The Skeptics' Guide to EM

MARCH 31, 2023

Date: March 28, 2023 Reference: Fowler et al. Objective assessment of sleep and fatigue risk in emergency medicine physicians. AEM March 2023 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called www.First10EM.com Case: You arrive at 7am to relieve your colleague after a night shift. You find her at […] The post SGEM#399: I’m So Tired – Emergency Medicine and Fatigue first appeared on The Skeptics Guide to Emergency Medicine.

ALS 130

ALS Emergency Department 130

Pediatric EM Morsels

MARCH 31, 2023

Children love to trick us! Sometimes it is all in good fun and other times it is quite serious! They like to pretend to be well when they are truly sick ( remember to check that Cap Refill and to never trust a Neonate! ) and they often show us “odd” findings that are really normal (ex, Growth Plates, Primitive Reflexes ). They like to keep us on our toes so much, that even their cervical bones can deceive us.

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OR EMS Critical Care 130

Emergency Medicine Cases

MARCH 28, 2023

Dr. Nav Sahsi gives us a quick primer on Doctors Without Borders, explains the difference between humanitarian work and development work and describes the motivation, personal skills, education, time commitment and flexibility required for humanitarian work for all those with an interest in Global EM. The post Global EM 3 So you want to be a humanitarian doctor?

EMS 130

EMS 130

EMergucate

MARCH 26, 2023

The following pelvic x-ray is from a 10-year-old with pain in the left pelvis after a trampoline injury.

EMS 130

EMS 130

The Skeptics' Guide to EM

MARCH 25, 2023

Date: March 22, 2023 Reference: Hilsden et al. Point of care biliary ultrasound in the emergency department (BUSED) predicts final surgical management decisions. Trauma Surg Acute Care Open 2022 Guest Skeptic: Dr. Casey Parker is a Rural Generalist that includes in his practice emergency medicine, anesthesia, and critical care. He is also now a fully-fledged “sonologist”.

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ED Critical Care Emergency Department ALS 130

Critical Care Scenarios

MARCH 29, 2023

We look at evaluating the patient with encephalopathy and unexplained anion gap, including the workup and treatment of toxic alcohol poisoning, with guest Dr. Jerry Snow (@ToxicSnowEM), medical toxicologist and director of the toxicology fellowship at Banner University Medical Center in Phoenix. Find us on Patreon here! Buy your merch here! Click here to claim … Continue reading "Episode 58: Toxic alcohols with Jerry Snow" We look at evaluating the patient with encephalopathy and unexplained ani

Overdose 100

Overdose OR EMS 100

Emergency Medicine Cases

MARCH 28, 2023

In this month's EM Quick Hits podcast: Anand Swaminathan on 3-pronged approach to aortic dissection management, Jonathan Wallace on rural practice tips for glue removal and ESP block for renal colic, Sara Gray on everything you need to know about High Flow Nasal Cannula but were afraid to ask, Maria Ivankovic on reducing the duration of antibiotic therapy for uncomplicated common bacterial infections, Tahara Bhate on handover and learner oversight on QI corner and Kerstin De Wit on the ADJUST-UN

EMS 130

EMS 130

Medgadget

MARCH 27, 2023

Researchers at the Georgia Institute of Technology have developed a nanotechnological solution for lymphedema, a failure of the lymphatic system that results in uncomfortable and irreversible fluid retention. Previous research efforts have focused on trying to grow new lymphatic vessels, but these researchers have taken a different approach, and instead engineered a drug delivery technology that can directly target sluggish lymphatic vessels and kickstart their pumping action.

OR 100

OR 100

REBEL EM

MARCH 30, 2023

Background: Previous observational studies published in 2015 (Geri 2015)(Vyas 2015) indicated that early cardiac catheterization in patients with out-of-hospital cardiac arrest (OHCA) might improve mortality and result in more favorable neurological outcomes. The TOMAHAWK (Desch 2021), COACT (Abella 2019), and PEARL (Lemkes 2019) trials examined patients with OHCA without ST elevation with a shockable rhythm, and investigators found no difference in delayed versus emergency angiogram.

Coronary 83

Coronary CPR OR ICU 83

EMCrit Project

MARCH 25, 2023

Hayden Richards is a communications maven. EMCrit Project by Scott Weingart, MD FCCM.

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86

EMergucate

MARCH 27, 2023

50 year old male with a background of alcohol dependence presents to ED after 24 hours of no alcohol use. He looked anxious and sweaty.

