The Skeptics' Guide to EM
JULY 29, 2023
Date: July 21, 2023 Reference: McDonald et al. Patterns of change in prehospital spinal motion restriction: a retrospective database review. AEM July 2023 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. He is also an avid FOAM supporter/producer through various online outlets including TheSGEM.
Core Ultrasound
AUGUST 3, 2023
Basic POCUS Physics Knobology Color/Power Doppler
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American Ambulance Association
AUGUST 2, 2023
This content is for AAA members only. Please either Log In or Join! The post GAPBAC | Second Meeting August 16 appeared first on American Ambulance Association.
EMergucate
AUGUST 1, 2023
The chest x-ray is from an elderly patient with dislocated hip. What can be seen? Answer will be posted later.
EMS 12-Lead
JULY 30, 2023
David Didlake, FF/EMT-P, AG-ACNP @DidlakeDW An elder female presented to the ED with worsening shortness of breath. She was known to have a history of poorly controlled COPD, AFib, and multivessel coronary disease. Specific to the latter, she was previously deemed not appropriate for CABG (complex rationale) with preference for optimized medical management, instead.
Core Ultrasound
AUGUST 1, 2023
Basic POCUS Physics Knobology PW and CW Doppler
Critical Care Scenarios
AUGUST 2, 2023
We chat with friend of the podcast Matt Siuba (@msiuba), Mr. Zentensivist, to share our distinct perspectives on the relationship between APPs (PAs or NPs) and the intensivists we work alongside. We chat with friend of the podcast Matt Siuba ( @msiuba ), Mr. Zentensivist, to share our distinct perspectives on the relationship between APPs (PAs or NPs) and the intensivists we work alongside.
Paramedicine Now brings together the best content for paramedicine professionals from the widest variety of thought leaders.
Don't Forget the Bubbles
AUGUST 2, 2023
What is Complex Regional Pain Syndrome? Complex regional pain syndrome (CRPS) is a chronic neuropathic pain condition characterized by spontaneous and evoked regional pain disproportionate in magnitude or duration to the typical course of pain after similar tissue trauma. The multifactorial pathophysiology involves pain dysregulation in the sympathetic and central nervous systems, with likely genetic, inflammatory, and psychological contributions.
ACEP Now
AUGUST 1, 2023
Each year, ACEP’s Council elects new leaders for the College at its meeting. The Council, which represents all 53 chapters, 40 sections of membership, the Association of Academic Chairs of Emergency Medicine, the Council of Emergency Medicine Residency Directors, the Emergency Medicine Residents’ Association, and the Society for Academic Emergency Medicine, will elect four members to the ACEP Board of Directors when it meets in October, along with a new President-Elect, Council Speaker and Counc
EMDocs
AUGUST 3, 2023
Authors: Eric Sabatini Regueira, MD (Emergency Medicine PGY-3, Carolinas Medical Center, Charlotte, NC) and Ann-Jeannette Geib, MD (Emergency Physician/Medical Toxicologist, Carolinas Medical Center, Charlotte, NC)// Reviewed by: James Dazhe Cao, MD (@JamesCaoMD, Associate Professor of EM, Medical Toxicology, UT Southwestern Medical Center, Dallas, TX); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case: A 26-year-old female with history of depression presents to the ED after ingestin
EMergucate
JULY 31, 2023
Question 1: PH = 7.13, that is moderate acidaemia. HCO3 = 9.4 mmol/L, Accordingly, it is metabolic acidosis.
EMCrit Project
JULY 30, 2023
Lower dose peripheral infusion for sick pulmonary embolism patients EMCrit Project by Scott Weingart, MD FCCM.
Dr. Smith's ECG Blog
AUGUST 3, 2023
? OMI Pocket Guide The OMI Pocket Guide ( [link] ) is a user-friendly online resource designed to help healthcare professionals learn how to recognize subtle signs of acute coronary occlusion on the ECG which represent occlusion myocardial infarctions (OMI). Learning to recognize OMIs is an important clinical skill because it helps identify the subpopulation of "NSTEMIs" who are likely to be found with total thrombotic occlusion at the time of cardiac catherization.
