Sat.Oct 08, 2022 - Fri.Oct 14, 2022

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Episode 52: Pleural effusions in the ICU with Emily Fridenmaker

Critical Care Scenarios

Discussing pleural effusions in the critically ill, including how and when to drain them, methods of drainage, interpreting laboratory studies, and managing complications, with Dr. Emily Fridenmaker (@emily_fri), pulmonologist and intensivist at Charleston Area Medical Center in West Virginia. Continuing education for this episode CME credit provided courtesy of Academic CME.

ICU 130
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ECG Cases 36 – PACER Mnemonic for Approach to Pacemaker Patients

Emergency Medicine Cases

In this month's ECG Cases blog Dr. McLaren explains the PACER mnemonic approach to patients with pacemakers: Pacemaker spike: is it appropriately presence/absent, is there pacemaker-mediated tachycardia (apply magnet) or is there failure to pace (apply magnet to stop sensing, cardio consult)? Aware (sensing): is it normal, is there oversensing (underpacing: apply magnet) or undersensing (treat reversible causes, cardio consult).

OR 130
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SGEM #379 Heigh Ho High Flow versus CPAP in Acutely Ill Children

The Skeptics' Guide to EM

Date: September 15, 2022 Reference: Ramnarayan P et al. Effect of high-flow nasal cannula therapy vs continuous positive airway pressure therapy on liberation from respiratory support in acutely ill children admitted to pediatric critical care units: a randomized clinical trial. JAMA July 2022 Guest Skeptic: Dr. Spyridon Karageorgos is a Pediatric Resident at Aghia Sophia […] The post SGEM #379 Heigh Ho High Flow versus CPAP in Acutely Ill Children first appeared on The Skeptics Guide to Emerge

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ECG of the Week 5th October 2022 Answer

EMergucate

A 17 year old female presents to ED complaining of chest pain and SOB on a background of ILI symptoms for the last 2 days. Vitals: HR 138 BP 110/70 Temp 37.7 RR 24.

ED 130
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Video Games to Improve Cognition in Older Adults

Medgadget

Researchers at the University of California San Francisco have developed a suite of video games that have been designed to improve cognition in older adults who are otherwise healthy. The games aim to recreate common activities, such as banging a drum or driving a car. They also include a sophisticated algorithm that automatically adjusts the game difficulty depending on how well someone is playing, helping to stop less skilled players from becoming overwhelmed and more skilled players from beco

OR 115
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EM Quick Hits 43 Pediatric Cannabis Poisoning, Esophageal Perforation, Brugada, Career Transitions in EM

Emergency Medicine Cases

On this month's EM Quick Hits podcast: Best of University of Toronto EM with Yaron Finkelstein on pediatric cannabis poisoning pitfalls, Brit Long on recognition and management of esophageal perforation, Jesse McLaren on 3 questions to diagnose Brugada Syndrome, Tahara Bhate on QI Corner, Constance Leblanc on maintaining wellness in career transitions from CAEP 2022.

EMS 130
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Episode 91: Racism in EMS with Dr. Jamie Kennel

The Overrun Podcast

Dr. Jamie Kennel is a paramedic and EMS educator in Oregon that focuses on the role of racism in EMS. His research recently won the Research Award at the 2022 EMSWorld and has important insights into our unconscious biases in the field. Take a listen and let us know what you think. Do our biases work against us? Yale Study Dr. Jamie Kennel is a paramedic and EMS educator in Oregon that focuses on the role of racism in EMS.

EMS 52

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Novel Devices to Help Surgeons Sculpt a New Ear

Medgadget

At Johns Hopkins, clinical researchers have developed a set of surgical tools that allow them to more easily create a replacement ear for those born with malformed or missing ears. Currently, using cartilage harvested from the ribs, surgeons can create a new ear, but the process is difficult and requires some artistic talent to sculpt the cartilage into the right shape.

OR 115
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8 Alternative Jobs to Pursue with an EMT Certification

NCOAE

Just obtaining an Emergency Medical Technician (EMT) license opens a world of career possibilities both inside and out of the medical field. Sure, you have to put in the effort, but the opportunities are as diverse as our EMT students here at The National Center for Outdoor & Adventure Education (NCOAE). Fact is, we receive applications from students from all walks and stages of life, who successfully complete our EMT training program and go on to use that EMT training for a variety of oppor

EMT 52
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Chest pain and anterior ST depression. What’s the cause(s)?

