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Emergency Medicine Update - May 2012
1)   Work in an Urban ED? Work in Europe, or Israel? You are going to see smokers even among some of the health care workers.  And you can make a difference in your taking the opportunity to warn them not to smoke. This study was done in Camden NJ (Hi Al) and while this is not a...
Published on 5/2/2012, 3:23 PM by Yosef Leibman | 0 comment(s)
Tags: EMU
Emergency Medicine Update - April 2012
April 20121)   Hope you had a great March (considering this is still February when I started this issue, this makes me a bit an optimist –if you are a reader of EMU then you must think I lost it) (I did). I avoid articles from the Annals of EM, but there is some extension that can be...
Published on 4/17/2012, 12:10 PM by Yosef Leibman | 0 comment(s)
Tags: EMU
Which patients with out of hospital cardiac arrest benefit from hypothermia?
 Which patients with out of hospital cardiac arrest benefit from hypothermia?Summary by Dr. Katrina HarperNeurologic injury is the most common cause of death in patients with out-of-hospital cardiac arrest[1]. Randomized controlled trials have found that therapeutic hypothermia improves both...
Published on 4/3/2012, 12:53 PM by Suzanne Bentley | 0 comment(s)
Tags: asystole benefit critical care hypothermia ICU out of hospital cardiac arrest ROSC vfib
Image of the Week - March 23, 2012
Diabetic foot ulcerDiagnosis: Osteomyelitis Osteomyelitis (OM) is an infection of the bone. Although it can result from hematogenous spread, it frequently occurs due to direct extension of skin and soft tissue infections. Patients with diabetes are at particularly high risk due to the...
Published on 3/22/2012, 1:20 PM by Seth Trueger | 0 comment(s)
Tags: ID IOTW
Which patients with blunt trauma need cervical spine imaging?
Clinical Decision Rule for Cervical Spine Imaging after Blunt Trauma:A Summary of  the NEXUS Criteria and the Canadian C-Spine Rule Summary Dr. Elizabeth Dei Rossi     Which patients with blunt trauma need cervical spine imaging?  What are the differences...
Published on 3/6/2012, 11:53 AM by Suzanne Bentley | 0 comment(s)
Tags: clinical decision rule cervical spine fracture nexus cspine rules radiography canadian c-spine rule
Emergency Medicine Update - March 2012
March 20121)   Can't take anything from this study on cadavers but it does go against myths that ATLS has given us and this in itself is worthy to mention.  The recommendations of ATLS were always to log roll patients 90 degrees and then to slide the board out from under them...
Published on 3/5/2012, 11:42 PM by Yosef Leibman | 0 comment(s)
Tags: EMU
Image of the Week - March 2, 2012
Headache, vomiting, coma... Diagnosis: Subarachnoid hemorrhage (SAH)SAH account for approximately 1 in 10 strokes, and approximately 80-85% result from ruptured cerebral aneurysms -- about 2-5% of people have berry aneurysms yet only a small fraction rupture (about 0.2% annual risk). Risk...
Published on 3/1/2012, 5:28 PM by Seth Trueger | 0 comment(s)
Tags: IOTW neurology
Image of the Week - February 23, 2012
 Child with rash and fever... Diagnosis: Hand-foot-mouth diseaseCoxsackie and enteroviruses can cause a range of symptoms, including undifferentiated fever, herpangina, and pericarditis. One characteristic syndrome is hand-foot-mouth disease (HFM), notable for vesicles in the following...
Published on 2/23/2012, 2:27 PM by Seth Trueger | 0 comment(s)
Tags: IOTW pediatrics
Image of the Week - February 10, 2012
Syncope and abdominal pain...Diagnosis: Ruptured abdominal aortic aneurysm AAA is a dilatation of all layers of the abdominal aorta. Prevalence is 4% over age 50 and 10% over age 80, occurring 5 times as frequently in men. The specific cause is unknown however longstanding hypertension and...
Published on 2/9/2012, 2:54 PM by Seth Trueger | 0 comment(s)
Tags: IOTW US vascular
Image of the Week - February 3, 2012
Dyspnea... Diagnosis: Subcutaneous emphysemaSubcutaneous emphysema can signify various underlying injuries, and should be considered a warning sign in blunt and penetrating trauma, as well as vomiting and medical procedures, particularly endoscopy and mechanical ventilation.Signs include...
Published on 2/3/2012, 9:43 AM by Seth Trueger | 0 comment(s)
Tags: IOTW pulmonology

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