EMDocs
JULY 29, 2023
Authors: Veronica Morgan, MD (EM Resident Physician: UTSW – Dallas, TX); Andrew Stricklin, MD (Assistant Professor of EM/Attending Physician: UTSW – Dallas, TX) // Reviewed by: Sophia Görgens, MD (EM Resident Physician, Zucker-Northwell NS/LIJ, NY); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Alex Koyfman, MD (@EMHighAK) ; Brit Long, MD (@long_brit) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providing an exp
Medgadget
AUGUST 4, 2023
Researchers at Chalmers University of Technology in Sweden have developed a new technique that could allow above-elbow amputees to better use robotic prostheses, including making individual finger movements. Unlike below-elbow amputees, these patients have a more limited number of remnant muscles with which to produce fine control of multiple bionic structures, such as bionic fingers.
EM Literature of Note
AUGUST 1, 2023
In case you missed this beautiful little article, it’s worth re-highlighting regarding the paradoxical “cost” of “quality” In theory, high-quality care is its own reward. Timely actions and interventions, thoughtful and thorough evaluations, and appropriate guideline adherence when applicable are all goals with reasonable face validity for healthcare delivery.
University of Maryland Department of Emergency Med
JULY 29, 2023
This systemic review and meta analysis looked at major adverses events (hypoxia, cardiovascular instability, or cardiac arrest) in patients.
EMDocs
AUGUST 1, 2023
Here’s another case from Medical Malpractice Insights – Learning from Lawsuits , a monthly email newsletter for ED physicians. The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. To opt in to the free subscriber list, click here. Stories of med mal lawsuits can save lives.
Medgadget
AUGUST 2, 2023
Scientists at Queen Mary University of London have developed an artificial muscle that can change from soft to hard in response to a voltage change. The technology aims to mimic human muscles in both its movements and in its ability to sense forces and deformation. The muscle is made using carbon nanotubes that have been coated with silicone to form a cathode that can also sense forces, and an anode made from a soft metal mesh, forming an actuation layer between the anode and cathode.
The Bottom Line
AUGUST 4, 2023
In adult patients with acute decompensated heart failure (ADHF), does the addition of acetazolamide to loop diuretics improve decongestion by day 3?
University of Maryland Department of Emergency Med
JULY 30, 2023
Ectopic pregnancy ranges from 3 to 13% in symptomatic first-trimester ED patients. The discriminatory zone is defined as the le.
REBEL EM
AUGUST 3, 2023
Background: Many patients report a vague history of penicillin allergy. The vast majority of these self-reported allergies are untrue (< 5%) . Literature including patients with penicillin allergies also show longer, more complicated hospital courses. Standard practice for identifying errant allergy reporting and removing them from the patients’ chart requires skin testing followed by an oral penicillin challenge.
Medgadget
AUGUST 1, 2023
Researchers at the University of Hong Kong have developed a microneedle patch for the drug-free treatment of skin infections, such as acne. Acne is often treated using antibiotics, but these have limited effectiveness over the long term and can result in drug-resistant bacteria. In an effort to develop a drug-free alternative, these researchers have created a microneedle patch that is ultrasound responsive.
FirstWatch
AUGUST 2, 2023
How Lake Stevens (Wash.) PD continues to innovate, despite staffing challenges Chief Jeffrey Beazizo of the Lake Stevens, Wash., Police Department needs to keep informed in order to keep his community and officers safe. “If something big happens,” he says, “I want to know immediately. With FirstWatch, I get alerted through CAD triggers on my phone as soon as that call comes through.
FOAMfrat
AUGUST 2, 2023
[link] I had the privilege to bring on two passionate fathers of children with Autism to help me better understand how to approach and communicate with a neuro-diverse child. This episode is chock-full of insight, tips, tricks, and logistics of approaching a child in the field with Autism. Josh Chan is a Life Link III flight paramedic/base lead and a Glenwood FD firefighter.
ACEP Now
AUGUST 1, 2023
JACEP Open Earns its First Impact Factor The Journal of the American College of Emergency Physicians Open (JACEP Open) has achieved a major milestone in scientific publishing. ACEP’s international, open access, peer-reviewed, online journal has received its first calculated Impact Factor of 2.3. This ranks the journal 21 of 54 in the emergency medicine subject category (62nd percentile).