Dr. Smith's ECG Blog

Written by Jesse McLaren, with edits from Smith and Grauer A 60 year old with no past medical history presented with two hours of chest pain radiating to the left arm, with normal vitals. What do you think? I sent this to Dr. Meyers without any other information, and he responded, “do you have a prior to make sure that it is all just because of the delta wave?

STEMI 52
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Imaging Case of the Week 523 Answer

EMergucate

The chest x-ray shows features of left main bronchus foreign body.

EMS 130
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Nanoprinted Microelectrode Array for Brain Computer Interfaces

Medgadget

Researchers at Carnegie Mellon University have used a nanoscale 3D printing technique that allows them to customize the microelectrode arrays used for brain computer interfaces. The approach is called Aerosol Jet 3D printing, and the researchers used it to create three-dimensional microelectrode arrays that can be customized for particular patient needs.

OR 96
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Episode 120: A special announcement from ABEM

Prehospital Emergency Care Podcast

Special Announcement! For the board-certified EMS physician, The American Board of Emergency Medicine (ABEM) would like to talk to you about a new way to maintain your certification: Yes.My EMS Cert. What is this you ask? Well, we will have two former PEC podcast guests AND ABEM representatives: Marianne Gausche Hill MD & Douglas Kupas MD Explain the details of EMS Cert Click here to download today!

EMS 40
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A man in his 30s with cardiac arrest and STE on the post-ROSC ECG

Dr. Smith's ECG Blog

Written by Pendell Meyers and Peter Brooks MD A man in his 30s with no known past medical history was reported to suddenly experience chest pain and shortness of breath at home in front of his family. He reportedly told his family "I think I'm having a heart attack", then they immediately drove him to the ED, and he was able to ambulate into the triage area before he collapsed and became unresponsive.

ACS 52
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Lab case 382

EMergucate

A middle aged man with history of hypertension and GORD, presented to the emergency department with epigastric pain.

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AI-Designed Custom Knee Implants

Medgadget

Scientists at the University of Birmingham in the UK have trialed Generative Design, a design approach that relies on machine learning and artificial intelligence, to create patient-specific knee implants. At present, knee implants are typically created in a limited range of sizes and shapes. While 3D printing has opened some scope for implants that are adapted to an individual’s orthopedic anatomy, few are created with other important variables in mind, such as the activity level of the patient

OR 93
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5 Qualities That Makes You Perfect To Be An EMT

TIMER

EMTs in the medical department have to be available on-site to treat patients and manage their conditions. Along with providing emergency medical treatments, EMTs also help control distressing situations. If you are interested in joining EMT Training in New York, then see whether these qualities are in your repertoire or not. These qualities will help you find your calling in doing good at EMT certification training.

EMT 40
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G.I. Joe!

EMS 20/20

The guys go to battle with Snake Eyes and Duke against the evils of confirmation bias and. coffee grounds? Have a listen and see what goes right (and wrong) in this week's episode! The guys go to battle with Snake Eyes and Duke against the evils of confirmation bias and. coffee grounds? Have a listen and see what goes right (and wrong) in this week's episode!

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Lab Case 381 Interpretation

EMergucate

Answers: Question 1: PH = 7.22, that is moderate acidaemia. HCO3 = 17 mmol/L, then we have metabolic acidosis.

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CRISPR-Cas13 System for Quick and Sensitive SARS-CoV-2 Detection

Medgadget

Scientists at Rice University created a rapid COVID-19 test that is based on the gene editing CRISPR-Cas system. The researchers modified the Cas-13 protein to increase its activity and to light up with fluorescence when it encounters RNA from the virus. The system does not require the expensive lab equipment and technical expertise of PCR, the current gold standard COVID-19 testing technique.

OR 90
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Imaging Case of the Week 524

EMergucate

The request form for the left forearm x-ray is as follows: fall on outstretched left hand.? fracture.

EMS 130
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ECG of the Week 12th October 2022

EMergucate

A 58 year old male presents to ED complaining of a headache and weakness to his left side.

ED 100