Sat.Nov 23, 2024 - Fri.Nov 29, 2024

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What makes a T-wave Hyperacute? And: 30 Examples of Hyperacute T-waves, 10 in each of 3 myocardial territories.

Dr. Smith's ECG Blog

Pendell and I and the geniuses at Powerful Medical (Producers of the PMCardio Queen of Hearts OMI AI app ) are working on an objective, mathematical definition of hyperacute T-waves , based on real OMI outcomes and hyperacute T-wave annotation that has excellent interrater agreement (between me and Pendell), and it will end up being a logistic regression using these 3 variables: 1) area under the curve (AUC) relative to the QRS size 2) increased symmetry , as defined by time from T-wave onset to

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Methanol poisoning

Don't Forget the Bubbles

It’s a busy day in the paediatric ED. A worried parent rushes in carrying a toddler who’s just had a gulp from an unlabelled bottle in the garage. The child looks unsettled but otherwise fine—for now. “It was just a bit of the stuff we use for cleaning the car windscreen,” the parent says. You smell the faint odour of alcohol on the child’s breath A quick mental note: methanol poisoning?

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How Service Dogs are Trained to Assist First Responders and Veterans

First Responders Foundation

Service dogs play an invaluable role in supporting Veterans and first responders, offering assistance that ranges from anxiety relief and refocusing in public settings to specialized tasks that help manage daily challenges, such as diabetic or cardiac alerting. Whether it’s helping a firefighter cope with trauma or aiding a police officer with mobility issues, these specially trained dogs provide a level of support that can be life-changing.

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Updates on Onchocerciasis: Approach to Diagnosis and Treatment

EMDocs

Authors: Kamoga Dickson, MD (EM Resident Physician, Makerere College of Health Sciences, Kampala, Uganda); Jessica Pelletier, DO, MHPE (APD/Assistant Professor of EM/Attending Physician, University of Missouri-Columbia) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case A 42-year-old male from a rural area in northeastern Uganda presents to the tertiary care emergency department with severe itching, skin changes on his legs, and episodes of blurred vision, describing &

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Threading the Needle: Bougie-First Intubation

REBEL EM

Background: In 2018, the BEAM Trial, a small single-center randomized clinical trial, conducted in the emergency department at Hennepin County Medical Center, demonstrated that bougie use significantly increased the first-attempt intubation success rate compared to the endotracheal tube with stylet (98% vs 87% (absolute difference, 11% [95% CI, 7% to 14%]). 1 Conversely, the 2021 BOUGIE trial—a larger, multicenter randomized clinical trial conducted by the same investigators—found no significant

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Classic EM: How profound is the PROFUNDUS study?

Core EM

Diagnosis of acute aortic syndromes with ultrasound and d-dimer: the PROFUNDUS study European Journal of Internal Medicine, 2024 Background Acute aortic syndromes (AAS) are rare causes in patients presenting with chest/abdominal/back pain or syncope. Types of AAS include aortic dissection, intramural aortic hematoma, and penetrating aortic ulcer. Diagnosis of AAS requires urgent advanced aortic imaging (AAI), such as computed tomography angiography (CTA).

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How should we assess febrile infants? Results from the FIDO study

Don't Forget the Bubbles

Imagine this – a six-week-old infant with a fever of 38.3⁰C presents to your emergency department. They look well and, apart from fever, have no other symptoms. There are no sick contacts at home. Although they look well, you don’t want to miss a serious diagnosis, so what do you do? You’ve so many questions. Which of the many febrile infant clinical decision tools should you use?

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More Trending

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5 Purchasing Considerations for a Pharyngeal Suction Device

SSCOR

Preplanning is part of the job as an emergency responder. Each shift, you must be prepared to answer any type of emergency that your community throws at you, so you had better plan ahead. When it comes to your equipment, especially your pharyngeal suction device , you want a unit that will fit the needs of the community in which you work. Here are a few considerations when choosing a portable suction unit.

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WOMAN-2: What Does the Robot Say?

EM Literature of Note

Following on the success of Toy Story 2, Inside Out 2, and Avatar 2, we have WOMAN-2, yet another trial featuring emergency medicine’s third-favorite medication: tranexamic acid. However, where those sequels succeeded, WOMAN-2 is more like Miss Congeniality 2 – the one we’re not going to talk about again. But, don’t take it from me – take it from the ChatGPT Agent I created!