ED 100

ED 100

Medgadget

MARCH 30, 2023

Researchers at the California Institute of Technology have developed a smart bandage for chronic wounds, such as those sometimes experienced by patients with diabetes. The bandage is flexible and stretchy, but contains electronic components that can monitor the wound for signs of infection, including abnormal temperature, increased uric acid levels, and changes in pH.

OR 92

OR 92

Prehospital Emergency Care Podcast

MARCH 31, 2023

Happy Women's day PEC Podcast listeners! In this Deep Dive episode of the PEC podcast, Dr. Maia Dorsett discusses the Prehospital Emergency Care Manuscript titled Characteristics and Experiences of Women Physicians and Professionals in NAEMSP with the authors: Kathy Staats MD FACEP kstaats@ucsd.edu Anurhada Luke MD Luke.Anuradha@mayo.edu Click here to download it today!

EMS 52

EMS 52

Ingenious

MARCH 31, 2023

The INGENIOUS coordinator, the Institute of Communication and Computer Systems (ICCS) will organise the PSCE Conference in Lavrion, Greece on 10-11 May 2023 in collaboration with the National Technical University of Athens (NTUA) and the Public Safety Communication Europe (PSCE). The Conference will focus on Security threat posed by fake-based technologies, Military Cooperation for crisis management, New Technologies for Search and Rescue Operations and Horizon scanning in public safety.

Public Safety 52

Public Safety 52

Dr. Smith's ECG Blog

MARCH 31, 2023

This was sent to me by a friend. It is from a 50-something with chest pain: What do you think? This was marked as "Not a STEMI" by the physicians. It is not a STEMI, but it is diagnostic of an LAD OMI (Occlusion MI). There is subtle ST Elevation in V1-V4 and hyperacute T-waves in V2-V6. There is also subtle but diagnostic INFERIOR ST Elevation, with reciprocal ST Depression in aVL.

STEMI 52

STEMI Coronary OR ED 52

FOAMcast

MARCH 27, 2023

Apple Podcasts , Spotify , Listen Here The role of steroids in pneumonia is controversial. Steroids were found to reduce mortality in COVID-19 patients requiring at least supplemental oxygen but are not associated with a mortality benefit in influenza. In 2019, the Infectious Disease Society of America recommended against the routine use of steroids in hospitalized patients with community-acquired pneumonia (CAP) while the Society for Critical Care Medicine recommends steroids in these patients.

Critical Care 52

Critical Care ACS ALS 52

First Responder Wellness

MARCH 27, 2023

A first responder’s work can be rewarding, but over time, it can also take its toll on an individual and lead to emotional exhaustion. This exhaustion can result from high emotional involvement, such as working with traumatized individuals in the community without adequate support. In the emergency services community, compassion fatigue can often be thought of as the emotional exhaustion manifesting itself as the reduced ability of a responder to engage with empathy or compassion toward t

First Responder 52

First Responder Mental Health Services Public Safety OR 52

Emergency Medicine Ireland

MARCH 27, 2023

Welcome back to the tasty morsels of critical care podcast. Oh Chapter 37 is dedicated to NIV in the ICU and is probably worth some time given that this is a common respiratory support both in the ICU and throughout the hospital. Many of the benefits of NIV are similar to those seen with ventilation with the blue plastic tube through the vocal cords.For example you still get: positive airway pressure which recruits alveoli and improves oxygenation improved alveolar ventilation which improves min

Critical Care 52

Critical Care ICU OR 52

Dr. Smith's ECG Blog

MARCH 30, 2023

= My Comment by K EN G RAUER, MD ( 3/30 /2023 ): = The ECG in Figure-1 was sent to me without the benefit of any history. I thought the rhythm illustrated a number of essential concepts for clinicians dedicated to Emergency Care. Do YOU know what the rhythm is? IF this arrhythmia is puzzling to you — READ ON! I illustrate how to make the diagnosis within less than 15 seconds.

Coronary 52

Coronary OR ED 52

REBEL EM

MARCH 27, 2023

Background Information: Obtaining definitive control of the airway, when indicated, is the responsibility of the emergency medicine physician. Traditionally patients were managed on the ventilator with lung volumes of 10 – 15 ml/kg. However, that practice is long-outdated and patients managed on lower tidal volumes (6 ml/kg) were found to have decreased mortality. 1 This practice of lower tidal volumes has been termed “lung protective ventilation” (LPV) and is now the standard of care for

Emergency Department 52

Emergency Department ICU Critical Care EMR 52

EMT City

MARCH 25, 2023

The private that I work for is switching programs again. This time we are switching to "Okta" and "Traumasoft." Anyone use these? What are they like? Any info greatly appreciated.

