Dr. Smith's ECG Blog

NOVEMBER 27, 2024

Pendell and I and the geniuses at Powerful Medical (Producers of the PMCardio Queen of Hearts OMI AI app ) are working on an objective, mathematical definition of hyperacute T-waves , based on real OMI outcomes and hyperacute T-wave annotation that has excellent interrater agreement (between me and Pendell), and it will end up being a logistic regression using these 3 variables: 1) area under the curve (AUC) relative to the QRS size 2) increased symmetry , as defined by time from T-wave onset to

STEMI 110

STEMI OR 110

EMergucate

NOVEMBER 26, 2024

The following ECG is from a 62-year-old man who presented following an MVA.

130

130

American Ambulance Association

NOVEMBER 25, 2024

This content is for AAA members only. Please either Log In or Join! The post Registration Open! Public Meeting on December 4 for NACCD appeared first on American Ambulance Association.

Ambulance 130

Ambulance OR 130

EMOttawa

NOVEMBER 28, 2024

What do you do when expert nurses tell you they can’t obtain IV access? Do you spend 20 minutes performing an invasive central line? Does your resident finally get two IO EPAs? Or do you save the day with a slick, ultrasound guided IV? Obtaining peripheral ultrasound guided IV access is not only a core […] The post Ultrasound Guided Peripheral IVs appeared first on EMOttawa Blog.

OR 123

OR 123

EMCrit Project

NOVEMBER 28, 2024

I discussed the reasons for migrating to BlueSky here. I've received positive feedback from several FOAMed expats who migrated to Bluesky and enjoy it there. I've also received some questions about getting started on BlueSky, so here is a brief guide to moving into MedSky. [1] Set up your account & profile This is essentially […] EMCrit Project by Josh Farkas.

100

100

EMergucate

NOVEMBER 25, 2024

Question 1: PH = 7.30, that is mild acidaemia. HCO3 = 18, that is low (less than 24), So we have metabolic acidosis.

130

130

Core EM

NOVEMBER 26, 2024

Diagnosis of acute aortic syndromes with ultrasound and d-dimer: the PROFUNDUS study European Journal of Internal Medicine, 2024 Background Acute aortic syndromes (AAS) are rare causes in patients presenting with chest/abdominal/back pain or syncope. Types of AAS include aortic dissection, intramural aortic hematoma, and penetrating aortic ulcer. Diagnosis of AAS requires urgent advanced aortic imaging (AAI), such as computed tomography angiography (CTA).

EMS 100

EMS OR ED 100

SSCOR

NOVEMBER 28, 2024

A tracheostomy opens a direct airway into the neck. Its prevalence in long-term care is increasing, and some providers assert that early tracheostomy in mechanically ventilated patients may decrease complications and reduce morbidity.

87

87

EMergucate

NOVEMBER 25, 2024

72 year-year-old man with history of type II DM and has a single kidney. Presented with 2 weeks of diarrhoea. He has been in bed for 2 weeks. Unresponsive. Last proper meal was 2 weeks ago.

130

130

Pulsara

NOVEMBER 27, 2024

NOVEMBER RECAP After a whirlwind November with Team Pulsara exhibiting at eight conferences, our exhibit schedule is slowing down as the year draws to a close. As we wrap up 2024, take a look to see where you can catch us next month!

82

82

Don't Forget the Bubbles

NOVEMBER 29, 2024

It’s a busy day in the paediatric ED. A worried parent rushes in carrying a toddler who’s just had a gulp from an unlabelled bottle in the garage. The child looks unsettled but otherwise fine—for now. “It was just a bit of the stuff we use for cleaning the car windscreen,” the parent says. You smell the faint odour of alcohol on the child’s breath A quick mental note: methanol poisoning?

Plasma 64

Plasma E-9-1-1 OR ALS 64

EM Literature of Note

NOVEMBER 25, 2024

Following on the success of Toy Story 2, Inside Out 2, and Avatar 2, we have WOMAN-2, yet another trial featuring emergency medicine’s third-favorite medication: tranexamic acid. However, where those sequels succeeded, WOMAN-2 is more like Miss Congeniality 2 – the one we’re not going to talk about again. But, don’t take it from me – take it from the ChatGPT Agent I created!

