Pediatric EM Morsels

SEPTEMBER 8, 2023

Life is full of hazards! Chance encounters with life’s hazards seem to increase in the Summer time (ex, Trampolines , Snakes , Lawn Mowers , Water , and Heat ). It is good that continue to raise awareness of such hazards so we can prevent them ! Certainly, the care of pediatric patients is known for its “ Seasonality. ” Now that the long days of summer ( for us in the Northern Hemisphere ) might be behind us, some of those hazards may also be receding, but injuries and illnesse

EMS 260

EMS ED OR 260

The Skeptics' Guide to EM

SEPTEMBER 2, 2023

Date: August 30, 2023 Reference: Griffey et al. The SQuID protocol (subcutaneous insulin in diabetic ketoacidosis): Impacts on ED operational metrics. AEM August 2023 Guest Skeptic: Dr. Suchismita Datta. She is an Assistant Professor and Director of Research in the Department of Emergency Medicine at the NYU Grossman Long Island Hospital Campus. This is the last show for […] The post SGEM#414: The SQuID Protocol first appeared on The Skeptics Guide to Emergency Medicine.

ICU 205

ICU ED Critical Care ALS 205

American Ambulance Association

SEPTEMBER 8, 2023

This content is for AAA members only. Please either Log In or Join! The post CRS Issues Overview of Select No Surprises Act Litigation appeared first on American Ambulance Association.

Ambulance 130

Ambulance OR 130

EMergucate

SEPTEMBER 5, 2023

The chest x-ray is from an adult male with chest pain. What can be seen? Answer will be posted later.

EMS 130

EMS 130

Dr. Smith's ECG Blog

SEPTEMBER 3, 2023

This was sent by anonymous The patient is a 55-year-old male who presented to the emergency department after approximately 3 to 4 days of intermittent central boring chest pain initially responsive to nitroglycerin, but is now more constant and not responsive to nitroglycerin. It is unknown when this pain recurred and became constant. More past history: hypertension, tobacco use, coronary artery disease with two vessel PCI to the right coronary artery and circumflex artery several years prior.

Defibrillator 130

Defibrillator Coronary STEMI CPR 130

Don't Forget the Bubbles

SEPTEMBER 4, 2023

This talk, from Joe Brumm, was given at our 2022 DFTB conference. “Bluey” is an iconic Australian children’s animated television series. It follows the adventures of a Blue Heeler puppy named Bluey and her family, including her father, Bandit, her mother, Chilli, and her younger sister, Bingo. [link] There is a profound connection between art and life.

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126

American Ambulance Association

SEPTEMBER 5, 2023

This content is for AAA members only. Please either Log In or Join! The post New NLRB Framework for Union Negotiations appeared first on American Ambulance Association.

Ambulance 130

Ambulance OR 130

Dr. Smith's ECG Blog

SEPTEMBER 8, 2023

Submitted by anonymous, edited by Jesse McLaren The first person "I" and "me" is this anonymous sender. A 50 year old presented to the emergency department of a remote rural community (where the nearest cath lab is a plane ride away) with one hour of mild chest pain radiating to the back and jaw, and an ECG labeled ‘normal’ by the computer interpretation.

OR 128

OR STEMI Coronary Emergency Department 128

Critical Care Scenarios

SEPTEMBER 6, 2023

From the Critical Concepts blog, thoughts on our personal biases and lack of humility when contemplating end-of-life decision making. From the Critical Concepts blog , thoughts on our personal biases and lack of humility when contemplating end-of-life decision making.

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American Ambulance Association

SEPTEMBER 6, 2023

This content is for AAA members only. Please either Log In or Join! The post CMS Shares GADCS Walkthrough appeared first on American Ambulance Association.

Ambulance 130

Ambulance OR 130

EMergucate

SEPTEMBER 4, 2023

Answer: Volume = 15 ml. Still significant, Normal amount of synovial fluid in a knee joint is 0.5 to 4 mls. Knee joint can accommodate volume to about 100 ml.

