The Skeptics' Guide to EM

FEBRUARY 3, 2023

Date: February 1, 2023 Reference: Wolfrum et al. Temperature Control After In-Hospital Cardiac Arrest: A Randomized Clinical Trial. Circulation. September 2022 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called www.First10EM.com Case: You are working an overnight shift at a small rural hospital.

CPR 130

CPR Critical Care STEMI ALS 130

Emergency Medicine Cases

JANUARY 31, 2023

The hand is anatomically complex. Having an anatomical-based approach to the assessment of patients who present to the Emergency Department is important to preserve quality of life following a hand injury. Hand injuries are the second most common injury leading to days without work. It is no surprise then that open finger injuries land in the top 10 most common diagnoses that end up in court.

Emergency Department 130

Emergency Department EMS 130

EMergucate

JANUARY 30, 2023

ECG of the Week 25th January 2023 – Interpretation When examining ECGs, in addition to taking into account the clinical … Continue reading →

EMS 130

EMS 130

Critical Care Scenarios

FEBRUARY 1, 2023

Discussing the psychology of emergency response, team dynamics, and debriefing with Dan Dworkis, MD, PhD, FACEP. He’s the Chief Medical Officer at the Mission Critical Team Institute, a board-certified emergency physician, and an assistant professor of emergency medicine at the Keck School of Medicine of USC where he works at LAC+USC. He performed his emergency … Continue reading "Episode 56: Resuscitation psychology with Dan Dworkis" Discussing the psychology of emergency response, team dynamic

Emergency Response 100

Emergency Response 100

The Skeptics' Guide to EM

JANUARY 28, 2023

Date: January 22, 2022 Reference: Samuels-Kalow M et al. Post-Roe Emergency Medicine: Policy, clinical, training, and individual implications for emergency clinicians. AEM Dec 2022 Guest Skeptic: Dr. Michelle Lin is an emergency physician and health services researcher whose goal is to transform acute care delivery to best meet the needs of those who experience the […] The post SGEM Xtra: You Don’t Own Me – Post Roe Emergency Medicine first appeared on The Skeptics Guide to Emergency Medicine.

ALS 130

ALS OR 130

Core Ultrasound

FEBRUARY 3, 2023

Peer reviewed by Ben Smith, MD 1/31/23 Basic Knee Exam MSK Basics Courses

130

130

EMergucate

JANUARY 29, 2023

The ankle x-rays show a Tillaux fracture. There is a Salter Harris III fracture through the lateral distal tibial epiphysis.

EMS 130

EMS 130

REBEL EM

JANUARY 30, 2023

Background: Many clinicians have transitioned from procedural sedation and analgesia (PSA) in favor of intra-articular lidocaine (IAL) to manage anterior shoulder dislocation. PSA, also referred to as intravenous sedation in this paper, requires considerable resources, including 1:1 nursing observation, and burdens the emergency department (ED). In addition, many hospitals are still reeling from the COVID-19 pandemic and face crippling staff shortages, and sparing a nurse for PSA will be difficu

E-9-1-1 55

E-9-1-1 Emergency Department ED OR 55

FOAMcast

FEBRUARY 3, 2023

Apple Podcast , Spotify, Listen Here Although antibiotics have been the cornerstone of treatment of diverticulitis, recommendations have pivoted away from this routine practice. This episode reviews the literature and guideline recommendations for the treatment of acute, uncomplicated diverticulitis. References: Stollman N, Smalley W, Hirano I, AGA Institute Clinical Guidelines Committee.

ALS 52

ALS 52

EMergucate

JANUARY 29, 2023

The chest x-ray shows a right paratracheal lucency with bulging thick wall indicating significant esophageal dilatation.

EMS 130

EMS 130

Medgadget

JANUARY 30, 2023

A team of researchers at North Carolina State University have developed an ultrasound transducer that can disrupt blood clots in the brain quickly by creating an ultrasound vortex or ‘tornado’. The transducer is designed to be housed in a catheter that can be advanced through the vasculature until it reaches the site of a blood clot in the brain, such as those that occur in cases of cerebral venous sinus thrombosis.

OR 87

OR 87

NAEMSP

FEBRUARY 1, 2023

Article Summary by James Li, MD Sinclair, Julie E., et al. “Characteristics, prehospital management, and outcomes in patients assessed for hypoglycemia: repeat access to prehospital or emergency care.” Prehospital Emergency Care 23.3 (2019): 364-376. Background: Diabetes is a common chronic medical condition. The Centers of Disease Control and Prevention report a total of 37.3 million people with diabetes (11.3% of the US population).

OR 52

OR Emergency Department Emergency Medical Services Paramedic 52

Broome Docs

JANUARY 30, 2023

We are back with another episode of the BroomeDocs and First10EM podcast. In this episode we try to answer some of the big questions in Emergency Medicine, we also answer a few that you probably would never have thought to ask! Like… How much electricity should we use in refractory VF? Should we suck clots out of legs? Should you put Tegaderm on eyeballs?

E-9-1-1 52

E-9-1-1 Emergency Department Defibrillator ALS 52

EMergucate

JANUARY 31, 2023

The frontal chest x-ray is from a 45-year-old with right upper quadrant pain and dyspnea. What can be seen?

