ALiEM
MAY 24, 2023
A young boy is brought to the pediatric emergency screaming at the top of his lungs by his parents. His penile skin is trapped in the zipper of his jeans. On a busy shift, you want a simple way to handle zipper injuries that minimizes pain, doesn’t require resource-intensive procedural sedation, and is quick. Background The 4 most common types of zippers are nylon coil zip, plastic mold zip, metal zip, and invisible zip.
Emergency Medicine Cases
MAY 23, 2023
In this part 2 of our 2-part series on STIs with Dr. Catherine Varner and Dr. Robyn Shafer we answer such questions as: Why should we care about making the diagnosis of pelvic inflammatory disease (PID) in the ED? What combination of clinical features and lab tests should trigger a presumptive diagnosis and empiric treatment of PID? Which patients with PID require admission to hospital?
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The Skeptics' Guide to EM
MAY 20, 2023
Date: May 10, 2023 Reference: Harhay MO, et al. A bayesian interpretation of a pediatric cardiac arrest trial (THAPCA-OH). NEJM Evidence. 2023. Guest Skeptic: Dr. Kat Priddis is a paediatric emergency medicine consultant and trauma director at Watford General Hospital. She is part of the Don’t Forget the Bubbles team and faculty at Queen Mary […] The post SGEM #404: Sitting on the Dock of the Bay-esian Interpretation of Therapeutic Hypothermia for Pediatric Cardiac Arrest first appeared on The S
REBEL EM
MAY 25, 2023
I recently gave a talk on the initial management of trauma patients with hemorrhagic shock. In the initial management of trauma resuscitation there are 4 key principles that should be followed: Control bleeding Restore tissue perfusion Minimize iatrogenic injury from resuscitation itself Promote hemostasis In this blog post I will summarize the lecture and the evidence for each of these principles… MINIMIZE IATROGENIC INJURY PERMISSIVE HYPOTENSION Maintaining a lower blood pressure than physiol
Critical Care Scenarios
MAY 24, 2023
We chat with Scott Weingart of Emcrit about the use of crash VA ECMO for the cardiac arrest patient. Check out the REANIMATE course here! Listen to the ED ECMO podcast on ECPR here Find us on Patreon here! Buy your merch here! Takeaway lessons We chat with Scott Weingart of Emcrit about the use of crash VA ECMO for the cardiac arrest patient. Check out the REANIMATE course here!
EMergucate
MAY 23, 2023
The following chest x-ray is from an adult with irregular heart beat. What can be seen?
Don't Forget the Bubbles
MAY 24, 2023
A 5-year-old boy with a past medical history of Crouzon syndrome presents in the Pediatric ED. He is febrile and tachypnoeic, with low blood pressure and a capillary refill time of 4 seconds. His oxygen saturations are 86% in air, and he has a GCS of 8/15. His notes suggest that he was a difficult intubation in the neonatal intensive care unit. While you prepare the difficult airway cart, a young trainee asks about cannot intubate cannot oxygenate scenarios.
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Medgadget
MAY 23, 2023
Researchers at the University of Göttingen in Germany have developed a cell culture chamber that lets them culture tissue samples, mimic the mechanical conditions that tissues experience in various disease states, and closely monitor tissue reactions. The technology could be particularly useful for pre-clinical drug testing, allowing researchers to test the effects of various drug candidates on tissues without the need to use experimental animals.
EMergucate
MAY 22, 2023
Answers: PH = 7.30, that is mild acidaemia. pCO2 = 65 mmHg. So, we have respiratory acidosis. Next, we need to look at the compensation.
Don't Forget the Bubbles
MAY 22, 2023
You’ve just started working in the Children’s Emergency Department (CED). The triage nurse comes to let you know about Robin. He is eight years old, with a background of cerebral palsy and severe scoliosis. He has come in today because he has noisy breathing with rattly secretions that seem to be getting worse. The community physiotherapist (who has been visiting daily for the last 4 days) told Mum that Robin’s oxygen saturations were low.
Dr. Smith's ECG Blog
MAY 23, 2023
Written by Pendell Meyers A man in his early 40s experienced acute onset chest pain. The chest pain started about 24 hours ago, but there was no detailed information available about whether his pain had come and gone, or what prompted him to be evaluated 24 hours after onset. EMS arrived and recorded this ECG: What do you think? See same ECG below with computer automated interpretation, using the Glasgow ECG algorithm which apparently is used by many different providers and devices Amazing that
Medgadget
MAY 26, 2023
Researchers at the Hubrecht Institute in the Netherlands have developed a biobank of cancer organoids using tissue samples obtained from head and neck cancer patients. So far, the team used the biobank to validate tumor biomarkers. Excitingly, they also correlated patient treatment responses with organoid treatment responses, suggesting that the organoids provide a good proxy for testing new treatments and for designing a personalized treatment plan for individual patients.
