Thursday, November 3, 2016

Diagnostic accuracy of PAT-POPS and ManChEWS for admissions of children from the emergency department

Background

The Pennine Acute Trust (PAT) Paediatric Observation Priority Score (PAT-POPS) is a specific emergency department (ED) physiological and observational aggregate scoring system, with scores of 0–18. A higher score indicates greater likelihood of admission. The Manchester Children’s Early Warning System (ManChEWS) assesses six physiological observations to create a trigger score, classified as Green, Amber or Red.

Methods

Prospectively…
To learn more visit: Emergency Medicine Journal current issue

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Diagnostic accuracy of PAT-POPS and ManChEWS for admissions of children from the emergency department




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SGEM#131: Gimme Some Antibiotics for Uncomplicated Skin Infections

Podcast Link: SGEM131 Date: October 8th, 2015 Case: A 26-year-old male presents to your emergency department with complaints of a painful, reddened area on his right arm. He has no significant past medical history, surgical history, or social history, but reports that he has an allergic reaction to penicillin and cephalosporin antibiotics. On exam, you find […]…
To learn more visit: The Skeptics Guide to Emergency Medicine

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SGEM#131: Gimme Some Antibiotics for Uncomplicated Skin Infections




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Wednesday, November 2, 2016

Heavy Drinking May Mean Hefty Health Tab Later

Study suggests alcohol might harm brain, body even if one stops abusing by age 30


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To learn more visit: WebMD Health

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Heavy Drinking May Mean Hefty Health Tab Later




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Anaphylaxis and ST Elevation

This was written by one of our excellent 2nd year residents, Nathan Ansbaugh, with some editing and commentary by Smith.
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To learn more visit: Dr. Smith’s ECG Blog



Treatment of acute myocardial infarction (AMI) has evolved in recent years, especially in the prehospital setting. Corey Slovis, MD, FCEP, FACEP, describes the average amount of time saved in most EMS systems with 12-lead ECG transmission or field interpretation and pre-alerts to the cath lab, and the effect that has on the care for STEMI patients.

Dr. Slovis is known for remembering and teaching clinical diagnoses in terms of five and can count them off of one hand. He shares a few of those pearls, such as five clues to detect AMI in your chest pain patients.

He also talks about the Eagles Coalition and how that group is helping shape the future of EMS.

About Dr. Slovis
Corey Slovis, MD, FACP, FACEP, is a professor of emergency medicine and medicine and chairman of the department of emergency medicine at Vanderbilt University Medical Center in Nashville. He completed residencies in internal medicine and emergency medicine at Emory University and Grady Memorial Hospital in Atlanta and is a fellow of both the American College of Physicians and American College of Emergency Physicians. He spent a total of 15 years at Grady Hospital and served as its director of EMS and as the fire surgeon for the city of Atlanta. He now serves as the medical director of the Nashville Fire Department and the NFD Paramedic/EMS Bureau.

Filmed at EMS Today 2009

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Anaphylaxis and ST Elevation




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Tuesday, November 1, 2016

RSR’ with ST elevation: is this Right Bundle Branch Block with STEMI? Type 2 Brugada?

This case was contributed by Brooks Walsh, an ECG enthusiast who has contributed frequently, and edited by Smith
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To learn more visit: Dr. Smith’s ECG Blog

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RSR’ with ST elevation: is this Right Bundle Branch Block with STEMI? Type 2 Brugada?




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SGEM Xtra: Is #FOAMed Scary?

Podcast Link: SGEM Xtra Is #FOAMed Scary Date: October 26th, 2016 Guest Skeptic: We have a number of guest skeptics for this episode. Dr. Munsif Bhimani is the program director of the CCFP-EM program at Western University. Drs. Kevinjeet Mahngar, Kelsey Cassidy, Jatin Kacker and Ben Fregeau are residents in the CCFP-EM program at Western University. Dr. Sean Ryan is […]…
To learn more visit: The Skeptics Guide to Emergency Medicine

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SGEM Xtra: Is #FOAMed Scary?




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An apparent SVT that does not persistently correct with adenosine

A middle-aged woman presented for abdominal pain.  She was found to have a heart rate of 150.  A 12-lead was recorded:
<img border="0" height="288" src="https://2.bp.blogspot.com/-QbS4mn_R9a8/WBZmt6xF2zI/AAAAAAAALAc/AMe-uqCTp8ovaoakoSv50V9&#8230;
To learn more visit: Dr. Smith’s ECG Blog

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An apparent SVT that does not persistently correct with adenosine




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