EMS 12-Lead
JULY 21, 2022
Original publication date July, 2009. Concept Review How do you identify right bundle branch block (RBBB) on the 12 lead ECG? Most of us were told to look for “bunny ears” or to use the “turn signal” method, but all you really need for the ECG diagnosis of RBBB are the following: Supraventricular rhythm QRS duration equal or greater than 120 ms (0.12 s) Terminal R wave in lead V1 Slurred S wave in lead I Let’s look at an example.
Emergency Medicine Cases
JULY 19, 2022
Jesse McLaren guides us through 7 cases and explains his 3-step approach to diagnosing and managing Brugada syndrome in this month's ECG Cases blog. The post ECG Cases 33 Brugada Syndrome: 3-Step Approach to Diagnosis and Management appeared first on Emergency Medicine Cases.
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EMergucate
JULY 19, 2022
The chest x-ray is from an adult patient with sudden onset of upper abdominal pain. What can be seen?
Medgadget
JULY 21, 2022
Blackrock Neurotech , a medtech company based in Salt Lake City, has pioneered an array of brain-computer interface technologies. Medgadget last spoke with Blackrock Neurotech a year ago about their thought-to-text brain computer interface, but since the company signed an agreement with a research institution to develop portable brain computer interface (BCI) systems.
Critical Care Scenarios
JULY 17, 2022
We discuss invasive aspergillosis, with a focus on when to consider and how to make this difficult diagnosis in the general ICU population—with Dr. Shmuel Shoham (@ShohamTxID), Associate Professor of Medicine at Johns Hopkins, transplant infectious disease physician, and an extensively published expert in invasive fungal infections as well as host of the Transplant ID … Continue reading "Episode 49: Invasive pulmonary aspergillosis with Shmuel Shoham" We discuss invasive aspergillosis, with a fo
Emergency Medicine Cases
JULY 19, 2022
In this month's EM Quick Hits podcast: Anand Swaminathan on GI balloon tamponade preparation and indications, Jesse McLaren on why troponin is rarely useful in SVT, Christina Shenvi on why we should not use the term "mechanical fall" in older patients, Nour Khatib & Jonathan Wallace on rural vertical vertigo case and Reuben Strayer on VAFEI - Video-Assisted Flexible Endoscopic Intubation for the anatomically challenging airway.
EMergucate
JULY 17, 2022
The forearm AP x-ray shows fracture of upper third of ulna with an impacted radial neck fracture.
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Medgadget
JULY 19, 2022
Engineers at MIT have developed smart textiles that can detect and recognize body movements. The garments fit snugly, and contain a network of pressure sensors that can detect movement, and in conjunction with machine learning approaches, the technology can learn to recognize specific movements in wearers. The fabric contains conductive yarns and piezoresistive components that change their resistance when pressure is applied.
EMCrit Project
JULY 18, 2022
Prior to declaring a patient brain dead, confounding factors which could falsely cause the patient to appear dead must be eliminated. One important confounder is intoxication. Failure to recognize that a patient is intoxicated could lead to an incorrect diagnosis of brain death that in turn can lead to withdrawal of life support – thereby […].
EMergucate
JULY 18, 2022
Question 1: PH = 7.035, that is sever acidaemia We have high pCO2 and low HCO3, this patient’s acidosis is most likely due to combination of metabolic and respiratory acidosis.
Clinical Correlations
JULY 21, 2022
By Hannah Kopinsky, MD Peer Reviewed Appendicitis is the most common reason for urgent surgery related to abdominal pain in the US, with a lifetime incidence of 8.6% for men and 6.7% for women. 1 The current standard.
Medgadget
JULY 18, 2022
Engineers at the University of California Los Angeles created artificial muscles that are stronger and more flexible than the real thing. The new material is an example of a dielectric elastomer, which is an electroactive polymer that can change its shape or size when stimulated using electricity. The researchers tweaked the crosslinking between polymer chains within the material, allowing it to be more flexible while maintaining its strength.