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100

First 10 EM

SEPTEMBER 4, 2023

There is an odd paradox in medicine: our sickest patients are in the most need of intervention, but they are also the most likely to have complications from those interventions. (This is why I have always opposed the “kitchen sink” philosophy, in which we throw everything at an apparently dying patient. That philosophy assumes that […] The post PACER: Prophylactic platelets before central lines appeared first on First10EM.

EMS 111

EMS 111

Medgadget

SEPTEMBER 7, 2023

Researchers at the University of California San Diego have created a bacterial sentinel system that can alert clinicians to the presence of tumors. The technology takes advantage of the specificity of the CRISPR system and the tendency of bacteria to uptake fragments of DNA from their environment. Termed “Cellular Assay for Targeted CRISPR-discriminated Horizontal gene transfer” (CATCH), the system has been created to detect gastrointestinal tumors in its first iteration.

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The Bottom Line

SEPTEMBER 6, 2023

In patients with non-ST elevation out-of-hospital cardiac arrest, does expedited delivery of patients to a cardiac arrest centre, compared with delivery to the geographically closest hospital, improve all-cause mortality at 30 days?

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Dr. Smith's ECG Blog

SEPTEMBER 5, 2023

A 60-something awoke with 10/10 crushing chest pain. He walked in to triage. Here is the ECG: Computer interpretation: Normal ECG Interventionalist after doing PCI: SUBTLE STT CHANGES IN LIMB LEADS To me, this first ECG is diagnostic of inferior OMI. I sent this ECG to the Queen of Hearts (PMcardio OMI), and here is the verdict: YOU TOO CAN HAVE THE PM Cardio AI BOT!!

STEMI 80

STEMI Emergency Department OR ALS 80

EMCrit Project

SEPTEMBER 2, 2023

A NeuroEMCrit Shadowboxing Case EMCrit Project by Scott Weingart, MD FCCM.

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112

Medgadget

SEPTEMBER 7, 2023

Researchers at Washington University School of Medicine have developed a COVID-19 breathalyzer test. The technology requires someone to breathe into it just once or twice, and it can then provide an indication if the person is infected with SARS-CoV-2 in as little as one minute. The device could be very useful fo screening large numbers of people prior to access to an indoor event, for instance, or in community clinics to quickly determine if people are infected.

ACS 94

ACS OR 94

EMDocs

SEPTEMBER 6, 2023

Today on the emDOCs cast with Brit Long, MD ( @long_brit) , and Rachel Bridwell, MD ( @rebridwell ), we cover two challenging cases. Episode 85: Tricky Cases Part 1 Case 1: 42-year-old male, GCS 3, HR 190, BP is 90/48 mm Hg, T 105F. Found in garage, hot, question of illicit drug use. IV fluids started, concern for SVT. Cardioverted, followed by sinus tachycardia, remains GCS 3.

ACS 70

ACS ICU EMS ALS 70

University of Maryland Department of Emergency Med

SEPTEMBER 7, 2023

The literature is not completely new regarding the use of intranasal dexmedetomidine for pediatric sedation, with several articles confirming no.

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66

First Responders Foundation

SEPTEMBER 8, 2023

The First Responders Foundation is honored to be inducting Paul Davis Restoration of Omaha into the Ancient Order of the National Society of St. Florian and St. Michael at the 7th Annual 9/11 Luncheon of Honor on September 11, 2023. Paul Davis Restoration of Omaha is a full-service residential and commercial emergency cleanup and restoration for disasters of all sizes.

First Responder 52

First Responder OR 52

First Responders Wellness Center

SEPTEMBER 7, 2023

CHICAGO POLICE Center aims to help Chicago police officers cope with trauma, stress "They are so overwhelmed with how much trauma they are seeing." Published September 5, 2023 • Updated on September 5, 2023 at 5:19 pm NBC Universal, Inc. From the bubbling water fountain, to the inspirational sayings and serene paintings on the walls, everything in the new First Responders Wellness Center was put in place with the mental well-being of Chicago police officers in mind.

