2022

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Camera Measures Blood Pressure with Quick Look

Medgadget

At the University of South Australia, researchers designed a system that allows them to measure a patient’s blood pressure with a camera. The camera visualizes the patient’s forehead and focuses on two regions in particular to optically determine photoplethysmographic signals that AI algorithms then convert to blood pressure data. The researchers tested their system in 25 volunteers, and so far it has proven to be approximately 90% as accurate as traditional pressure cuff measurements.

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SGEM#368: Just A Normal Saline Day in the ICU – The PLUS Study

The Skeptics' Guide to EM

Date: June 12th, 2022 Reference: Finfer et al. Balanced Multielectrolyte Solution versus Saline in Critically Ill Adults. NEJM 2022. Guest Skeptic: Dr. Aaron Skolnik is an Assistant Professor of Emergency Medicine at the Mayo Clinic Alix School of Medicine and Consultant in the Department of Critical Care Medicine at Mayo Clinic Arizona. He is board certified […] The post SGEM#368: Just A Normal Saline Day in the ICU – The PLUS Study first appeared on The Skeptics Guide to Emergency Medicine.

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Stop the Bleed

Chicago EMT Training

Learning how to stop the bleed and procuring the materials to do so is an inexpensive insurance policy. Especially if you're in an area that is prone to gun violence. You don't need a license or permit to carry these things. You never know when you'll need it or someone around you may need it. [link] First up is the Tourniquet. There are a few varieties that have been heavily tested.

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ECG of the Week 21st December 2022 – Interpretation

EMergucate

ECG of the Week 21st December 2022 – Interpretation Looking at the rhythm strip, there is sinus rhythm, interspersed with … Continue reading →

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WTBS 28 I’m OK, How Are You? How can we innovate our way out of this crisis in EM and cope until we do?

Emergency Medicine Cases

In this month's Waiting to Be Seen blog Dr. Howard Ovens outlines challenges, innovations and coping strategies in the EM Crisis. The post WTBS 28 I’m OK, How Are You? How can we innovate our way out of this crisis in EM and cope until we do? appeared first on Emergency Medicine Cases.

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Episode 52: Pleural effusions in the ICU with Emily Fridenmaker

Critical Care Scenarios

Discussing pleural effusions in the critically ill, including how and when to drain them, methods of drainage, interpreting laboratory studies, and managing complications, with Dr. Emily Fridenmaker (@emily_fri), pulmonologist and intensivist at Charleston Area Medical Center in West Virginia. Continuing education for this episode CME credit provided courtesy of Academic CME.

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Early Reperfusion

EMS 12-Lead

Coronary thrombosis is a dynamic process of platelet aggregation and subsequent coagulation. During spontaneous reperfusion -- whether via thrombolysis, or recruitment of collateral circulation -- there exists characteristic ST/T changes on the ECG.

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Minority Report or Moneyball

High Performance EMS

I have often heard comparisons on the automation of System Status Management to the 2002 Spielberg movie starring Tom Cruise called “ Minority Report ” loosely based on the 1956 short story by Philip K. Dick. This science fiction action thriller is set in the year 2054 when police utilize a psychic technology to arrest and convict murderers before they commit their crime.

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Magnetic Microrobots Assist with Root Canal Treatment

Medgadget

Researchers at the University of Pennsylvania have developed a microrobot system that can help with biofilm disruption, drug delivery, and sample retrieval, all within the restrictive space of the root canal. It can be difficult for dentists to know if they have removed all the infectious material when performing a root canal, and failure to do so will typically result in an infection reoccurring.

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AR Headset Helps Surgeons Place Implants: Interview with Louie Vogt of Enovis Surgical

Medgadget

Enovis , a medtech company based in Delaware formerly known as DJO, recently announced the launch of ARVIS (Augmented Reality Visualization and Information System), an augmented reality technology that is designed to assist surgeons during implant placement in the hip and knee. The hands-free technology consists of an eyepiece that is mounted on a surgical helmet that provides the surgeon with real-time information about the position of an implant with respect to patient anatomy.