OR 79

OR 79

EMergucate

NOVEMBER 24, 2024

There is a sliver of air under the right hemi-diaphragm.

EMS 130

EMS 130

St. Emlyn's

NOVEMBER 26, 2024

St.Emlyn's - Emergency Medicine #FOAMed In this podcast, Liz Crowe discusses the effect bad behaviour has on teams and ultimately patient safety. The post Podcast – Bad Behaviour in Teams with Liz Crowe at Tactical Trauma 2024 appeared first on St.Emlyn's.

106

106

Don't Forget the Bubbles

NOVEMBER 27, 2024

Imagine this – a six-week-old infant with a fever of 38.3⁰C presents to your emergency department. They look well and, apart from fever, have no other symptoms. There are no sick contacts at home. Although they look well, you don’t want to miss a serious diagnosis, so what do you do? You’ve so many questions. Which of the many febrile infant clinical decision tools should you use?

E-9-1-1 81

E-9-1-1 Emergency Department Ambulance ED 81

Core Ultrasound

NOVEMBER 29, 2024

In this video tutorial, we provide a detailed guide to operating the Sonosite LX ultrasound machine. Designed for both beginners and those familiar with ultrasound technology, this demonstration will walk you through the essential features and functions of this device. You’ll learn how to power it on, optimize image quality, navigate the user interface, save and review images, and utilize its advanced settings to improve your workflow. > The post 5 Minute Sono – Sonosite LX Machine Basics

100

100

EMergucate

NOVEMBER 24, 2024

The chest x-ray reveals sail sign.

EMS 130

EMS 130

Dr. Smith's ECG Blog

NOVEMBER 25, 2024

Introductory Angiography Guide To find the guide later, go to the banner at the top of the blog: This blog is dedicated to improving understanding of ECGs in the context of emergency medicine. A substantial proportion of cases discussed include diagnostic angiography. Attaining expertise in angiography requires dedication and practice. What follows is an introduction to angiography -- a guide meant for people with no prior experience interpreting angiograms.

Coronary 102

Coronary OR 102

First Responders Foundation

NOVEMBER 25, 2024

Service dogs play an invaluable role in supporting Veterans and first responders, offering assistance that ranges from anxiety relief and refocusing in public settings to specialized tasks that help manage daily challenges, such as diabetic or cardiac alerting. Whether it’s helping a firefighter cope with trauma or aiding a police officer with mobility issues, these specially trained dogs provide a level of support that can be life-changing.

First Responder 52

First Responder Public Safety Firefighter OR 52

Don't Forget the Bubbles

NOVEMBER 25, 2024

A 7-week-old baby presents to the Emergency Department (ED) with a one-day history of coryza and cough. Parents have recorded a temperature of 38°C at home. In triage, she is noted to be alert and feeding well. Her initial observations show a temperature of 38.2°C, HR 152 bpm, RR 45/min, and oxygen saturation 97% in room air. You perform a viral swab test at ED which comes back positive for SARS-CoV-2.

Emergency Department 69

Emergency Department ED OR 69

EMergucate

NOVEMBER 24, 2024

The lateral view of ankle demonstrates an avulsion fracture above the posterior calcaneus.

EMS 130

EMS 130

FirstNet Authority

NOVEMBER 26, 2024

Director, Community Oriented Policing Services Office, Department of Justice

52

52

ESO

NOVEMBER 25, 2024

On October 29, 2024, the U.S. Department of Homeland Security, the Fire Safety Research Institute, and the U.S. Fire Administration hosted an informational webinar, NERIS Version 1: Platform Launch and National Rollout, to provide updates and timelines for the National Emergency Response Information System (NERIS). Here’s a recap of the latest news to keep your team informed.

Emergency Response 52

Emergency Response Firefighter OR 52

SSCOR

NOVEMBER 23, 2024

Preplanning is part of the job as an emergency responder. Each shift, you must be prepared to answer any type of emergency that your community throws at you, so you had better plan ahead. When it comes to your equipment, especially your pharyngeal suction device , you want a unit that will fit the needs of the community in which you work. Here are a few considerations when choosing a portable suction unit.

