EMergucate

JANUARY 10, 2023

ECG of the Week 4th December 2022 – Interpretation There are P waves with an atrial rate of approximately 75.

EMS 130

EMS 130

Core Ultrasound

JANUARY 10, 2023

Airway ultrasound is something that can be quite complex but at its most basic, it can be used to help determine if you have endotracheal versus endobronchial intubation. This is definitely not something that needs to be done all the time, but is a great adjunct in the appropriate clinical setting!

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Critical Care Scenarios

JANUARY 11, 2023

On today’s TIRBO: A sinister pitfall that may lead you to injuring lungs and worsening outcomes. Find us on Patreon here! Buy your merch here! On today’s TIRBO: A sinister pitfall that may lead you to injuring lungs and worsening outcomes. Find us on Patreon here! Buy your merch here!

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The Skeptics' Guide to EM

JANUARY 7, 2023

Date: January 4th, 2023 Reference: Hasbrouck et al. Acute management of atrial fibrillation in congestive heart failure with reduced ejection fraction in the emergency department. AJEM 2022 Guest Skeptics: Dr. Timlin Glaser currently a fourth-year resident in emergency medicine at Lehigh Valley Health Network and future medical toxicology fellow at the University of Arizona College of Medicine – […] The post SGEM#388: It Makes No Difference Now- Calcium Channel Blocker or Beta Blocker for Atrial

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OR Emergency Department ALS Ambulance 100

EMergucate

JANUARY 10, 2023

The following ECG was obtained from a 61 year old man with coronary artery disease and previous coronary stents.

Coronary 130

Coronary EMS 130

The Bottom Line

JANUARY 13, 2023

Effect of Fluid Bolus Administration on Cardiovascular Collapse Among Critically Ill Patients Undergoing Tracheal Intubation @DerekRussellMD. JAMA; 328(3):270-279. doi:10.1001/jama.2022.9792 Clinical Question In critically ill adult patients undergoing tracheal intubation and positive pressure ventilation, does intravenous infusion of a 500ml fluid bolus vs no fluid bolus, decrease the incidence of cardiovascular collapse during, or shortly after the procedure?

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OR 52

Dr. Smith's ECG Blog

JANUARY 12, 2023

Written by Pendell Meyers, edits by Smith Two patients presented with acute chest pain/pressure. Here are their ECGs: Patient 1: Patient 2: See below for "answers", and below that for both cases. "Answers": Patient 1 shows very subtle high lateral OMI, South African flag sign. She had an acute LAD OMI in the process of reperfusion, see case below. Patient 2 has a normal variant ECG which mimics high lateral OMI, and ruled out for MI, see case below.

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OR STEMI 52

EMergucate

JANUARY 10, 2023

The following chest x-ray is from a 45 year old with chest pain. What can be noticed?

EMS 130

EMS 130

Medic Mindset

JANUARY 8, 2023

Dr. Maia Dorsett joins us again! You may remember her from the Thinking: Lift Assist episode. This time she shares what she knows about the process of death notification. It’s a passion-topic for her because she knows how important these conversations are for the loved ones of patients who have died… and for us. She frames a death notification as a procedure that can be taught, learned and practiced.

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Dr. Smith's ECG Blog

JANUARY 9, 2023

Sent by anonymous, written by Pendell Meyers A male in his teens presented with complaints of chest discomfort and dyspnea beginning while exercising but without obvious injury. He immediately stopped exercising and symptoms started to improve. Later that evening he felt recurrent central chest discomfort, shortness of breath, and vomited. Symptoms have been constant since this second episode, and are still present on arrival, which seems to have been less than 1 to 2 hours from onset of symptom

Coronary 52

Coronary STEMI Heart Attack CAD 52

EMCrit Project

JANUARY 8, 2023

Shadow Boxing Respiratory Failure Case EMCrit Project by Scott Weingart, MD FCCM.

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OR 52

EMergucate

JANUARY 9, 2023

The hand X-ray shows- dislocated thumb carpometacarpal joint.

EMS 130

EMS 130

University of Maryland Department of Emergency Med

JANUARY 13, 2023

Humor me and imagine that your birth certificate vanished, and your age was based on the way you feel inside. How old would you say you ar.

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The Bottom Line

JANUARY 12, 2023

What’s new in the Critical Care literature – monthly updates

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Critical Care 40

EMCrit Project

JANUARY 11, 2023

Today, we speak about a mode of NIPPV that you should know about (but probably don't): AVAPS EMCrit Project by Scott Weingart, MD FCCM.

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EMergucate

JANUARY 9, 2023

The hand x-ray shows: evidence of impaction fracture in the distal radius.

EMS 130

EMS 130

University of Maryland Department of Emergency Med

JANUARY 9, 2023

Title: The Impact of Thoracic Ultrasound on Clinical Management of Critically Ill Patients (UltraMan): An International Prospective Observational.

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The Bottom Line

JANUARY 12, 2023

What’s new in the Critical Care literature – monthly updates

Critical Care 40

Critical Care 40

EMergucate

JANUARY 10, 2023

PH = 7.28, that is moderate acidaemia. PCO2 = 73 mmHg. This means we have respiratory acidosis.

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EMergucate

JANUARY 10, 2023

14-year-old girl, COVID day 2, presented with delirium. Her venous blood gases showed the following: Ph = 7.

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