Making a Dream a Reality
By Joseph Kim, MD.   As a Korean-American, I have always been curious about exploring my heritage. Fortunately, I have had the opportunity to visit South Korea several times, including two trips during residency. Each time I visited, I realized that I had developed a desire to live in South Korea one day. But deciding to work in Korea as a physician was an enormous decision, and I did not want to make it lightly. I wanted to have the chance to explore the life of an emergency physician in South Korea before making such a life-altering decision.    I began researching potential hospitals that might allow me to rotate thr...
Source: Going Global - June 11, 2013 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

The LITFL Review 101
Conclusion: Imaging and repeat imaging in sciatic doesn’t really change the management..So why do it then!Focus Article: Early Imaging After Arrest Often Finds the Culprit. Bottom line from this study: The use of an early diagnosis protocol with immediate coronary angiography and/or CT scan provided the etiology of nearly two thirds of OHCA cases.ECG of the WeekECG of the Week – It looks bad and wide – whats going on!Ultrasound PodcastULTRASOUND OF RADIUS FRACTURE! What? That’s right. Diagnose it and guide your reduction with US!TJdogmaICE 007 – another great ICE case, simple, short and infor...
Source: Life in the Fast Lane - April 8, 2013 Category: Emergency Medicine Doctors Authors: Kane Guthrie Tags: Education eLearning Emergency Medicine Featured Intensive Care LITFL review LITFL R/V Source Type: blogs

The LITFL Review 101
Conclusion: Imaging and repeat imaging in sciatic doesn’t really change the management..So why do it then! Focus Article: Early Imaging After Arrest Often Finds the Culprit. Bottom line from this study: The use of an early diagnosis protocol with immediate coronary angiography and/or CT scan provided the etiology of nearly two thirds of OHCA cases. ECG of the Week ECG of the Week – It looks bad and wide – whats going on! Ultrasound Podcast ULTRASOUND OF RADIUS FRACTURE! What? That’s right. Diagnose it and guide your reduction with US! TJdogma ICE 007 – another great ICE case, simple, s...
Source: Life in the Fast Lane - April 8, 2013 Category: Emergency Medicine Doctors Authors: Kane Guthrie Tags: Education eLearning Emergency Medicine Featured Intensive Care LITFL review LITFL R/V Source Type: blogs

68 minutes with chest compressions, full recovery. Plus recommendations from a 5-member panel on cardiac arrest.
The following is told with full permission of the patient, who is a paramedic who also started, owns and runs with his wife a company for teaching CPR.  He has taught CPR to over 100,000 people.  And he's a wonderful guy.   Here is his story:Near midnight in December, this 56 yo very healthy and vigorous paramedic was out on a run with a critical case when his partner found him unresponsive in the front seat of the ambulance.  The partner began manual chest compressions immediately and called for help.  He was found to be in ventricular fibrillation and was defibrillated 4 times, unsuccessfully.&nb...
Source: Dr. Smith's ECG Blog - April 6, 2013 Category: Cardiology Authors: Steve Smith Source Type: blogs

Stop Cooling Those Burns
Do you ever get the feeling that everything you learned in EMT class was wrong? If you haven’t yet developed that feeling, then you probably haven’t been around long enough. Stick around. Sooner or later (depending on whether or not you are paying attention) you’ll start to feel that every treatment guideline you ever learned was somehow flawed. I’ve been in EMS education long enough now to start to feel that everything I ever taught was wrong. Such is medicine. And now I’m going to throw another curve ball at you. Do you remember when we told you to aggressively flush burns with copious amoun...
Source: The EMT Spot - March 18, 2013 Category: Ambulance Crew Authors: administrator Tags: Knowledge Skills slider Source Type: blogs

Therapeutic Hypothermia After Cardiac Arrest Protocol
Therapeutic hypothermia after cardiac arrest is an increasingly used strategy to improve outcomes after myocardial infarction. Most medical centers have developed protocols to be used by the emergency medicine, ICU, and nursing staffs. One representative protocol that is similar to the one used at the University of Chicago Medical Center is outlined below. Eligibility 1. status post cardiac arrest 2. return of spontaneous circulation within previous 6 hours 3. presence of coma (patient does not follow commands or open eyes to pain) 4. check pregnancy status in women < 50 and if positive contact Obgyn Exclusion Criteria 1. ...
Source: Inside Surgery - February 17, 2013 Category: Surgeons Authors: Editor Tags: Cardiology Critical Care Source Type: blogs

The LITFL Review 093
Welcome to the awesome 93rd edition! The LITFL Review is your regular and reliable source for the highest highlights, sneakiest sneak peaks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the best and brightest from the blogosphere, the podcast video/audiosphere and the rest of the Web 2.0 social media jungle to find the most fantastic EM/CC FOAM (Free Open Access Meducation) around. The Most Fair Dinkum Ripper Beaut of the Week boringem Top spot is taken out by boringem with a great review on Palliative Care in the ED and how to use a ...
Source: Life in the Fast Lane - January 29, 2013 Category: Emergency Medicine Doctors Authors: Kane Guthrie Tags: Education eLearning Emergency Medicine Featured Health Intensive Care LITFL review LITFL R/V Source Type: blogs

The LITFL Review 093
Welcome to the awesome 93rd edition! The LITFL Review is your regular and reliable source for the highest highlights, sneakiest sneak peaks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the best and brightest from the blogosphere, the podcast video/audiosphere and the rest of the Web 2.0 social media jungle to find the most fantastic EM/CC FOAM (Free Open Access Meducation) around. The Most Fair Dinkum Ripper Beaut of the Week boringem Top spot is taken out by boringem with a great review on Palliative Care in the ED and how to use a ...
Source: Life in the Fast Lane - January 29, 2013 Category: Emergency Medicine Doctors Authors: Kane Guthrie Tags: Education eLearning Emergency Medicine Featured Health Intensive Care LITFL review LITFL R/V Source Type: blogs

Welcome to the “2013″ Guidelines for management of STEMI !
Guidelines are meant for simplifying  cardiologist’s life  as well as  ameliorating   patient suffering  . It should also  ensure  improving overall  outcome   with  efficient  use of human resources and  economy . These guidelines  are written from sophisticated centers  mainly for consumption  in developed countries .Though core  concepts will be same , many recommendations are neither possible nor desirable  at the exact point of delivery  in  less developed countries . Please remember these guidelines are not binding on you .Physician discretion is the ultimate principle in medicine. So ,  le...
Source: Dr.S.Venkatesan MD - January 28, 2013 Category: Cardiology Authors: drsvenkatesan Tags: Cardiology -guidelines cardiology -Therapeutics STEMI-Primary PCI Tutorial in clinical cardiology Uncategorized 2013 STEMI AHA ACC Guidelines Current stemi guidelines New stemi guidelines 2013 Source Type: blogs

Six Mistakes of Awake Intraosseous Infusion
I’ve been inserting and teaching how to insert an intraosseous (IO) needle for several decades. Like most of you, however, almost all of the IO needle insertions that I have performed were on obtunded or cardiac arrest patients (mostly pediatric and a few adult). Several years ago I did my first intraosseous needle insertion on an altered but awake adult. Much to my chagrin, I quickly learned that I really didn’t know what I was doing. I even documented my ineptness with a video so that others could learn from my mistakes. Most emergency physicians are comfortable with using IO needles during resuscitation, but their s...
Source: M2E Too! Mellick's Multimedia EduBlog - November 5, 2012 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs