Sat.Sep 24, 2022 - Fri.Sep 30, 2022

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Ep 174 Is Less More? Saving EM and Traumatic Pneumothorax – Highlights from CAEP 2022

Emergency Medicine Cases

Emergency Medicine has undergone many changes over the last couple of decades and especially during the COVID pandemic. Most of these changes have been very positive, but increasing volumes, staff shortages, aging populations, increasing breadth of responsibilities and better access to more imaging have made some of us question how we should define the scope of our practices.

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Imaging Case of the Week 520 Answer

EMergucate

There is cardiomegaly and enlargement of left atrium as evidenced by splaying of the carina & double right heart border.

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Lightning rounds #20: Being efficient

Critical Care Scenarios

Brandon and Bryan chat about tricks and methods of increasing efficiency and getting things done at work. Brandon and Bryan chat about tricks and methods of increasing efficiency and getting things done at work.

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Microfluidic Device Mimics Embryonic Heartbeat to Stimulate Stem Cell Development

Medgadget

Scientists at the University of New South Wales in Australia have developed a method to produce human blood stem cell precursors from human pluripotent stem cells. The method may have use in treating cancer patients who require high doses of such blood stem cells to help replenish endogenous populations that have been destroyed by chemotherapy. The researchers exploited the tendency of cells to respond to mechanical stimuli and cultured the pluripotent stem cells in a microfluidic device that mi

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EMCrit 333 – The State of the Fluids Show with the EMCrit Core Team

EMCrit Project

Where are we on Fluids on 2022? EMCrit Project by Scott Weingart, MD FCCM.

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Lab case 380

EMergucate

An 82 year old man presents to your ED after a syncopal episode. He complains of abdominal pain and diarrhoea. On examination he has a heart rate of 105/min and a BP of 95/65.

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Is Cocoa the New Aspirin 81? - Clinical Correlations

Clinical Correlations

By Luke Bonanni Peer Reviewed Theobroma, literally “food of gods” in Greek, is an apt description of chocolate. Made from the fermented seeds of the Theobroma cacao tree, chocolate is an immensely popular food, with worldwide.

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EMCrit RACC-Lit Review for September 2022

EMCrit Project

All of the resuscitation and acute critical care goodness for Sept 2022. EMCrit Project by Scott Weingart, MD FCCM.

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Imaging Case of the Week 522

EMergucate

The pelvic x-ray is from a 35 year old with right hip pain following fall from a height.

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Episode 90: What the actual Rhode Island (Redux)?!

The Overrun Podcast

In August 2022 two EMT-Cardiacs in Rhode Island found themselves in a situation that resulted in their suspensions. In this episode, the gang discusses the swiss cheese model of failure, and what we can do as an industry to improve systems and providers to ensure that we treat parents and newborns properly in the field. #DoBetter In August 2022 two EMT-Cardiacs in Rhode Island found themselves in a situation that resulted in their suspensions.

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Algae-Based Microrobots Deliver Antibiotics within Lungs

Medgadget

Researchers at the University of California San Diego have developed a microrobot system to treat bacterial pneumonia. The microrobots consist of living algal cells that can swim very effectively in biological fluids, allowing them to navigate throughout the lungs and deliver drugs to difficult-to-reach areas. The algal cells are studded with antibiotic-loaded polymer spheres that are coated with cell membranes from neutrophils, which help them to neutralize inflammatory molecules that are relea

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Episode 13: Getting to Know Chief Chris Way

The EMS Show

In this episode, Mike and Ritu welcome The Fire Chief from Kootenai Fire Rescue near Coeur d'Alene Idaho. Chief Way and Dr. Sahni go back 20 years and he joins us to talk a little about how the EMS guy became Fire Chief, Cancer and advocacy. This is a great episode and we hope you enjoy getting to know Chris!

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Imaging Case of the Week 521 Answer

EMergucate

The coronal CT image shows orbital blow out fracture.

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What Is Right for You: EMT Or Paramedics?

TIMER

Thinking about the paramedic vs. EMT debate? It’s not just you. You’ll see them, whether they’re on the breaking news or in a TV drama. EMS workers saving accident victims or tending to a patient experiencing a medical emergency. Both of them are excellent career options that let you significantly improve your community. They are also in-demand professions with good prospects for stable employment in almost every region of the United States.

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Falling into Hypoglycemia

EMS 20/20

A patient is found in the bottom of a flooded ditch and the only thing lower than their temperature is their blood sugar. a crew navigates a call that could go in any direction. Do they choose the right path? Listen and find out! A patient is found in the bottom of a flooded ditch and the only thing lower than their temperature is their blood sugar. a crew navigates a call that could go in any direction.

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Episode 13: Getting to Know Chief Chris Way

The EMS Show

In this episode, Mike and Ritu welcome The Fire Chief from Kootenai Fire Rescue near Coeur d'Alene Idaho. Chief Way and Dr. Sahni go back 20 years and he joins us to talk a little about how the EMS guy became Fire Chief, Cancer and advocacy. This is a great episode and we hope you enjoy getting to know Chris!

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Lab Case 380 answers

EMergucate

From the archive Question 1: Hb = 48 g/L, that is severe life threatening anaemia. WCC =14.

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Chief’s Inquiry Corner – 9/28/22 - Clinical Correlations

Clinical Correlations

Bellevue Outpatient: What is the optimal duration of therapy for bisphosphates in osteoporosis? Bellevue Inpatient: What is the role of aggressive fluid resuscitation in acute pancreatitis? VA Inpatient: What is the treatment for allergic bronchopulmonary aspergillosis?

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SGEM#377: You Don’t Have to “AcT” that Way – TNK for Acute Ischemic Stroke?

The Skeptics' Guide to EM

Date: September 20th, 2022 Reference: Menon et al. Intravenous tenecteplase compared with alteplase for acute ischaemic stroke in Canada (AcT): a pragmatic, multicentre, open-label, registry-linked, randomised, controlled, non-inferiority trial. The Lancet 2022 Guest Skeptic: Professor Daniel Fatovich is an emergency physician and clinical researcher based at Royal Perth Hospital, Western Australia.

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Less is More. Again: Speed of IV Fluid Administration in Pancreatitis (WATERFALL Trial)

REBEL EM

Background: Standard emergency department management of acute pancreatitis has focused on aggressive hydration, analgesia and investigation for an underlying reversible cause (eg gallstones). Recent evidence has challenged the routine use of aggressive hydration as unnecessary. There are also potential harms to large volume fluid resuscitation including progression of pancreatitis and fluid overload with or without respiratory failure.

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TEG-Guided Resuscitation of Patients with Cirrhosis and Non-Variceal Bleeding

REBEL EM

Background: Thromboelastography (TEG) is a reliable, comprehensive non-invasive hemostatic assay that measures the ability of whole blood to form a clot. TEG analyzes the interaction between platelets and the coagulation cascade. It provides highly descriptive, real-time information on clot formation, clot strength, platelet function, and fibrinolysis, which is superior to traditional coagulation tests such as INR, aPTT, and platelet count.

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