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Emergency Medicine Pitfalls

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21. The sound of air: point-of-care lung ultrasound in perioperative medicine. (PubMed)

The sound of air: point-of-care lung ultrasound in perioperative medicine. Lung ultrasound (LUS) has emerged as an effective and accurate goal-directed diagnostic tool that can be applied in real time for the bedside assessment of patients with respiratory symptoms and signs. Lung ultrasound has definite and easily recognized findings and has been shown to outperform physical examination and chest radiography for the diagnosis and monitoring of many pulmonary and pleural conditions (...) . In this article, we review the principles of LUS image acquisition and interpretation, summarizing key terms and sonographic findings.Although LUS is easy to learn, adequate training and performance in an organized fashion are crucial to its clinical effectiveness and to prevent harm. Therefore, we review normal LUS findings and propose step-wise approaches to the most common LUS diagnoses, such as pneumothorax, pleural effusion, interstitial syndrome, and lung consolidation. We highlight potential pitfalls

2018 Canadian Journal Of Anaesthesia

22. Pediatric Emergency Digest Volume 3

Pediatric Emergency Digest Volume 3 Pediatric Emergency Digest Volume 3 – PEMBlog Search for: Search for: Pediatric Emergency Digest Volume 3 On behalf of the Fellows form the Division of Emergency Medicine at Cincinnati Children’s I am delighted to bring you a new series that will highlight what we are learning during our ongoing didactic conferences. The main goal of the Pediatric Emergency Digest series will be to provide concise teaching points to reinforce in-person learning and to further (...) hypoxia is not cost effective, and overall does not affect LOS, ICU admission or intubation. References By | 2018-11-30T13:11:18-04:00 December 4th, 2018 | | Share this post About the Author: Brad Sobolewski, MD, MEd is an Associate Professor of Pediatric Emergency Medicine and an Assistant Director for the Pediatric Residency Training Program at Cincinnati Children's Hospital Medical Center. He is on Twitter @PEMTweets and authors the Pediatric Emergency Medicine site PEMBlog. All views are strictly

2018 PEM Blog

23. Problems with precaution: the transfusion medicine experience (PubMed)

processes for implementation and reversal of precautionary policies have been slow, and historical donor deferral policies are still in place today. Application of precautionary approaches has proved challenging with both benefits and pitfalls. In light of emerging threats to the blood system, policy-makers should consider the implementation of frameworks to guide the appropriate application of precaution in transfusion medicine in the future. (...) Problems with precaution: the transfusion medicine experience The precautionary principle is a dominant paradigm governing risk-based decision-making. Today, there are increasing pressures to re-examine aggressive precautionary approaches, and to assess how the principle should be applied in the modern system. In this paper, we examined three key applications of precautionary approaches in the field of transfusion medicine to provide insight into the risks and benefits of these approaches

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2017 Journal of risk research

24. Life Threatening Asthma - Some Pearls and Pitfalls

Life Threatening Asthma - Some Pearls and Pitfalls Emergency Medicine Blog: Life Threatening Asthma - Some Pearls and Pitfalls Sunday, August 16, 2015 Life Threatening Asthma - Some Pearls and Pitfalls My talk on Life Threatening Asthma talk in 2nd NECCS Ipoh from Some may not agree with the ventilation strategy I borrowed from Scott Weingart's, i.e., a PEEP of 0 or zEEP. I guess if you are familiar on how to play around with the PEEP in severe airway obstruction without causing a disaster (...) ). Nevertheless, I have licensed almost all the materials contained here under strictly for educational, non-commercial purposes only. Kindly email me at cksheng74@yahoo.com should you want to use any of the materials for commercial purposes. Thank you. FEEDJIT Live Traffic Feed FEEDJIT Live Traffic Map Blog QR Code Followers This Blog is Featured in Webicina.com Alltop.com Widget This Blog is Featured in BlogMalaysia.com MEDPAGE Today: Emergency Medicine News Hi there! This site is mainly created for my

2015 Emergency Medicine Blog

25. Uptake of [18F]DCFPyL in Paget's Disease of Bone, an Important Potential Pitfall in the Clinical Interpretation of PSMA PET Studies (PubMed)

Uptake of [18F]DCFPyL in Paget's Disease of Bone, an Important Potential Pitfall in the Clinical Interpretation of PSMA PET Studies Prostate-specific membrane antigen (PSMA)-targeted PET imaging is an emerging technique for evaluating patients with prostate cancer (PCa) in a variety of clinical contexts. As with any new imaging modality, there are interpretive pitfalls that are beginning to be recognized. In this image report, we describe the findings in a 63-year-old male with biochemically (...) medicine physicians and radiologists interpreting PSMA PET/CT scans to be aware of the potential for this diagnostic pitfall. Correlation to findings on conventional imaging such as diagnostic CT and bone scan can help confirm the diagnosis.