First Responder 52

First Responder OR 52

EMDocs

SEPTEMBER 2, 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: Dual Antiplatelets or Lytics for Minor Stroke? Spoon Feed In minor acute ischemic stroke (AIS) patients presenting within 4.5 hours of onset, dual antiplatelet therapy (DAPT) is non-inferior to intravenous alteplase

OR 68

OR 68

FOAMcast

SEPTEMBER 6, 2023

Apple Podcasts , Spotify , Listen Here Alcohol-related emergency department (ED) visits are common – estimated to be comprise nearly 4% of all ED visits and up to 6% of hospitalizations. Historically, EDs have had little engagement in harm reduction around alcohol use disorder (AUD) and provision of medication for AUD. Often efforts to help patients with dangerous or harmful alcohol consumption have encouraged abstinence-only, or referral to detoxification centers.

Emergency Department 52

Emergency Department ALS ED OR 52

First Responders Foundation

SEPTEMBER 6, 2023

The First Responders Foundation is honored to be inducting Mr. Joe Ricketts into the Ancient Order of the National Society of St. Florian and St. Michael at the 7th Annual 9/11 Luncheon of Honor on September 11, 2023. J. Joe Ricketts founded the brokerage Ameritrade A pioneer in the use of technology to revolutionize the financial services sector, J.

First Responder 52

First Responder Firefighter EMT EMT 52

University of Maryland Department of Emergency Med

SEPTEMBER 7, 2023

It's back to school season which means back to school injuries!

OR 52

OR 52

EMDocs

SEPTEMBER 7, 2023

Authors: Danae Massengill, MD (Medical Toxicology Fellowship Rocky Mountain Poison and Safety, Denver Health); Christine Murphy, MD (Atrium Health Emergency Department) // Reviewed by: James Dazhe Cao, MD (@JamesCaoMD, Associate Professor of EM, Medical Toxicology, UT Southwestern Medical Center, Dallas, TX); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Historical Case: Over a 2-week period in November 2008, 13 cases of unexplained acute renal failure occurred among children from a h

E-9-1-1 65

E-9-1-1 ALS Emergency Department Plasma 65

REBEL EM

SEPTEMBER 7, 2023

BACKGROUND: intracerebral hemorrhage (ICH) makes up 10-15% of all strokes and significantly contributes to overall stroke-related morbidity and mortality ( Hostettler 2019 ). Levetiracetam is frequently used to prevent seizures in patients with conditions such as ICH, traumatic brain injury (TBI), supratentorial neurosurgery, and subarachnoid hemorrhage (SAH).

OR 111

OR ALS EMS 111

Don't Forget the Bubbles

SEPTEMBER 6, 2023

The Choosing Wisely ® campaign aims to promote collaborative conversations between clinicians and families to safely avoid unnecessary and potentially harmful tests. A list of five key recommendations for Paediatric Emergency Medicine was created by the American Academy of Paediatrics Section on Emergency Medicine (AAP SOEM) following a structured review process and expert consensus opinion.

Emergency Department 119

Emergency Department ED ALS Overdose 119

University of Maryland Department of Emergency Med

SEPTEMBER 4, 2023

Pearls for the Patient in Cardiogenic Shock Cardiogenic shock is generally defined as tissue hypoperfusion due to ineffective cardi.

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40

EMCrit Project

SEPTEMBER 3, 2023

In many countries, pulmonary and critical care are commonly bundled together. Consequently, a single person will often be responsible for both inpatient ICU management as well as inpatient pulmonary consultation. Honestly, I have some doubts about whether this is an ideal system. As both pulmonology and critical care medicine become increasingly complex, it's becoming impossible […] EMCrit Project by Josh Farkas.

Critical Care 136

Critical Care ICU 136

Don't Forget the Bubbles

SEPTEMBER 7, 2023

We all go through it: a career is established but gets a bit monotonous. It provides income, and you have made your life work around the job. It ticks the boxes. It’s my job. I often wonder what being a dive instructor or a puppy breeder may be like. I manage a smile and then a sigh. Those jobs pay rubbish money, and I’m definitely overqualified now.

OR 126

OR 126