EMergucate
MAY 22, 2023
An alcoholic man presented to the emergency department after suffering from a seizure.
EMDocs
MAY 26, 2023
Original podcast posted on PEM Currents – Hosted by Brad Sobolewski ( @PEMTweets ) and co-authored by Dennis Ren ( @DennisRenMD ) This podcast series by PEM Currents is a co-production with the Emergency Medical Services for Children Innovation and Improvement Center (EMSC IIC), whose mission is to minimize morbidity and mortality of acutely ill and injured children across the emergency continuum.
Dr. Smith's ECG Blog
MAY 26, 2023
A 20-something presented after a huge verapamil overdose in cardiogenic shock. He had been seen at an outside institution and been given 6 g calcium gluconate, KCl, and a norepinephrine drip. The initial K was 3.0 mEq/L and ionized calcium was 5.5 mg/dL (sorry, Europeans, for the weird units) Here was the initial ED ECG: There is a junctional rhythm with retrograde P-waves (see the dip in the T-wave in lead II across the bottom; you can follow that up to all the other leads and see the retrograd
Medgadget
MAY 22, 2023
Scientists at the University of Minnesota have developed a method to detect misfolded proteins more rapidly and sensitively. The technique could eventually allow clinicians to diagnose diseases that involve misfolded proteins more easily, including Alzheimer’s, Parkinson’s, and Creutzfeldt-Jakob disease. The approach involves an enhancement to an existing assay called Real-Time Quaking-Induced Conversion (RT-QuIC) assay.
First 10 EM
MAY 22, 2023
This is a guest post by Dr. Lanujan Kaneswaran. Lanujan is a first-year Family Medicine resident at the University of Toronto. He has a background in medical health informatics and machine learning. His areas of interest include artificial intelligence and machine learning in medicine, and health equity through advocacy and technology. What is glomerulonephritis?
EMDocs
MAY 24, 2023
Here’s another case from Medical Malpractice Insights – Learning from Lawsuits , a monthly email newsletter for ED physicians. The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. To opt in to the free subscriber list, click here. Stories of med mal lawsuits can save lives.
Dr. Smith's ECG Blog
MAY 21, 2023
An elderly patient had a fall from probable syncope, and could not get up. He complained of weakness and shortness of breath, but no CP. Vital signs were normal. Here is the first ED ECG: COMPUTER INTERPRETATION: Electronic Atrial Pacemaker. Marked ST Elevation, ACUTE MI What do you think? First, the QRS is incredibly wide! You should ask for more history.
Medgadget
MAY 22, 2023
Researchers at the University of Colorado at Boulder and the National Institute of Standards and Technology (NIST) have developed a laser-based breathalyzer technology that can detect molecules in breath samples that indicate the presence of specific diseases, such as COVID-19. The device is called a frequency comb breathalyzer, and using it involves pumping a breath sample into the device where lasers irradiate it at many different frequencies, and mirrors bounce the light around to ensure that
University of Maryland Department of Emergency Med
MAY 24, 2023
Neck pain and trouble swalowing. No trauma. ANSWER: Osteomyelitis of the cervical spine is the least common location to find spinal infection. “Osteomyelitis of the cervical.
EMDocs
MAY 25, 2023
Welcome back to the “52 in 52” series. This collection of posts features recently published must-know articles. This week we cover the ESETT trial which compares levetiracetam, fosphenytoin, and valproate for treatment of status epilepticus. Author: Christiaan van Nispen, MD (Resident, Emergency Medicine Physician, San Antonio, TX); B rannon Inman, MD (Chief Resident, Emergency Medicine Physician, San Antonio, TX) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Randomiz
Ambulance Driver Files
MAY 26, 2023
This week to celebrate EMS Week, I had the privilege of giving a few talks at the Swamp Rabbit Prehospital Medicine Conference put on by Prisma Health and the University of South Carolina School of Medicine in Greenville, SC. It was a well-run and attended conference with a great lineup of speakers. Besides myself, there.
Medgadget
MAY 23, 2023
A recent study in Nature Medicine , entitled “ An automated histological classification system for precision diagnostics of kidney allografts ,” has showcased the efforts of a group of researchers who have developed an automated system that can diagnose kidney transplant rejection. A variety of disparate factors can affect the chances that a transplant will be rejected.