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Ultrasound Guided Peripheral IVs

EMOttawa

What do you do when expert nurses tell you they can’t obtain IV access? Do you spend 20 minutes performing an invasive central line? Does your resident finally get two IO EPAs? Or do you save the day with a slick, ultrasound guided IV? Obtaining peripheral ultrasound guided IV access is not only a core […] The post Ultrasound Guided Peripheral IVs appeared first on EMOttawa Blog.

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How should we assess febrile infants with a positive viral respiratory test? – results from the FIDO study

Don't Forget the Bubbles

A 7-week-old baby presents to the Emergency Department (ED) with a one-day history of coryza and cough. Parents have recorded a temperature of 38°C at home. In triage, she is noted to be alert and feeding well. Her initial observations show a temperature of 38.2°C, HR 152 bpm, RR 45/min, and oxygen saturation 97% in room air. You perform a viral swab test at ED which comes back positive for SARS-CoV-2.

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Before Dawn

Peter Canning

Just before dawn on Albany Avenue. The first light just starting to appear in the east. We’re posted on the corner. Most of the night crews have headed in for crew change and the morning cars haven’t signed on yet. 924 is on their way to an asthma on Martin Street and 917 is dealing with an assault victim on Park Terrace. 931 is still out at Saint Francis.

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Podcast – Bad Behaviour in Teams with Liz Crowe at Tactical Trauma 2024

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed In this podcast, Liz Crowe discusses the effect bad behaviour has on teams and ultimately patient safety. The post Podcast – Bad Behaviour in Teams with Liz Crowe at Tactical Trauma 2024 appeared first on St.Emlyn's.

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The Future of the VExUS Exam: Insights from Dr. Longino & Dr. Riscinti (Part 2)

Core Ultrasound

In part two of this interview, Dr. Longino, a hospitalist researcher, and Dr. Riscinti, an emergency medicine physician—both from Denver Health—explore the future of the VExUS (Venous Excess UltraSound) exam. We discuss ongoing and future research, emerging applications, and strategies to expand the accessibility and adoption of this important tool.

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How to Winterize Your Vehicle

California Casualty

As temperatures drop and roads become icy, taking steps to winterize your car ensures you stay safe and stress-free. From checking your battery to swapping out wiper blades, preparing for the season is all about protecting yourself and your ride. Ready to keep your car in peak performance through the cold months? Let’s get started!

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Coronary Angiography Guide by Willy Frick -- Everything you ever wanted to know about the Cath Lab

Dr. Smith's ECG Blog

Introductory Angiography Guide To find the guide later, go to the banner at the top of the blog: This blog is dedicated to improving understanding of ECGs in the context of emergency medicine. A substantial proportion of cases discussed include diagnostic angiography. Attaining expertise in angiography requires dedication and practice. What follows is an introduction to angiography -- a guide meant for people with no prior experience interpreting angiograms.

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PulmCrit: How to quickly create a useful professional account in BlueSky

EMCrit Project

I discussed the reasons for migrating to BlueSky here. I've received positive feedback from several FOAMed expats who migrated to Bluesky and enjoy it there. I've also received some questions about getting started on BlueSky, so here is a brief guide to moving into MedSky. [1] Set up your account & profile This is essentially […] EMCrit Project by Josh Farkas.

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5 Minute Sono – Sonosite LX Machine Basics

Core Ultrasound

In this video tutorial, we provide a detailed guide to operating the Sonosite LX ultrasound machine. Designed for both beginners and those familiar with ultrasound technology, this demonstration will walk you through the essential features and functions of this device. You’ll learn how to power it on, optimize image quality, navigate the user interface, save and review images, and utilize its advanced settings to improve your workflow. > The post 5 Minute Sono – Sonosite LX Machine Basics

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Critter-Proofing Your Home for Winter

California Casualty

As the temperature drops, uninvited guests may view your home as the perfect winter retreat. Small critters like mice, squirrels, bats, and raccoons are experts at finding cozy nooks to ride out the chill. But don’t worry—keeping your home critter-free this winter is easier than you think.

