EMergucate

NOVEMBER 28, 2022

Interpretation of ECG from 23 November 2022 The most obvious abnormality is ST segment elevation in leads I and aVL … Continue reading →

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Critical Care Scenarios

NOVEMBER 30, 2022

Much is made of “staying cool” during emergencies, but what does this really mean? What is calm, what role does it play in a clinical environment, when is it appropriate, and how do we learn it? This and more on today’s TIRBO. Find us on Patreon here! Buy your merch here! Much is made of “staying cool” during emergencies, but what does this really mean?

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Medgadget

DECEMBER 1, 2022

Bigfoot Biomedical , a medtech company based in California, has developed the Bigfoot Unity System, a diabetes management technology for patients on multiple daily injection therapy. The system uses continuous glucose monitoring data and doctor recommendations to provide insulin dose recommendations, helping patients to avoid uncertainty. The company argues that type 2 diabetes patients have been historically underserved by the medtech industry, in part because such patients typically tend to be

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OR 99

Gold Cross Ambulance Service

DECEMBER 1, 2022

Despite our best efforts, things don’t always work out exactly as we had hoped 100 percent of the time. That’s especially true in the field of emergency response. Learning to process failure is a very important skill to have as an EMS professional, because if we can’t learn and grow from failures, future patients will be worse off. The same can be said for the average individual.

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EMS Emergency Response EMT EMT 52

EMergucate

NOVEMBER 28, 2022

A 52 year old woman is triaged as a category 2 after complaining of chest tightness on the background of having previous cardiac history.

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Coronary 130

REBEL EM

DECEMBER 1, 2022

Background: Pneumothorax management is a common clinical condition in the emergency department (ED) occurring in patients of varying ages and caused by multiple etiologies, including spontaneous, traumatic, and iatrogenic pneumothorax. Regardless of the cause, a thoracostomy is often required for treatment (Currie 2007 ). Traditionally, all pneumothoraces were treated with large bore chest tubes (LBCT) defined as any tube > 14 F.

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ALS OR Emergency Department EMS 52

Medgadget

DECEMBER 1, 2022

Scientists at Hong Kong University of Science and Technology came up with a technique to increase the efficiency and potentially the efficacy of mRNA therapeutics. mRNA molecules have what is called a poly-A tail, which is basically a string of adenine nucleotides at one end. These researchers discovered that by replacing some of these nucleotides in the mRNA tail with cytidine, a cytosine base with a ribose sugar attached, that they could enhance the resulting protein production of the mRNA and

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OR 80

EMergucate

NOVEMBER 29, 2022

The chest x-ray is from a 60 year old smoker with dyspnea. What can be visualized?

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EMS 130

On Time Medical Transportation

NOVEMBER 30, 2022

Mindfulness yes it sounds great in theory, but did you know that practicing this skill can have very real and practical benefits in EMS? Mindfulness is the state of being conscious or aware of something. It can also refer to focusing awareness on the present moment, while calmly acknowledging our feelings, thoughts, and sensations without being overly reactive or overwhelmed.

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EMS OR 52

The Overrun

NOVEMBER 28, 2022

Whether it be at a college party or in the nursing home at 3 AM, managing an acute psychosis patient is something EMTs and Paramedics encounter with frequency during their tenure. A college student under the influence of mind-altering drugs and an elderly person suffering from sequelae of brain disease can be very similar sometimes… who knew! Today I wanted to talk about acute psychosis , a term that describes a patient’s mental disconnection from reality due to a various array of conditions.

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EMT EMT Emergency Department ALS 52

The EMS Educator

DECEMBER 1, 2022

This year has brought many changes in the care provision landscape for obstetric patients. As with many aspects of care, access to maternity care is inequitable by geographic location. Legislative changes in the last year have exacerbated these geographic inequities and EMS is called upon to help meet the needs of patients in these challenging circumstances.