59

59

EMergucate

NOVEMBER 24, 2024

The supine chest x-ray shows left sided deep sulcus sign (lucency diving deep into left upper quadrant) indicative of a … Continue reading →

EMS 130

EMS 130

FirstNet Authority

NOVEMBER 26, 2024

Director, Community Oriented Policing Services Office, Department of Justice

52

52

Peter Canning

NOVEMBER 27, 2024

I was giving a data presentation to the statewide Harm Reduction Advocacy Group and after reviewing the EMS data I had, I touched on the latest CDC numbers that show a 24.1% decrease in overdoses in Connecticut since November 2021 based on rolling 12-month averages with the latest 12-month period ending June 2024. After the presentation I saw in the chat a comment about white overdoses being down, but minority overdoses still rising.

Overdose 52

Overdose EMS 52

not-on-my-shift

NOVEMBER 26, 2024

not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] New’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] New subm

40

40

St. Emlyn's

NOVEMBER 24, 2024

St.Emlyn's - Emergency Medicine #FOAMed GLP-1A toxicity: What do emergency clinicians need to know about drugs like Ozempic® and Wegovy®? #FOAMed @stemlyns Greg Yates takes through a paper reporting overdoses in US practice. The post GLP-1A toxicity: What do emergency clinicians need to know about drugs like Ozempic® and Wegovy®? appeared first on St.Emlyn's.

Overdose 106

Overdose 106

EMDocs

NOVEMBER 23, 2024

We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: Could Paralyzing Before Sedatives Increase First Pass Success? Spoon Feed This study utilized Bayesian analysis and found that when paralytic medications were administered before sedatives during ED intubation, the

ED 73

ED OR 73

Peter Canning

NOVEMBER 24, 2024

Just before dawn on Albany Avenue. The first light just starting to appear in the east. We’re posted on the corner. Most of the night crews have headed in for crew change and the morning cars haven’t signed on yet. 924 is on their way to an asthma on Martin Street and 917 is dealing with an assault victim on Park Terrace. 931 is still out at Saint Francis.

Ambulance 52

Ambulance OR EMS 52

not-on-my-shift

NOVEMBER 26, 2024

not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-

40

40

Core Ultrasound

NOVEMBER 27, 2024

In part two of this interview, Dr. Longino, a hospitalist researcher, and Dr. Riscinti, an emergency medicine physician—both from Denver Health—explore the future of the VExUS (Venous Excess UltraSound) exam. We discuss ongoing and future research, emerging applications, and strategies to expand the accessibility and adoption of this important tool.

100

100

EMDocs

NOVEMBER 25, 2024

Authors: Kamoga Dickson, MD (EM Resident Physician, Makerere College of Health Sciences, Kampala, Uganda); Jessica Pelletier, DO, MHPE (APD/Assistant Professor of EM/Attending Physician, University of Missouri-Columbia) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case A 42-year-old male from a rural area in northeastern Uganda presents to the tertiary care emergency department with severe itching, skin changes on his legs, and episodes of blurred vision, describing &

E-9-1-1 54

E-9-1-1 ALS Emergency Department OR 54

The Skeptics' Guide to EM

NOVEMBER 23, 2024

Date: November 13, 2024 Reference: Lee WH, et al. Study of Pediatric Appendicitis Scores and Management Strategies: A Prospective Observational Feasibility Study. Academic Emergency Medicine. Dec 2024 Guest Skeptic: Dr. Dennis Ren is a pediatric emergency medicine physician at Children’s National Hospital in Washington, DC. He’s also the host of SGEMPeds.

ED 188

ED Emergency Department ALS OR 188

not-on-my-shift

NOVEMBER 26, 2024

not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] New’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] New subm

40

40

Critical Care Scenarios

NOVEMBER 27, 2024

We chat about the post-op transition of care from the OR to the ICU, including questions to ask, workflows, and pitfalls. Check out the Intensive Care Academy here! Bryan’s textbook: Concepts in Surgical Critical Care Find us on Patreon here! Buy your merch here! We chat about the post-op transition of care from the OR to the ICU, including questions to ask, workflows, and pitfalls.

Critical Care 117

Critical Care ICU OR 117