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Device Measures Hemoglobin More Accurately in Dark Skin

Medgadget

Researchers at the University of Texas at Arlington, in collaboration with Shani Biotechnologies, a local firm, have created a point-of-care device that can accurately measure hemoglobin levels and perform pulse oximetry in individuals with dark skin. At present, methods to determine hemoglobin levels at the point of care, such as pulse oximetry, are inaccurate in individuals with higher levels of melanin in their skin, and there is a clear need to develop alternatives that work for everyone.

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ECG of the Week 28th December 2022

EMergucate

This is one of the serial ECGs on a 66 year old man who presented to ED following post-coital exertion.

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Imaging Case of the Week 534

EMergucate

The hand x-ray is from a 30-year-old with wrist pain following fall on outstretched hand. What can be seen?

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Imaging Case of the Week 533 Answer

EMergucate

The pelvic x-ray shows: Right iliac wing fracture Right acetabular fracture Right inferior pubic ramus fracture Diastasis of the pubic … Continue reading →

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ECG of the week 14th December 2022 – Interpretation

EMergucate

ECG of the week 14th December 2022 – Interpretation This ECG was included as a reminder of the Sgarbossa criteria … Continue reading →

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ECG of the Week 21st December 2022

EMergucate

This ECG was obtained from a 22 year old man who had taken a polypharmacy overdose 24 hours ago. He had suffered a bradycardic / asystolic arrest and is currently in the intensive care unit.

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ECG Cases 38 – ECG Interpretation in Cocaine Chest Pain

Emergency Medicine Cases

Dr. Jesse McLaren discusses some key aspects of cocaine chest pain ECG interpretation in this month's blog including: Patients with cocaine-associated chest pain require benzodiazepines +/- nitroglycerine for symptom relief, aspirin and ECG to look for signs of occlusion and reperfusion. In patients with chest pain + ST elevation, consider false positive STEMI including early repolarization, LVH and Brugada-pattern.

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Ep 177 Bronchiolitis – Diagnostic Challenges and Management Pitfalls

Emergency Medicine Cases

In this main episode podcast Anton discusses with world expert and bronchiolitis researcher Dr. Suzanne Schuh, the challenges of the diagnosis and management of bronchiolitis during a time of crisis in pediatric emergency medicine and offers some evidence-based solutions to improving outcomes while minimizing valuable resources, as part of our 'Best of University of Toronto EM' series.

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Imaging Case of the Week 532 Answer

EMergucate

The main finding on the elbow x-ray is that there is a radial head dislocation.

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Imaging Case of the Week 533

EMergucate

The pelvic x-ray is from an adult taken post MVA.List 5 findings. How will you manage?

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SGEM386: Blood on Blood – Massive Transfusion Protocols in Older Trauma Patients

The Skeptics' Guide to EM

Date: December 16th, 2022 Reference: Hohle et al. Massive Blood Transfusion Following Older Adult Trauma: the Effect of Blood Ratios on Mortality. AEM December 2022 Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. She is also the wonderful educator that creates the Paper in a Pic infographics summarizing each SGEM episode.

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Imaging Case of the Week 532

EMergucate

The following forearm x-rays are from a 9-year-old with pain around their elbow after fall on to outstretched hand.

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Imaging Case of the Week 531 Answer

EMergucate

The foot x-ray shows avulsion fracture of the base of the 2nd metatarsal (fleck sign) with mild widening of the … Continue reading →

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ECG of the Week 7th December 2022 – Interpretation

EMergucate

ECG of the week 7th December 2022 – Interpretation: There is a regular narrow complex tachycardia (QRS < 120ms, rate … Continue reading →

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ECG of the Week 14th December 2022

EMergucate

The following ECG was obtained in a 38 year old Indigenous man with a history of ischaemic cardiomyopathy at a regional hospital. He did not have a history of left bundle branch block previously.