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2015 Tomography

26. Evaluation of fever in the emergency department. (PubMed)

Evaluation of fever in the emergency department. Fever is one of the most common complaints in the emergency department (ED) and is more complex than generally appreciated. The broad differential diagnosis of fever includes numerous infectious and non-infectious etiologies. An essential skill in emergency medicine is recognizing the pitfalls in fever evaluation.This review provides an overview of the complaint of fever in the ED to assist the emergency physician with a structured approach (...) present in true infection, especially in elderly and immunocompromised patients. Oral temperatures suffer from poor sensitivity to diagnose fever, and core temperatures should be utilized if concern for fever is present. Consideration of non-infectious causes of elevated temperature is needed based on the clinical situation.Any fever evaluation must rigorously maintain a broad differential to avoid pitfalls that can have patient care consequences. Fever is complex and due to a variety of etiologies

2017 American Journal of Emergency Medicine

27. The time-sensitive challenge of diagnosing spinal epidural abscess in the emergency department. (PubMed)

. Delays in diagnosis and treatment of this condition directly correspond to worse, and often debilitating, outcomes for these patients. This review will demonstrate the challenges of diagnosing SEA, describe key diagnostic pitfalls, and present a model and framework for its evaluation. The authors conducted a systematic review in PubMed and Google Scholar for articles describing the emergency medicine evaluation and management of spinal epidural abscess dating from 1996 to 2016. Of the initial 219 (...) articles found, 18 articles were selected based on their relevancy to emergency medicine. Lower back pain is a common chief complaint, whereas SEA is a rare condition and may not be anticipated. The "classic triad" of SEA symptoms presents infrequently. Moreover, the early symptoms of back pain and fever are non-specific, and patients seek medical attention at varying stages of disease progression. Once the more conspicuous and wide-ranging neurological symptoms develop, they are often irreversible

2017 Internal and emergency medicine

28. Critical appraisal of emergency medicine educational research: the best publications of 2011. (PubMed)

designs accounted for 28 of the papers, while nine studies featured an experimental design.Forty-eight EM educational studies published in 2011 and meeting the criteria were identified. This critical appraisal reviews and highlights five studies that met a priori quality indicators. Current trends and common methodologic pitfalls in the 2011 papers are noted.© 2013 by the Society for Academic Emergency Medicine. (...) Critical appraisal of emergency medicine educational research: the best publications of 2011. The objective was to critically appraise and highlight medical education research studies published in 2011 that were methodologically superior and whose outcomes were pertinent to teaching and education in emergency medicine (EM).A search of the English language literature in 2011 querying PubMed, Scopus, Education Resources Information Center (ERIC), and PsychInfo identified EM studies that used

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2013 Academic Emergency Medicine

29. Established and Emerging Roles of Biomarkers in Heart Failure Clinical Trials. (PubMed)

Established and Emerging Roles of Biomarkers in Heart Failure Clinical Trials. The role of circulating biomarkers in heart failure clinical trials has evolved in recent decades. Increasing evidence behind the use of natriuretic peptides, emergence of novel biomarkers, and increased emphasis on targeting therapies toward physiological basis of disease (so-called precision medicine) have all contributed to the continued expansion of biomarker use in heart failure clinical trials. We will explore (...) the advantages and pitfalls encountered through the use of biomarkers in clinical trials as an inclusion criterion, toxicity marker, and end point. We will also review their role in providing insights into the mechanism of action of therapeutics and guiding therapy in the management of patients with heart failure.© 2016 American Heart Association, Inc.

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2016 Circulation. Heart failure

30. Characteristics of Real-Time, Non-Critical Incident Debriefing Practices in the Emergency Department (PubMed)

) suggest debriefing after complicated medical situations, they do not teach debriefing skills suited to this purpose. Anecdotal evidence suggests that real-time debriefings (or non-critical incident debriefings) do in fact occur in academic EDs;, however, limited research has been performed on this subject. The objective of this study was to characterize real-time, non-critical incident debriefing practices in emergency medicine (EM).We conducted this multicenter cross-sectional study of EM attendings (...) -critical incident debriefing definitely occurs in academic emergency practice; 2) in general, real-time debriefing is perceived to be of some value with respect to education, systems and performance improvement; 3) although it is practiced by clinicians, most report no formal training in actual debriefing techniques. Further study is needed to clarify actual benefits of real-time/non-critical incident debriefing as well as details on potential pitfalls of this practice and recommendations for best

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2016 Western Journal of Emergency Medicine

31. Emerging trends in social media and plastic surgery (PubMed)

Emerging trends in social media and plastic surgery Social media has increasingly changed the landscape of medicine and surgery and is rapidly expanding its influence in most peoples' lives. The average person spends nearly 2 hours per day using social media, consuming information about everything from family updates to entertainment news to presidential elections. The concentration of consumers on social media platforms has resulted in direct medicine and medical products marketing (...) through direct outreach to patients. Social media is a powerful tool which needs to be utilized wisely to avoid pitfalls.

