Sat.Nov 12, 2022 - Fri.Nov 18, 2022

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SGEM#382: Don’t Go Chasing Waterfalls to Treat Pancreatitis

The Skeptics' Guide to EM

Date: November 10th, 2022 Reference: de-Madaria E et al. Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis (WATERFALL). NEJM 2022. Guest Skeptic: Dr. Salim R. Rezaie completed his medical school training at Texas A&M Health Science Center and continued his medical education with a combined Emergency Medicine/Internal Medicine residency at East Carolina University.

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ECG of the Week 16th November 2022

EMergucate

The following ECG was obtained from an independent 78 year old woman at 11pm who complained of left sided shooting jaw ache that had commenced earlier that morning.

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TIRBO #22: Understanding “weak” trainees

Critical Care Scenarios

You have a trainee, orientee, intern/resident/fellow, student, or other learner who just seems slower than the rest. What should that mean to you? A perspective on this week’s TIRBO. You have a trainee, orientee, intern/resident/fellow, student, or other learner who just seems slower than the rest. What should that mean to you? A perspective on this week’s TIRBO.

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Implantable Device Adheres to Muscle, Treats Atrophy

Medgadget

Scientists at the Wyss Institute for Biologically Inspired Engineering at Harvard have developed a mechanically active gel-elastomer-nitinol tissue adhesive, otherwise known as MAGENTA. The implantable device functions as a soft robot, and it can be adhered to the outside of a muscle. When an electrical charge is applied to the device, a spring inside made from nitinol (a shape memory alloy) heats up and begins to actuate, creating a contraction and stretching effect on the attached muscle.

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EMCrit 337 – Procedural Deep Dive – Lumbar Puncture (LP)

EMCrit Project

Lumbar Puncture This seemingly simple procedure seems to be the Achilles's heel or many resus docs! If you have a good baseline knowledge of how to do the lumbar puncture correctly, it is super easy. If you have bad habits, then you will make your poor patient look like a pin cushion. EMCrit Project by Scott Weingart, MD FCCM.

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Imaging Case of the Week 529

EMergucate

The following CT abdomen axial slice is from a 55 year old with sudden onset of left loin pain. CT was done to rule out a ureteric stone. What can be seen?

EMS 130
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Sirens In His Voice

Medic Mindset

Kevin Hazzard reads 2 chapters from his latest book, American Sirens: The Incredible Story of the Black Men Who Became American’s First Paramedics. Freedom House EMS is EMS’ origin story. It was almost erased until Kevin Hazzard meticulously researched the story so it can sit in the forefront of our our collective consciousness. His first book, 1000 Naked Strangers , was recommended by Nyssa Hattaway in this Medic Mindset episode as the one book she’d give to a new paramedic.

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REBEL Core Cast 90.0 – Methemoglobinemia

REBEL EM

Take Home Points Methemoglobinemia can result from exposure to a number of different medications. The most common are dapsone and topical anesthetic agents (i.e. benzocaine) Consider the diagnosis in any patient with cyanosis and hypoxia that doesn’t respond to oxygen administration Administer methylene blue to any patient with abnormal vital signs, metabolic acidosis, end organ dysfunction or, a serum level > 25% REBEL Core Cast 90.0 – Methemoglobinemia Click here for Direct Download

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ECG of the Week 9th November 2022 – Interpretation

EMergucate

The most obvious abnormality is ST segment elevation in lead aVR with diffuse ST depression in most other leads (least … Continue reading →

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How to Know If an Online Course Counts as CME

NHCPS Save a Life

Continuing medical education (CME) is critical to your ability to deliver high-quality patient care. What is the purpose of CME if not to ensure professionals stay up-to-date and continually hone their skills in an ever-changing healthcare landscape? But just because something seems like medical education doesn’t mean it qualifies as a CME for your professional […] The post How to Know If an Online Course Counts as CME appeared first on SaveaLife.com.

