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SAEM Clinical Images Series: Neonatal Rash

ALiEM

An 18-day-old male presented for a rash on his face for two days. The patient was born via spontaneous vaginal delivery full term without complications to a mom who has a history of genital HSV but without active lesions at delivery and on acyclovir. The patient presented with a vesicular rash on his face including around his eyes. He had conjunctival discharge noted by mom.

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CMS Ambulance Open Door Forum: Rescheduled

American Ambulance Association

The Ambulance Open Door Forum has been rescheduled from March 14th to NEW DATE date, April 11th at the same time of 2:00pm-3:00pm ET. Thank you. Register Here Overview: The […] The post CMS Ambulance Open Door Forum: Rescheduled appeared first on American Ambulance Association.

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SGEM#341: You Make Me Feel Like a Natural Treatment

The Skeptics' Guide to EM

Reference: Li, T., & Gal, D. (2023). Consumers prefer natural medicines more when treating psychological than physical conditions. Journal of Consumer Psychology 2023, Date: February 23, 2024 Guest Skeptic: Ethan Milne is a Marketing PhD student at the Ivey Business School (Western University). He researches how moral outrage and status-seeking personalities motivate social media aggression, and how […] The post SGEM#341: You Make Me Feel Like a Natural Treatment first appeared on The Skeptics G

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Lab case 438

EMergucate

Answers: PH = 7.39, that is within normal range/ pCO2 = 48 mmHg, that is slightly elevated (Can be considered normal for venous blood) HCO3 = 29 mmol/L.

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Better Watch Your Back… Finding the Needle in the Haystack.

Core EM

The Case A 71-year-old male with a history of chronic obstructive pulmonary disease, hyperlipidemia, and peptic ulcer disease presents to the emergency department with substernal chest pain radiating down the right arm and dyspnea that began acutely while “running” up the stairs from the subway. The following ECG is obtained upon arrival to the emergency department.

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ACMT Toxicology Visual Pearl: Salt, not Shock

ALiEM

What agent would most likely be responsible for these ECG findings? Cyclobenzaprine Digoxin Flecainide Sotalol Reveal the Answer 3. Flecainide Background [1-3] Flecainide is a class IC antiarrhythmic that binds to the voltage-gated sodium channel of the myocardium, slowing depolarization and prolonging phase 0 of the action potential. In toxicity, bradydysrhythmias, AV nodal blockade, ventricular tachycardia, and rate-dependent QRS widening occur.

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EMS Gives Life | EMT Dave and Wife Kelly Need Your Help

American Ambulance Association

Dave and Kelly’s Inspiring Journey Meet Dave Raymond, a dedicated firefighter EMT, and his wife, Kelly, who has been on a courageous four-year quest to find a kidney donor. In […] The post EMS Gives Life | EMT Dave and Wife Kelly Need Your Help appeared first on American Ambulance Association.

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Proton Pump Inhibitor Use and Risk of Serious Infections in Young Children

EMergucate

Proton Pump Inhibitor Use and Risk of Serious Infections in Young Children Marion Lassalle, PharmD, PhD1; Mahmoud Zureik, MD, PhD1,2; Rosemary Dray-Spira, MD, PhD1 August 14, 2023 doi:10.1001/jamapediatrics.2023.

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TIRBO 55: Bowel regimens

Critical Care Scenarios

How I make patients poop. Find us on Patreon here! Buy your merch here! How I make patients poop. Find us on Patreon here! Buy your merch here!

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How will you save this critically ill patient? A fundamental and lifesaving ECG interpretation that everyone must recognize instantly.

Dr. Smith's ECG Blog

Written by Pendell Meyers A woman in her 30s called EMS for acute symptoms including near-syncope, nausea, diaphoresis, and abdominal pain. EMS arrived and found her to appear altered, critically ill, and hypotensive. An ECG was performed: What do you think? Extremely wide complex monomorphic rhythm just over 100 bpm. The QRS is so wide and sinusoidal that the only real possibilities left are hyperkalemia or Na channel blockade.

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GoAERO Competition + Informational Webinar Details

American Ambulance Association

From GoAEROprize.com Heroes who look past danger to help people in need, Heroes to step in to be the difference between triumph and tragedy, And Heroes who use their minds to […] The post GoAERO Competition + Informational Webinar Details appeared first on American Ambulance Association.

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The Most Important Disasters Rural Hospitals Must be Prepared For

SSCOR

Because there are always many unknowns, preparing for a disaster is an enormous undertaking. For rural hospitals, this challenge is further amplified due to issues such as remote location, limited resources, and staffing shortages. Yet by actively preparing for the types of disasters that rural hospitals are most likely to face, such difficulties can be lessened.

