ECG of the Week 1st June 2022 Answer
EMergucate
JUNE 1, 2022
A 57 year old male presents o ED c/o pleuritic chest pain.
Sat.May 28, 2022 - Fri.Jun 03, 2022
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TIRBO #10: Put the I back in Team
Critical Care Scenarios
MAY 29, 2022
When it’s a bad idea to help out others with their work. When it’s a bad idea to help out others with their work.
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SGEM#367: GRACE2 – Low-Risk, Recurrent Abdominal Pain
The Skeptics' Guide to EM
MAY 28, 2022
Date: May 24th, 2022 Reference: Broder et al. Guidelines for Reasonable and Appropriate Care in the Emergency Department (GRACE) 2: Low-Risk, Recurrent Abdominal Pain in the Emergency Department. AEM May 2022 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called First10EM.com Case: A 33-year-old male presents to […] The post SGEM#367: GRACE2 – Low-Risk, Recurrent Abdominal Pain first appeared on The Skeptics Guide to Emergency Medicine.
ABA Hosts Strategic Quality Summit
American Burn Association
JUNE 2, 2022
Categories Advocacy Burn News MAC Spotlight Media Member Services Organization News Prevention Quality Care Research Return to News & Activities The American Burn Association (ABA) hosted a Strategic Quality Summit in Chicago, IL on June 13–14, 2022. The ABA convened burn care quality leaders to propose a quality roadmap that integrates data, verification, certification, research, and clinical practice guidelines.
Imaging Case of the Week 508
EMergucate
MAY 29, 2022
The following elbow x-rays are from a 5 year old with elbow pain & swelling after a fall on outstretched … Continue reading →
IBNCC – Neuro-oncology emergencies
EMCrit Project
JUNE 2, 2022
Neuro-oncologic emergencies are commonly encountered in critical care. Rapidly evolving biological therapies for cancer offer patients exciting benefits, but have also created new sets of complications (e.g., checkpoint inhibitor-induced encephalitis). Patients may be suffering from complications of the malignancy itself, complications of therapy, or wholly unrelated problems.
Why do we NOT name Occlusion MI (OMI) after an EKG finding? (In contrast to STEMI, which is named after ST Elevation)
Dr. Smith's ECG Blog
JUNE 1, 2022
A 40-something male with no previous cardiac disease presented with chest pain. Here is his ECG: There is no clear evidence of OMI or ischemia. There is a tiny amount of STE in aVL, but it is NOT in the context of a tiny R-wave. There is a tiny amount of STD in lead III, with some non-specific T-wave flattening. I am glad that Ken Grauer (below) brings up the issue of whether the presence of "T-wave in V1 taller than T-wave in V6" is evidence for OMI.
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Lab case 364 interpretation
EMergucate
MAY 29, 2022
Question 1: PH = 7.299 that is moderate acidaemia (less than 7.3), however we can argue that is mild as it is just 0.
PulmCrit – Systemic racism of pulse oximetry: Even worse than we thought?
EMCrit Project
JUNE 1, 2022
One and a half years ago, a landmark study by Sjoding et al. found that critically ill Black patients were more likely than White patients to have falsely reassuring pulse oximetry measurements (discussed here).?1? Subsequently, six sizable studies have been published on this topic. Since this is of critical importance to acute care medicine, it's […].
Massive Acetaminophen Overdose: Are We Giving Enough N-acetyl-cysteine?
Silk City Blog
JUNE 2, 2022
Written by Christopher Hart, DO This post first appeared on REBEL EM Introduction: Acetaminophen, N-acetyl-p-aminophenol, or APAP, is one of the most commonly used medications worldwide. While it is generally safely used, overdose can result in the development of liver failure due to APAP’s hepatotoxic metabolites. Hepatic necrosis is preventable in overdose with timely administration of N-acetyl-cysteine (NAC) which restores glutathione reserves, allowing for safe excretion of these hepatotoxic
Cumulative Stress & Policing
First Responders Wellness Center
JUNE 1, 2022
The average officer in a small to midsize department will see 188.5 critical incidents during a 20-year career, the average person experiences 1 (74%) in their lifetime. Officers are twice as likely to develop depression than the average citizen, and 4 ½ times more likely to develop post traumatic stress disorder (PTSD). At the same time, 70% of people in critical incidents will recover from stressors without any assistance.
Lab case 365
EMergucate
MAY 29, 2022
80 year old man presented with shortness of breath. This patient had history of CHF and COPD. His venous blood gases showed the following PH = 7.
EMCrit RACC-Lit Review for May 2022
EMCrit Project
MAY 31, 2022
All the Lit Goodness. EMCrit Project by Scott Weingart, MD FCCM.
Race Multiplier in the eGFR Equation: What’s the impact for African-Americans?
Silk City Blog
MAY 31, 2022
Written by Amanda Russo, DO This post first appeared on REBEL EM Background: Race is a sociological construct that affects how clinicians deliver health care to various racial/ethnic groups. This in turn affects clinical outcomes. Thus, African Americans with chronic kidney disease have worse outcomes with respect to hypertension control, timely nephrology referral, dialysis fistula/graft placement, adequate dialysis treatment, and access to transplantation.
Cumulative Stress & Firefighting
First Responders Wellness Center
JUNE 1, 2022
Firefighters/Paramedics face serious risks on the job such as heat exhaustion, burns, lack of sleep, physical and mental stress. Research shows that approximately 20% of firefighters may develop post-traumatic stress disorder (PTSD) during their career after being exposed to a critical incident. Studies show that age and job seniority also have significant effects on psychological distress among firefighters.
ECG of the Week 1st June 2022
EMergucate
MAY 29, 2022
A 57 year old male presents o ED c/o pleuritic chest pain.
IBNCC – Movement disorder emergencies
EMCrit Project
MAY 30, 2022
Movement disorders are encountered more frequently in the critical care unit than one might realize. For example Parkinson's disease alone affects ~1% of patients over sixty years old (often requiring careful consideration in medication management, to avoid either psychosis or Parkinsonism-hyperpyrexia syndrome). Other disorders are less common, but their recognition may be critical (e.g., propofol […].
New Clinical Practice Guideline Released
American Burn Association
MAY 31, 2022
Categories Advocacy Burn News MAC Spotlight Media Member Services Organization News Prevention Quality Care Research Return to News & Activities The American Burn Association (ABA) released the Clinical Practice Guideline: Early Mobilization and Rehabilitation of Critically Ill Burn Patients via publication in the Journal of Burn Care and Research (JBCR).
Episode 8: Delegated Practice w/ Dr. Jeff Jarvis
The EMS Show
MAY 30, 2022
Mike and Ritu welcome back Dr. Jarvis and since we were all together at ESO WAVE2022, we carved out a few minutes to get caught up, share a bourbon and discuss what delegated practice means and why it sounds pretty great!
Syncope and Block
EMS 12-Lead
JUNE 1, 2022
David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Peer review provided by Dr. Steve Smith [link] @SmithECGblog A 72 y/o Male experiences a syncopal episode while seated. This occurred in a public place, so bystanders rushed to his aid and provided immediate assistance to protect against any associated fall or head strike.
Episode 8: Delegated Practice w/ Dr. Jeff Jarvis
The EMS Show
MAY 30, 2022
Mike and Ritu welcome back Dr. Jarvis and since we were all together at ESO WAVE2022, we carved out a few minutes to get caught up, share a bourbon and discuss what delegated practice means and why it sounds pretty great!
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