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We over-admit low risk acute heart failure patients and under-admit high risk heart failure patients. In this podcast we discuss the diagnostic accuracy of various clinical features, lab tests and imaging modalities for acute heart failure, the 3 validated risk stratification tools and a simple approach to PoCUS for the diagnosis and prognostication of acute heart failure in the ED to improve our diagnostic accuracy and disposition decisions for patients with acute heart failure.
Concussions are commonly encountered in the Emergency Department. We have previously discussed an approach to the question of when a patient “ can return to sport.” That recommendation has been revised ( calling for us to Rebake this Morsel ) and now also pays specific attention to the important aspect of scholastic activities. Let’s take a quick minute to digest a morsel on the current concussion in sport recommendations with respect to Return to Learn and Return to Sport : Re
Date: August 13, 2024 Guest Skeptics: We have two guest skeptics for this SGEM Xtra episode. Dr. Palma Dr. Francisco Campillo Palma is an Emergency Medicine doctor. He works in prehospital (EMS and HEMS), and at Morales Meseguer Hospital in public medical service in Murcia, Spain. Franciso has postgraduate Master's degrees in emergencies and urgent care, clinical ultrasound, and emergency and disaster management, from the University of Elche, the University of Madrid, and the University of Ovied
We talk the nitty-gritty of assessing the right heart using echocardiography, with our friend Matt Siuba (@msiuba), intensivist at the Cleveland Clinic and master of zentensivism. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! Takeaway lessons We talk the nitty-gritty of assessing the right heart using echocardiography, with our friend Matt Siuba ( @msiuba ), intensivist at the Cleveland Clinic and master of zentensivism.
ECG artifact and lead reversal can mimic tachy-arrhythmia, infarct or Brugada. Learn how to identify these errors to prevent misdiagnosis on this month's ECG Cases with Dr. Jesse McLaren. The post ECG Cases 51 – Artifact and Lead Misplacement appeared first on Emergency Medicine Cases.
Dr. Sara Krzyzaniak, EM Match Advice Podcast Host and Stanford University PD, discusses key changes in the 2024 MyERAS (Electronic Residency Application Service) application that all EM applicants should know about. Take a listen to this short 14-minute, high-yield episode before submitting your application. Podcast 45: Key 2024 MyERAS updates Highlights Hometown preferences are now limited to 3 (no longer 5).
A 50 y/o Male presented to the ED with new-onset chest discomfort. He reported no pertinent history (eg, HTN, HLD, DM, Smoking, etc). The initial Trop I returned <0.012 ng/mL. Here is the time-zero ECG. The critical features that immediately caught my attention were both the hyperacute T-wave in aVL, and the reciprocal down-up T-wave in III.
FirstNet Authority Advances Network Coverage Investment with Focus on Territories, Tribal Nations, Rural Areas Press Releases michelle.fordi… Wed, 08/21/2024 - 10:08 The First Responder Network Authority (FirstNet Authority) is an independent authority within the U.S. Department of Commerce. Created in 2012, its mission is to ensure the building, deployment, and operation of the nationwide broadband network that equips first responders to save lives and protect U.S. communities.
FirstNet Authority Advances Network Coverage Investment with Focus on Territories, Tribal Nations, Rural Areas Press Releases michelle.fordi… Wed, 08/21/2024 - 10:08 The First Responder Network Authority (FirstNet Authority) is an independent authority within the U.S. Department of Commerce. Created in 2012, its mission is to ensure the building, deployment, and operation of the nationwide broadband network that equips first responders to save lives and protect U.S. communities.
The AAA is projecting that the 2025 Medicare Ambulance Inflation Factor will likely be 2.6%, plus or minus 0.1%. Section 1834(l)(3)(B) of the Social Security Act mandates that the Medicare […] The post Preliminary Calculation of 2025 Ambulance Inflation Update appeared first on American Ambulance Association.
David Didlake EMT-P, RN, ACNP @DidlakeDW An adult male self-presented to the ED with palpitations and the following ECG. The patient was very uncomfortable, dyspneic, and displayed an SpO2 90% on RA. He denied any known history of CAD, but did report ASCVD risk factors to include HTN, HLD, and DM. Of interest, he specified that he awoke earlier that morning in his usual state of health, then developed chest discomfort, then developed palpitations.
Written by Pendell Meyers A man in his 70s presented with history of pacemaker presented with shortness of breath with exertion and presyncope. Here is his triage ECG with minimal symptoms: What do you think? The ECG shows pacemaker failure with inability to capture or sense, with either underlying atrial fibrillation or junctional escape rhythm. The QRS shows LVH and there are diffuse ST-T abnormalities likely in part appropriate for the LVH, though memory T waves are also a consideration.
St.Emlyn's - Emergency Medicine #FOAMed Listen to the podcast recorded live at the Premier Conference 2024 about neuroprotection in the prehospital phase of care. The post Podcast – Prehospital Neuroprotection appeared first on St.Emlyn's.
In the popular Showtime series “The Affair,” a lead character is haunted by the dry drowning death of her young son. Interest in so-called dry drowning has accelerated in recent years, thanks in part to a handful of high-profile cases and fictionalized accounts. While the phenomenon of dry drowning is real, the term is a colloquialism--not a medical diagnosis.
