Sat.May 28, 2022 - Fri.Jun 03, 2022

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Syncope and Block

EMS 12-Lead

David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Peer review provided by Dr. Steve Smith [link] @SmithECGblog A 72 y/o Male experiences a syncopal episode while seated. This occurred in a public place, so bystanders rushed to his aid and provided immediate assistance to protect against any associated fall or head strike.

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ECG of the Week 1st June 2022 Answer

EMergucate

A 57 year old male presents o ED c/o pleuritic chest pain.

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TIRBO #10: Put the I back in Team

Critical Care Scenarios

When it’s a bad idea to help out others with their work. When it’s a bad idea to help out others with their work.

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SGEM#367: GRACE2 – Low-Risk, Recurrent Abdominal Pain

The Skeptics' Guide to EM

Date: May 24th, 2022 Reference: Broder et al. Guidelines for Reasonable and Appropriate Care in the Emergency Department (GRACE) 2: Low-Risk, Recurrent Abdominal Pain in the Emergency Department. AEM May 2022 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called First10EM.com Case: A 33-year-old male presents to […] The post SGEM#367: GRACE2 – Low-Risk, Recurrent Abdominal Pain first appeared on The Skeptics Guide to Emergency Medicine.

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ABA Hosts Strategic Quality Summit

American Burn Association

Categories Advocacy Burn News MAC Spotlight Media Member Services Organization News Prevention Quality Care Research Return to News & Activities The American Burn Association (ABA) hosted a Strategic Quality Summit in Chicago, IL on June 13–14, 2022. The ABA convened burn care quality leaders to propose a quality roadmap that integrates data, verification, certification, research, and clinical practice guidelines.

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Imaging Case of the Week 508

EMergucate

The following elbow x-rays are from a 5 year old with elbow pain & swelling after a fall on outstretched … Continue reading →

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IBNCC – Neuro-oncology emergencies

EMCrit Project

Neuro-oncologic emergencies are commonly encountered in critical care. Rapidly evolving biological therapies for cancer offer patients exciting benefits, but have also created new sets of complications (e.g., checkpoint inhibitor-induced encephalitis). Patients may be suffering from complications of the malignancy itself, complications of therapy, or wholly unrelated problems.

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Tasty Morsels of Critical Care 062 | Diuretics

Emergency Medicine Ireland

Welcome back to the tasty morsels of critical care podcast. Today we’re going to talk about some of the basics of some of our favorite drugs intensive care – the diuretics. As always this is planned to be a brief overview of the essentials rather than the deep dive. Click for source As a starter pretty much all diuresis is conducted by convincing the kidney to lose more Na.

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Lab case 364 interpretation

EMergucate

Question 1: PH = 7.299 that is moderate acidaemia (less than 7.3), however we can argue that is mild as it is just 0.

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PulmCrit – Systemic racism of pulse oximetry:  Even worse than we thought?

EMCrit Project

One and a half years ago, a landmark study by Sjoding et al. found that critically ill Black patients were more likely than White patients to have falsely reassuring pulse oximetry measurements (discussed here).?1? Subsequently, six sizable studies have been published on this topic. Since this is of critical importance to acute care medicine, it's […].

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Massive Acetaminophen Overdose: Are We Giving Enough N-acetyl-cysteine?

Silk City Blog

Written by Christopher Hart, DO This post first appeared on REBEL EM Introduction: Acetaminophen, N-acetyl-p-aminophenol, or APAP, is one of the most commonly used medications worldwide. While it is generally safely used, overdose can result in the development of liver failure due to APAP’s hepatotoxic metabolites. Hepatic necrosis is preventable in overdose with timely administration of N-acetyl-cysteine (NAC) which restores glutathione reserves, allowing for safe excretion of these hepatotoxic

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Cumulative Stress & Policing

First Responders Wellness Center

The average officer in a small to midsize department will see 188.5 critical incidents during a 20-year career, the average person experiences 1 (74%) in their lifetime. Officers are twice as likely to develop depression than the average citizen, and 4 ½ times more likely to develop post traumatic stress disorder (PTSD). At the same time, 70% of people in critical incidents will recover from stressors without any assistance.

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Lab case 365

EMergucate

80 year old man presented with shortness of breath. This patient had history of CHF and COPD. His venous blood gases showed the following PH = 7.

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EMCrit RACC-Lit Review for May 2022

EMCrit Project

All the Lit Goodness. EMCrit Project by Scott Weingart, MD FCCM.

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Race Multiplier in the eGFR Equation: What’s the impact for African-Americans?

Silk City Blog

Written by Amanda Russo, DO This post first appeared on REBEL EM Background: Race is a sociological construct that affects how clinicians deliver health care to various racial/ethnic groups. This in turn affects clinical outcomes. Thus, African Americans with chronic kidney disease have worse outcomes with respect to hypertension control, timely nephrology referral, dialysis fistula/graft placement, adequate dialysis treatment, and access to transplantation.

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Cumulative Stress & Firefighting

First Responders Wellness Center

Firefighters/Paramedics face serious risks on the job such as heat exhaustion, burns, lack of sleep, physical and mental stress. Research shows that approximately 20% of firefighters may develop post-traumatic stress disorder (PTSD) during their career after being exposed to a critical incident. Studies show that age and job seniority also have significant effects on psychological distress among firefighters.

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ECG of the Week 1st June 2022

EMergucate

A 57 year old male presents o ED c/o pleuritic chest pain.

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IBNCC – Movement disorder emergencies

EMCrit Project

Movement disorders are encountered more frequently in the critical care unit than one might realize. For example Parkinson's disease alone affects ~1% of patients over sixty years old (often requiring careful consideration in medication management, to avoid either psychosis or Parkinsonism-hyperpyrexia syndrome). Other disorders are less common, but their recognition may be critical (e.g., propofol […].

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New Clinical Practice Guideline Released

American Burn Association

Categories Advocacy Burn News MAC Spotlight Media Member Services Organization News Prevention Quality Care Research Return to News & Activities The American Burn Association (ABA) released the Clinical Practice Guideline: Early Mobilization and Rehabilitation of Critically Ill Burn Patients via publication in the Journal of Burn Care and Research (JBCR).

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Episode 8: Delegated Practice w/ Dr. Jeff Jarvis

The EMS Show

Mike and Ritu welcome back Dr. Jarvis and since we were all together at ESO WAVE2022, we carved out a few minutes to get caught up, share a bourbon and discuss what delegated practice means and why it sounds pretty great!

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Episode 8: Delegated Practice w/ Dr. Jeff Jarvis

The EMS Show

Mike and Ritu welcome back Dr. Jarvis and since we were all together at ESO WAVE2022, we carved out a few minutes to get caught up, share a bourbon and discuss what delegated practice means and why it sounds pretty great!

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