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Making Tumors Tastier for the Immune System

Medgadget

Researchers at The University of Texas MD Anderson Cancer Center have developed a nanotechnology platform that can make cancer cells more vulnerable to immune attack in the body. The researchers call their system the bispecific tumor-transforming nanoconjugate (BiTN) platform. The idea is to make solid tumors more appealing for the immune system by attaching a molecule that acts as an “eat me” signal to white blood cells.

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Episode 93: Hanging with The EMS Avenger

The Overrun Podcast

If you watch TikTok, and let's be honest, you all do; you know The EMS Avenger from his short posts on evidence-based medicine and all around being a good egg as a clinician. Dan got to sit down with him (aka: Jimmy Apple) and got to talk about social media in EMS, likes and dislikes, and the role of social media like TikTok in making clinicians better, not just passing time while posted!

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Lab case 385 interpretation

EMergucate

Answers: Question 1: PH = 7.344, that is mild acidaemia. HCO3 = 18.4 mmol/L (less than 24).

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Clocks & Smoke/CO Detectors

First Responders Foundation

The Omaha Fire Department and First Responders Foundation work together for home safety. Pictured here from OFD is BC Scott Fitzpatrick accepting a $1000 check from Physicians Mutual for the First Responders Foundation’s Home Safety Program. Special thanks to Physicians Mutual. You’ve heard the saying spring forward and fall back. Daylight Savings Time began recently.

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Non-Invasive Spinal Modulation for Cerebral Palsy

Medgadget

SpineX , a medtech company based in California, has developed the Spinal Cord Innovation in Pediatrics (SCiP) device, a non-invasive spinal cord neuromodulation technology that is intended to treat children with cerebral palsy. The technology is designed to be used in conjunction with activity-based neurorehabilitation therapy with the goal of improving functional movements in such children.

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Sometimes even ST Elevation meeting criteria is not enough to be convincing

Dr. Smith's ECG Blog

Written by Emre Aslanger. Emre is a new Editor of the Blog. He is an interventionalist in Turkey. A 50 something-year-old man with a history of newly diagnosed hypertension and diabetes, for which he did not take any medication, presented a non-PCI-capable center with a vague, but central chest pain. His vitals were normal and his first ECG was as shown below: There is obvious ST segment elevation (STE) in anterior leads.

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ABA Response to Jay Leno Burn Incident

American Burn Association

Categories Advocacy Burn News MAC Spotlight Media Member Services Organization News Prevention Quality Care Research Return to News & Activities Jay Leno was burned this weekend as the result of a gasoline fire in his garage, according to the Grossman Burn Center in Los Angeles, where he is being treated. He was reportedly working on a car in his garage when the incident occurred.

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A new approach to penetrating neck injuries?

University of Maryland Department of Emergency Med

This small study looked at patients with penetrating neck injuries and tried to determine in those with "hard signs" of injury (hemorrhage, ex.

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Ferrobot Swarms for Rapid Viral Testing

Medgadget

At the University of California Los Angeles, scientists have developed a handheld lab kit that can conduct automated pooled testing for viral diseases, including COVID-19. The technology consists of a microfluidic platform that relies on swarms of magnetic discs, which the researchers have termed “ferrobots”, to shuttle samples through the device and mix them with reagents before reaching an area where a loop-mediated isothermal amplification assay takes place.

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Lab case 386

EMergucate

85 years old lady with history of COPD, brought to ED with low GCS after VF cardiac arrest followed by return of spontaneous circulation after 3 minutes of CPR and a single DC shock.

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What is the proper ratio of blood products in the bleeding pediatric trauma patient?

University of Maryland Department of Emergency Med

Research in the pediatric trauma patient has finally shown that crystalloid volume should be limited and blood products should be used ea.

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Wellness and Coping of Physicians Who Worked in ICUs During the Pandemic: A Multicenter Cross-Sectional North American Survey

University of Maryland Department of Emergency Med

This was a cross-sectional survey for the Diversity-Related Research Committee of the Women in Critical Care (WICC) Interest Group of.