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Organ Donor EMS 40

EMergucate

NOVEMBER 26, 2022

Answers: Question 1: pH = 7.357, that is within the normal range, towards the acidotic side. HCO3 = 16.2, that is low.

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American Burn Association

DECEMBER 1, 2022

Categories Advocacy Burn News MAC Spotlight Media Member Services Organization News Prevention Quality Care Research Return to News & Activities The American Burn Association (ABA) released updated Guidelines for Burn Patient Referral today. “The ABA Guidelines for Burn Patient Referral help patients get the timely and comprehensive burn care they need by helping non-burn clinicians and emergency personnel make important care decisions,” said ABA President Ingrid Parry, MS, PT,

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Firefighter Emergency Department Paramedic OR 52

Dr. Smith's ECG Blog

NOVEMBER 28, 2022

Written by Destiny Folk MD, with edits by Meyers, peer reviewed by Smith and Grauer A woman in her late 20s with a past medical history of cervical cancer status post chemotherapy and radiation therapy presented to the emergency department for shortness of breath, chest tightness, and two episodes of syncope. Her initial vital signs revealed a temp of 97.7F, HR 125, RR 20, BP 115/90, and an oxygen saturation of 95% on room air.

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E-9-1-1 OR Emergency Department ED 52

University of Maryland Department of Emergency Med

NOVEMBER 27, 2022

Approximately 1.4 million transgender and gender nonbinary patients live in the United States. Unfortunately, prior research has shown.

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ED 40

EMergucate

NOVEMBER 26, 2022

46-year-old female patient presented with few episodes of vomiting. Her VBG showed the following: PH = 7.

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REBEL EM

NOVEMBER 28, 2022

BACKGROUND: Direct oral anticoagulants (DOACs) such as rivaroxaban [Xarelto] and apixaban [Eliquis] have become more prevalent in the aging population and are associated with intracranial bleeding at rates up to 4.2%. (Xian 2019) 4-Factor Prothrombin Complex Concentrates (4F-PCC), or K-Centra, is a derivative of human plasma and is explicitly used to reverse vitamin K antagonists such as warfarin and non-specifically in the reversal of DOACs.

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OR ALS Plasma EMS 52

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

This case was provided by Spencer Schwartz, an outstanding paramedic at Hennepin EMS who is on Hennepin EMS's specialized "P3" team, a team that receives extra training in advanced procedures such as RSI, thoracostomy, vasopressors, and prehospital ultrasound. This patient, who is a mid 60s female with a history of hypertension, hyperlipidemia and GERD, called 911 because of chest pain.

Emergency Department 52

Emergency Department E-9-1-1 Coronary STEMI 52

University of Maryland Department of Emergency Med

NOVEMBER 28, 2022

Transcutaneous Cardiac Pacing Transcutaneous cardiac pacing (TCP) is often attempted while preparing for transvenous cardiac paci.

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The Skeptics' Guide to EM

NOVEMBER 26, 2022

Date: November 26th, 2022 Reference: James et al. Emergency Department Condition Acuity, Length of Stay, and Revisits Among Deaf and Hard-of-Hearing Patients: A Retrospective Chart Review. AEM November 2022 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. Click on the LINK for a transcript […] The post SGEM#383: Tommy Can You Hear Me – Deaf and Hard-of-Hearing (DHH) Patients in the ED first appeared on The S

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ED Emergency Department ALS 100

REBEL EM

NOVEMBER 30, 2022

Take Home Points Consider the diagnosis of testicular torsion in all patients with acute testicular pain Testicular torsion is a surgical emergency that requires immediate urologic consultation to increase the rate of tissue salvage. History, physical examination and ultrasound are all flawed in making the diagnosis. The gold standard is surgical exploration.

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ALS ED OR EMS 52

University of Maryland Department of Emergency Med

DECEMBER 1, 2022

Childhood vaccination has significantly decreased the incidence of bacterial meningitis and bacteremia in infants and young chi.

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