Sat.Nov 05, 2022 - Fri.Nov 11, 2022

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Intranasal Topical Application of Tranexamic Acid in Atraumatic Anterior Epistaxis

EMergucate

Original paper Findings Intranasal topical TXA is associated with a lower rate of need for anterior nasal packing and a shortened stay in the ED Bottom line Topical TXA for epi…

ED 130
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ECG Cases 37 ECG interpretation in electrolyte emergencies

Emergency Medicine Cases

While most of us have a clear algorithm in our minds for the management of life-threatening hyperkalemia, the same may not be said about the other life-threatening electrolyte abnormalities. In this ECG Cases blog Dr. Jesse MacLaren gives us an approach to potassium, calcium and magnesium abnormalities including risk factor assessment, ECG interpretation and management pearls.

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SGEM Peds Xtra: Making Research Better, Faster, Stronger

The Skeptics' Guide to EM

Date: October 24, 2022 Guest Skeptic: Dr. Damian Roland is a Consultant at the University of Leicester NHS Trust and Honorary Professor for the University of Leicester’s SAPPHIRE group. He specializes in Pediatric Emergency Medicine and is a passionate believer and advocate of FOAMed. Damian is also part of the Don’t Forget the Bubbles team. […] The post SGEM Peds Xtra: Making Research Better, Faster, Stronger first appeared on The Skeptics Guide to Emergency Medicine.

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Device Measures Hemoglobin More Accurately in Dark Skin

Medgadget

Researchers at the University of Texas at Arlington, in collaboration with Shani Biotechnologies, a local firm, have created a point-of-care device that can accurately measure hemoglobin levels and perform pulse oximetry in individuals with dark skin. At present, methods to determine hemoglobin levels at the point of care, such as pulse oximetry, are inaccurate in individuals with higher levels of melanin in their skin, and there is a clear need to develop alternatives that work for everyone.

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ECG of the Week 9th November 2022

EMergucate

A 60 year old man, who speaks little English, is triaged as a category 2 for left sided chest pain after being brought to hospital by ambulance.

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Ep 176 Orthopedic X-rays Master Class – Pitfalls in Obtaining and Interpreting MSK X-rays

Emergency Medicine Cases

Do not let a negative X-ray rule the day! Like almost all medical tests X-rays are far from perfect and should be ordered and interpreted only in the context of a thorough history and physical exam. In this 2nd part of our 2-part series on orthopedic x-rays with Dr. Arun Sayal and Dr. Yatin Chadha we discuss the pitfalls of obtaining and interpreting orthopedic X-rays, when orthopedic X-ray decision tools lead us astray, how understanding the concept of central ray helps dictate how we should or

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Episode 53: Documentation and coding with Robert Oubre

Critical Care Scenarios

An exploration of clinical documentation and billing/coding with Dr. Robert Oubre (@Dr_Oubre), full-time hospitalist and CDI Medical Director for a community hospital in southern Louisiana. Takeaway lessons References An exploration of clinical documentation and billing/coding with Dr. Robert Oubre ( @Dr_Oubre ), full-time hospitalist and CDI Medical Director for a community hospital in southern Louisiana.

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Imaging Case of the Week 528

EMergucate

The chest x-ray is from a 30 year old patient with dyspnea. What can be seen?

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An elderly woman with acute vomiting, presyncope, and hypotension, and a wide QRS complex

Dr. Smith's ECG Blog

Written by Pendell Meyers Family of an elderly woman with many comorbidities called EMS when she suddenly experienced shortness of breath, nausea, vomiting, and near syncope. She was alert and oriented and hypotensive with initial BP 70/50. A 12 lead ECG was obtained by EMS and is shown below: What do you think? There is sinus tachycardia (do not be fooled into thinking this is VT or another wide complex tachycardia!

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The (Future) Impact of Deep Learning on Primary Care - Clinical Correlations

Clinical Correlations

By Kathryn Hockemeyer Peer Reviewed I caught up with a friend who works in environmental, social, and corporate governance investing during a lull in the COVID-19 pandemic. Seconds into the conversation, he asked, “I hear the.

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Electrospun Construct Mimics Elasticity of Blood Vessels

Medgadget

Researchers at the University of Sydney in Australia have developed an electrospun blood vessel replacement. The material contains tropoelastin, a natural precursor for elastin, a key component of blood vessel walls. Elastin is present in concentric circles in natural blood vessels and provides the elastic properties which allow them to distend slightly and then reform their original shape in response to changes in blood flow and blood pressure.

