Dr. Smith's ECG Blog
OCTOBER 7, 2022
Written by Magnus Nossen — with edits by Grauer. I was at my computer going through admission ECGs from the previous day when I saw this ECG from a female in her 70s. The chief complaint was chest pain. What do you think? ECG #1 My initial reaction — "Oh! Could this be a missed posterior OMI?" My interpretation: The ECG in today’s case shows sinus rhythm with a normal QRS duration.
EMCrit Project
OCTOBER 21, 2022
Every Resus doc should be able to crash a patient on to APRV for lung rescue. EMCrit Project by Scott Weingart, MD FCCM.
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EMergucate
OCTOBER 30, 2022
The knee x-ray shows Segond fracture.
Emergency Medicine Cases
OCTOBER 25, 2022
In this main episode podcast, Dr. Arun Sayal creator of the CASTED course and Dr. Yatin Chadha a radiologist with a fellowship in MSK radiology, join Anton for Part 1 of 2 podcasts on Emergency Orthopedic Injuries. This episode focuses on a differential diagnosis of MSK injuries that are occult to X-ray with the help of the SCARED OF mnemonic. It ensures we pick up all the “can’t miss” diagnoses that can be easily overlooked when we do not integrate a pointed history and physical exam with the X
The Skeptics' Guide to EM
OCTOBER 22, 2022
Date: October 18th, 2022 Reference: Moore et al. Head and thorax elevation during cardiopulmonary resuscitation using circulatory adjuncts is associated with improved survival. Resuscitation 2022 Guest Skeptic: Clay Odell is a Paramedic, Firefighter, and registered nurse (RN). Case: You are the Chief of your local Fire and EMS Department, and an individual contacts you saying […] The post SGEM#380: OHCAs Happen and You’re Head Over Heels – Head Elevated During CPR?
Critical Care Scenarios
OCTOBER 12, 2022
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.
Dr. Smith's ECG Blog
OCTOBER 1, 2022
OMI Manifesto About Resources Teaching Images Lectures + Podcasts Rules + Equations OMI Literature Timeline OMI Facts and References The OMI Quizzes OMI Pocket Guide Cardiac CATH Guide QTc Calculator Lead Reversals-Artifact Neuroprotective CPR OMI AI: The Queen of Hearts Saturday, October 1, 2022 Simultaneous beats show how STE can be hidden in RBBB In PM EKGs Posted by Steve Smith at 11:24 AM Email This BlogThis!
Paramedicine Now brings together the best content for paramedicine professionals from the widest variety of thought leaders.
EMergucate
OCTOBER 30, 2022
The chest x-ray view shows a widened mediastinum.
Emergency Medicine Cases
OCTOBER 11, 2022
In this month's ECG Cases blog Dr. McLaren explains the PACER mnemonic approach to patients with pacemakers: Pacemaker spike: is it appropriately presence/absent, is there pacemaker-mediated tachycardia (apply magnet) or is there failure to pace (apply magnet to stop sensing, cardio consult)? Aware (sensing): is it normal, is there oversensing (underpacing: apply magnet) or undersensing (treat reversible causes, cardio consult).
The Skeptics' Guide to EM
OCTOBER 1, 2022
Date: September 28th, 2022 Reference: Hartford et al. Disparities in the emergency department management of pediatric migraine by race, ethnicity, and language preference. AEM September 2022. Guest Skeptic: Dr. Lauren Westafer is an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School – Baystate.
EMCrit Project
OCTOBER 7, 2022
A review on dealing with HeartMate 3 (most common LVAD you will see) Emergencies. EMCrit Project by Katrina Augustin.
Critical Care Scenarios
OCTOBER 26, 2022
Updates on the podcast, including how to claim credit for continuing education, how to support us by becoming a patron or buying merchandise, and our general perspective on making money through free medical education. Find us on Patreon here! Buy your merch here! Updates on the podcast, including how to claim credit for continuing education, how to support us by becoming a patron or buying merchandise, and our general perspective on making money through free medical education.
