Pediatric EM Morsels
NOVEMBER 3, 2023
Imported Malaria , like all imported tropical illnesses, is a Tale of Two Cities. The infection was unknowingly obtained while enjoying a delightful holiday and then brought back in transit to a country where it is not endemic. In these non-endemic countries, we need to always be attentive to patient’s history of recent travel to correctly identify any concerns related to their recent travel.
ALiEM
NOVEMBER 3, 2023
Welcome to the AIR Trauma Module! After carefully reviewing all relevant posts in the past 12 months from the top 50 sites of the Digital Impact Factor [1], the ALiEM AIR Team is proud to present the highest quality online content related to related to trauma in the Emergency Department. 8 blog posts met our standard of online excellence and were approved for residency training by the AIR Series Board.
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The Skeptics' Guide to EM
OCTOBER 28, 2023
Date: October 26, 2023 Reference: Jones et al. Opioid analgesia for acute low back pain and neck pain (the OPAL trial): a randomised placebo-controlled trial placebo-controlled trial. Lancet July 2023 Guest Skeptic: Dr. Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. He is also one of the world’s leading researchers […] The post SGEM#419: Welcome Back – To Another Episode on Back Pain first appeared on The Skeptics Guide
American Ambulance Association
NOVEMBER 2, 2023
This content is for AAA members only. Please either Log In or Join! The post AAA Representatives Advocate for Protecting Consumer Access to Ground Ambulance Medical Services and Ending the Need for Balance Billing appeared first on American Ambulance Association.
Core EM
NOVEMBER 1, 2023
We discuss Electrical Storm (VT storm) and how to care for the very irritable heart. Hosts: Brian Gilberti, MD Reed Colling, MD [link] Download Leave a Comment Tags: Cardiology Show Notes Background/Overview of VT: Definition: What makes it a storm Three or more sustained episodes of VF, VT, or appropriate ICD shocks in a 24-hour period Pathophysiology: Understanding the origin and mechanism Sympathetic drive/adrenergic surge Underlying pathology: Sodium channelopathies, infiltrative disease li
ALiEM
NOVEMBER 1, 2023
What clinical presentation and medication is associated with this urinary discoloration? Critical illness requiring intubation and propofol sedation Cyanide toxicity requiring sodium thiosulfate Iron toxicity treated with deferoxamine Refractory vasoplegic shock treated with methylene blue Septic shock treated with vancomycin and cefepime Reveal the Answer 3.
Don't Forget the Bubbles
OCTOBER 30, 2023
Read between the lines. No matter where we are or what type of medicine we practice, it is likely that we all were told at one point that we were expected to be lifelong learners. This is important as medical knowledge is constantly evolving. Dr. David Sackett, the father of evidence-based medicine, once said: I The traditional way to stay current is by reading the relevant scientific literature.
Paramedicine Now brings together the best content for paramedicine professionals from the widest variety of thought leaders.
REBEL EM
OCTOBER 30, 2023
Background: Hemorrhage is the leading cause of trauma related mortality. The initial injury is often complicated by multifactorial coagulopathy that can exacerbate bleeding. Fibrinogen is the precursor to fibrin and a major component of stable clot formation. Fibrinogen and fibrin are often depleted during major trauma as a result of consumption, breakdown, and dilution.
ALiEM
OCTOBER 30, 2023
Dr. Garcia is a freshly minted faculty member at Big Name University Medical Center. She’s excited to have finally finished residency and dive into her career as a full time (and fully paid) attending. After spending her first year acclimating to the new department and achieving board certification, Dr. Garcia finds herself at a bit of a crossroad.
Critical Care Scenarios
NOVEMBER 1, 2023
A review of the physiological and practical reasons to position patients with ARDS in the prone position. A review of the physiological and practical reasons to position patients with ARDS in the prone position.
American Ambulance Association
OCTOBER 30, 2023
FOR IMMEDIATE RELEASE Contact: Amanda Riordan 703-615-4492 ariordan@ambulance.org EMS Heroes To Be Honored in Washington, DC as 2023 Stars of Life Washington, DC—Next week, the American Ambulance Association (AAA) will […] The post Release | EMS Heroes Honored in Washington, DC as 2023 Stars of Life appeared first on American Ambulance Association.
EMergucate
OCTOBER 30, 2023
51 year old man, recently returned from the middle east, presented with shortness of breath. His CXR was normal. His arterial blood gases showed the following: PH = 7.
