The Skeptics' Guide to EM

NOVEMBER 1, 2022

Date: October 27th, 2022 Reference: Hayashi et al. Comparative efficacy of sedation or analgesia methods for reduction of anterior shoulder dislocation: A systematic review and network meta-analysis. AEM October 2022 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called First10EM.com Case: A 19-year-old man presents to the emergency […] The post SGEM#381: Put Your Hand on My Shoulder and Reduce It first appeared on The Skeptics Guide to E

ALS 154

ALS Emergency Department OR ED 154

EMergucate

NOVEMBER 1, 2022

30 year-old-lady sent by her GP for increasing tiredness over the last few months. She has been under too much stress, due to increasing work demands and hers wedding planning.

100

100

Critical Care Scenarios

NOVEMBER 2, 2022

How to locate, secure, and dress your lines so they’ll stay put and stay clean. How to locate, secure, and dress your lines so they’ll stay put and stay clean.

100

100

Medgadget

NOVEMBER 3, 2022

Medical Microinstruments , a medtech company with offices in Pisa, Italy and Delaware, USA, has developed the Symani Microsurgical Robot. The robotic system is designed to assist with microsurgical procedures, and it boasts a variety of advanced features to achieve this goal. These include a suite of the world’s smallest wristed surgical instruments, tremor reducing technology, and motion scaling (7-20X), to allow surgeons to perform very small and precise movements.

OR 109

OR 109

EMCrit Project

NOVEMBER 3, 2022

SAH and Hypoxic Encephalopathy. EMCrit Project by NeuroEMCrit Team (Casey & Neha).

106

106

EMergucate

NOVEMBER 1, 2022

The chest x-ray is from a 14 year old who has presented with dyspnea. What can be seen?

EMS 130

EMS 130

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

Case submitted and written by Mazen El-Baba MD, with edits from Jesse McLaren and edits/comments by Smith and Grauer A 90-year old with a past medical history of atrial fibrillation, type-2 diabetes, hypertension, dyslipidemia, presented with acute onset chest/epigastric pain, nausea, and vomiting. BP was 110 and oxygen saturation was normal. What is your ECG interpretation and what would you do next?

ACS 52

ACS Coronary STEMI ALS 52

EMCrit Project

NOVEMBER 2, 2022

Finally it is here. EMCrit Project by Scott Weingart, MD FCCM.

95

95

EMergucate

NOVEMBER 4, 2022

Question 1 PH = 7.47 that is mild alkalaemia. HCO3 = 39.

130

130

REBEL EM

NOVEMBER 3, 2022

Background: Rapid sequence intubation (RSI) induction agent selection remains a heavily debated matter. Etomidate causes adrenal suppression in critically ill patients triggering a groundswell of support in favor of ketamine. (Albert 2011, Jabre 2009) However, the existing literature comparing etomidate and ketamine is conflicting. In 2017, a single-centered, retrospective study found a lower incidence of clinical hypotension with ketamine compared to etomidate following endotracheal intubation

ALS 52

ALS ICU ED Emergency Department 52

Medgadget

OCTOBER 31, 2022

Researchers at MIT have developed a sensor system that can provide data on how well a face mask fits to a wearer’s face. The protection offered by a mask is largely dependent on how well it fits the face, but at present most face masks are one-size-fits-all and most wearers are largely unaware if their mask is providing maximal protection. This latest technology is an adhesive polymer frame containing a range of sensors.

OR 94

OR 94

Stem EMS

NOVEMBER 2, 2022

Over the last twenty years, the world has been hit by a wave of new technologies for pre-hospital care. Rescue technologies keep evolving putting all the rescuers in front of different possibilities but also challenges. L'articolo Rescue technologies: scenarios and perspectives proviene da Stem Ems.

EMS 52

EMS 52

EMergucate

OCTOBER 30, 2022

The forearm x-ray shows lunate dislocation. A dedicated view of the wrist is needed to assess associated wrist injuries.

EMS 130

EMS 130

REBEL EM

NOVEMBER 2, 2022

Take Home Points Spontaneous Bacterial Peritonitis (SBP) is a difficult diagnosis to make because presentations are variable. Consider a diagnostic paracentesis in all patients presenting to the ED with ascites from cirrhosis An ascites PMN count > 250 cells/mm 3 is diagnostic of SBP but treatment should be considered in any patient with ascites and abdominal pain or fever Treatment of SBP is with a 3rd generation cephalosporin with the addition of albumin infusion in any patient meeting AAS

ALS 52

ALS ED EMS OR 52

Medgadget

NOVEMBER 1, 2022

Avenda Health , a medtech company based in Santa Monica, California has developed the FocalPoint ablation system, an AI-powered prostate cancer therapy. The system is designed to provide localized prostate cancer treatment and its AI system equips clinicians with a map of a patient’s cancer, along with treatment simulations to help them chose the best course of action.

