Pediatric EM Morsels
APRIL 28, 2023
Pediatric x-rays are challenging. Of course, we want children to grow, but those darn growth plates really make interpretation of their films difficult !! We have previously discussed how the surrounding ligaments and tendon are often stronger than the weakest part of the child’s bone necessitating our vigilance when addressing the pediatric extremity complaint (ex, Ankle Pain , Elbow Injury , Supracondylar Fractures ).
Emergency Medicine Cases
APRIL 25, 2023
In this month's EM Quick Hits: Heather Cary on the use and misuse of abdominal FAST in pediatric trauma, Hans Rosenberg and Arleigh McCurdy on the diagnosis and management of Multiple Myeloma in the ED, David Jerome on practice tips for managing the drowning patient, Brit Long and Michael Gottlieb on the diagnosis and management of Alcohol-Induced Ketoacidosis, Navpreet Sahsi on his journey to becoming a humanitarian and global EM doctor.
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The Skeptics' Guide to EM
APRIL 22, 2023
Date: April 20, 2023 Reference: Franklin D, et al. Effect of early high-flow nasal oxygen vs standard oxygen therapy on length of hospital stay in hospitalized children with acute hypoxemic respiratory failure: the PARIS-2 randomized clinical trial. JAMA 2023 Guest Skeptic: Dr. Michael Falk is a Pediatric Emergency Medicine attending at Mount Sinai Medical Center […] The post SGEM #401: Hey Ho!
EMCrit Project
APRIL 27, 2023
The precise utilization of ABG, VBG, and pulse oximetry remains controversial. Unfortunately, there is little high-level evidence investigating whether these interventions affect patient outcomes (for example, there is precious little evidence to support most of the target values that we're chasing after). This chapter attempts to explore the strengths, weaknesses, and indications for various techniques. […] EMCrit Project by Josh Farkas.
REBEL EM
APRIL 26, 2023
Take Home Points Alcoholic Ketoacidosis (AKA) can present with significant acidemia (pH < 7.00). Despite the significant acidemia, patients with AKA can remain alert and lucid despite their severe metabolic derangement. Relying on urine ketones for diagnosis can be misleading, as acetoacetate is the primary ketone detected in the urine but not the most common ketone generated in AKA.
Emergency Medicine Cases
APRIL 24, 2023
Does the addition of dexamethasone to ketorolac improve pain scores in patients suffering from renal colic? Find out through this critical appraisal of a recent RCT on this EMC Journal Club. The post Journal Club 3 – Dexamethasone and Ketorolac in Acute Renal Colic appeared first on Emergency Medicine Cases.
EMergucate
APRIL 25, 2023
Facial x-ray view is from an adult patient who has been punched in the face. What can be noticed?
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Medgadget
APRIL 25, 2023
Researchers at Chalmers University of Technology in Sweden have developed a microfluidic system to test the effects of electrical stimulation in wound healing. The researchers hope that their experiments might lead to new medical devices that can assist with chronic wounds. Their microfluidic chip contains artificial skin that contains a layer of cells which the researchers can ‘wound’ and then apply an electrical charge to.
EMCrit Project
APRIL 25, 2023
CAR-T cell therapy is rapidly expanding as a miraculous therapy for numerous malignancies. However, it also causes a variety of unique and severe side-effects, which frequently cause ICU admission. This chapter explores current approaches to complications including CRS (cytokine release syndrome), HLH (hemophagocytic lymphohistiocytosis), and ICANS (immune effector cell-associated neurotoxicity syndrome).
EMergucate
APRIL 23, 2023
48-year-old man with history of Crohn’s disease and previous cardiac arrest.
NHCPS Save a Life
APRIL 28, 2023
It is crucial for healthcare providers who are new to the Advanced Cardiac Life Support (ACLS) algorithm to understand the difference between pulseless electrical activity and asystole. ACLS is a set of protocols and interventions used to treat patients in cardiac arrest or other life-threatening medical emergencies. PEA and asystole are both types of cardiac […] The post PEA vs Asystole: Understanding the Key Differences appeared first on SaveaLife.com.
Medgadget
APRIL 25, 2023
Researchers at Penn State have engineered a rapid testing technology for mpox, previously known as monkeypox. The mpox virus, which is transmitted through close contact with an infected person and that spread around the world last year, left healthcare staff grappling with a new problem. As the disease can be transmitted before symptoms arise, diagnosis is important in helping to stop the spread.
EMCrit Project
APRIL 26, 2023
Is there an easier way to mix up push-dose epinephrine that is still as safe? EMCrit Project by Scott Weingart, MD FCCM.
NAEMSP
APRIL 26, 2023
EMS Perspectives: An OpEd Page on the History and Future of EMS By Clayton Kazan, MD, MS, FACEP, FAEMS So we are about 54 years into the pilot project that is EMS and paramedicine. That we would even exist, much less thrive, years later, was viewed by many as highly improbable at the time. The EMS system, in its inception, was a complicated system with a lot of moving parts.
Dr. Smith's ECG Blog
APRIL 25, 2023
This was sent to me by a partner: "Curious what you think of this one we had overnight. Healthy male under 25 years old with a pretty good story for acute onset crushing chest pain relieved with nitro. He had another episode the day before after exerting himself. No pericardial effusion on ultrasound." What do you think? First, many on Twitter said "Pericarditis".
First 10 EM
APRIL 24, 2023
I’ve gone in depth into the topic of steroids for pneumonia previously. (Also covered on the EM Cases Journal Jam.) At the time, despite some promising point estimates, I thought that the evidence was too weak to suggest regular use of steroids for community acquired pneumonia. In that write up, I did mention a number […] The post Steroids for pneumonia (CAPE COD and ESCAPe) appeared first on First10EM.
EMCrit Project
APRIL 23, 2023
Resistant SCAPE can be scary but you can handle it! EMCrit Project by Scott Weingart, MD FCCM.
Prehospital Emergency Care Podcast
APRIL 28, 2023
PEC Journal Volume 26 Number 6 In this episode, the PEC podcast team brings in the Prehospital Emergency Care Journal Volume 26 Number 6. We talk about the engaging manuscripts in this journal like: “House Calls” by Mobile Integrated Health Paramedics for Patients with Heart Failure: A Feasibility Study Association of GPS-Based Logging and Manual Confirmation of the First Responders’ Arrival Time in a Smartphone Alerting System: An Observational Study Please join us in welcoming the PEC team:
EMS 20/20
APRIL 26, 2023
In this BLS focused episode, what you get is quintessential EMS 20/20. Multiple treatment options, CVA symptoms with hypotension, complicated crew dynamics, agency culture issues, and Chris ranting about kits. In this BLS focused episode, what you get is quintessential EMS 20/20. Multiple treatment options, CVA symptoms with hypotension, complicated crew dynamics, agency culture issues, and Chris ranting about kits.
University of Maryland Department of Emergency Med
APRIL 24, 2023
Hypoxemic respiratory failure is a common presentation of critically ill patients. If the degree of hypoxemia is severe and disproportionate.
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