Dr. Smith's ECG Blog
OCTOBER 30, 2023
A 60 yo with 2 previous inferior (RCA) STEMIs, stented, called 911 for one hour of chest pain. He had no h/o heart failure. Here is the first prehospital ECG (time 0, after one hour of pain): I do not see evidence of OMI, and neither did the Queen of Hearts Here is the 2nd prehospital ECG (time 10 minutes, after 70 minutes of pain): No change On arrival, the first ED ECG was recorded 20 minutes after the last one (90 minutes after pain onset): What do you think?
ACEP Now
OCTOBER 30, 2023
What does your program offer that residents can’t get anywhere else? We are the first community emergency medicine program in the country. Residents train at an academic Level I trauma center and several freestanding emergency departments (EDs). We offer innovative ultrasound training, which includes nerve blocks in the ED, and annually participate in SAEM Sonograms.
Medgadget
NOVEMBER 1, 2023
Researchers at the Wyss Institute at Harvard University have developed a microfluidic chip that can recreate some of the features of radiation-induced lung injury. The lungs are very sensitive to radiation, and this can limit the application of radiotherapy to treat cancer. Accurately modeling radiation-induced lung injury could assist in developing new methods to prevent and treat the phenomenon, but it has been difficult to study this before the advent of advanced organ-on-a-chip models.
EMergucate
NOVEMBER 3, 2023
Question 1: PH = 7.51, that is mild alkalaemia PCO2 = 28, that is less than 40. So we have respiratory alkalosis.
REBEL EM
NOVEMBER 1, 2023
What is Flow? Simply put, flow is the peak of human performance, maximum focus with maximum responsiveness, an optimal state of consciousness. This state of mind is accessible to anyone under the right circumstances and has huge implications to how we live, work and train. REBEL Cast Book Club Episode 4 — The Rise of Superman: Decoding the Science of Ultimate Human Performance Click here for Direct Download of the Podcast In “The Rise of Superman,” Steven Kotler details the flow state throug
ACEP Now
OCTOBER 30, 2023
A disability is any condition of the body or mind that makes it more difficult for the person with the condition to do certain activities and interact with the world around them. 1 This includes impairments or difficulty with: vision; movement, processing, or thinking and remembering; verbal or non-verbal communication; mental health; hearing; or relationships.
Medgadget
OCTOBER 31, 2023
A team at Columbia University School of Engineering and Applied Science has developed a technique to enhance chimeric antigen receptor (CAR) T cell therapy in solid tumors. The technique involves engineering E. coli bacteria, that naturally tend to accumulate in the immune privileged core of solid tumors. The bacteria have been engineered to interact with tumor cells and deposit a synthetic antigen on the cells that can then be targeted by CAR T cells.
Dr. Smith's ECG Blog
NOVEMBER 3, 2023
Written by Nathanael Franks MD, reviewed by Meyers, Smith, Grauer, etc. A man in his 70s with past medical history of hypertension, dyslipidemia, CAD s/p left circumflex stent 2 years prior presented to the ED with worsening intermittent exertional chest pain relieved by rest. This episode of chest pain began 3 hours ago and was persistent even at rest.
EMDocs
OCTOBER 30, 2023
Authors: Saran S. Pillai, MBBS (@sspillai01, EM Resident Physician, University of Kentucky) and Christopher N. Belcher, MD (EM Attending Physician, University of Kentucky, Department of Emergency Medicine) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University School of Medicine); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) “What do you call an IV contrast shortage?
EMergucate
OCTOBER 30, 2023
Answers: Hb = 115 g/L, that is mild anaemia.
Medgadget
NOVEMBER 1, 2023
Researchers at Rice University have developed a magnetoelectric material that converts a magnetic field into an electric field. The material can be formulated such that it can be injected into the body, near a neuron, and then an alternating magnetic field can be applied to the area from outside the body. Magnetic fields are very useful in this context, as they can easily penetrate tissue without causing any damage.
First 10 EM
OCTOBER 30, 2023
As usual, a random smattering of articles. This group was presented as part of a live podcast recording at Sir Charles Gairdner Hospital in Perth, Australia, where I was honoured to be invited to be the WG Smith visiting lecturer. The guests helped select the papers, which means they are just as random as usual. […] The post Research Roundup (Perth live edition) appeared first on First10EM.