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Imaging Case of the Week 530 Answer

EMergucate

The chest x-ray shows sail shaped density behind the heart with a parallel left heart border silhouetting the medial left … Continue reading →

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SGEM#385: If the Bones are Good, the Rest Don’t Matter – Operative vs Non-Operative Management of Scaphoid Fractures

The Skeptics' Guide to EM

Date: November 30th, 2022 Reference: Johnson et al. One-year outcome of surgery compared with immobilization in a cast for adults with an undisplaced or minimally displaced scaphoid fracture: A meta-analysis of randomized controlled trials. Bone Joint J 2022 Guest Skeptic: Dr.Matt Schmitz is an Orthopaedic Surgeon specializing in Adolescent Sports Medicine and Young Adult Hip Preservation. […] The post SGEM#385: If the Bones are Good, the Rest Don’t Matter – Operative vs Non-Operative Management

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Imaging Case of the Week 531

EMergucate

The following foot x-rays are from a 50 year old with plantar flexion injury to their foot and inability to … Continue reading →

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Journal Jam 21 Laceration Management – Does Timing of Closure, Irrigation, Gloves Type, Eversion Matter?

Emergency Medicine Cases

In this Journal Jam podcast Anton and Justin welcome special guest Dr. Haley Cochrane. We dive deep into the evidence for timing of closure and infection rate, fluid choice, volume and pressure of irrigation of lacerations, glove type and infection rate, how eversion of wound edges effects cosmetic outcomes and much more. You might be surprised to discover that the evidence for many things we do for lacerations that are considered "standard of care", is either weak or non-existent.

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EMC Journal Club 1 – Does Treating Fever Make A Difference?

Emergency Medicine Cases

In this first EMC Journal Club (where we take the "boring" out of journal clubs and deliver clear, concise, practical practice changing critical appraisal knowledge based on an Emergency Medicine journal article that may have passed your radar - not too detailed and not too brief), Dr. Rohit Mohindra, an Emergency Physician at North York General in Toronto and SREMI researcher works his critical appraisal magic on the article "Fever therapy in febrile adults: systematic review with meta-analyses

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ECG of the Week 30th November 2022 – Interpretation

EMergucate

ECG of the Week 30th November 2022 – Interpretation This ECG was used to illustrate how a systematic approach ensures … Continue reading →

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ECG of the Week 7th December 2022

EMergucate

Paramedics ring through to say that they are 10 minutes away with a 65 year old man who has a heart rate of approximately 170 with a thready pulse and a systolic blood pressure of 90.

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Imaging Case of the Week 530

EMergucate

The chest x-ray is from a 60 year old smoker with dyspnea. What can be visualized?

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ECG of the Week 23rd November 2022 – Interpretation

EMergucate

Interpretation of ECG from 23 November 2022 The most obvious abnormality is ST segment elevation in leads I and aVL … Continue reading →

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ECG of the Week 30th November 2022

EMergucate

A 52 year old woman is triaged as a category 2 after complaining of chest tightness on the background of having previous cardiac history.

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EM Quick Hits 44 Fluids in Pancreatitis, Nasal Fractures, Delirium, DOSE VF, Intimate Partner Violence

Emergency Medicine Cases

In this EM Quick Hits podcast: Justin Morgenstern on fluids in pancreatitis, Leeor Sommer on nasal fractures, Christina Shenvi on delirium, Sheldon Cheskes and Rohit Mohindra on Dose VF, and Noor Khatib and Kari Sampsel on intimate partner violence. The post EM Quick Hits 44 Fluids in Pancreatitis, Nasal Fractures, Delirium, DOSE VF, Intimate Partner Violence appeared first on Emergency Medicine Cases.

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ECG of the Week 16th November 2022 – Interpretation

EMergucate

Interpretation of ECG from 16 November 2022 The most obvious abnormality is ST segment elevation inferiorly (II, III, aVF) in … Continue reading →

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