The Skeptics' Guide to EM

JULY 23, 2022

Date: July 22nd, 2022 Reference: Perry et al. Immobilisation of torus fractures of the wrist in children (FORCE): a randomised controlled equivalence trial in the UK. The Lancet 2022 Guest Skeptic: Dr. Tessa Davis is a Paediatric Emergency Consultant at the Royal London Hospital, Senior Lecturer at Queen Mary University of London, Co-founder of Don’t Forget The […] The post SGEM#372: Use the FORCE for Buckle Wrist Fractures in Children first appeared on The Skeptics Guide to Emergency Medicine.

ALS 130

ALS Emergency Department ED OR 130

Critical Care Scenarios

JULY 24, 2022

How the arc of disease peaks and falls, and how the curve of our care should match it to avoid under- or over-treatment. How the arc of disease peaks and falls, and how the curve of our care should match it to avoid under- or over-treatment.

Critical Care 100

Critical Care OR 100

Medgadget

JULY 28, 2022

Researchers at the University of Kentucky created a novel membrane that can enzymatically degrade the SARS-CoV-2 spike protein, rendering the virus inactive. The membrane is intended to act as an insert within face masks, providing extra protection for groups at high risk of SARS-CoV-2 exposure, such as health care staff. The researchers functionalized the membrane with subtilisin enzyme, which can degrade the spike protein in as little as 30 seconds.

112

112

EMergucate

JULY 25, 2022

* For more details about individual liver enzymes, please look at Lab case 367 interpretation. Answers: Bilirubin = 26 umol/L.

100

100

EMCrit Project

JULY 26, 2022

Management of the a patient following craniotomy focuses on the fundamentals of supportive neurocritical care. However, special attention is required to unique postoperative complications that may occur (depending on the procedure). The IBCC chapter is located 👉 here. The podcast & comments are below. Follow us on iTunes. EMCrit Project by Josh Farkas.

ICU 61

ICU 61

REBEL EM

JULY 25, 2022

Background: Some of the feared complications of endotracheal intubation include hypotension, cardiac arrest, and death (cardiovascular collapse). These complications can result from numerous causes including medication-induced vasodilation and decreased venous return to the heart due to increased intrathoracic pressure from positive pressure ventilation.

ALS 55

ALS Critical Care ICU OR 55

Medgadget

JULY 28, 2022

Scientists at the Max Planck Institute for Intelligent Systems in Germany have developed tumor-targeting microrobots using bacteria. The team exploited the tendency of bacteria to naturally gravitate towards areas of low oxygen and low ph, which both tend to occur in the vicinity of a tumor. Once near the tumor, the bacteria aggravate the immune system, with the tumor experiencing some collateral damage.

88

88

Prehospital Emergency Care Podcast

JULY 28, 2022

It's hot outside! While you're cooling off inside, check out our latest podcast where we cover the PEC journal Volume 26 Number 2. In this episode we cover fascinating manuscripts like Utility of Glucose Testing and Treatment of Hypoglycemia in Patients with Out-of-Hospital Cardiac Arrest Implementing a Patient Tracking System in a Large EMS System Non-transport after Prehospital Naloxone Administration Is Associated with Higher Risk of Subsequent Non-fatal Overdose Click here to download today

Naloxone 52

Naloxone Overdose EMS 52

EMCrit Project

JULY 25, 2022

Imagine you’re in the ICU and the cuff of an ETT (endotracheal tube) ruptures. You exchange it for a fresh ETT over a catheter, right? Easy peasy. Blind airway exchange over a catheter has been the standard practice in various ICUs that I’ve rotated through. ETT exchange over a catheter is a simple and effective […]. EMCrit Project by Josh Farkas.

ICU 52

ICU 52

Medgadget

JULY 29, 2022

Scientists at Rice University developed a system to wirelessly and rapidly activate specific brain circuits using magnetic fields. The technology has been developed in fruit flies, a common experimental animal, but the researchers hope that it could help in understanding the brain and to develop new treatments for neurological disorders in humans. The technology involves genetically modified fruit flies that express heat sensitive ion channels in specific brain circuits.

OR 84

OR 84

First Responders Wellness Center

JULY 26, 2022

In the past month alone, three Chicago police officers have died by suicide. We're taking a deeper look at what the department can do to provide better mental health support for their officers.

40

40

TIMER

JULY 29, 2022

In case of an emergency, it is not the surgeon who comes in first to provide assistance, but the emergency medical technicians. They are the first point of contact for the critically-ill patients. Their prompt action and reassuring manner can go a long way in handling the stressful situation surrounding an emergency. They play a crucial role in increasing the chances of survival for an emergency patient even before the doctor arrives.

Emergency Medical Services 52

Emergency Medical Services Emergency Medical Technician EMT EMT 52

REBEL EM

JULY 28, 2022

Background: The overall mortality and case-fatality rate for pulmonary embolism (PE) are decreasing. Yet reporting is increasing, suggesting we are overdiagnosing PE. Furthermore, management with anticoagulation is not entirely benign and places a potential risk of bleeding upon the patient. However, when the threat of disease outweighs the risk from any possible complication, the decision to anticoagulate is easy to conclude.

ALS 52

ALS Emergency Department OR ED 52

Medgadget

JULY 29, 2022

Bodyport , a medtech company based in San Francisco, developed the Bodyport Cardiac Scale, a set of weighing scales that can non-invasively assess fluid status and heart function. The scales can detect these signals through the feet when a patient steps onto the device. The technology is intended to be convenient and requires only 20 seconds each morning, and should easily lend itself to integration into a daily routine. .

OR 81

OR 81

Silk City Blog

JULY 24, 2022

Written by Sarah Aly, DO This post first appeared on REBEL EM Background: Rob Elementary. Columbine. Sandy Hook. Pulse Night Club. Tops Grocery Store. Irvine Taiwanese Presbyterian Church. Virginia Beach. The Tree of Life Synagogue. Santa Fe High School. The New York City Subway. The Las Vegas Harvest Music Festival. Aurora Movie Theater. The El Paso Walmart.

EMS 40

EMS 40

Medgadget

JULY 27, 2022

Researchers at MIT have created a microparticle vaccine that can provide booster doses automatically. The hollow microparticles resemble a coffee cup with a lid, and are made using poly(lactic-co-glycolic acid), otherwise known as PLGA. The polymer breaks down over time in the body, releasing the contents of the hollow particles. By changing the composition of the polymer and the chemical groups attached to it, the researchers can tweak the release time, allowing them to deliver an assortment of

OR 78

OR 78