Sat.Mar 11, 2023 - Fri.Mar 17, 2023

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Snake Bites and Children

Pediatric EM Morsels

There are lots of animals that bite. Since we all inhabit the same beautiful world , and sometimes we humans overtake previous habitats of animals, we inevitably will cross paths with an animal that bites us. Usually, animals bite from fear or defense of their offspring ( ex, Brown Recluse ). Sometimes they bite because that’s how they feed (ie, mosquitoes Eastern Equine Encephalitis ).

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Ep 180 Acetaminophen Poisoning – Pitfalls in Assessment and Management

Emergency Medicine Cases

In this main episode podcast we explore a dozen pitfalls in the assessment and management of acetaminophen poisoning. Dr. Emily Austin and Dr. Margaret Thompson answer questions such as: how is massive acetaminophen overdose a totally different toxidrome compared to non-massive overdose? Which patients are the ones that we are most likely to miss and have poor outcomes?

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professionals

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SGEM#396: And iGel Myself, I’m Over You, Cus I’m the King (Tube) of Wishful Thinking

The Skeptics' Guide to EM

Date: March 8, 2023 Reference: Smida et al. A Retrospective Nationwide Comparison of the iGel and King Laryngeal Tube Supraglottic Airways for Out-of-Hospital Cardiac Arrest Resuscitation. Prehospital Emergency Care 2023 Guest Skeptic: Dr. Chris Root is a third-year resident physician in the Department of Emergency Medicine at the University of New Mexico Health Sciences Center in Albuquerque, NM. […] The post SGEM#396: And iGel Myself, I’m Over You, Cus I’m the King (Tube) of Wishful Thinking f

CPR 130
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Imaging Case of the Week 543 Answer

EMergucate

The elbow x-ray shows Small irregular densities suggestive of avulsion fractures posterior to the elbow associated with soft tissue swelling.

EMS 130
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Scientists Grow Electrodes Inside The Body

Medgadget

Researchers at Linköping University in Sweden have developed a method whereby the body can ‘grow its own’ electrodes. The minimally invasive technique involves injecting a hydrogel that is laden with enzymes into target tissues. The enzymes interact with molecules that are present in the tissue to change the structure of the gel and allow it to become electrically conductive.

OR 128
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Lightning rounds #26: How we follow the medical literature

Critical Care Scenarios

We discuss our approach to keeping up with research, learn about new studies, interpret them, and some general thoughts on how to apply new literature to our practice. Find us on Patreon here! Buy your merch here! We discuss our approach to keeping up with research, learn about new studies, interpret them, and some general thoughts on how to apply new literature to our practice.

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EMCrit Wee – A New Form of ED Critical Care for Rural Environments – EMSTAT with Eric Klotz

EMCrit Project

A new format of ED Critical Care perfectly suited to rural environments EMCrit Project by Scott Weingart, MD FCCM.

More Trending

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Printing Bacteria to Make Bone-Like Structures

Medgadget

Researchers at Ecole Polytechnique Fédérale de Lausanne (EPFL) in Switzerland have developed a method to 3D print mineralized constructs with a little helping hand from bacteria. The technique consists of printing a polymer bioink that contains bacteria that will produce calcium carbonate when exposed to a urea solution. The two-step process also involves printing a construct and then exposing it to urea for several days, over which time the bacteria naturally mineralize the structure.

OR 93
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AI and Snake Envenomation: A Game-Changer for Medical Treatment and Conservation

K.S. Chew

Photo by Pixabay: [link] Photo from pexels.comArtificial intelligence (AI) is revolutionizing various industries, including healthcare. The use of AI capabilities, such as natural-language generation, computer vision, and robotic process automation, is growing exponentially.

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Small Scale Test of the INGENIOUS K9 Vest (SST#13) 

Ingenious

The Small Scale Test #13 (SST #13) of the INGENIOUS project tested and evaluated the INGENIOUS K9 vest ( ICCS ) during the search of victims in damaged buildings which are too dangerous for entering for the first responders. The main application for the K9 vest in the damaged building scenario is the search for victims in partly destroyed or unstable buildings which are too dangerous for the first responders.

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Imaging Case of the Week 544 Answer

EMergucate

The chest x-ray shows an incidental finding of Azygous lobe.

EMS 130
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Guns & Hoses Hockey Challenge – this Sunday!

First Responders Foundation

Sunday is the big day – Guns & Hoses Hockey Challenge ON ICE! Baxter Arena March 19, at 3 PM Come watch local police and firefighters compete in the Guns & Hoses Hockey Challenge for a good cause, to support the First Responders Foundation! Bring the family out to cheer on our First Responders and enjoy an epic event with lots of fun scheduled on AND off the ice!

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Building Effective Healthcare Leadership: Five Key Shifts You Need to Know

K.S. Chew

Image from pexels.com Leadership is a skill that anyone can learn. It's not something that people are born with, but rather something that can be developed through the right mindset and observable behaviors that lead to measurable outcomes.

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Small Scale Test of the INGENIOUS Triage System and Face Recognition App for victims (SST#15)

Ingenious

The Small Scale Test #15 (SST#15) in Bilbao was the opportunity to test, for the first time, the triage systems (ICCS) consisting of the tag, the mobile application and the web platform. To do this, we simulated a terrorist attack with 6 victims involved, presenting various degrees of severity ranging from dead victims, vital emergency, or relative emergency.

