ECG Case Quiz # 4

    A 64-year-old is brought in by family from home. He had been experiencing 8/10 intermittent, non-radiating, substernal chest pressure since last night. Upon arrival in the emergency department his vitals signs are all within normal limits and his exam is physical exam is unremarkable. His initial ECG performed …

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Tricks of the Trade

    As many prehospital providers in the United States know – you won’t always have a handy calculator or smartphone when trying to convert a patient’s weight from pounds to kilograms. Until the United States gets with the times and starts using the metric system like the rest of …

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Post-Intubation and Ventilator Management

    Congratulations ! You got the tube in! Let’s celebrate! Wait. Not so fast – you still have work to do.       1. What are some of the things most commonly overlooked in post-intubation management? 2. Do you always provide both anesthesia AND analgesia to your intubated …

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Podcast of the Week

            Looking for a fantastic emergency medicine and critical care podcast ? Check out the Resuscitationist’s Awesome Guide to Everything, aka the RAGE Podcast. This new podcast from the lads and lasses from down under in Australia also brought us such gems as Life in the …

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Visual Diagnosis # 7

  A 42 yr old male presents with complaints of low-grade fevers and general malaise over the past 5 days. He denies headache, cough, vomiting or diarrhea. He has no significant PMHx. No known sick contacts, recent travel or recent illnesses. Today he awoke with a painful lesion on his …

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The Active Shooter

  What would you do if there was active shooter in your department? What do experts recommend you do?   This audio clip is from the December 2013 episode of EM:RAP (Emergency Medicine Reviews and Perspectives.)  This is shared with permission from Mel Herbert and is a must listen for …

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The Room Keeps Spinning

  Benign Paroxysmal Positional Vertigo (BPPV) is the most common of vestibular disorders and the most easily treated. In most patients, it can be cured with a simple maneuver. BPPV occurs when calcium crystals called otoconia become dislodged from their normal location on the utricle of the inner ear. It …

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ECG Quiz # 3

    A 16 year old boy presents with a recent history of increased dyspnea and palpitations on exertion as well as intermittent dizziness and chest heaviness during football practice. He states he was at practice today and felt very weak and lightheaded and almost passed out while running down …

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Don’t cut my precious….

    There are many ways to remove rings from injured swollen digits. We’ve all heard about using soap, vaseline, ice, dental floss, surgical lubricant and even Windex. When those methods are unsuccessful, our last resort is to cut the ring removing it from the digit. Here’s a useful video …

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Umbilical Vein Catheterization

  During the resuscitation of a critically-ill newborn who requires vascular access, umbilical vein catheterization can be a life-saving procedure. The umbilical vein can remain patent for approximately 1 week after birth and when catheterized, allows the administration of fluids and medications. Contraindications to the procedure include necrotizing enterocolitis, omphalitis, …

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ECG Quiz # 2

    A 19 year old male is brought in for evaluation by his mother after a syncopal episode. He was packing boxes getting ready to return to school after the long summer when he felt suddenly light-headed with associated palpitations. His mother heard a “thump”and found him in his …

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Mmmm…….Burns So Good

    There were over six thousand cases of laundry pod exposures reported to poison centers around the nation in 2012. The majority of the exposures were in children under 5 years old. Ninety percent of the pod-related poisonings were from ingesting the detergent. The most common symptoms from exposures …

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Visual Diagnosis # 6

    A mother brings her 5 year old son in for evaluation of fever and rash which have persisted over the past 6 days despite acetaminophen and ibuprofen. He has had a mild cough without shortness of breath. He complains only of a sore throat and left ear pain. …

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Ultrasound in Plantar Fasciitis

    Plantar fasciitis is the most common cause of heel pain presenting to the emergency department. Plantar fasciitis occurs when the strong band of tissue that supports the arch of your foot becomes irritated and inflamed.       In this age of ultrasound we can now make this …

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this Krokodil will bite !

      Krokodil (pronounced crocodile), thought to have originated in Russia about 10 years ago, is not new to the drug seen but it is definitely worth talking about. A quick google search, will immediately reveal the horrific physical effects this drug has on those foolish enough to use …

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Own the Resus !

   This is an excellent lecture which was originally presented at the 2012 Essentials of Emergency Medicine conference presented by Dr.Cliff Reid           from         Thank you to Mel Herbert from EM:RAP for making this available. Intro. by Scott Weingart from EMCrit   …

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Visual Diagnosis # 5

                      A 46 year old male presents with complaints of sore throat and difficulty swallowing over the past 5 days. He described subjective fevers over the past 2 days which he related to a recently infected lower molar which has …

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