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2016 Annals of Translational Medicine

32. Critical Appraisal of Emergency Medicine Educational Research: The Best Publications of 2010. (PubMed)

that met a priori quality indicators. Current trends and common methodologic pitfalls in the 2010 papers are noted.© 2011 by the Society for Academic Emergency Medicine. (...) Critical Appraisal of Emergency Medicine Educational Research: The Best Publications of 2010. The objective was to critically appraise and highlight medical education research studies published in 2010 that were methodologically superior and whose outcomes were pertinent to teaching and education in emergency medicine (EM).A search of the English language literature in 2010 querying PubMed, Scopus, Education Resources Information Center (ERIC), and PsychInfo identified 41 EM studies that used

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2011 Academic Emergency Medicine

33. Pearls and pitfalls of genomics-based microbiome analysis (PubMed)

Pearls and pitfalls of genomics-based microbiome analysis 26038412 2015 06 03 2018 11 13 2222-1751 1 12 2012 Dec Emerging microbes & infections Emerg Microbes Infect Pearls and pitfalls of genomics-based microbiome analysis. e45 10.1038/emi.2012.41 Carlos Nossa N Department of Ecology & Evolutionary Biology, Rice University , Houston, TX 77005, USA. Tang Yi-Wei YW Department of Laboratory Medicine,Memorial Sloan Kettering Cancer Center , New York, NY 10065, USA. Pei Zhiheng Z Departments (...) of Pathology and Medicine,New York University School of Medicine , New York, NY 10016, USA. eng R01 AI063477 AI NIAID NIH HHS United States R01 CA159036 CA NCI NIH HHS United States U19 DE018385 DE NIDCR NIH HHS United States UH3 CA140233 CA NCI NIH HHS United States Journal Article United States Emerg Microbes Infect 101594885 2222-1751 2015 6 4 6 0 2012 12 1 0 0 2012 12 1 0 1 ppublish 26038412 10.1038/emi.2012.41 PMC3634131 Proc Natl Acad Sci U S A. 2012 May 15;109(20):7665-70 22547789 Appl Environ

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2012 Emerging Microbes & Infections

34. Trending issues in medicine 2015 – #5 Diagnostic accuracy

Trending issues in medicine 2015 – #5 Diagnostic accuracy db's Medical Rants » Blog Archive » Trending issues in medicine 2015 – #5 Diagnostic accuracy Internal medicine, American health care, and especially medical education 4 Posted by rcentor | Posted on 24-12-2015 Category : As the year ends, we have a responsibility to survey the medical landscape and identify the major issues that are impacting physicians and therefore patients. I have chosen 5 topics to discuss. Today I will focus on one (...) that I have addressed often over the past decade – diagnostic accuracy. Today’s NEJM has an article that, in my opinion, misses the point – As most readers know, the Institute of Medicine has published their opus on the topic – Here is my take. As we practice medicine and teach medicine we have time limitations. Diagnosis has not held central importance in the minds of the insurers and regulators. Three trends have dominated practice, and thus left less time for diagnostic thinking. First, our

2015 db's Medical Rants blog

35. Integrating genomics into clinical oncology: ethical and social challenges from proponents of personalized medicine. (PubMed)

therapies.These specific concerns are not unique to oncology, or even genomics. However, those most invested in the success of PM view oncologists' responses to these challenges as precedent setting because oncology is farther along the path of clinical integration of genomic technologies than other fields of medicine. This study illustrates that the rapid emergence of PM approaches in clinical oncology provides a crucial lens for identifying and managing potential frictions and pitfalls that emerge as health (...) Integrating genomics into clinical oncology: ethical and social challenges from proponents of personalized medicine. The use of molecular tools to individualize health care, predict appropriate therapies, and prevent adverse health outcomes has gained significant traction in the field of oncology under the banner of "personalized medicine" (PM). Enthusiasm for PM in oncology has been fueled by success stories of targeted treatments for a variety of cancers based on their molecular profiles

