Sat.Dec 31, 2022 - Fri.Jan 06, 2023

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So You Want to Become an EMT

Chicago EMT Training

Becoming an EMT was one of the best things to happen in my life. It was at a time when I was on a premed track in undergrad. There are so many prerequisites you need to check off prior to applying to medical school. From great grades, volunteering, having extracurriculars, to trying to get some research published. Out of all the things, becoming an EMT really unveiled what healthcare might truly have in store for me.

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ECG of the Week 4th January 2023

EMergucate

The following is an ECG of a 70 year old man who was in a tachyarrhythmia about an hour ago at a rate of approximately 160bpm, who failed adenosine 6mg and 12mg, and was subsequently administered 1…

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EM Quick Hits 45 ETCO2 in Cardiac Arrest, Organ Donation, Paraphimosis, Medicolegal Myths, QI Corner

Emergency Medicine Cases

Understanding why ETCO2 is recommended in cardiac arrest with Swami, practical steps to organ donation in the ED with Dr. Andrew Healy, using your hospital food court to treat paraphimosis, rectal prolapse and food bolus obstruction with Dr. Sarah Foohey, QI Corner with Dr. Tahara Bhate, 4 Medicolegal Myths with Dr. Jennifer C. Tang on this month's EM Quick Hits podcast.

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Episode 55: Undifferentiated encephalopathy and autoimmune encephalitis, with Casey Albin

Critical Care Scenarios

How to evaluate the patient with unexplained encephalopathy, and a practical approach to diagnosing autoimmune encephalitis with an emphasis on anti-NMDA receptor encephalitis—with Dr. Casey Albin (@CaseyAlbin), neurologist and neurointensivist, assistant professor of Neurology and Neurosurgery at Emory, and part of the NeuroEmcrit team. Claim your CME credit here!

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SGEM #387 Lumbar Punctures in Febrile Infants with Positive Urinalysis-It’s Just Overkill

The Skeptics' Guide to EM

Date: Dec 15, 2022 Reference: Mahajan et al. Serious bacterial infections in young febrile infants with positive urinalysis results. Pediatrics. October 2022 Guest Skeptic: Dr. Brian Lee is a pediatric emergency medicine attending at the Children’s Hospital of Philadelphia and Assistant Professor of Pediatrics at the Perelman School of Medicine at the University of Pennsylvania. […] The post SGEM #387 Lumbar Punctures in Febrile Infants with Positive Urinalysis-It’s Just Overkill first appeared

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ECG of the Week 28th December 2022 – Interpretation

EMergucate

ECG of the Week 28th December 2022 – Interpretation The patient is in a sinus rhythm with bradycardia (rate ~50) … Continue reading →

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Top 10 of 2022 – EM Cases Podcasts & Blogs Highlights of the Year

Emergency Medicine Cases

Based on a blend of number of listens, feedback from listeners, website visits and my personal faves, here is EM Cases Top 10 of 2022. The post Top 10 of 2022 – EM Cases Podcasts & Blogs Highlights of the Year appeared first on Emergency Medicine Cases.

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Episode 95: Haney Mallemat and Medicine in Social Media

The Overrun Podcast

Dr. Haney Mallemat (@criticalcarenow) joins Dan to discuss how social media can influence medicine and how recent medical events have shined a light on CPR and bleeding control. In a matter of a few days, the world was shocked to hear that actor Jeremy Renner had been traumatically injured while on vacation in Nevada and Buffalo Bills player Damar Hamlin experienced a cardiac arrest on the field.

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Lab case 392 interpretation

EMergucate

Answers: PH = 7.10, that is severe acidaemia. HCO3 = 11 mmol/L, this means we have metabolic acidosis. Next, we need to calculate the anion gap and the compensation.

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IV versus IO: Does your Site of Access Matter in Cardiac Arrest?

NAEMSP

By A.J. Meyer MD Clinical Scenario You are dispatched to a 57-year-old male with a witnessed cardiac arrest and bystander CPR being performed. On arrival to the scene, you find the patient pulseless and apneic. Your Fire Department colleagues take control of the airway and begin ventilating the patient with a BVM and perform high quality chest compressions.

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Bioprinted Eye Tissue to Study Retinal Diseases

Medgadget

Researchers at the National Eye Institute, which is part of the National Institutes of Health, have created a method to 3D bioprint eye tissue that forms the outer blood-retina barrier. This tissue supports the photoreceptors in the retina and is implicated in the initiation of age-related macular degeneration. The outer blood-retina barrier is the interface of the retina and the choroid, including Bruch’s membrane and the choriocapillaris.

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The One Where Bad Stuff Happens

EMS 20/20

Spencer and Chris are there for you in today's episode where a patient is "checked for police". Was the check good enough or should the crew have been more thorough? We also discuss the value of good. and honest. charting. Spencer and Chris are there for you in today's episode where a patient is "checked for police". Was the check good enough or should the crew have been more thorough?

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Lab case 393

EMergucate

An alcoholic person with severe peripheral neuropathy was brought to ED with low GCS.

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Stabilizing the healthcare system

University of Maryland Department of Emergency Med

These two pieces from Becker’s Hospital Review demonstrate significant areas of weakness within the American healthcare system. Hospital.

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A woman in her 50s with acute chest pain

Dr. Smith's ECG Blog

Submitted and written by Anonymous, edits by Meyers and Smith A 50s-year-old patient with no known cardiac history presented at 0045 with three hours of unrelenting central chest pain. The pain was heavy, radiated to her jaw with an associated headache. Triage VS: 135/65 mmHg, 95 bpm, 94% on room air, 16/min, 98.6 F Triage ECG: ECG Interpretation: Sinus rhythm with normal QRS.

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Optogenetics Tech for Long-Term Changes in Neuronal Excitability

Medgadget

Scientists at MIT have developed an optogenetics technique that can lead to long-term changes in neuronal excitability by altering neuronal membrane capacitance. Unlike conventional optogenetics, which involves using light to rapidly activate ion channels on engineered neurons, the new technique relies on a light-sensitive reaction to increase the presence of conductive or insulating polymers in the cell membrane.

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Imaging Case of the Week 535

EMergucate

The hand x-rays are from an adult patient taken post dog bite. What can be seen?

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Pelvic fractures, compression and the need for education

University of Maryland Department of Emergency Med

Pelvic fractures caused by large force compression (open book) and vertical sheer injuries can lead to life threatening massive hemorrhage fr.

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An ECG which is obviously diagnostic of OMI can appear wholly non-specific to most interpreters. A comment on AI.

Dr. Smith's ECG Blog

This was texted to me by a former resident, with no information: What do you think? Here Ken Grauer has used the PM Cardio app to improve the image: This was my immediate response: "Acute proximal LAD OMI" To me it is obvious and diagnostic. There are hyperacute T-waves in I, aVL, V2-V6. These are wide, bulky, with large area under the curve relative to the QRS size.

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Intravenous Magnesium for Treatment of Migraine

University of Maryland Department of Emergency Med

Magnesium has been associated with function of serotonin and vascular tone regulation, both of which are mechanisms that implicate there ma.

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