Sat.Oct 28, 2023 - Fri.Nov 03, 2023

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SGEM#419: Welcome Back – To Another Episode on Back Pain

The Skeptics' Guide to EM

Date: October 26, 2023 Reference: Jones et al. Opioid analgesia for acute low back pain and neck pain (the OPAL trial): a randomised placebo-controlled trial placebo-controlled trial. Lancet July 2023 Guest Skeptic: Dr. Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. He is also one of the world’s leading researchers […] The post SGEM#419: Welcome Back – To Another Episode on Back Pain first appeared on The Skeptics Guide

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ALiEM AIR Series | Trauma 2023 Module

ALiEM

Welcome to the AIR Trauma Module! After carefully reviewing all relevant posts in the past 12 months from the top 50 sites of the Digital Impact Factor [1], the ALiEM AIR Team is proud to present the highest quality online content related to related to trauma in the Emergency Department. 8 blog posts met our standard of online excellence and were approved for residency training by the AIR Series Board.

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How To Read a Scientific Paper

Don't Forget the Bubbles

Read between the lines. No matter where we are or what type of medicine we practice, it is likely that we all were told at one point that we were expected to be lifelong learners. This is important as medical knowledge is constantly evolving. Dr. David Sackett, the father of evidence-based medicine, once said: I The traditional way to stay current is by reading the relevant scientific literature.

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AAA Representatives Advocate for Protecting Consumer Access to Ground Ambulance Medical Services and Ending the Need for Balance Billing

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post AAA Representatives Advocate for Protecting Consumer Access to Ground Ambulance Medical Services and Ending the Need for Balance Billing appeared first on American Ambulance Association.

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Episode 190: Electrical Storm

Core EM

We discuss Electrical Storm (VT storm) and how to care for the very irritable heart. Hosts: Brian Gilberti, MD Reed Colling, MD [link] Download Leave a Comment Tags: Cardiology Show Notes Background/Overview of VT: Definition: What makes it a storm Three or more sustained episodes of VF, VT, or appropriate ICD shocks in a 24-hour period Pathophysiology: Understanding the origin and mechanism Sympathetic drive/adrenergic surge Underlying pathology: Sodium channelopathies, infiltrative disease li

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ACMT Toxicology Visual Pearl: Who Doesn’t Like a Nice Rosé?

ALiEM

What clinical presentation and medication is associated with this urinary discoloration? Critical illness requiring intubation and propofol sedation Cyanide toxicity requiring sodium thiosulfate Iron toxicity treated with deferoxamine Refractory vasoplegic shock treated with methylene blue Septic shock treated with vancomycin and cefepime Reveal the Answer 3.

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"Non-STEMI" is a worthless term.

Dr. Smith's ECG Blog

A 60 yo with 2 previous inferior (RCA) STEMIs, stented, called 911 for one hour of chest pain. He had no h/o heart failure. Here is the first prehospital ECG (time 0, after one hour of pain): I do not see evidence of OMI, and neither did the Queen of Hearts Here is the 2nd prehospital ECG (time 10 minutes, after 70 minutes of pain): No change On arrival, the first ED ECG was recorded 20 minutes after the last one (90 minutes after pain onset): What do you think?

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More Trending

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Residency Spotlight: Cleveland Clinic Akron General

ACEP Now

What does your program offer that residents can’t get anywhere else? We are the first community emergency medicine program in the country. Residents train at an academic Level I trauma center and several freestanding emergency departments (EDs). We offer innovative ultrasound training, which includes nerve blocks in the ED, and annually participate in SAEM Sonograms.

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Lung Chip Mimics Radiation Injury

Medgadget

Researchers at the Wyss Institute at Harvard University have developed a microfluidic chip that can recreate some of the features of radiation-induced lung injury. The lungs are very sensitive to radiation, and this can limit the application of radiotherapy to treat cancer. Accurately modeling radiation-induced lung injury could assist in developing new methods to prevent and treat the phenomenon, but it has been difficult to study this before the advent of advanced organ-on-a-chip models.

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Lab case 425 interpretation

EMergucate

Question 1: PH = 7.51, that is mild alkalaemia PCO2 = 28, that is less than 40. So we have respiratory alkalosis.

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2023 AAA Legislative Awards

American Ambulance Association

The American Ambulance Association is proud to announce the winners of the 2023 AAA Legislative Awards. Each Member of Congress is being recognized for their strong advocacy for emergency medical services […] The post 2023 AAA Legislative Awards appeared first on American Ambulance Association.