Authors: Natalie Hernandez, MD, MPH, (Harbor-UCLA Medical Center Department of Emergency Medicine); IV Mirus, MD (Assistant Professor of Emergency Medicine, UT Southwestern Medical Center); Manpreet Singh, MD, MBE (Director, Undergraduate Medical Education, Harbor-UCLA Medical Center Department of Emergency Medicine) // Reviewed by: Brit Long, MD (@long_brit You walk into a patient room to find the patient has brought a family member to interpret for them.
Sione, a young Pacific Islander boy, is brought to the emergency department with a 3-day history of acute onset, progressively worsening central chest pain. He points to his sternum when you ask him where the pain is. and tells you that it is made worse by deep breathing and movement. His sternum is warm to touch and exquisitely tender, inferior to the manubrium.
Within a few months of implementing Pulsara, Baptist Health Medical Center - North Little Rock reduced their average door-in-door-out time for stroke transfers by 42%. Download the Case Study Baptist Health Medical Center - North Little Rock in Little Rock, Arkansas, is a 225-bed medical center that sees a large stroke volume every month. Baptist Health North Little Rock is a certified primary stroke center (PSC), meeting the requirements for necessary staffing, infrastructure, and capability to
In this video, we demonstrate how to use bedside ultrasound to diagnose papilledema (caused by increased ICP) as well as pseudopapilledema (caused by other things besides an increased ICP). CRAO RD/VD Courses The post 5 Minute Sono – Papilledema first appeared on Core Ultrasound.
Sore throat got you feeling down? Wondering if that scratchy, uncomfortable feeling in your throat is more than just a passing annoyance? Look no further! In this comprehensive guide, we’ll… The post Pharyngitis – Overview, Causes, Symptoms, Treatment & More appeared first on Paramedics World.
You are about to head out on a call for a 65-year-old man who is reported to be suffering from sudden respiratory distress. Few details are known about this man’s medical history, so you aren’t entirely sure what you are about to encounter. You grab your First In bag, knowing that your airway management tools mean you’re well–prepared for any airway emergency.
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: TNK Up to 24 Hours for Stroke? Spoon Feed In patients with large vessel occlusions(LVO) presenting 4.5-24 hours after onset, without access to endovascular thrombectomy (ET), tenecteplase(TNK) administration bested
Limping Child This presentation covers the various differentials for a limping child, the investigations required and what (if any) urgent … Continue reading →
Are your eyes feeling red, itchy, and irritated? You might be dealing with conjunctivitis, commonly known as pink eye. This common eye condition can be a real nuisance, but fear… The post Understanding Conjunctivitis: Causes, Symptoms, and Treatment appeared first on Paramedics World.
People ask me if I still work the road, and many are surprised when I say I still do, qualifying it with “just one day a week.” They shake their heads and smile and say, “good for you!” While I do generally work one day a week, I didn’t work at all in July due to a combination of family emergencies, sports trips with my daughter, and a nagging knee issue that forced me to see a doctor who told me at my age 66, she saw no need for surgery.
Background: Retinal artery occlusion (RAO) is a time-sensitive ophthalmic emergency that demands rapid diagnosis and intervention. Administration of intravenous tissue plasminogen activator (IV tPA) within 4.5 hours of symptom onset appears to be the most promising approach for improving visual outcomes, supported by multiple studies and meta-analyses. 1,2 Intra-arterial (IA) tPA has also shown benefit but is less well studied. 3,4 It’s important to note that the available studies have severa
Pulled elbow This presentation above covers why a pulled elbow occurs, what investigations are required and tips for when reducing … Continue reading →
Feeling like the world is spinning around you when it’s perfectly still? You might be experiencing vertigo. Don’t let this dizzying sensation throw you off balance! In this blog post,… The post Understanding Vertigo: Causes, Symptoms, and Treatment appeared first on Paramedics World.
Tracing the Evolution of Modern EMS: From Early Beginnings to Today’s Life-Saving Careers. Emergency medical services (EMS) are a critical component of healthcare, and they are dedicated to providing urgent medical care and transportation for individuals in need. EMS plays a vital role in emergency care, responding to accidents, medical emergencies, and disasters with trained […] The post A Look at the History of Modern EMS appeared first on Unitek EMT.
The following ECG is from a 50-year-old man with no past medical history. He has a history of acute onset of palpitations 20 minutes ago with associated chest tightness.
Are you finding yourself squinting more often, struggling with blurry vision, or experiencing difficulty driving at night? If so, you may be one of the millions affected by cataracts. But… The post Understanding Cataracts: Causes, Symptoms, and Treatment appeared first on Paramedics World.
Assessing patients with pleural effusions in the emergency department (ED) can be challenging and nuanced. This is largely due to the lack of guidelines around pleural effusions in the ED. In part one we focused on imaging, diagnosis, and management of parapneumonic effusions. In this second part, we will look at malignant and CHF-related effusions, […] The post By the Hammer of Thora: Pleural Effusions in the ED (Part 2) appeared first on EMOttawa Blog.
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