT s/p ablation 2006, and 5 months post-partum presented with intermittent central chest pain and SOB. She had one episode of pain the previous night and two additional episodes early on morning the morning she presented. Deep breaths are painful and symptoms come and go. She had one BP that was measured at 160/120, uncertain when and what the BP was at other moments.

Coronary 52

Coronary STEMI CAD OR 52

REBEL EM

MAY 10, 2023

Take Home Points Many patients with renal colic require a CT scan. Diagnostic imaging should focus on eliminating concerning mimics; not on clinching the diagnosis of renal colic. POCUS and radiology department US are important modalities in evaluation of renal colic. REBEL Core Cast 101.0 – Imaging in Renal Colic Click here for Direct Download of the Podcast References Moore CL et al.

EMS 52

EMS ALS 52

Medgadget

MAY 8, 2023

Researchers at Houston Methodist have developed an implant that can provide localized and sustained release of immunotherapies to treat pancreatic cancer. Their device is tiny, at approximately the size of a grain of rice, and they have termed it a “nanofluidic drug-eluting seed” Pancreatic cancer is particularly difficult to treat, and current therapies have problems penetrating the tumor while resulting in significant side-effects elsewhere in the body.

97

97

Don't Forget the Bubbles

MAY 8, 2023

1-year-old Ruby presents with pallor and faltering growth. She is of Asian origin and has a family history of thalassaemia. Her blood tests show a microcytic anaemia. What do you do next? Thalassaemias are inherited blood disorders that can cause anaemia. Usually, haemoglobin, comprised of four globin chains and a haem group, carry oxygen around the body.

OR 52

OR 52

Dr. Smith's ECG Blog

MAY 8, 2023

Sent by Pete McKenna M.D. Edits by Meyers and Smith A man in his 70s with PMH of hypertension, hyperlipidemia, type 2 diabetes, CVA, dual-chamber Medtronic pacemaker, presented to the ED for evaluation of acute chest pain. Triage ECG: What do you think? This is diagnostic of proximal LAD occlusion. This is a huge anterolateral OMI. Deadly. I cannot be anything else.

STEMI 52

STEMI Coronary ED ACS 52

ACEP Now

MAY 8, 2023

About one billion doses of acetaminophen are taken safely per annum, and 60 million people in the U.S. take acetaminophen on a weekly basis. 1,2 With such enormous popularity it is no surprise that each year there are 56,000 emergency department (ED) visits, 2,600 hospitalizations, and 500 deaths in the U.S. related to acetaminophen toxicity. 2 Some cases of acetaminophen toxicity are simple to recognize and manage, such as an intentional single recent ingestion of a large number of regular-rele

Overdose 52

Overdose ALS OR EMS 52

Medgadget

MAY 10, 2023

Researchers at MIT have developed an ‘electroceutical’ capsule that is designed to be swallowed and which will deliver a small electrical current to the stomach wall. The device contains an external electrode that wraps around its exterior and small grooves that draw liquid away from the electrode and help it to contact the stomach wall.

OR 86

OR 86

University of Maryland Department of Emergency Med

MAY 7, 2023

52 yo M with chest pain and shortness of breath, ECG as shown, do you activate cath lab? The posterior descending artery (PDA) s.

STEMI 52

STEMI 52

EMCrit Project

MAY 11, 2023

all the lit goodness. EMCrit Project by Scott Weingart, MD FCCM.

69

69

ACEP Now

MAY 6, 2023

ACEP Now offers real-time clinical news, news from the American College of Emergency Physicians, and news on practice trends and health care reform for the emergency medicine physician. ACEP Now is an official publication of the American College of Emergency Physicians.

Emergency Medical Technician 52

Emergency Medical Technician Paramedic 52

Medgadget

MAY 8, 2023

A team of medical engineers at Cornell University has developed a knitted glove that is designed to treat hand edema, where fluid accumulation leads to swelling in the hands. The condition can make it difficult for patients to perform daily activities, and current treatment often involves receiving a manual edema massage performed by a trained healthcare worker.

OR 84

OR 84

EMS 20/20

MAY 10, 2023

Check out 90 Seconds: The Epic Story of Eli Beer! Support EMS 20/20 by purchasing through our affiliate links below: Amazon: [link] ArtScroll (Publisher): [link] Pitter patter! New episode out TODAY! Chris hops on a bus driven by Spencer headed to struggle street when it comes to a wonky ECG. To STEMI or not to STEMI? Can Chris get it right, or is he 10-ply?

STEMI 40

STEMI EMS OR 40

Emergency Medicine Education

MAY 9, 2023

NEJM study in 2016 showed no survival benefits or favorable neurological outcome regarding use of Amiodarone vs Lidocaine vs placebo in OHCA. In a recent publication by Acad Emerg Med , a post hoc analysis of original study was done and the authors found time to Amiodarone in OHCA could be associated with better survival to discharge if it was given within 8 minutes.

OR 40

OR 40

ACEP Now

MAY 6, 2023

Case A 35-year-old male is brought to the emergency department (ED) following a single-motor-vehicle collision in which two people were ejected and pronounced dead at the scene. The patient was not ejected but was found sitting outside of the vehicle and seems to be intoxicated. He is completely amnestic to the events of the accident. EMS reports starring and significant damage to the windshield and show you a picture (Figure 1).

ED 52

ED Emergency Department EMS OR 52

Medgadget

MAY 11, 2023

Researcher scientists at the University of Texas at Austin have developed a brain decoding technology that combines an fMRI scanner and artificial intelligence, similar to well-known AI systems such ChatGPT or Bard. The technology can spell out our thoughts in text form, but more importantly may allow patients who cannot otherwise communicate, such as those experiencing significant paralysis, to communicate their thoughts.

OR 80

OR 80

University of Maryland Department of Emergency Med

MAY 6, 2023

Delayed sequence intubation can be valuable in the agitated, combative trauma patients who will not tolerate pre-intubation pre-oxygenation. &n.

40

40

EMT City

MAY 8, 2023

Improve your EMS skills with a course about real patient scenarios! There will be a new scenario every week. Enroll in if you're interested!

EMS 40

EMS 40