EMS 130

EMS 130

Medgadget

FEBRUARY 3, 2023

Researchers at Penn State designed a pop-up electrode for brain monitoring and other applications requiring neural interfacing. The pop-up design starts life as a folded two-dimensional structure with a rigid outer coating that makes it easy to insert into the brain. Once in place, the hard coating dissolves, revealing a softer and more flexible material that is less likely to cause tissue damage.

OR 82

OR 82

EMS 20/20

FEBRUARY 1, 2023

Can Chris navigate his way and find the right direction as Spencer pitches an ALOC curveball? How does the crew do? And why is the receiving doctor so so mean?! Can Chris navigate his way and find the right direction as Spencer pitches an ALOC curveball? How does the crew do? And why is the receiving doctor so so mean?!

40

40

University of Maryland Department of Emergency Med

JANUARY 28, 2023

Missing blunt cervical vascular injuries can lead to delayed catastrophic sequela such as stroke. Usie the epanded Denver criteria to help you id.

40

40

EMergucate

FEBRUARY 2, 2023

Simulation report 2/2/23 Interdisciplinary SIM ED/ Anaesthetics Summery: Head injury requiring intubation post agitation and seizure, ambulance called by police … Continue reading →

ED 100

ED Ambulance 100

Medgadget

JANUARY 30, 2023

Scientists at Penn State have developed a microneedle bandage that can rapidly stop bleeding. Uncontrolled bleeding following a traumatic injury is a major cause of death in the young, and developing new medical technologies that can rapidly stop bleeding would be highly beneficial. This bandage contains an array of biodegradable and biocompatible microneedles made using a gelatin methacryloyl biomaterial.

First Aid 80

First Aid OR 80

Dr. Smith's ECG Blog

JANUARY 28, 2023

Submitted by anonymous, written by Pendell Meyers. Additional case by Smith. Case 1 A middle aged woman presented with acute chest pain and shortness of breath, unclear time since onset, and likely with episodic symptoms off and on throughout the day. Her vitals were within normal limits. ED1 @1512 What do you think? Meyers : Very clear and specific for acute LAD OMI, with hyperacute T waves in the LAD distribution including leads V2-V6, II, III and aVF.

STEMI 52

STEMI ED ACS Coronary 52

University of Maryland Department of Emergency Med

FEBRUARY 2, 2023

Otitis media is a common pediatric complaint seen in the primary care, urgent care, and ED settings. Recommendations for timing of treatment an.

ED 40

ED 40

EMergucate

JANUARY 30, 2023

The following ECG was obtained from a 74 year old man with a history of coronary artery bypass grafting and aortic valve replacement who presented to hospital complaining of 4 days of palpitations …

Coronary 100

Coronary EMS 100

Medgadget

JANUARY 30, 2023

Researchers at the University of São Paulo in Brazil, along with collaborators in Germany and Sweden, have developed a flexible sensor that can detect heavy metals in sweat, an easily obtainable bodily fluid. Heavy metals, such as lead or cadmium, can cause serious toxicity if they accumulate in the body, but detecting the concentration of such metals in biological samples requires expensive laboratory equipment and skilled staff.

OR 80

OR 80

Dr. Smith's ECG Blog

FEBRUARY 1, 2023

Written by Jesse McLaren, with edits from Smith A 30 year old with a history of diabetes presented with two days of intermittent chest pain and diaphoresis, which recurred two hours prior to presentation. Below is ECG #1 at triage. Are there any signs of occlusion or reperfusion? There’s normal sinus rhythm, normal conduction, normal axis, normal R wave progression and normal voltages.

OR 52

OR STEMI Coronary ACS 52

University of Maryland Department of Emergency Med

JANUARY 30, 2023

When managing a hypotensive patient who may have some element of cardiogenic shock, it has long been debated whether it is better to start an.

Epinephrine 40

Epinephrine 40

EMergucate

JANUARY 29, 2023

The chest x-ray shows an anterior mediastinal mass.

EMS 130

EMS 130

Medgadget

JANUARY 30, 2023

Researchers at the University of Arkansas have developed a nanopore sensor to study the aggregation of tau and tubulin protein molecules. These proteins, and specifically their aggregation in the brain, are implicated in neurodegenerative diseases such as Parkinson’s and Alzheimer’s. This nanopore technology aims to allow researchers to study the effects of different environmental conditions, including pH, salt concentration, and temperature, on how these proteins aggregate.

OR 80

OR 80

REBEL EM

FEBRUARY 2, 2023

Background Information: Atrial fibrillation with rapid ventricular rate (RVR) is one of the many tachydysrhythmias we encounter in the Emergency Department (ED). Though consensus has been reached for first-line treatment of ventricular rate control 1 with beta blockers (BB) and non-dihydropyridine (non-DHP) calcium channel blockers (CCB), there is still much debate regarding a preferred second-line agent for ventricular rate control.

Emergency Department 52

Emergency Department ALS Critical Care ED 52

University of Maryland Department of Emergency Med

FEBRUARY 2, 2023

ACE-inhibitor (ACEi) induced angioedema is mediated by bradykinin and there are no proven medications for the treatment of this disease. Th.

40

40

EMergucate

JANUARY 30, 2023

Question 1: PH = 7.30 that is mild acidaemia. HCO3 = 16 mmol/L (>24) so we have metabolic acidosis.

100

100

EMergucate

JANUARY 31, 2023

32-year-old man presented to ED with an asthma attack.

ED 100

ED 100