Mon.Apr 22, 2024

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Lab case 443

EMergucate

20 year-year-old man brought to ED after a car accident. His blood pressure was 80/41 and he was unconscious. His blood gases showed the following: PH = 6.

ED 130
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EPIC-SR: The negative paxlovid data Pfizer has been sitting on

First 10 EM

As mentioned in my most recent review, publication bias has been a major concern when trying to decide whether to prescribe paxlovid. Pfizer rushed to publish their positive study (EPIC-HR), but refused to release the results of a second simultaneous study (EPIC-SR) that was stopped (due to futility) at the exact same time. With the […] The post EPIC-SR: The negative paxlovid data Pfizer has been sitting on appeared first on First10EM.

EMS 133
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Imaging Case of the Week 588 Answer

EMergucate

The chest x-ray shows cardiomegaly & Oreo Cookie sign. The chest x-ray of this paediatric patient shows a massive cardiomegaly.

EMS 130
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Chest pain, resolved. Does it need emergent cath lab activation (some controversy here)? And much much more.

Dr. Smith's ECG Blog

A 50-something male with hypertension and 20- to 40-year smoking history presented with 1 week of stuttering chest pain that is worse with exertion, which takes many minutes to resolve after resting and never occurs at rest. It is a ssociated with mild dyspnea on exertion. At times the pain does go to his left neck. It was present on arrival at triage but then resolved before bed placement in the ED.

Coronary 119
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Imaging Case of the Week 589 Answer

EMergucate

The lumbar spine x-ray shows anterior compression fracture of L1 & fracture of spinous process of T12 vertebra.

EMS 130
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Dacryocystitis 

Don't Forget the Bubbles

You are called to the postnatal ward to review a 22-hour-old infant with feeding difficulties. On examination, two bluish, soft swellings are located medially to the inner canthus on both eyes. The infant is unsettled but has a mild fever. What do you do? What is dacryocystitis? Dacryocystitis is an inflammation of the lacrimal sac. This oval-shaped structure receives tear drainage from the eye and sits in a groove formed by the lacrimal bone and frontal process of the maxilla.

OR 83
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Imaging Case of the Week 590 Answer

EMergucate

The chest x-ray shows pneumomediastinum.

EMS 130

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Simulation Brain Wash

FOAMfrat

Simulation allows EMS clinicians to train for scenarios they may encounter in the field. Depending on the EMS providers, these scenarios may be ones that they have already encountered or those that they have yet to see in real life. The concept is simple: put providers in a simulated environment where they can form mental models and safely learn from mistakes, and they will perform better in real life.

E-9-1-1 78
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How Much O2 Is Right in COVID?

REBEL EM

Background: Hypoxemic respiratory failure is a frequent complicating feature of severe COVID-19 infection. Early in the pandemic, extensive efforts were made to identify the best approach to oxygenation in this group of patients. Best practices settled on aggressive use of non-invasive ventilation (NIV) and delaying invasive mechanical ventilation (IMV) where feasible.

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Beyond the Pain: Navigating Your Wisdom Teeth Removal Experience

Paramedics World

Wisdom teeth extraction is a common dental procedure that many undergo to prevent or address oral health issues. This article aims to provide a comprehensive overview of the process, from… The post Beyond the Pain: Navigating Your Wisdom Teeth Removal Experience appeared first on Paramedics World.

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Neonatal Nursing vs. Midwifery: Key Differences Between These Careers

Paramedics World

Neonatal nurses (sometimes known as NICU nurses) and midwives play an essential part in the healthcare industry and childbirth. Combined, both roles cover many tasks when it comes to pregnancy,… The post Neonatal Nursing vs. Midwifery: Key Differences Between These Careers appeared first on Paramedics World.