New to Meducation?
Sign up
Already signed up? Log In

Category

Preview
0
7

An often forgotten cause of chest pain

A 66 year old white woman presented to the emergency department of a district general hospital with shortness of breath and chest pain, which radiated to her back. She had previously received antibiotics from her general practitioner for a presumed chest infection. Comorbidities included drug controlled hypertension. On examination she was tachypnoeic and hypertensive with a blood pressure of 170/90 mm Hg. No disparity in blood pressure was seen between her arms. Because clinical signs and plain chest radiography were suggestive of a left sided basal pneumonia with associated parapneumonic effusion (fig 1⇓), she received intravenous antibiotics.  
feeds.bmj.com
over 3 years ago
Preview
0
10

PUSH HARD AND FAST – AND SAY NO TO DRUGS

Drugs in cardiac arrest has been under bombardement for some time now. Atropine is out, adrenaline is just in there for good old times sake. And now, in an unselected cardiac arrest population, a new NEJM published RCT shows that the silver bullet anti-arrhythmic amiodarone is no more effective in getting better outcomes than injecting saline. The same went for the old Hail Mary rescue drug lidocaine, also included in the RCT. The basics are what matters in cardiac arrest: early and effective chest compressions and early defib.  
scancrit.com
over 3 years ago
Preview
4
256

Questions on the surface anatomy of the thorax

This video is part of a playlist of short videos which are intended to combine multiple choice questions' answering experience with an improved understanding...  
youtube.com
over 3 years ago
Preview
8
440

What constitutes the borders of the mediastinal shadow in a chest x-ray?

This video is part of a playlist of short videos which are intended to combine multiple choice questions' answering experience with an improved understanding...  
youtube.com
over 3 years ago
Preview
0
0

Imaging Case of the Week 197 Answer

The chest x-ray shows a widened mediastinum with a lack of delineation of the aortic knuckle. The left main bronchus appears depressed.  
emergucate.com
over 3 years ago
Preview
0
1

Imaging Case of the Week 197

A 38 year old with a history of sudden chest pain radiating to the neck and back has presented to the ED. What can be observed from the chest x-ray images?Answer will be posted on 23/03/2016.  
emergucate.com
over 3 years ago
Preview
2
13

Thoracic wall - dissection

This video and its channel are supported by "Human Anatomy Education" page on Facebook http://www.facebook.com/AnatomyEducation After watching this video, it...  
youtube.com
over 3 years ago
Preview
2
10

Surface anatomy of the thorax

This video and its channel are supported by "Human Anatomy Education" page on Facebook http://www.facebook.com/AnatomyEducation Objectives • Locate: midclavi...  
youtube.com
over 3 years ago
Preview
0
0

Dr. Smith's ECG Blog: Chest Tightness and Asthma in a Young Man

Instructive ECGs in Clinical Context ----Archives, Popular Posts, and an Index of all ECGs are down the right-hand side.  
hqmeded-ecg.blogspot.com
over 3 years ago
Preview
2
30

Ultrasound

Contents  ·  Introduction  ·  Learning Objectives  ·  Clinical Issues  ·  Procedures  ·  Library  ·  Pharmacy  ·  Lab  ·  Chest X-ray  ·  Ultrasound  ·  Videos  ·  Forms  ·  Progress Notes  ·  Facts Cards  ·  Students  ·  Search  ·  Feedback  ·  About Us  
brooksidepress.org
over 3 years ago
Preview
0
2

Ultrasound vs CXR for Central Vascular Catheter Placement

This study compares the use of ultrasound vs chest x-ray for confirming correct CVC placements. How do they stack up?  
medscape.com
over 3 years ago
Preview
0
1

The paralysed man who can ride a bike - BBC News

Darek Fidyka, who was paralysed from the chest down after a knife attack in 2010, can now ride an adapted tricycle.  
bbc.co.uk
over 3 years ago
Preview
0
0

Radiological Case: Metastatic Pulmonary Calcification

What was the origin of the bilateral upper lobe nodular opacities detected on chest x-ray of this 39-year-old patient with end-stage renal disease?  
medscape.com
over 3 years ago
Preview
0
0

ECMO in the Ped ED - emdocs

Remaining vigilant for the child with a subtle presentation of a severe illness is part of our job in the Ped ED; however, sometimes, the illness is not subtle and the child requires critical actions (ex, Damage Control Resuscitation, Mechanical Ventilation, Optimize Chest Compressions) . Often, it is best to consider these critical actions prior to needing to do them so there is no delay. One such, potentially life-saving, critical action is Extracorporeal Membrane Oxygenation (ECMO). Recently there was a nice review of Pediatric ECMO [Gehrmann, 2015] that deserves further contemplation. Below are some highlights from that article:  
emdocs.wpengine.com
over 3 years ago
Preview
0
4

Less Ventilator Time, Fewer Deaths After Rib Fixation

Repairing rib fractures without flail segments in patients who have experienced blunt trauma can lead to better outcomes, according to a new study.  
medscape.com
over 3 years ago
Preview
0
0

ECMO in the Ped ED - emdocs

Remaining vigilant for the child with a subtle presentation of a severe illness is part of our job in the Ped ED; however, sometimes, the illness is not subtle and the child requires critical actions (ex, Damage Control Resuscitation, Mechanical Ventilation, Optimize Chest Compressions) . Often, it is best to consider these critical actions prior to needing to do them so there is no delay. One such, potentially life-saving, critical action is Extracorporeal Membrane Oxygenation (ECMO). Recently there was a nice review of Pediatric ECMO [Gehrmann, 2015] that deserves further contemplation. Below are some highlights from that article:  
emdocs.net
over 3 years ago
Preview
0
0

Abnormality on a plain film chest radiograph

An 82 year old man with a 40 pack year smoking history was referred for chest radiography by his general practitioner because of haemoptysis associated with unintentional weight loss over the past few months.  
feeds.bmj.com
over 3 years ago
Preview
0
7

Imaging Case of the Week 190 Answer

The chest x-ray shows a linear density along the left lung field due to a skin fold, which can sometimes be mistaken for a pneumothorax.  
emergucate.com
over 3 years ago
Preview
0
7

Imaging Case of the Week 190

This chest x-ray is from a 78 year old with tachycardia and abdominal pain. What can be seen on the erect AP chest x-ray?Answer will be posted on 3/2/16.  
emergucate.com
over 3 years ago
Preview
0
0

ACCP Guidelines Update for Thromboembolic Disease - emdocs

What are the new updates for DVT and PE from the American College of Chest Physicians? This post provides a summary of the key recommendations for EM providers.  
emdocs.net
over 3 years ago