Sat.Oct 01, 2022 - Fri.Oct 07, 2022

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SGEM#378: Keepin’ It REaL when Treating Pediatric Migraine Patients

The Skeptics' Guide to EM

Date: September 28th, 2022 Reference: Hartford et al. Disparities in the emergency department management of pediatric migraine by race, ethnicity, and language preference. AEM September 2022. Guest Skeptic: Dr. Lauren Westafer is an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School – Baystate.

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ECG of the Week 5th October 2022

EMergucate

A 17 year old female presents to ED complaining of chest pain and SOB on a background of ILI symptoms for the last 2 days. Vitals: HR 138 BP 110/70 Temp 37.

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TIRBO #19: Guidewire safety

Critical Care Scenarios

Ensuring patient and operator safety with Seldinger guidewires, with considerations such as losing wires, transecting them, and perforating vessels. Ensuring patient and operator safety with Seldinger guidewires, with considerations such as losing wires, transecting them, and perforating vessels.

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Conductive Cotton Thread for Wearable Sensors in Commercial Textiles

Medgadget

Imperial College London researchers created a conductive cotton thread that can undergo a computerized embroidery process for incorporation into commercially produced textiles, such as t-shirts and face masks. The thread, called PECOTEX, can be used to create wearable health sensors, such as heart rate monitors, breathing monitors and even gas sensors, including ammonia sensors for the breath, which can provide information on liver and kidney function.

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EMCrit 334 – CV-EMCrit – Concise HeartMate 3 LVAD Overview

EMCrit Project

A review on dealing with HeartMate 3 (most common LVAD you will see) Emergencies. EMCrit Project by Katrina Augustin.

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Imaging Case of the Week 523

EMergucate

The chest x-rays are from a 3.5-year-old with increased work of breathing. What can be seen?

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What Makes A Great EMT?

Gold Cross Ambulance Service

Emergency medical professionals are some of the best and brightest in the world of emergency response, but what sets a great EMT out from the rest? What qualities do we at Gold Cross Ambulance look for when we’re interviewing prospective candidates for a position on our team? In today’s blog, we take a closer look at some of the skills and qualities that great medical professionals have that make them an asset on an emergency response team.

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NeuroEMCrit – Team NeuroEMCrit’s H&R Conference Talk, Part 1

EMCrit Project

3 great cases from the NeuroEMCrit Team. EMCrit Project by NeuroEMCrit Team (Casey & Neha).

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Lab case 381

EMergucate

A young man with history of asthma, presented to the emergency department after taking an overdose of his asthma medication.

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REBEL Core Cast 87.0 – Hypercalcemia

REBEL EM

Take Home Points Patients with severe hypercalcemia (> 14 mg/dL) are at risk for severe cardiac dysrhythmias and cardiac collapse Treatment centers on volume repletion with normal saline with consideration for the addition of loop diuretics AFTER volume reexpansion is complete As the patient begins to diurese, continually monitor electrolytes REBEL Core Cast 87.0 – Hypercalcemia Click here for Direct Download of the Podcast Definition: A serum calcium level > 10.5 mg/dL.

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Soft Robot Grows Like a Plant to Travel Through Tight Spaces

Medgadget

At the University of Minnesota, researchers have developed a soft robotic system that can ‘grow’ like a plant. The mechanism allows it to travel through difficult-to-access areas, such as the tortuous gastrointestinal tract or vasculature. The system works by extruding a liquid through an opening in the device, and at the same time a photopolymerization process results in the rapid solidification of the liquid into a solid structure.

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Inotropes and Vasopressors: Doses, indications, contraindications and effects

ECG & Echo Learning

Inotropes and vasopressors Vasopressors induce vasoconstriction and increase mean arterial pressure (MAP). Inotropes increase cardiac contractile force (contractility). Several endogenous and synthetic agents exist and are frequently combined to achieve the desired hemodynamic outcome. Most agents exhibit both vasopressor and inotropic effects (Figure 1).

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Looking at Old Problems

A Paramedic's Notebook

Here is a note I wrote to myself watching a training video: “While a lot of these (insights) are basics that I already know, I am doing a terrible job at following them (to use my time effectively during the work day). Yes, I’m procrastinating by watching (the) video as if it will be the magical thing that fixes all my problems. Still, I also believe in the need to repeat messages, messages resonating at different times, and new ways to view old problems.” There is something to

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Chiefs’ Inquiry Corner – 10/5/2022 - Clinical Correlations

Clinical Correlations

Tisch/Kimmel Inpatient: What is the role for early rhythm control in patients with new atrial fibrillation? VA Outpatient: What medications are the most effective for treatment of diabetic neuropathy? Bellevue Inpatient: What treatment options exist for multidrug resistant tuberculosis?

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Robotic Capsule Drills Intestinal Mucus to Deliver Protein Drugs

Medgadget

Engineers at MIT have collaborated to develop a robotic drug delivery capsule that is specially designed to administer delicate protein drugs, such as insulin, through the wall of the intestine. Proteins are not suited for oral delivery, as they are typically destroyed by the low pH in the intestine and they can’t pass through the mucus layer that lines the gastrointestinal tract.

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