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The EMS Show

MARCH 31, 2023

30 mins. down and dirty. Mike and Ritu discuss getting old (mostly Ritu) and his 30th Medical School Class reunion, as well as the upcoming ESO Training Academy and Wave Conference, being held in Austin April 11-14. Be sure and join us on our social channels over on Facebook and Twitter! Have an idea for a podcast? let us know!

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Dr. Smith's ECG Blog

MARCH 27, 2023

I was reading ECGs on the system, and saw this one: What do you think? I knew that, if the patient had presented with chest discomfort, that this ECG is diagnostic of inferior posterior OMI, even though it is not a STEMI. However, it is difficult to recognize for an interpreter who is does not have special expertise in OMI ECG diagnosis. We taught an AI system from PM Cardio to recognize patterns of subtle OMI (beware: this version of the app is not available to the public yet).

ACS 52

ACS STEMI OR 52

Emergency Medicine Education

MARCH 30, 2023

JAMA published a retrospective cohort study among septic patients who received vasopressor (norepinephrine) and hydrocortisone to show if adding fludrocortisone was more effective to this regimen compare with only giving hydrocortisone. 88275 patients reviewed and in hospital mortality and discharge to hospice as a primary outcome measured. Patients treated with combination of hydrocortisone-fludrocortisone (47.2%) had lower adjusted absolute risk difference 3.7% compare with hydrocortsone group

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EMS 20/20

MARCH 29, 2023

After Chris defends his position on TXA, Spencer UTTERLY STUMPS him in this week's episode where a patient is KILLED by HIP PAIN! Spoiler: Patient not actually killed by hip pain. After Chris defends his position on TXA, Spencer UTTERLY STUMPS him in this week's episode where a patient is KILLED by HIP PAIN! Spoiler: Patient not actually killed by hip pain.

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The EMS Show

MARCH 28, 2023

Why in the world would an EMS podcast do a podcast and not talk about EMS? Well, if you haven't figured it out by now, we are different! Join us as we discuss the new American sweetheart, Formula One racing! If you are new or interested, this is the show for you! We were joined by our favorite Brit, Rob Lawrence, and Kaileb Verkest to talk everything about F1.

EMS 40

EMS OR 40

University of Maryland Department of Emergency Med

MARCH 27, 2023

A retrospective review of patients over age 13 presenting to one urban level one trauma center and one urban community hospital looked at traumat.

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The Bottom Line

MARCH 31, 2023

What’s new in the Critical Care literature – monthly updates

Critical Care 40

Critical Care 40

The EMS Show

MARCH 28, 2023

Why in the world would an EMS podcast do a podcast and not talk about EMS? Well, if you haven't figured it out by now, we are different! Join us as we discuss the new American sweetheart, Formula One racing! If you are new or interested, this is the show for you! We were joined by our favorite Brit, Rob Lawrence, and Kaileb Verkest to talk everything about F1.

EMS 40

EMS OR 40

University of Maryland Department of Emergency Med

MARCH 27, 2023

This is a review of the literature surrounding using mechanical compression devices for in-hospital cardiac arrest. The bottom line is there is.

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University of Maryland Department of Emergency Med

MARCH 31, 2023

Myasthenia gravis is an autoimmune disease of the neuromuscular junction, most commonly due to antibodies attacking acetylcholine receptors in.

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University of Maryland Department of Emergency Med

MARCH 27, 2023

In a systematic review looking at patients over age 65 who sustained a cervical spine injury from a low-level fall, there was a 3.8% preval.

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University of Maryland Department of Emergency Med

MARCH 25, 2023

This study is a secondary analysis of another studying looking at hypertonic saline in traumatic brain injury (TBI) making it not the most.

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University of Maryland Department of Emergency Med

MARCH 27, 2023

This paper looks at the possibility of intramuscular tranexamic acid (TXA) administration. Pharmacologic studies support this route as gi.

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University of Maryland Department of Emergency Med

MARCH 27, 2023

The classic teaching is that patients with acute pancreatitis should be aggressively hydrated with IV fluids. But as we increasi.

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The Bottom Line

MARCH 31, 2023

What’s new in the Critical Care literature – monthly updates

Critical Care 40

Critical Care 40