OR 89

OR 89

Dr. Smith's ECG Blog

NOVEMBER 1, 2022

I was reading EKGs on the system and saw this one. What did I put in as my interpretation? Interpretation : "Acute LAD occlusion until proven otherwise. " There is non-diagnostic ST Elevation in V1-V3, with rather large T-waves but in the context of a deep S-wave (high voltage). HOWEVER, lead V4 is diagnostic of OMI. This is massive ST Elevation, huge hyperacute T-wave, and loss of S-wave (which in V4, unlike V2-3, can be normal but should greatly raise suspicion.

Overdose 52

Overdose OR Coronary ACS 52

EMergucate

NOVEMBER 1, 2022

A 55 year old male presents to ED feeling unwell.

ED 130

ED 130

The Overrun Podcast

OCTOBER 31, 2022

Kevin Hazzard is a paramedic and author who wrote the book A Thousand Naked Strangers , detailing his time as a ground paramedic in Atlanta. He's back with a new story, one that you absolutely need to read. American Sirens : The Incredible Story of the Black Men who Became America's First Paramedics is the story of a handful of Black men from Pittsburgh who were chosen to become paramedics.

Paramedic 52

Paramedic EMS 52

Medgadget

NOVEMBER 3, 2022

Scientists at ETH Zurich in Switzerland have unveiled a technique that weaponizes bacterial cells against tumors. The approach involves using bacteria called Magnetospirillum that are naturally magnetic by virtue of the iron oxide particles they contain. The researchers use a rotating magnetic field applied at the tumor location from outside the body to help draw the bacteria through gaps in the walls of tumor blood vessels.

87

87

Broome Docs

OCTOBER 31, 2022

Ketamine vs etomidate in ICU intubation ? Matchett G, Gasanova I, Riccio CA, Nasir D, Sunna MC, Bravenec BJ, Azizad O, Farrell B, Minhajuddin A, Stewart JW, Liang LW, Moon TS, Fox PE, Ebeling CG, Smith MN, Trousdale D, Ogunnaike BO; EvK Clinical Trial Collaborators. Etomidate versus ketamine for emergency endotracheal intubation: a randomized clinical trial.

E-9-1-1 52

E-9-1-1 Defibrillator ICU Critical Care 52

EMergucate

OCTOBER 30, 2022

The chest x-ray view shows a widened mediastinum.

EMS 130

EMS 130

Clinical Correlations

NOVEMBER 3, 2022

Chief residents of the NYU Langone Internal Medicine Residency give quick-and-easy, evidence-based answers to interesting questions posed by house staff, both in their clinics and on the wards.

40

40

Medgadget

OCTOBER 31, 2022

Scientists at Nara Institute of Science and Technology in Japan have come up with a method to rapidly determine the antibiotic susceptibility of a bacterial sample, such as a patient sample from a non-healing infected wound. The technique is based on impedance cytometry, which involves a high-throughput single cell analysis of the bacterial cells. The impedance system measures the dielectric properties of the cells as they flow through the device, and it can assess up to 1000 cells per minute.

Critical Care 82

Critical Care 82

The EMS Show

NOVEMBER 2, 2022

It it, it was.uplifting! Mike and Ritu were thrilled to join in with Chris and Spence from the EMS 20/20 Podcast to talk about lift assists. Oh, you'll have the usual jackassery, but also go through a real case.was the crew right or wrong? was it ok to leave this lady? Listen in and find out!

EMS 40

EMS OR 40

EMergucate

OCTOBER 30, 2022

The knee x-ray shows Segond fracture.

EMS 130

EMS 130

A Paramedic's Notebook

NOVEMBER 1, 2022

Please excuse this very rough string of thoughts. I haven’t posted anything in a few weeks, and while I would prefer to work on this until it’s better researched, I want to a.) strive towards consistency in my writing practice, and b.) show that holding temporary thoughts is not a bad thing. I’ll place posts that fit this form into what I’ll call Dynamic Tensions.

OR 40

OR 40

Medgadget

NOVEMBER 3, 2022

At the Pacific Northwest National Laboratory, researchers have developed micelle technology that can detect minute amounts of SARS-CoV-2 in the air. This new capability could provide invaluable monitoring systems to detect viral contamination in healthcare facilities and beyond. Micelles are somewhat similar to liposomes in that they are both like tiny lipid bubbles.

OR 75

OR 75

The EMS Show

NOVEMBER 2, 2022

It it, it was.uplifting! Mike and Ritu were thrilled to join in with Chris and Spence from the EMS 20/20 Podcast to talk about lift assists. Oh, you'll have the usual jackassery, but also go through a real case.was the crew right or wrong? was it ok to leave this lady? Listen in and find out!

EMS 40

EMS OR 40

REBEL EM

OCTOBER 31, 2022

Background: Vitamin C dissociates to ascorbate at physiological pH and is not organically synthesized by the human body. Vitamin C can function as an antioxidant and may mitigate endothelial oxidative stress in sepsis. (Amrein 2018) A small, single-center, before-and-after study utilized a sepsis cocktail consisting of IV thiamine, hydrocortisone, and vitamin C and discovered a significant decrease in mortality compared to the control group.

ICU 52

ICU ALS OR EMS 52