Breaking Dab

  Working in the emergency department it can be difficult to keep up with all the new street drugs. Here is yet another one….coming soon to an ER near you.   Dab, Dabs, Dabbing, wax, earwax, honey, honey oil, shatter and BHO are all street names for a new form …

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it’s da bomb

    A new designer drug has emerged on the teen scene. 2C-I-NBOMe, also known as “N-bomb”. This new drug is an extremely potent hallucinogenic stimulant and has been associated with multiple deaths. NBOMe is often sold under the pretense that it is LSD, however, unlike LSD, NBOMe also has …

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Visual Diagnosis # 11

  A 26 year-old male with acute alcohol intoxication presents to the emergency department with complaints of substernal chest discomfort which is made worse with deep inspiration. The symptoms began 1 hour ago after three episodes of vomiting. His vital signs and ECG are unremarkable. He has no cardiac risk …

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Part I – Difficult Airway Management : The Elaine Bromiley Case

  The Elaine Bromiley Case “This video, produced by Simpact with the permission of Martin Bromiley, is primarily intended for the education of healthcare clinicians, particularly those involved in advanced airway management. By providing a more immersive, real-time version of events which includes some technical detail, the hope is that …

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Flakka

  “Flakka”(alpha-pyrrolidinopentiophenone) is a dangerous synthetic cathinone, similar to “bath salts” that is spreading across the country.  This drug is a white or pink, foul-smelling, crystal that can be injected, snorted, eaten or vaporized.     Flakka and can cause an “excited delirium” that involves hyperstimulation, paranoia, and hallucinations that can lead to …

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Visual Diagnosis # 10

      A 72 year male presents to the emergency department with facial and periorbital soft-tissue swelling and associated increased shortness of breath. Family states was just discharged from the hospital yesterday after having a left sided pneumonectomy last week and began having dyspnea and swelling around his face, …

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100 Trauma Care Sites To Bookmark

  Taken from: ParamedictoRN.org “Traumatic injury is something that most paramedics, nurses, and other medical professionals will have to treat, or at least peripherally work with during their careers. The potential for traumatic injuries to cause lifelong damage if not cared for properly means that staying up-to-date on trauma best …

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Psychology of the Difficult Airway

    Rich Levitan, pioneer in airway management, talks about the psychology of the difficult airway and operator stress response. From the ERCAST podcast with Rob Orman, MD. This month’s audio podcast from the master of airway management, provides us with an almost transcendental approach to the difficult airway. A …

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PRO/CON: Is #FOAMed Essential to EM Education ?

    Here is a PRO/CON FOAM article I wrote the introduction for in Emergency Physicians Monthly. This is an excellent discussion regarding FOAMed (Free Open Access Medical Education) in emergency medicine education by Joe Lex, MD and Nicholas Genes, MD, PhD. What is  FOAM? In 2012, Mike Cadogan conceived …

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SMACC : Social Media and Critical Care

    ” SMACC is the most exciting innovation in the critical care education calendar, bringing together all the Critical Care Specialties (Emergency Medicine, Anaesthesia, Rural GP’s, Retrieval medicine and Intensive Care) on a modern stage. Delegates interact face-to-face and online with the biggest names in web-based education. The enormous success …

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Visual Diagnosis # 9

  A 54 year-old male presents to the emergency department with symptoms of intermittent palpitations and mild dyspnea over the past few days. He denies chest pain, pressure or tightness. His past medical history is significant for type 2 diabetes which is diet controlled and hypertension which is well-controlled with …

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Visual Diagnosis # 8

    A 24 year-old male presents to the emergency department for evaluation of an eye injury with loss of vision. The patient states he was playing soccer last night when the ball struck him in the face injuring his left eye. There was no loss of consciousness. The patient …

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