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pericarditis casee

Dr. Smith's ECG Blog

1977996 Middle-aged male presents with chest pain. Pt reports waking up at 3 am with non-radiating pleuritic and constant pressure-like epigastric pain, which he has never had before. Pain is better with lying flat, worse with sitting up and leaning forward. Feels some SOB, but no CP. No recent travel, but possibly has had recent viral cold symptoms in the past 24 hours.

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ECG of the week 27th November

EMergucate

The following ECG is from a 62-year-old man who presented following an MVA.

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Registration Open! Public Meeting on December 4 for NACCD

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post Registration Open! Public Meeting on December 4 for NACCD appeared first on American Ambulance Association.

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Pulsara Around the World - December 2024

Pulsara

NOVEMBER RECAP After a whirlwind November with Team Pulsara exhibiting at eight conferences, our exhibit schedule is slowing down as the year draws to a close. As we wrap up 2024, take a look to see where you can catch us next month!

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Tracheostomy Advantages and Disadvantages

SSCOR

A tracheostomy opens a direct airway into the neck. Its prevalence in long-term care is increasing, and some providers assert that early tracheostomy in mechanically ventilated patients may decrease complications and reduce morbidity.

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Lab case 452 interpretation

EMergucate

Question 1: PH = 7.30, that is mild acidaemia. HCO3 = 18, that is low (less than 24), So we have metabolic acidosis.

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Hugh T. Clements, Jr.

FirstNet Authority

Director, Community Oriented Policing Services Office, Department of Justice

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It’s almost time: the upcoming launch of NERIS Version 1

ESO

On October 29, 2024, the U.S. Department of Homeland Security, the Fire Safety Research Institute, and the U.S. Fire Administration hosted an informational webinar, NERIS Version 1: Platform Launch and National Rollout, to provide updates and timelines for the National Emergency Response Information System (NERIS). Here’s a recap of the latest news to keep your team informed.

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[not-on-my-shift.org] [not-on-my-shift.org] [no

not-on-my-shift

not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] New’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] New subm

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Lab case 453

EMergucate

72 year-year-old man with history of type II DM and has a single kidney. Presented with 2 weeks of diarrhoea. He has been in bed for 2 weeks. Unresponsive. Last proper meal was 2 weeks ago.

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Hugh T. Clements, Jr.

FirstNet Authority

Director, Community Oriented Policing Services Office, Department of Justice

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SGEM#461: If You’re Appy and You Know It…Do You Need a Clinical Prediction Score?

The Skeptics' Guide to EM

Date: November 13, 2024 Reference: Lee WH, et al. Study of Pediatric Appendicitis Scores and Management Strategies: A Prospective Observational Feasibility Study. Academic Emergency Medicine. Dec 2024 Guest Skeptic: Dr. Dennis Ren is a pediatric emergency medicine physician at Children’s National Hospital in Washington, DC. He’s also the host of SGEMPeds.

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[not-on-my-shift.org] [not-on-my-shift.org] [no

not-on-my-shift

not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-

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Imaging Case of the Week 607 Answer

EMergucate

There is a sliver of air under the right hemi-diaphragm.

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Lightning rounds 47: Post-op care transitions

Critical Care Scenarios

We chat about the post-op transition of care from the OR to the ICU, including questions to ask, workflows, and pitfalls. Check out the Intensive Care Academy here! Bryan’s textbook: Concepts in Surgical Critical Care Find us on Patreon here! Buy your merch here! We chat about the post-op transition of care from the OR to the ICU, including questions to ask, workflows, and pitfalls.

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GLP-1A toxicity: What do emergency clinicians need to know about drugs like Ozempic® and Wegovy®?

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed GLP-1A toxicity: What do emergency clinicians need to know about drugs like Ozempic® and Wegovy®? #FOAMed @stemlyns Greg Yates takes through a paper reporting overdoses in US practice. The post GLP-1A toxicity: What do emergency clinicians need to know about drugs like Ozempic® and Wegovy®? appeared first on St.Emlyn's.

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[not-on-my-shift.org] [not-on-my-shift.org] [no

not-on-my-shift

not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] New’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] New subm

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Imaging Case of the Week 608 Answer

EMergucate

The chest x-ray reveals sail sign.

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