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David Didlake, NRP, APRN, ACNP-BC This case is provided by C. Madden, Paramedic. Many thanks for sharing! A 48 y/o Male called 911 after experiencing sudden onset chest discomfort while performing yard work. He presented to EMS with extreme pallor, Levine sign, diaphoresis, bilateral arm pain, and an apprehensive sense of doom. Past medical history included HTN, HLD, and MI 10 years prior.
Tahara Bhate's new QI corner Quick Hits series, Hans Rosenberg & Michael Gottlieb on the evidence around ED diagnosis and management of skin abscesses using PoCUS, Anand Swaminathan on what the oxygen saturation monitor can tell you besides oxygen saturation, Sarah Reid on how to pick up infantile spasms and prevent poor neurologic outcomes, Elisha Targonsky on battle of the ED rate control medications for rapid atrial fibrillation.
Brandon and Bryan discuss a practical approach to abdominal compartment syndrome: when to suspect it, confirming the diagnosis with bladder pressure or other monitoring, management, and prognosis. Sorry for the audio on this one! Brandon and Bryan discuss a practical approach to abdominal compartment syndrome: when to suspect it, confirming the diagnosis with bladder pressure or other monitoring, management, and prognosis.
If you've been anywhere in this world the last few weeks, you know what's been going on in Ukraine. Once again, military medicine has taken front row. But what actually is military medicine about? What are some of the misconceptions? And what can we as civilians take away from our colleagues in service? On this episode, Dan and Ed are civilians talking medicine in the military to Dr.
Spencer and Chris try to stay with a crew as they wind down the treacherous rabbit hole that is an altered mental status patient. Do they take the wrong path? In short. probably, but listen and find out why they go where they go on this week's episode! Spencer and Chris try to stay with a crew as they wind down the treacherous rabbit hole that is an altered mental status patient.
The choice of vasopressor is always a topic of controversy regarding post cardiac arrest patients. Intensive Care Medicine recently published an article with focus on “Epinephrine versus norepinephrine in cardiac arrest patients with post-resuscitation shock” This study was in Paris metropolitan region. They included 766 patients and they found using Epi in OHCA post cardiac arrest resuscitation was associated with higher all-cause of mortality compared with Norepi!
The choice of vasopressor is always a topic of controversy regarding post cardiac arrest patients. Intensive Care Medicine recently published an article with focus on “Epinephrine versus norepinephrine in cardiac arrest patients with post-resuscitation shock” This study was in Paris metropolitan region. They included 766 patients and they found using Epi in OHCA post cardiac arrest resuscitation was associated with higher all-cause of mortality compared with Norepi!
Date: April 7th, 2022 Reference: Wong et al. Sensitivity of diffusion-weighted magnetic resonance imaging in transient global amnesia as a function of time from symptom onset. AEM April 2022 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. Case: A 65-year-old man presents to your emergency department with […] The post SGEM#364: Don’t You Forget About Me – DW:MRI Sensitivity for Transient Global Amnesia first appeared on The Sk
Everyone is being flooded with images and clips of the devastation happening in Ukraine, from timelines to television it’s been a difficult time for anyone seeing the ramifications of Russia’s invading its neighbor. Many of us feel the weight of feeling like we’re capable of helping but aren’t sure where to start. It’s tough seeing Ukrainians dig through the rubble of their neighborhoods, sometimes in momentary delays between shellings, giving any effort to preserve
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