emergency medicine Israel: Recent Episodes

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The continuing spread of SARS-CoV-2 remains a Public Health Emergency of International Concern. What physicians need to know about transmission, diagnosis, and treatment of Covid-19 is the subject of ongoing updates from infectious disease experts at the Journal.

In this audio interview conducted on August 24, 2021, the editors discuss various approaches to assessing SARS-CoV-2 vaccine safety, including a new study involving more than 1.7 million people in Israel.

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EMplify - June 2021

Announcements:

  • The Clinical Decision Making in the Emergency Department conference is June 23-27 live and virtual. More information here: https://clinicaldecisionmaking.com

  • Be on the lookout for an announcement regarding the new EB Medicine app, coming to an App Store near you this summer !!

Syncope- An Interview With Dr. James Morris

See the EB Medicine Article @ https://www.ebmedicine.net/topics/cardiovascular/syncope

  • Why syncope? Prevalence, hospitalizations, etc.

  • Etiology: figure 1 is fantastic. Physiologic basis of syncope

  • Neurally mediated

  • Orthostatic - are we still doing orthostatic vitals in the ED?

  • Cardiac

  • Differentiating syncope from seizure

  • Features that point to seizure

  • Urinary incontinence

  • Number of jerks

  • Age?

  • Prehospital care is all about details

  • What did bystanders see?

  • What do paramedics see?

  • Any trauma?

  • Any neuro deficits ?

  • Glucose

  • ECG

  • ED History - table 4

  • History of similar

  • Prodrome

  • Associated symptoms (chest pain, neuro symptoms, etc)

  • Falls

  • Pre-syncope ?

  • ED exam

  • Vitals, vitals, vitals

  • Orthostatic vitals ?

  • Carotid sinus massage, why this? Do we do in the ED?

  • ECG

  • Brugada, blocks, VT, ST changes, etc

  • Labs

  • BNP, delta bnp ?

  • Trop

  • Lactic acid

  • Pregnancy test

  • CBC

  • lutes

  • Bun/Cr

  • Echo - any role in the ED?

  • CT

  • Head

  • PE- get this on everyone ? Is it high prevalence?

  • Risk stratification tools- the bad and the worse

  • Table 7, amazing

  • Controversies

  • Admitting the elderly

  • Orthostatic vitals (we discussed already)

  • Disposition