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2014 Urologic oncology

36. Urologic Imaging Without X-rays: Ultrasound, MRI, and Nuclear Medicine (Diagnosis)

Urologic Imaging Without X-rays: Ultrasound, MRI, and Nuclear Medicine (Diagnosis) Urologic Imaging Without X-rays - Ultrasonography, MRI, and Nuclear Medicine: Urologic Ultrasound, Prostascintigraphy, Magnetic Resonance Imaging Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method (...) =getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNDU1NTUzLW92ZXJ2aWV3 processing > Urologic Imaging Without X-rays - Ultrasonography, MRI, and Nuclear Medicine Updated: May 24, 2018 Author: Andrew C Peterson, MD, FACS; Chief Editor: Bradley Fields Schwartz, DO, FACS Share Email Print Feedback Close Sections Sections Urologic Imaging Without X-rays - Ultrasonography, MRI, and Nuclear Medicine Urologic Ultrasound Ultrasonography was initially developed as a military tool

2014 eMedicine.com

37. Urologic Imaging Without X-rays: Ultrasound, MRI, and Nuclear Medicine (Overview)

Urologic Imaging Without X-rays: Ultrasound, MRI, and Nuclear Medicine (Overview) Urologic Imaging Without X-rays - Ultrasonography, MRI, and Nuclear Medicine: Urologic Ultrasound, Prostascintigraphy, Magnetic Resonance Imaging Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile (...) &urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNDU1NTUzLW92ZXJ2aWV3 processing > Urologic Imaging Without X-rays - Ultrasonography, MRI, and Nuclear Medicine Updated: May 24, 2018 Author: Andrew C Peterson, MD, FACS; Chief Editor: Bradley Fields Schwartz, DO, FACS Share Email Print Feedback Close Sections Sections Urologic Imaging Without X-rays - Ultrasonography, MRI, and Nuclear Medicine Urologic Ultrasound Ultrasonography was initially developed as a military tool and was adopted

2014 eMedicine.com

38. Urologic Imaging Without X-rays: Ultrasound, MRI, and Nuclear Medicine (Treatment)

Urologic Imaging Without X-rays: Ultrasound, MRI, and Nuclear Medicine (Treatment) Urologic Imaging Without X-rays - Ultrasonography, MRI, and Nuclear Medicine: Urologic Ultrasound, Prostascintigraphy, Magnetic Resonance Imaging Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method (...) =getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNDU1NTUzLW92ZXJ2aWV3 processing > Urologic Imaging Without X-rays - Ultrasonography, MRI, and Nuclear Medicine Updated: May 24, 2018 Author: Andrew C Peterson, MD, FACS; Chief Editor: Bradley Fields Schwartz, DO, FACS Share Email Print Feedback Close Sections Sections Urologic Imaging Without X-rays - Ultrasonography, MRI, and Nuclear Medicine Urologic Ultrasound Ultrasonography was initially developed as a military tool

2014 eMedicine.com

39. Urologic Imaging Without X-rays: Ultrasound, MRI, and Nuclear Medicine (Follow-up)

Urologic Imaging Without X-rays: Ultrasound, MRI, and Nuclear Medicine (Follow-up) Urologic Imaging Without X-rays - Ultrasonography, MRI, and Nuclear Medicine: Urologic Ultrasound, Prostascintigraphy, Magnetic Resonance Imaging Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method (...) =getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNDU1NTUzLW92ZXJ2aWV3 processing > Urologic Imaging Without X-rays - Ultrasonography, MRI, and Nuclear Medicine Updated: May 24, 2018 Author: Andrew C Peterson, MD, FACS; Chief Editor: Bradley Fields Schwartz, DO, FACS Share Email Print Feedback Close Sections Sections Urologic Imaging Without X-rays - Ultrasonography, MRI, and Nuclear Medicine Urologic Ultrasound Ultrasonography was initially developed as a military tool

2014 eMedicine.com

40. Seizures in the Emergency Department (Overview)

in the emergency department (ED), 3 basic pitfalls must be avoided. The first is failure to recognize seizure activity. Nonconvulsive seizure is a rare presentation of altered mental status (AMS) but should always be on the differential of the comatose patient. Electroencephalography (EEG) is the diagnostic modality of choice for identifying these patients. The second is failure to control seizure activity aggressively. Neurologic dysfunction is theorized to occur after 20 minutes of continuous seizure (...) . . Treatment of convulsive status epilepticus. Recommendations of the Epilepsy Foundation of America's Working Group on Status Epilepticus. JAMA . 1993 Aug 18. 270(7):854-9. . Shearer P, Park D. Seizures and Status Epilepticus: Diagnosis and Management in the Emergency Department. Emergency Medicine Practice . August 2006. 8(8).: Holsti M, Dudley N, Schunk J, Adelgais K, Greenberg R, Olsen C, et al. Intranasal midazolam vs rectal diazepam for the home treatment of acute seizures in pediatric patients

2014 eMedicine.com

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