Sat.Jan 07, 2023 - Fri.Jan 13, 2023

article thumbnail

Airway Ultrasound 2023 update

Core Ultrasound

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!

130
130
article thumbnail

ECG of the Week 4th January 2023 – Interpretation

EMergucate

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

EMS 130
professionals

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

TIRBO #26: RadioPEEP discordance

Critical Care Scenarios

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!

100
100
article thumbnail

SGEM#388: It Makes No Difference Now- Calcium Channel Blocker or Beta Blocker for Atrial Fibrillation with Rapid Ventricular Response & Heart Failure with Reduced Ejection Fraction

The Skeptics' Guide to EM

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

article thumbnail

PREPARE II

The Bottom Line

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?

OR 52
article thumbnail

ECG of the Week 11th January 2023

EMergucate

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

Coronary 130
article thumbnail

Quiz post: do either or both of these patients have high lateral OMI / South African flag sign?

Dr. Smith's ECG Blog

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.

OR 52

More Trending

article thumbnail

Death Notification Choreography

Medic Mindset

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.

article thumbnail

Imaging Case of the Week 536

EMergucate

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

EMS 130
article thumbnail

A teenager with chest pain, a troponin below the limit of detection, and "benign early repolarization"

Dr. Smith's ECG Blog

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

article thumbnail

EMCrit Shadowboxing Case 3 – Chicken or Egg – Which Organ Failed First?

EMCrit Project

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

OR 52
article thumbnail

How point-of-care Ultrasound would change management of critically ill patients?

University of Maryland Department of Emergency Med

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

40
article thumbnail

Imaging Case of the Week 535 Answer

EMergucate

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

EMS 130
article thumbnail

Emergency Evidence Updates – December 2022

The Bottom Line

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

article thumbnail

EMCrit 341 – AVAPS (Average Volume Assured Pressure Support) NIPPV with Alex Bracey

EMCrit Project

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.

40
article thumbnail

Dont act your age

University of Maryland Department of Emergency Med

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.

40
article thumbnail

Imaging Case of the Week 534 Answer

EMergucate

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

EMS 130
article thumbnail

Critical Care Evidence Updates – December 2022

The Bottom Line

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

article thumbnail

Lab case 394

EMergucate

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

100
100
article thumbnail

Lab case 393 interepretation

EMergucate

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

100
100