EMDocs
NOVEMBER 1, 2023
Authors: Katey DG Osborne, MD (EM Attending Physician; Tacoma, WA), Rachel Bridwell, MD (EM Attending Physician; Tacoma, WA) // Reviewed by: Alex Koyfman, MD (@EMHighAK, EM Attending Physician, UTSW / Parkland Memorial Hospital) and Brit Long, MD (@long_brit, EM Attending Physician, San Antonio, TX) Welcome to emDOCs revamp! This series provides evidence-based updates to previous posts so you can stay current with what you need to know.
The Bottom Line
OCTOBER 28, 2023
Landiolol and Organ Failure in Patients With Septic Shock Whitehouse. JAMA Published online October 25, 2023. doi:10.1001/jama.2023.20134 Clinical Question In patients with tachycardia and septic shock who are treated with high dose norepinephrine does the use of β-blockade for up to 14 days reduce organ failure compared to standard care?
Medgadget
OCTOBER 31, 2023
Arriving in two boxes reminiscent of Apple product packaging – one for the chest piece (the part that contacts the body), and another for the detachable earpiece (tubes + ear tips) – the CORE 500 is clearly an upgrade from the Eko DUO stethoscope. Similar to its predecessor, the CORE 500 can be used with your own headphones, smart phone, and just the chest piece, making it free of any hassle with the earpiece tubes.
University of Maryland Department of Emergency Med
NOVEMBER 2, 2023
Term? Tone? Tantrum? Immediately after delivery, your initial neonatal assessment should evaluate for: - Appearance of fu.
EMDocs
OCTOBER 28, 2023
We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: How Useful Is Lactate Clearance Anyway? Spoon Feed Don’t hang your hat on lactate clearance to assess therapeutic response to resuscitation in sepsis; there are too many confounders, and initial clearance does not n
FirstWatch
NOVEMBER 3, 2023
Transparency is good. But data without context can mislead. How OCFA leverages data to tell a more complete story. “A critical component of our work is accurately identifying and describing the problems we face as a fire department and as a community,” says Orange County Fire Authority Chief Brian Fennessy. “Once we’ve identified a problem, then we can address it.
Ambulance Driver Files
NOVEMBER 3, 2023
Hit a couple of personal records running in the pool today:Did 75 laps in 60 minutes, a personal best. Hit 100 laps in 82 minutes, also the most ever.Kept going and hit 109 laps in 90 minutes, although the last nine or so were more of a drunken weave/stagger.354 pounds on the scale today, another.
University of Maryland Department of Emergency Med
OCTOBER 30, 2023
IV Fluid Resuscitation IVF administration is one of the most common interventions in the resuscitation of critically ill patients.
Firefighters and EMS Fund
NOVEMBER 2, 2023
Firefighters and EMS Fund is sharing 5 ballot measures from around the country we are keeping an eye on- from tax renewals to the relocation of fire stations; here are some of the measures local fire departments are putting before voters this November 7th: Liberty Township, Ohio The Township of Liberty needs to renew its […] The post 5 Ballot Measures From Around The Country Impacting Local Fire Departments appeared first on Firefighters and EMS Fund.
FirstWatch
NOVEMBER 3, 2023
Transparency is good. But data without context can mislead. How OCFA leverages data to tell a more complete story. “A critical component of our work is accurately identifying and describing the problems we face as a fire department and as a community,” says Orange County Fire Authority Chief Brian Fennessy. “Once we’ve identified a problem, then we can address it.
NHCPS Save a Life
OCTOBER 31, 2023
In the emergency medical care sector, Basic Life Support (BLS) stands as a critical cornerstone. It comprises a comprehensive repertoire of life-saving techniques and essential tools, each honed to perfection in the action of high-stress situations. From the well-practiced hands of healthcare providers and first responders to the caring touch of good Samaritans, BLS represents […] The post BLS Renewal: Key Facts and Must-Know Information appeared first on SaveaLife.com.
CanadiEM
OCTOBER 31, 2023
Mnemonics to remember differential diagnoses are usually cumbersome, difficult to remember, and unnecessary. However, sometimes one stands above the crowd. Sometimes, one is so perfect that the world around you seems brighter… the greens greener… the sky bluer… your lunch tastier… Feel your mental status exam improve as I present to you “IS THIS PP RED?
ACEP Now
OCTOBER 31, 2023
Case A four-year-old male is brought via EMS for diabetic ketoacidosis (DKA). The EMS technician expresses frustration because this is the third time in four months that she has transported the child for DKA. Discussion In 2021, 588,229 children were the victims of child abuse and neglect. 1 Neglect is the most common form of child abuse, comprising 76 percent of cases.
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