Medgadget
OCTOBER 11, 2022
Researchers at the University of California San Francisco have developed a suite of video games that have been designed to improve cognition in older adults who are otherwise healthy. The games aim to recreate common activities, such as banging a drum or driving a car. They also include a sophisticated algorithm that automatically adjusts the game difficulty depending on how well someone is playing, helping to stop less skilled players from becoming overwhelmed and more skilled players from beco
EMergucate
OCTOBER 25, 2022
A 37 year old male presents to ED complaining of central chest pain.
Emergency Medicine Cases
OCTOBER 11, 2022
On this month's EM Quick Hits podcast: Best of University of Toronto EM with Yaron Finkelstein on pediatric cannabis poisoning pitfalls, Brit Long on recognition and management of esophageal perforation, Jesse McLaren on 3 questions to diagnose Brugada Syndrome, Tahara Bhate on QI Corner, Constance Leblanc on maintaining wellness in career transitions from CAEP 2022.
The Skeptics' Guide to EM
OCTOBER 15, 2022
Date: October 5th, 2022 Reference: Top Gun 1986 Guest Skeptic: Dr. Chris Carpenter is Professor of Emergency Medicine in the Department of Emergency Medicine at Washington University in St. Louis and co-wrote the book on “Evidence-Based Emergency Care: Diagnostic Testing and Clinical Decision Rules”. Chris will be moving to Rochester, Minnesota soon to become the Vice Chair of […] The post SGEM Xtra: Lead Me On – What I Learned from Top Gun first appeared on The Skeptics Guide to Emergency Medi
EMCrit Project
OCTOBER 3, 2022
3 great cases from the NeuroEMCrit Team. EMCrit Project by NeuroEMCrit Team (Casey & Neha).
Critical Care Scenarios
OCTOBER 19, 2022
Understanding the various needles in your central line kit, how to get really, really good at ultrasound guidance, what to do when your view stinks, and more needle-related tips. Understanding the various needles in your central line kit, how to get really, really good at ultrasound guidance, what to do when your view stinks, and more needle-related tips.
Medgadget
OCTOBER 11, 2022
At Johns Hopkins, clinical researchers have developed a set of surgical tools that allow them to more easily create a replacement ear for those born with malformed or missing ears. Currently, using cartilage harvested from the ribs, surgeons can create a new ear, but the process is difficult and requires some artistic talent to sculpt the cartilage into the right shape.
EMergucate
OCTOBER 25, 2022
70 year old with syncope & hypotension. Answer will be posted in a few days.
The Overrun Podcast
OCTOBER 31, 2022
Kevin Hazzard is a paramedic and author who wrote the book A Thousand Naked Strangers , detailing his time as a ground paramedic in Atlanta. He's back with a new story, one that you absolutely need to read. American Sirens : The Incredible Story of the Black Men who Became America's First Paramedics is the story of a handful of Black men from Pittsburgh who were chosen to become paramedics.
Broome Docs
OCTOBER 31, 2022
Ketamine vs etomidate in ICU intubation ? Matchett G, Gasanova I, Riccio CA, Nasir D, Sunna MC, Bravenec BJ, Azizad O, Farrell B, Minhajuddin A, Stewart JW, Liang LW, Moon TS, Fox PE, Ebeling CG, Smith MN, Trousdale D, Ogunnaike BO; EvK Clinical Trial Collaborators. Etomidate versus ketamine for emergency endotracheal intubation: a randomized clinical trial.
EMCrit Project
OCTOBER 26, 2022
Is there evidence for the classically taught nix on this medication? EMCrit Project by Scott Weingart, MD FCCM.
Critical Care Scenarios
OCTOBER 5, 2022
Ensuring patient and operator safety with Seldinger guidewires, with considerations such as losing wires, transecting them, and perforating vessels. Ensuring patient and operator safety with Seldinger guidewires, with considerations such as losing wires, transecting them, and perforating vessels.
Medgadget
OCTOBER 25, 2022
Researchers at Osaka University in Japan engineered a wearable electroencephalography (EEG) device that can measure brain activity, potentially letting clinicians monitor conditions such as depression or dementia. At present, assessing brain activity requires a trip to a facility with bulky and expensive equipment, making long-term monitoring difficult.
EMergucate
OCTOBER 18, 2022
The following knee x-ray is from a patient who has fallen from a height. What can be seen?