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ECG of the Week – Feb 28th 2024

EMergucate

The following ECG is from a 40-year-old man who presents overnight with left sided sharp chest pain which has woken him from sleep. He describes the pain as radiating into his left arm.

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First10EM Journal Club: February 2024

Broome Docs

Welcome to the first episode for 2024 – and we have a range of papers covering the big life threatening issues to the tiniest pinky finger injuries and a lot in between. There is something for everyone in here! We try to answer a few questions that you may have not even pondered such as: should all Psych patinets get an MRI? Should you replace fingernails on crushed digits?

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Tachycardia and hyperkalemia. What will happen after therapy with 1 gram of Ca gluconate and some bicarbonate?

Dr. Smith's ECG Blog

A 20-something type, 1 diabetic presented by EMS with altered mental status. Blood pressure was 117/80, pulse 161, Resp 45, SpO2 100 on oxygen. Here is the 12-lead ECG: Wide complex tachycardia What do you think? The providers thought that this wide QRS was purely due to (severe) hyperkalemia. They treated with 4 ampules (200 mL) of bicarb and 1 gram of calcium gluconate.

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CMS Releases New GADCS Tip Sheet for Rural, Super Rural Services

American Ambulance Association

The Centers for Medicare & Medicaid Services (CMS) released a new “Reporting for Rural and Super-Rural Organizations Tip Sheet” on February 16, 2024. This guide assists ground ambulance organizations in […] The post CMS Releases New GADCS Tip Sheet for Rural, Super Rural Services appeared first on American Ambulance Association.

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Making a medical podcast using AI

Life in the Fastlane

Sheralyn Guilleminot and Franz Wiesbauer Making a medical podcast using AI AI can work for Spotify's music DJ, so we wondered if it can also work for a cardiology podcast intended for clinicians. Here are the pros and cons we discovered.

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ECG of the Week – 21st February 2024

EMergucate

The following ECG is from a 60 year old lady with chest pain and dyspnoea a few hours after finishing a triathlon. At the scene she was hypothermic at 32 degrees.

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EMT Essentials: Mastering SAMPLE History and OPQRST Pain Assessment Techniques

EMT Training Station

In the fast-paced and critical world of emergency medical services, EMTs are often the first healthcare professionals to interact with patients in distress. The initial assessment of a patient can be crucial in determining the course of treatment and can significantly impact outcomes. This is where the SAMPLE history and OPQRST pain assessment come into play, serving as essential tools in an EMT’s diagnostic arsenal.

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Journal Feed Weekly Wrap-Up

EMDocs

We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: How to Treat Infected Kidney Stones Spoon Feed All patients with infected ureteral stones necessitate a urine culture, antibiotics, and urology consultation in the ED, with the majority requiring admission for surgi

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The Research Roundup (February 2024)

First 10 EM

Welcome back to another edition of the research roundup, where we discuss an eclectic collection of articles selected through the very rigorous process of whatever I happened to find interesting in my recent reading. The BroomeDocs podcast version can be found here: [link] Putting nail bed repair to bed? Jain A, Greig AVH, Jones A, […] The post The Research Roundup (February 2024) appeared first on First10EM.

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St Emlyn’s podcast round up January 2024.

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed Our regular podcast round up with @docib and @emmanchester of the best of the blog from January 2024. This month we focus on habits, the management of the comatose overdose patient and retention/recruitment issues in UK emergency medicine. #foamed @stemlyns The post St Emlyn’s podcast round up January 2024. appeared first on St.Emlyn's.

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Lab case 439

EMergucate

61-year-old man presented to ED with hypoglycemia that was difficult to correct with oral and IV dextrose.

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Effect of Noninvasive Airway Management of Comatose Patients With Acute Poisoning: A Randomized Clinical Trial

EMOttawa

Methodology: 3.5/5 Usefulness: 3/5 Freund Y, et al. JAMA. 2023 Dec 19;330(23):2267-2274. Question and Methods: Multicenter RCT involving comatose patients with suspected acute poisoning and GCS <9 compared a conservative airway strategy of withholding intubation versus routine practice for the primary hierarchical composite end point of in-hospital death, length of ICU stay, and length of […] The post Effect of Noninvasive Airway Management of Comatose Patients With Acute Poisoning: A

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emDOCs Videocast: EBM Update – Pancreatitis

EMDocs

Welcome to the emDOCs Videocast – please subscribe to our YouTube channel. These videos will cover post summaries, take homes on clinical condition, and EBM/guideline literature updates. Today we look at the WATERFALL trial and hypertriglyceridemic pancreatitis. The post emDOCs Videocast: EBM Update – Pancreatitis appeared first on emDOCs.net - Emergency Medicine Education.