Medgadget
AUGUST 4, 2023
Researchers at Duke University have developed a gravity-powered microfluidic device that is intended for use as a diagnostic technology in low-resource areas. Microfluidics have enormous potential for point-of-care diagnostics, but the inclusion of tiny pumps and other sophisticated electronic components dramatically increases the complexity and cost of such devices.
Prehospital Emergency Care Podcast
JULY 31, 2023
For paramedics, click HERE for CAPCE credits! Every day, EMS encounters patients in crisis from opioid use disorder. Communities rely upon EMS to be the safety net and also the bridge and connection for patients to receive appropriate care. EMS is moving itself into a new area of influence where we collaborate with community resources as the frontline providers.
FOAMfrat
AUGUST 1, 2023
We're excited to announce our new EMT Pharmacology book! Check out the podcast, where we review our favorite tips and tricks! [link] Taking on pharmacology in EMT school is a big hurdle. We wanted to write something that not only explained the basics of the medications but also helped bridge the gap between what EMTs are taught and what paramedics learn when they go back over these medications in paramedic pharmacology.
ACEP Now
AUGUST 1, 2023
ACEP Now offers real-time clinical news, news from the American College of Emergency Physicians, and news on practice trends and health care reform for the emergency medicine physician. ACEP Now is an official publication of the American College of Emergency Physicians.
Medgadget
AUGUST 2, 2023
Researchers at the Terasaki Institute for Biomedical Innovation in California have developed an implantable sponge that can monitor for signs of a hemorrhage, and then help to control bleeding once it has occurred. The researchers used silk fibroin, a protein produced by the Bombyx mori silkworm, to create the sponge, and took advantage of its biodegradation and anti-inflammatory properties to create a porous and highly absorbent shape-memory sponge.
NHCPS Save a Life
JULY 30, 2023
This time, we delve into a topic that’s essential for any healthcare professional dealing with Advanced Cardiac Life Support (ACLS) – we will help you to answer important questions on how to memorize ACLS drugs. As an ACLS expert, you understand the challenges you might face in remembering the crucial medications required during high-stress situations. […] The post What Are and How to Memorize ACLS Drugs?
Dr. Smith's ECG Blog
JULY 30, 2023
Written by Pendell Meyers A woman in her 50s presented with acute chest pain and lightheadedness since the past several hours. Here is her triage ECG during active symptoms: What do you think? The ED physician read this as "Normal sinus rhythm. LVH. Marked ST abnormality, possible anterior subendocardial injury." Smith : I suspect this was a confirmation of the conventional computer interpretation.
ACEP Now
AUGUST 1, 2023
Question I am overwhelmed by all things financial. What is the simplest, most reliable way for me to have a secure retirement? Answer As much as I enjoy learning, talking, and writing about “all things financial,” I recognize that most doctors are not hobbyists when it comes to personal finance and investing. While this may be the best-paying hobby ever (especially when you consider that even a fairly priced financial advisor may be charging you up to $10,000 per year), it is not required in o
University of Maryland Department of Emergency Med
AUGUST 1, 2023
There is room for improvement with respect to rates of meaningful neurological survival in patients experiencing out of hospital cardiac ar.
ECG & Echo Learning
AUGUST 4, 2023
For details, refer to the chapter QT Duration and Corrected QT Interval. QTc Calculator Heart Rate QT Interval (in msec) Calculate QTc Values Correction Equation Bazzet QTc = QT interval / √ (RR interval) Fridericia QTc = QT interval / (RR interval)1/3 Framingham Heart Study QTc = QT interval + 154 x (1 – RR interval) Hodges QTc = QT interval + 1.75 x [(60 / RR interval) − 60] Equations for correction of QT intervall.
EMS 20/20
AUGUST 2, 2023
Sometimes patients don't just say no, but sometimes they say f&^$ no! What happens when two responders are confronted by a verbally hostile patient? Does fighting fire with fire work? Spoiler: no, it does not. Check out this episode's sponsor at getincase.com/EMS2020, and use PROMO CODE EMS2020 for $5 off! Sometimes patients don't just say no, but sometimes they say f&^$ no!
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