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TIRBO #47: Why do we prone?

Critical Care Scenarios

A review of the physiological and practical reasons to position patients with ARDS in the prone position. A review of the physiological and practical reasons to position patients with ARDS in the prone position.

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EMCrit RACC Lit Review – October 2023

EMCrit Project

All the lit goodness for Oct 2023 EMCrit Project by Scott Weingart, MD FCCM.

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Lab case 424 interepretation

EMergucate

Answers: Hb = 115 g/L, that is mild anaemia.

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Contrast Media Shortage of 2022 – Lessons Learned

EMDocs

Authors: Saran S. Pillai, MBBS (@sspillai01, EM Resident Physician, University of Kentucky) and Christopher N. Belcher, MD (EM Attending Physician, University of Kentucky, Department of Emergency Medicine) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University School of Medicine); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) “What do you call an IV contrast shortage?

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Bacteria Tag Team Tumors with T Cells

Medgadget

A team at Columbia University School of Engineering and Applied Science has developed a technique to enhance chimeric antigen receptor (CAR) T cell therapy in solid tumors. The technique involves engineering E. coli bacteria, that naturally tend to accumulate in the immune privileged core of solid tumors. The bacteria have been engineered to interact with tumor cells and deposit a synthetic antigen on the cells that can then be targeted by CAR T cells.

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See this "NSTEMI" go unrecognized for what it really is, how it progresses, and what happens

Dr. Smith's ECG Blog

Written by Nathanael Franks MD, reviewed by Meyers, Smith, Grauer, etc. A man in his 70s with past medical history of hypertension, dyslipidemia, CAD s/p left circumflex stent 2 years prior presented to the ED with worsening intermittent exertional chest pain relieved by rest. This episode of chest pain began 3 hours ago and was persistent even at rest.

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Lab case 425

EMergucate

51 year old man, recently returned from the middle east, presented with shortness of breath. His CXR was normal. His arterial blood gases showed the following: PH = 7.

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emDOCs Revamp: Esophageal Perforation

EMDocs

Authors: Katey DG Osborne, MD (EM Attending Physician; Tacoma, WA), Rachel Bridwell, MD (EM Attending Physician; Tacoma, WA) // Reviewed by: Alex Koyfman, MD (@EMHighAK, EM Attending Physician, UTSW / Parkland Memorial Hospital) and 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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Magnetoelectric Material Stimulates Neurons Minimally Invasively

Medgadget

Researchers at Rice University have developed a magnetoelectric material that converts a magnetic field into an electric field. The material can be formulated such that it can be injected into the body, near a neuron, and then an alternating magnetic field can be applied to the area from outside the body. Magnetic fields are very useful in this context, as they can easily penetrate tissue without causing any damage.

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Research Roundup (Perth live edition)

First 10 EM

As usual, a random smattering of articles. This group was presented as part of a live podcast recording at Sir Charles Gairdner Hospital in Perth, Australia, where I was honoured to be invited to be the WG Smith visiting lecturer. The guests helped select the papers, which means they are just as random as usual. […] The post Research Roundup (Perth live edition) appeared first on First10EM.

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Neonate Resus Review

University of Maryland Department of Emergency Med

Term? Tone? Tantrum? Immediately after delivery, your initial neonatal assessment should evaluate for: - Appearance of fu.

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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 Useful Is Lactate Clearance Anyway? Spoon Feed Don’t hang your hat on lactate clearance to assess therapeutic response to resuscitation in sepsis; there are too many confounders, and initial clearance does not n

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Eko’s Newest CORE 500 Stethoscope: A Review

Medgadget

Arriving in two boxes reminiscent of Apple product packaging – one for the chest piece (the part that contacts the body), and another for the detachable earpiece (tubes + ear tips) – the CORE 500 is clearly an upgrade from the Eko DUO stethoscope. Similar to its predecessor, the CORE 500 can be used with your own headphones, smart phone, and just the chest piece, making it free of any hassle with the earpiece tubes.

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STRESS-L: Landiolol and Organ Failure in Patients With Septic Shock

The Bottom Line

Landiolol and Organ Failure in Patients With Septic Shock Whitehouse. JAMA Published online October 25, 2023. doi:10.1001/jama.2023.20134 Clinical Question In patients with tachycardia and septic shock who are treated with high dose norepinephrine does the use of β-blockade for up to 14 days reduce organ failure compared to standard care?