The Overrun Podcast
MAY 24, 2023
Alcohol withdrawal is a commonly missed syndrome for EMS providers. In this episode, the gang discusses the pathophysiology of alcohol withdrawal syndrome and what EMS providers can do to treat this too often overlooked patient population. Alcohol withdrawal is a commonly missed syndrome for EMS providers. In this episode, the gang discusses the pathophysiology of alcohol withdrawal syndrome and what EMS providers can do to treat this too often overlooked patient population.
Clinical Correlations
MAY 25, 2023
By Sohail Zahid MD, Ph.D and Waqas Haque MD Peer Reviewed Clinical Case An elderly gentleman with a medical history of coronary artery disease, atrial fibrillation, stage III chronic kidney disease, insulin-dependent type 2 diabetes mellitus, and.
NHCPS Save a Life
MAY 22, 2023
If you possess the knowledge to perform adult CPR, you have a good foundation to provide infant CPR or child CPR, as well. However, it’s important to note that there are distinct variations in the techniques and procedures used for each age group. These differences can significantly affect the success of CPR on infants and […] The post Adult, Child, and Infant CPR: Understanding the Distinctions appeared first on SaveaLife.com.
Medgadget
MAY 22, 2023
Researchers at MIT have developed a method that allows them to analyze the three dimensional interactions of sections of the genome in unprecedented detail. The technique could let scientists investigate the origin and progression of genetic diseases, as well as identifying new therapeutic targets for them. The new approach, called Region Capture Micro-C, involves using an enzyme to cut a section of the genome into small and uniform fragments, and then linking pieces of the genome together again
First Responders Foundation
MAY 22, 2023
Growing up with a dad who is a firefighter, I have always admired the work that First Responders do. Seeing the brave men and women who serve our communities has helped me to also be passionate about helping others, and I hope to continue this passion as a nurse. Adam My dad is a firefighter and my step dad a retired police officer. All of my life I have watched both of them making sacrifices to always help others and work very hard to help improve our community.
EMT Training Station
MAY 21, 2023
This article is for informational purposes only and is NOT a replacement for proper education and training. Table of Contents Overview and Function of EMTs in Neurological Emergencies Emergency Medical Technicians (EMTs) frequently face difficult situations when responding to neurological emergencies, which are an essential component of emergency medical services.
University of Maryland Department of Emergency Med
MAY 24, 2023
This study looked at 20 years of death by firearm and stratified the location of death from urban to rural. The authors concluded: &ldqu.
Medgadget
MAY 23, 2023
Researchers at Ecole Polytechnique Fédérale de Lausanne (EPFL) in Switzerland have developed a soft robotic electrode, that can be advanced through a small hole in the skull and then opened into a series of spiral arms, to provide electrocorticography measurements from a relatively large area of the brain surface. The technology could prove very useful for brain surgeons who wish to map regions of the brain that may be triggering epileptic seizures and then target these lesions surgically.
The FllightBridge ED
MAY 24, 2023
Pediatric pre-hospital and critical care transport medicine is undergoing a revolutionary change due to the ongoing evolution and expansion of telemedicine.
Prehospital Emergency Care Podcast
MAY 26, 2023
Happy EMS Week!!! PEC Journal Volume 27 Number 3 In this episode, the PEC podcast team brings you sprint podcast #3 of 3 for EMS week. This episode covers the Prehospital Emergency Care Journal Volume 27 Number 3. We talk about engaging manuscripts in this journal like: EMS Involvement in COVID-19 Vaccination Efforts – Results of a North Carolina Statewide Survey & Prehospital Intranasal Glucagon for Hypoglycemia Click here to download it today!
EMS 20/20
MAY 24, 2023
Spencer and Chris roll the dice on today's episode as we follow brave adventurers into the unknown as they set out with a vented patient to a nearby kingdom. What could possibly go wrong? Lots. Lots can go wrong. Spencer and Chris roll the dice on today's episode as we follow brave adventurers into the unknown as they set out with a vented patient to a nearby kingdom.
The EMS Educator
MAY 22, 2023
It’s a hot topic right now: how should EMS utilize ultrasound as a part of out-of-hospital medicine? We asked the pros: three physicians who have set up programs, trained clinicians and analyzed data. Join hosts Rob Lawrence, Hilary Gates and Maia Dorsett as we dive into lessons learned about the logistics, training and quality improvement around ultrasound in EMS.
The FllightBridge ED
MAY 25, 2023
Tourniquets: a simple, time-honored device with roots dating back to the battlefields of ancient civilizations.
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