Dr. Smith's ECG Blog
OCTOBER 28, 2022
Cortland Ashbrook from Spokane County, Washington, sent this message: Hey doctor Smith, I wondered if you’d give me your opinion on these ECG tracings I took as a paramedic in the field? Case: The call was an elderly gentleman who was at home when he experienced a sudden onset of vague chest discomfort along with nausea, and left arm aching. It started while walking, and began to decrease at rest but never fully resolved.
Clinical Correlations
OCTOBER 28, 2022
By Amber Whitley, MD What comes to mind when you hear the word physician? Male, intelligent, arrogant, medicine, white, surgeon, healer, etc. Do you think of me, a black female physician in medicine? The number.
Prehospital Emergency Care Podcast
OCTOBER 27, 2022
PEC podcast Deep Dive Series! Happy Halloween PEC podcast listeners. While Halloween is all about fright, let's talk about the thing that scares a majority of prehospital clinicians, pediatrics. To be more specific, kids who are having seizures. To help assuage some of your fears the PEC podcast team (and guest interviewer) delve into the manuscript: The Effectiveness of Intranasal Midazolam for the Treatment of Prehospital Pediatric Seizures: A Non-inferiority Study with the author Denise
On Time Medical Transportation
OCTOBER 25, 2022
Over the past couple years, we’ve been doing what we call EMT Spotlights, showcasing individual stories here on our website and asking members of the On Time team a variety of questions about their work. One of our favorites is, “ Do you have any advice for new EMTs, or for people thinking about getting into this li ne of work? ” Here are some of the best responses that On Time employees have shared.
Medgadget
OCTOBER 25, 2022
Scientists at Oregon State University have developed a new treatment for COVID-19. The technology is based on mRNA, which has also been put to good use in COVID-19 vaccines. However, in this instance, the delivered mRNA encodes for human angiotensin-converting enzyme 2 (hACE2), which is the binding site for SARS-CoV-2 on airway cells. The lipid nanoparticle-encapsulated mRNA therapeutic is delivered to cells in the body, and then the cells begin to produce and release a free-floating form of hAC
EMergucate
OCTOBER 17, 2022
A 58 year old male presents to ED complaining of a headache and weakness to his left side.
Dr. Smith's ECG Blog
OCTOBER 25, 2022
Written by Bobby Nicholson MD, with edits by Meyers, Smith, Grauer A woman in her early 40s presented to the emergency department for evaluation of palpitations. She reported that she has been experiencing this since she was diagnosed with COVID a little over 1 week ago. She reported a prior history of SVT and has previously performed vagal maneuvers at home with symptom resolution.
NHCPS Save a Life
OCTOBER 19, 2022
2020-2025 ILCOR Guideline Updates While the ILCOR releases its updated guidelines and recommendations in 5-year cycles, with the last round of updates being the 2020-2025 guidelines, researchers have committed to a continuous evidence-evaluation process. These research-driven updates have allowed us to update our material as new recommendations emerge, ensuring our lifesavers are equipped with the […] The post Content Updates Based on the Latest ILCOR Guidelines appeared first on SaveaLife
Clinical Correlations
OCTOBER 19, 2022
By Michael Papazian Peer Reviewed Let’s start with a case. Mr. B is a 67-year-old male with a history of hypertension, type 2 diabetes, and coronary artery disease. As his primary care physician, you.
REBEL EM
OCTOBER 19, 2022
Take Home Points Severe hypocalcemia can cause hypotension and QTc prolongation leading to Torsades de Pointes. Treat moderate to severe symptoms and any EKG changes with IV calcium salts Always search for and treat the underlying cause of hypocalcemia REBEL Core Cast 88.0 – Hypocalcemia Click here for Direct Download of the Podcast Definition: A serum calcium level < 8.5 mg/dL or an ionized calcium level < 2.0 mEq/L Background Exists in two states Free ionized form (approx.
Medgadget
OCTOBER 5, 2022
Imperial College London researchers created a conductive cotton thread that can undergo a computerized embroidery process for incorporation into commercially produced textiles, such as t-shirts and face masks. The thread, called PECOTEX, can be used to create wearable health sensors, such as heart rate monitors, breathing monitors and even gas sensors, including ammonia sensors for the breath, which can provide information on liver and kidney function.
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