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Lab case 385

EMergucate

21-year-old girl with history of type I DM. Her BSL level at home was 37 mmol/L. So, she self-administered 10 units of Actrapid.

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EMCrit – RACC Lit Review Oct/Nov 2022

EMCrit Project

Oct/Nov 2022. EMCrit Project by Scott Weingart, MD FCCM.

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Type 1 For Doctor

EMS 20/20

Type 2 for Billing. Type 1 For Doctor. In today's episode the guys (finally) follow a BLS crew through a confusing call that involves spousal arguments and a good old fashioned dollup of just plain winging it when a patient scares the $*#@ out of his wife. Type 2 for Billing. Type 1 For Doctor. In today's episode the guys (finally) follow a BLS crew through a confusing call that involves spousal arguments and a good old fashioned dollup of just plain winging it when a patient scares the $*#@ out

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Smartphone and Cheap Earbuds for Accessible Newborn Hearing Test

Medgadget

Researchers at the University of Washington have developed a low-cost hearing test for newborns. Traditionally, the equipment for such testing is quite expensive. As newborns cannot let us know if they can hear something, the test is based on creating a noise within the ear canal and then listening to the vibrations created by the specialized hair cells within.

OR 93
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Sugammadex for Neurologic Exams in TBI Patients (Submitted by Ashley Martinelli)

University of Maryland Department of Emergency Med

Sugammadex works by chelating non-depolarizing neuromuscular blocking agents (NMBA) such as rocuronium and vecuronium to reverse the effects of.

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I was shown this ECG without any information. What do you think?

Dr. Smith's ECG Blog

I was shown this ECG; "Steve, what do you think of this?": What is going on? I said: "This is pulse tapping artifact and a long QT" Why did I say that? Whenever you see a very bizarre EKG, you should think about pulse tapping artifact. This is when one of the limb lead electrodes is placed over an artery, especially when placed over a dialysis fistula.

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Improved Membrane Coating for Anti-Cancer Nanoparticles

Medgadget

Scientists at the University of Eastern Finland have developed a technique that lets them improve the coating of nanoparticles when using cell membranes. Cell membranes offer a lot of benefits as a coating for synthetic nanoparticles, including shielding from the immune system, prolonged circulation times and improved tumor accumulation. However, current approaches to coating nanoparticles with cell membranes often result in an incomplete covering.

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Implanted Magnets for Prosthetic Control

Medgadget

Engineers at MIT have developed a system that could let users of robotic prostheses to more sensitively control their bionic limbs. The technology involves implanting pairs of small magnetic beads into muscles. When the muscles contract, the beads move closer together, allowing prosthetic devices to more precisely calculate a user’s intentions and mirror these.

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DOSE VF (DOuble SEquential External Defibrillation for Refractory VF) Trial

University of Maryland Department of Emergency Med

DOSE VF (DOuble SEquential External Defibrillation for Refractory VF) Trial Background - High quality data regarding the use of.

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Intimate Partner Violence (submitted by Dr. Kinjal Sethuraman)

University of Maryland Department of Emergency Med

IPV can occur once or over years by a current or former romantic partner. Types of IPV include: Physical and/or Sexual vio.

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Opioids & NSAIDs for MSK pain in the ED: Effectiveness and Harms

University of Maryland Department of Emergency Med

Opioids & NSAIDs for MSK pain in the ED: Effectiveness and Harms Study selection: A recent systematic review i.

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In-Office Pediatric Ear Tube Procedures: Interview with Preceptis Medical’s Greg Mielke

Medgadget

Preceptis Medical , a medtech company based in Minnesota, created the Hummingbird Tympanostomy Tube System. The device allows ear, nose, and throat (ENT) surgeons to insert ear tubes in the comfort of their office. The procedure requires only local anesthetic and is intended to be less distressing for pediatric patients than the conventional approach, which requires general anesthesia.

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Monitoring Congestive Heart Failure Through Speech: Interview with Tamir Tal, CEO of Cordio Medical

Medgadget

Cordio Medical , a medtech company based in Israel, has developed HearO, an app that can assist in monitoring congestive heart failure. The technology is based on the phenomenon whereby congestive heart failure patients demonstrate changes in their voice as their disease progresses or in advance of disease exacerbation. This includes lung sounds, such as wheezing and crackling.

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