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IV Fluid Resuscitation in the Critically Ill

University of Maryland Department of Emergency Med

IV Fluid Resuscitation IVF administration is one of the most common interventions in the resuscitation of critically ill patients.

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Orange County Fire Authority: Leading with Data

FirstWatch

Transparency is good. But data without context can mislead. How OCFA leverages data to tell a more complete story. “A critical component of our work is accurately identifying and describing the problems we face as a fire department and as a community,” says Orange County Fire Authority Chief Brian Fennessy. “Once we’ve identified a problem, then we can address it.

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Milestones and Breakthroughs

Ambulance Driver Files

Hit a couple of personal records running in the pool today:Did 75 laps in 60 minutes, a personal best. Hit 100 laps in 82 minutes, also the most ever.Kept going and hit 109 laps in 90 minutes, although the last nine or so were more of a drunken weave/stagger.354 pounds on the scale today, another.

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5 Ballot Measures From Around The Country Impacting Local Fire Departments

Firefighters and EMS Fund

Firefighters and EMS Fund is sharing 5 ballot measures from around the country we are keeping an eye on- from tax renewals to the relocation of fire stations; here are some of the measures local fire departments are putting before voters this November 7th: Liberty Township, Ohio The Township of Liberty needs to renew its […] The post 5 Ballot Measures From Around The Country Impacting Local Fire Departments appeared first on Firefighters and EMS Fund.

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Pharmacists Make a Difference

University of Maryland Department of Emergency Med

Spanish investigators conducted a 6-month, prospective, observational study to determine the impact of emergency department pharmacists on.

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Orange County Fire Authority: Leading with Data

FirstWatch

Transparency is good. But data without context can mislead. How OCFA leverages data to tell a more complete story. “A critical component of our work is accurately identifying and describing the problems we face as a fire department and as a community,” says Orange County Fire Authority Chief Brian Fennessy. “Once we’ve identified a problem, then we can address it.

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BLS Renewal: Key Facts and Must-Know Information

NHCPS Save a Life

In the emergency medical care sector, Basic Life Support (BLS) stands as a critical cornerstone. It comprises a comprehensive repertoire of life-saving techniques and essential tools, each honed to perfection in the action of high-stress situations. From the well-practiced hands of healthcare providers and first responders to the caring touch of good Samaritans, BLS represents […] The post BLS Renewal: Key Facts and Must-Know Information appeared first on SaveaLife.com.

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Tiny Tips: Hematuria: IS THIS PP RED?

CanadiEM

Mnemonics to remember differential diagnoses are usually cumbersome, difficult to remember, and unnecessary. However, sometimes one stands above the crowd. Sometimes, one is so perfect that the world around you seems brighter… the greens greener… the sky bluer… your lunch tastier… Feel your mental status exam improve as I present to you “IS THIS PP RED?

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EMS, Documentation, and Continuation of Care in Stroke Patients

University of Maryland Department of Emergency Med

BACKGROUND: Prehospital (EMS) clinicians are positioned on the front lines of health care. With respect to stroke identification and treatment, ea.

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Embark on the EMS Odyssey: EMT to Critical Care Paramedic

The FllightBridge ED

The realm of emergency medical services (EMS) is one of constant evolution, where professionals are continually called upon to enhance their skills, knowledge, and expertise.

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What Can EMS Learn From A Ketamine Infusion Clinic? W/ Chris Carlstrom

FOAMfrat

Chris Carlstrom is a flight nurse at Life Link III and also works part-time at a ketamine infusion clinic. We’ve had some exciting conversations on shift regarding his experiences with ketamine in the clinic versus emergency medicine, and I finally was able to get one of these conversations recorded for the podcast. Enjoy Podcast 163 - What Can We Learn From A Ketamine Infusion Clinic?

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Top 14 Blogs and Podcasts for EMTs and Paramedics

Unitek EMT

Gain valuable insights, real-world news, and the latest trends in EMS. Continuous learning and staying updated are of paramount importance for EMTs and paramedics, as the field of emergency medical services is constantly evolving. New medical techniques, equipment, and protocols emerge, and it’s crucial for these healthcare professionals to stay abreast of the latest advancements […] The post Top 14 Blogs and Podcasts for EMTs and Paramedics appeared first on Unitek EMT.

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