Conference 3/26 will again be virtual. The last week of this month’s conference should finish off the pulmonology block. The Q&A section had good feedback and we would like to do that again as part of the ongoing series after the initial lectures. We will have both resident and attending lectures as part of the virtual conference.
Toxicology day at the Ft Worth Zoo.
This was a fantastic day organized by the Chief of Toxicology, Dr Todd Phillips MD, FACEP ( https://twitter.com/toddstoxtalks?lang=en), with guest speaker Dr Spencer Greene MD, MS, FACMT, FAAEM, FACEP, a renowned toxicologist and snakebite expert (You can read more about Dr Greene here https://www.woodlandsonline.com/npps/story.cfm?nppage=63057 ). Much thanks also to Diane Barber, Zoo Curator of Ectotherms for allowing us to evaluate multiple exhibits. All of the residents and faculty were taken on a personalized tour behind the scenes in conjunction with Zoo veterinarians who specialize in the care and maintenance of venomous and exotic reptiles.
The above photo captured a very heated discussion between these physicians regarding the orientations of a reptilian animal currently in the exhibit called a Gharial. Only about 2/4 agreed that it was crocodilian, the other 2/4 agreed it was some sort of fish maybe? hard to say. There was no final consensus reached.
Local CBS news also got wind of our envenomation day and came and interviewed our faculty and zoo personnel
See below for the link to the full video:
Now, Onto business…
If you missed it last night, EMRAP had a live virtual conference that was essentially about covid updates, circulating literature, and addressing some new developments – ie NSAID use, Mortality statistics etc. You can recap it here:
As we have the upcoming lecture on advanced PE management and thrombolysis considerations from Dr Patel (APD), I thought it would be a good idea to include an article from LITFL (FOAMed) here for your review regarding EKG changes and pathognomonic patterns seen in PE’s.
Also advanced reading regarding EKG in PE’s
- Kosuge et al. Electrocardiographic differentiation between acute pulmonary embolism and acute coronary syndromes on the basis of negative T waves. Am J Cardiol. 2007 Mar 15;99(6):817-21. [PMID 17350373]
- Chan TC. ECG in Emergency Medicine and Acute Care
- Mattu A. ECG’s for the Emergency Physician
Here is a good discussion of the PERC rule specifically, application correctly and pitfalls, also from LITFL:
Here is an interesting video from a FOAMed site called EMin5.com (https://emin5.com/ )which shows quickly how to implement the ARDSNet strategy in ventilator management in a quick 5 minute video.
Thats it for now, stay tuned for virtual conference this week
K. Holmes DO FACEP
S. Meyering DO FAAEM