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Free 50 Question NREMT – Basic Practice Exam

EMT Training Station

As an EMT veteran and EMT instructor, I can’t stress enough the importance of NREMT basic exam practice tests. They’re not just about memorizing stuff; they get you in tune with the exam’s feel and type of questions. The real deal is about quick thinking under pressure, much like in the field. Practicing also eases your nerves, helping you spot your weak spots.

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CPD update for UoT CPD conference, Whistler 2024. St Emlyn’s

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed Key papers from the university of toronto CPD update in emergency medicine Whistler 2024 #uoftem24 #FOAMed #EBM #EM @stemlyns @davidcarr333 The post CPD update for UoT CPD conference, Whistler 2024. St Emlyn’s appeared first on St.Emlyn's.

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Imaging Case of the Week 584

EMergucate

The neck x-ray is from an adult patient with dysphagia after dinner. What can be seen?

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Lacerations: The secrets they don’t want you to know

EMOttawa

Lacerations are a common presenting complaint to emergency department. In 2013, in the United States there were 7 million visits to the emergency department (ED) for lacerations making up a total of 5.2% of ED visits(1). Let’s review some of the evidence (or lack thereof) surrounding laceration repair so that we can be better at […] The post Lacerations: The secrets they don’t want you to know appeared first on EMOttawa Blog.

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EMCrit 369 – Iodinated Contrast Issues: Part 1 – Is Contrast-Induced Nephropathy (CIN) a Thing in Patients with Tenuous Renal Function

EMCrit Project

Do you still need to worry about contrast in patients with tenuous renal function? EMCrit Project by Scott Weingart, MD FCCM.

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emDOCs Videocast: EBM Update – Fluids in Pancreatitis and Hypertriglyceridemic Pancreatitis

EMDocs

Welcome to the emDOCs Videocast – please subscribe to our YouTube channel. These videos will cover post summaries, take homes on clinical condition, and EBM/guideline literature updates. Today we focus on pancreatitis. Fluids in Pancreatitis #1 : de-Madaria E, Buxbaum JL, Maisonneuve P, et al; ERICA Consortium. Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis.

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Performing Respiratory Assessments on Geriatric Patients

SSCOR

It’s a Sunday evening, and your team is alerted by dispatch that a 73-year-old woman was eating dinner at her son's house when she started having chest pain and difficulty breathing. She's still conscious but is in a good deal of discomfort, and you know that you’ll have to perform a respiratory assessment upon arrival. While riding to the scene, you also start thinking about the special considerations you’ll need to take in the assessment because of the patient’s age.

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Lab case 437 interpretation

EMergucate

Answers: PH = 7.34, that is very mild acidaemia. HCO3 = 14 mmol/L. So, we have metabolic acidosis. Next we need to calculate Anion Gap and compensation.

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Episode 107: Cardiac and Non-Cardiac Chest Pain with Dr. Mike Berkenbush

The Overrun Podcast

Summary Dr. Mike Berkenbush joins the podcast to discuss the challenges in EMS education on differentiating chest pain. The conversation highlights the need for a broader approach to chest pain, beyond just focusing on heart attacks. The importance of field impression and open-ended questions in assessment is emphasized. The discussion also explores the physiological differences in chest pain presentation and the potential mimics of chest pain, such as pericarditis and aortic dissection.

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NIV for status asthmaticus

Don't Forget the Bubbles

Non-invasive BiPAP can be a successful ventilation strategy for status asthmaticus, removing the need for intubation and the complications associated with this. A 6-year-old known asthmatic presents to ED with a two-day history of cough and coryza, worsening wheeze and work of breathing over the last day. He is usually managed with beclomethasone twice daily and salbutamol as needed.

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emDOCs Revamp – Corneal Abrasion

EMDocs

Authors: Katey DG Osborne, MD (EM Attending Physician: Tacoma, WA) and Rachel Bridwell, MD (EM Attending Physician: Tacoma, WA) // Reviewed by: Alex Koyfman, MD (@EMHighAK, EM Attending Physician, UTSW / Parkland Memorial Hospital); Brit Long, MD (@long_brit, EM Attending Physician, San Antonio, TX) Welcome to emDOCs revamp! This series provides evidence-based updates to previous posts so you can stay current with what you need to know.

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Understanding Different Cardiac Imaging Techniques: MRI, CT, and Echocardiography Explained

Paramedics World

There’s no organ as incredible as the human heart. It pulses at roughly 80 beats per minute. And if you do the math, most people will experience under four billion… The post Understanding Different Cardiac Imaging Techniques: MRI, CT, and Echocardiography Explained appeared first on Paramedics World.