OR 52
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A woman in her 50s with chest pain and dyspnea

Dr. Smith's ECG Blog

Submitted by anonymous, written by Pendell Meyers A woman in her 50s presented to the Emergency Department with chest pain and shortness of breath that woke her from sleep, with diaphoresis. She had a prior history of "NSTEMI" one month ago, during which she had a coronary angiogram reportedly showing no stenosis in any coronary artery. Her vitals were within normal limits.

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Rising Metastatic Prostate Cancer Rates and Better Noninvasive Testing: Might PSA Screening Make a Comeback? - Clinical Correlations

Clinical Correlations

By Ian Jaffe Peer Reviewed Recent headlines about increasing rates of metastatic prostate cancer have had many patients asking if they should be tested. 1 This article will review the history and role of prostate cancer screening.

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Episode 97: 2023 Resuscitation Update

The Overrun Podcast

The gang gets back together and discusses new resuscitation data from 2022. Blood-Pressure Targets in Comatose Survivors of Cardiac Arrest Question and Methods: double-blind RCT out of Denmark whether high or low arterial blood-pressure targets would be superior in preventing death or severe anoxic brain injury in comatose survivors of OHCA. Enrolled 789 patients RePHILL Study Question and Methods: Multicenter RCT out of the UK that investigated prehospital resuscitation using PRBCs and plasma v

Plasma 52
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Small Scale Test of the INGENIOUS Field Communication, MAX, Swarm of MINs, Deployable IPS & Large scale mapping (SST#14)

Ingenious

From 28th to 30th of September 2022 the Small Scale Test #14 (SST#14) which took place at ERTZAINTZA’s training facilities in Brigada movil, Bilbao, Spain, focused on testing and validation of the INGENIOUS Smart Devices in the air and on the ground. During SST#14, our partners in FOI demonstrated the Multi-purpose Autonomous eXploring drone’s – MAX ( FOI ) ability to autonomously explore and map out a building, while continuously sending data (e.g. visual and thermal images) to the Ground Contr

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What is strange about this paroxysmal atrial fibrillation in an otherwise healthy patient? And what happened after giving ibutilide?

Dr. Smith's ECG Blog

This middle-aged patient has a remote history of cardiac surgery as a young child for a "heart murmur". Her Apple Watch suddenly told her that she is in atrial fibrillation. She did notice something slightly wrong subjectively, but had no palpitations, chest pain, or SOB, or any other symptom. Exam was completely normal except for an irregular heart rate.

OR 52
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Tasty Morsels of Critical Care 070 | CRRT Modes

Emergency Medicine Ireland

Welcome back to the tasty morsels of critical care podcast. Today we’re covering the ambitious topic of CRRT in the ICU. Something that occupies a central part of the daily job, but also occupies Oh Chapter 48, Irwin and Rippe chapter 201 and a few other review papers thrown in for good measure. We’re only going to get so far as the modes today so let’s not get too carried away.

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How can you overcome diuretic resistance in patients with heart failure - Clinical Correlations

Clinical Correlations

By Joshua Novack, MD Peer Reviewed Case: 74 year old male with a history of heart failure with reduced ejection fraction (EF 20%) diagnosed 10 years ago comes in with subacute progressive lower extremity edema, orthopnea,

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Bad to the (T)Bone

EMS 20/20

Spencer gives Chris some supervisor flashbacks as the guys analyze a call that may send the patient. and maybe even the crew. to their final destination. Listen and find out who lives, who dies, and who escapes death for at least two sequels. Spencer gives Chris some supervisor flashbacks as the guys analyze a call that may send the patient. and maybe even the crew. to their final destination.

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Severe Chest Pain on ED Arrival, after Wellens' waves Seen on Prehospital ECG

Dr. Smith's ECG Blog

A 40-something woman called 911 in the middle of the night for Chest pain that was intermittent. On arrival, she complained of severe pain. The medics had recorded this ECG and were uncertain whether it was recorded during chest pain: Let's get a better image with use of the PM Cardio app : What do you think? There is deep T-wave inversion in proximal LAD territory (V2-V4, I, aVL) that is all but diagnostic of Wellens'.

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Thoracic trauma as a predictor of 30 day mortality

University of Maryland Department of Emergency Med

This study from Sweden looked at 2397 trauma patients and identified 768 with thoracic injury. Those with thoracic injury had a 30-day mortal.

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Prehospital Traumatic Cardiac Arrest: A Systematic Review and Meta-analysis

REBEL EM

Background : Traumatic cardiac arrest in the prehospital setting carries an extremely high mortality rate. Nevertheless, mortality of prehospital traumatic cardiac arrest (TCA), and survivability with good neurologic outcome, remain the gold standards of trauma care in and out of the hospital and are effectively the criterion by which we measure outcomes in the trauma literature.

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Why should quality improvement concepts be integrated into EMS education?

NAEMSP

By Tiffany Pleasent, MD Case Review A 64-year-old female calls 911 for severe shortness of breath and chest pain. An ALS crew arrives on scene to find a woman who is tachypneic, hypoxic, tachycardic, and hypotensive, with diffuse rales and rhonchi throughout her lung fields. She becomes altered and severely hypoxic. The attending paramedics begin bag-valve-mask (BVM) ventilation, correct her hypoxia and hypotension, and subsequently intubate her on scene with ketamine and rocuronium.

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Is croup caused by COVID more severe compared to other etiologies?

University of Maryland Department of Emergency Med

Patients with croup often present with a "barky" cough, stridor, and trouble breathing, traditionally worse at night. The mains.

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