EMCrit Project
APRIL 3, 2023
(Blogitorials are short, informal blogs that are written in the spirit of a tweetorial). Stress hyperglycemia is an everyday occurence in the ICU, but we hardly know how to treat it. I've been waiting years for this topic to be clarified… but I've realized that such clarity will probably never be reached. Why? The traditional […] EMCrit Project by Josh Farkas.
Pediatric EM Morsels
APRIL 7, 2023
There are many conditions that we would like to think belong only to the “ adult patient problem DDx; ” however, as we have discussed several times previously, pediatric patients can experience many “adult conditions” (see, Aortic Dissection , Kidney Stones , and Cholecystitis ). Those conditions usually have a substantial risk factor and one of the most risky of risk factors is Sickle Cell Disease !
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EMergucate
APRIL 3, 2023
The following chest x-ray is from a critically unwell patient. What can be seen? Answer will be posted later.
Critical Care Scenarios
APRIL 5, 2023
What does bacteremia mean to you? A brief overview of how this affects the picture of an infected patient. What does bacteremia mean to you? A brief overview of how this affects the picture of an infected patient.
EMCrit Project
APRIL 1, 2023
RACC Lit Review for March 2023 EMCrit Project by Scott Weingart, MD FCCM.
REBEL EM
APRIL 5, 2023
REBEL Core Cast 99.0 – Bundle Branch Blocks Click here for Direct Download of the Podcast Cardiac Conduction System (LITFL) Definition: Interruption of the normal conduction system leading to aberrant conduction and an abnormal QRS morphology Anatomy: At the AV node, conduction splits into the right and left bundle branches. The left bundle branch is composed of anterior and posterior branches.
EMergucate
APRIL 2, 2023
The chest X-ray shows. Right upper lobe collapse.
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Firefighters and EMS Fund
APRIL 6, 2023
The fire union in a small Massachusetts town, Manchester-by-the-Sea, has filed a complaint after a town official suggested that police officers train as volunteer firefighters. The suggestion has sparked a debate about the benefits and drawbacks of combining fire and police departments and training officers to serve in both roles. On the one hand, proponents […] The post The Debate Over Volunteer Fire Training: Fire Union Files Complaint After Town Official’s Suggestion appeared firs
Dr. Smith's ECG Blog
APRIL 6, 2023
This patient presented with complications of his dialysis fistula. Medical history: History of Ischemic Heart Disease History of Congestive Heart Failure Diabetes Mellitus requiring treatment with insulin Pre-operative serum creatinine >2 mg/dL He had this ECG recorded: What do you think? There is AV 2nd degree AV Block (Mobitz I, Wenckebach) with RBBB and LAFB The physicians recognized the RBBB and LAFB, but not the Wenckebach.
EMergucate
APRIL 2, 2023
The pelvic X-ray shows. Ischial tuberosity avulsion fracture on the left side. This is due to hamstring pull.
Broome Docs
APRIL 6, 2023
We are back with the long-windiest and borderline funny Emergency Medicine journal club to date. Justin and I are covering some big new trials, some old and unusual papers and a few that just might change your practice. As always the links to the papers are in the write up below and you definitely should read them rather than believe a couple of nerds amusing themselves upon the internet.
EMT Training Station
APRIL 5, 2023
In the fast-paced and high-stress world of emergency medical services, EMTs and paramedics consistently go above and beyond to save lives and provide comfort to those in need. These unsung heroes work tirelessly, often sacrificing their own well-being to make a difference in the lives of others. With this in mind, it’s essential to show our appreciation and support for these incredible individuals.
Dr. Smith's ECG Blog
APRIL 4, 2023
Submitted by Dr. Dennis Cho (@DennisCho), written by Jesse McLaren A 70-year-old with no cardiac history presented with 2 hours of chest pain radiating to the neck, associated with shortness of breath. What do you think? There’s normal sinus rhythm, first-degree AV block, normal axis and voltages. R wave progression is abnormal: there are Q waves in aVL/V2-3 and loss of R wave in V2.
EMergucate
APRIL 3, 2023
Answers: Question 1: pH 7.62 that is moderate to severe alkalaemia HCO3 36mmol/L, so we have metabolic alkalosis.
K.S. Chew
APRIL 3, 2023
Do you find it difficult to grasp the concept of hypernatremia correction and how to calculate the amount of water deficit in patients? This video breaks down the formula using a simple and relatable analogy – diluting a bowl of salty soup!
University of Maryland Department of Emergency Med
APRIL 7, 2023
Acute lower back pain is a very common emergency department presenting complaint. Over the last several years there has been impetus to.
Dr. Smith's ECG Blog
APRIL 2, 2023
I was reading EKGs on the system and came across this one. I am always looking for EKGs that show either subtle OMI or OMI mimics. Which did I think this was? I suspected that this was a mimic. It is hard to say why. There is "inferior" ST depression, reciprocal to high lateral ST Elevation. The precordial leads have ST Elevation but also high voltage and look like possible LVH.
EMergucate
APRIL 3, 2023
70-year-old diabetic man presented with vomiting. His venous blood gases showed the following: PH = 7.
Ambulance Driver Files
APRIL 3, 2023
En Route: A Paramedic’s Stories of Life, Death and Everything In Between is now available in hardcover! Remember, if you’d like personalized and signed copies of my books, click one of the book covers on the right sidebar!
University of Maryland Department of Emergency Med
APRIL 6, 2023
Background: Intranasal dexmedetomidine has seen usage in the anesthesia and sedation realms over the past few years, with an increasing interest in usage in t.
Dr. Smith's ECG Blog
APRIL 7, 2023
There are 4 quizzes here on OMI ECG diagnosis: Beginner Novice Intermediate Advanced The first link on the page is to an ECG guide as a primer on OMI ECG diagnosis. These quizzes were written by Gregory Yates (an "FY 2 doctor" in the UK), Maddy Kahle (who is just finishing her 4th year of medical school at the U of MN), and aided by Romi Lee (another U of MN med student).
University of Maryland Department of Emergency Med
APRIL 4, 2023
Background: The use of steroids in pneumonia has long been controversial with conflicting data, and the recent ESCAPe randomized controll.
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