EMCrit Project
JULY 16, 2022
Traumatic spinal cord injury is extremely common. In addition to the initial management of patients presenting with trauma, we should be comfortable in managing the longer-term sequelae (e.g., autonomic dysreflexia). The IBCC chapter is located 👉 here. The podcast & comments are below. Follow us on iTunes. EMCrit Project by Josh Farkas.
EMergucate
JULY 18, 2022
18 year old woman recently returned from overseas, she presented with fever and was diagnosed with ITP with platelets count … Continue reading →
REBEL EM
JULY 20, 2022
Take Home Points SVT >5cm or <3 cm from the SFJ should be treated with anti-coagulation. The rate of concurrent DVT and PE in patients with SVT is 25% and 5%, respectively. REBEL Core Cast 85.0 – Superficial Venous Thrombosis Click here for Direct Download of the Podcast Definition: The presence of a clot in a superficial vein. Epidemiology: Although large prospective trials are lacking, superficial venous thrombosis (SVT) has been reported occur at a rate of 4 in 1000 per year
Medgadget
JULY 19, 2022
Researchers at Harvard developed a technique that lets them recreate the helical arrangement of cardiac muscle fibers within the heart ventricles in a bioengineered construct. The breakthrough could pave the way for artificial bioengineered hearts. The researchers used a technique called Focused Rotary Jet Spinning (FRJS) that allows them to deposit tiny polymer fibers in a helical fashion very rapidly.
EMCrit Project
JULY 19, 2022
We throw around the term “nonconvulsive status epilepticus” a lot, and generally think that we know what that is. However, nonconvulsive status epilepticus is an enormously complex and heterogeneous diagnosis. This chapter attempts to clarify matters based on the most recent definitions, but in some situations the diagnosis may remain murky.
EMergucate
JULY 17, 2022
There is right paratracheal density on this rotated frontal chest x-ray.
The Overrun Podcast
JULY 18, 2022
Dan Gerard is a man of many hats. He is the current President of the IAEMSC as well as the EMS Coordinator for Alameda county in California. He has spent his lengthy EMS career pursuing new advancements in pre-hospital medicine and is currently piloting a program in Alameda county that may be a game changer when it comes to recognizing and treating seizures in the field.
Medgadget
JULY 19, 2022
Scientists at the University of Nottingham in the UK have created a surgical dressing that is specifically designed to facilitate and enhance photothermal therapy following melanoma resection. The dressing allows for near-infrared photothermal therapy that lasts just 15 seconds every 48 hours. The concept involves killing any remaining melanoma cells, while encouraging healthy cells to regenerate within the resection site.
Emergency Medicine Ireland
JULY 18, 2022
Welcome back to the tasty morsels of critical care podcast. Today we’re not so much looking at a chapter of Oh’s manual but at the physiologic concept of respiratory compliance. I approach this with a degree of trepidation as the probability of screwing this up is infinitely higher than simply translating Oh’s manual into podcast form.
EMergucate
JULY 20, 2022
A 83 year old male presents to ED after a syncopal episode.
REBEL EM
JULY 18, 2022
Background: Epistaxis is a common ailment experienced by millions worldwide. While most of these cases can be managed by patients at home, some will require medical attention. Initial interventions include local pressure, ice, and forward head positioning for persistent bleeds. When simple maneuvers fail, we proceed to topical agents such as lidocaine with epinephrine, oxymetazoline, anterior nasal packing, and electrical or chemical cauterization.
Medgadget
JULY 20, 2022
Researchers at the California Institute of Technology, better known as Caltech, have developed a nanoparticle vaccine that appears to confer broad protection against SARS-like betacoronaviruses. This includes SARS-CoV-2, responsible for the current pandemic, and SARS-CoV, which caused the original SARS pandemic in the early 2000s. The vaccine consists of protein nanoparticles that are studded with spike protein elements of eight different SARS-like betacoronaviruses, including SARS-CoV-2, but th
Dr. Smith's ECG Blog
JULY 16, 2022
This middle aged male with h/o GERD but also h/o stents presented to the ED with chest pain. He had been at a clinic that day where he had complained of worsening GERD. An EKG was reco rded and interpreted as normal by the computer, the clinician, and by the overreading cardiologist. He received a workup by an NP with a diagnosis of GERD, in spite of the fact that 8-10 TUMS daily were not working.
EMergucate
JULY 16, 2022
A 83 year old male presents to ED after a syncopal episode.
Emergency Medicine Education
JULY 21, 2022
There are bunch of rumors that come to play regarding what other medications we can use in cardiac arrest patient, Calcium, Sodium Bicarb, tPA,… A study published in JAMA tried to answer part of this question: “Effect of Intravenous or Intraosseous Calcium vs Saline on Return of Spontaneous Circulation in Adults With Out-of-Hospital Cardiac Arrest, A Randomized Clinical Trial” The study did not show any significant improvement on ROSC.
Medgadget
JULY 18, 2022
A team at the University of Minnesota developed a new technique that lets them view gene expression in the brains of live mice in real time. The approach relies on two-photon excitation microscopy, specialized imaging processing techniques, and genetically modified mice that express mRNA that naturally includes a fluorescent protein. Using the method, the researchers were able to gain insights into how long-term memories are formed in the brain, and hope that this knowledge could lead to breakth
EMS 20/20
JULY 20, 2022
Check the body cam footage! [link] In our 101st episode Zach Dunlap presents a call to the guys and they judge him right to his face. will Zach get the Golden Buzzer? Join us as we talk about trauma, blood, volume resuscitation, and sedation, and be sure to check out the body cam footage on the Reel Emergency YouTube channel!
The EMS Show
JULY 18, 2022
Ok, this one is a doozy! Dr. Sahni and Mike welcome Seth Fisher, the Editor from [link] to talk data. College sports (Specifically Michigan sports.don't forget, Ritu is UM Alumni) and EMS, where is the connection? You might be surprised. FAIR WARNING, This one is HEAVY FOOTBALL.Lots of EMS talk, but the parallels and similarities between the 2 are uncanny.
EMCrit Project
JULY 21, 2022
A new subspecialty training pathway? EMCrit Project by Scott Weingart, MD FCCM.
Medgadget
JULY 20, 2022
A team of scientists at Brown University has developed a technique that allows them to rapidly dissociate a tissue sample into individual cells. The approach involves placing a tissue sample, such as a tumor biopsy, between two electrodes. Electric field fluctuations then help to pull the cells in alternating directions, eventually culminating in their dissociation.
EMT City
JULY 19, 2022
Anyone in here use the Ram Promaster type II van ambulances? I'm curious how well they hold up, how medics like them compared to other makes.
The EMS Show
JULY 18, 2022
Ok, this one is a doozy! Dr. Sahni and Mike welcome Seth Fisher, the Editor from [link] to talk data. College sports (Specifically Michigan sports.don't forget, Ritu is UM Alumni) and EMS, where is the connection? You might be surprised. FAIR WARNING, This one is HEAVY FOOTBALL.Lots of EMS talk, but the parallels and similarities between the 2 are uncanny.
REBEL EM
JULY 21, 2022
Background: The use of topical tranexamic acid (TXA) for anterior epistaxis has been studied in many trials with conflicting results. The largest and most methodologically rigorous study to date on the use of topical TXA in epistaxis has been the NoPAC trial ( Link is HERE ), published in 2021. In that trial there was no difference in the need for anterior nasal packing when comparing placebo to topical TXA.
Medgadget
JULY 18, 2022
Researchers at RMIT University in Australia have developed a diamond sensor that can measure magnetic fields up to 10 times more sensitively than current sensors. The breakthrough could lead to a new generation of magnetoencephalography (MEG) scanners that are small and portable, and can function at room temperature. The researchers envisage that the new scanners could even work as a helmet that a patient could place over their head, making it useful in detecting concussions at the point of care
Medgadget
JULY 21, 2022
The possibility of using our own cells to perform medical tasks within the body is tantalizing, as it would avoid the immune responses that can occur with synthetic objects. Researchers at Jinan University in China have now developed a method to control and move white blood cells within a living organism. The technology relies on optical tweezers consisting of highly focused laser beams that can grab and hold tiny objects.
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