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So much to cover this week! From an abandoned ghost town in Western Australia, to David Blaine floating away. From multi-sport insane ejections to Del's personal experience speaking to Disney about what exactly he is paying for. Mulan, Blade of the Immortal, The Boys, Raised by Wolves and of course Dune (explained!!!)With No Due Respect S02E32 (Abandoned, Ejected & Streamed)SHOW NOTES:WittenoomMining blue asbestosMario Hartmann (Dutch's spirit animal)Documentary "Australia's Ghost Town"https://www.youtube.com/watch?v=PaHw_bGI2MEWittenoom Doc on the people that refused to leavehttps://www.youtube.com/watch?v=NrG5kCigA20Wittenwoom information sitehttps://www.asbestosdiseases.org.au/asbestos-info/the-wittenoom-tragedy/#:~:text=The%20Wittenoom%20Tragedy%20In%20Summary&text=To%20date%20more%20than%202000,have%20died%20from%20Asbestos%20Diseases.David Blaine approaching 25,000 ftDavid Blaine Ascensionhttps://www.youtube.com/watch?v=QwzvNAAqH3gRed Bull Space JumpRed Bull Space Jumphttps://www.youtube.com/watch?v=vvbN-cWe0A0Djokavic out of the U.S. Openhttps://www.youtube.com/watch?v=Med6S5v7bZ8Joe West kicks out Mike Rizzohttps://www.youtube.com/watch?v=er7I72g37nA"Blade of the Immortal" 2019/20 Anime"The Boys""Raised by Wolves""Mulan""Dune""Dune" 2020 Trailerhttps://www.youtube.com/watch?v=n9xhJrPXop4"Dune" 1984
Você está precisando de inspiração e mais motivação para agir? Você está com ideias na cabeça, mas não sabe se deve fazer? Você sanda procrastinando seus projetos? Bom, no episódio de hoje, Érica Lima conversa Leia mais…
**PLEASE NOTE** This podcast was recorded on April 10, 2020 “Everything you do affects everything else. You, and what you do matters” – Ryan Leier Website Instagram The One Yoga Digital Studio 45 Minute Vinyasa Yoga Class with Ryan Leier The Heart of Yoga: Developing a Personal Practice Light on Yoga: The Definitive Guide to… The post #87 Ryan Leier: Life Of A Modern Yogi appeared first on Active Vegetarian.
Pastor Micah Bergen – March 24, 2020
Interview with Gloria Hunter and Micah Bergen
“Instead of covering the problem, together we’ll get to the root cause, fix it, and find out how to prevent it in the first place. With a one-two punch of plant-based foods and easy lifestyle shifts like exercise and meditation, you’ll learn to take back control of the way you eat, look, and feel (because… The post #86 Dr. Will Bulsiewicz: How To Restore Your Gut Naturally appeared first on Active Vegetarian.
Pastor Micah Bergen Series: Resurrection
Series: Resurrection Pastor Micah Bergen
Series:Resurrection Pastor Micah Bergen
Zuz and I recently had the pleasure of connecting with Blake Ward – the founder of seed. Seed is known for it’s incredibly unique and versatile pant. Transforming the industry – by making the best clothing on the planet locally, naturally and ethically right next door to us in Alberta, Canada. You will not only… The post #85 Blake Ward: The Healthiest Clothes on the Planet appeared first on Active Vegetarian.
April 19,2020Pastor Micah BergenSeries: Resurrection
Series: ResurrectionBergen Family Living Room
Ep1- The King We WantSeries: ResurrectionPastor Micah Bergen
The intuitive mind is a sacred gift and the rational mind is a faithful servant. We have created a society that honours the servant and has forgotten the gift. ~ Albert Einstein Understanding what intuition is and learning to use as a part of our lives can be very powerful! We all have a natural capacity… The post #84 The Power of Intuition: How to Connect with Your True Self appeared first on Active Vegetarian.
Hello friends, thank you for joining us for this episode of the Active Vegetarian Show, it’s nice to have you here with us. In this episode, we share our thoughts on the global Coronavirus COVID-19 pandemic, the increase rate of cancer cases and ways you can build resilient health. Arm yourself and your family with… The post #83 Build Resilient Health: Strengthen Your Immune System Naturally appeared first on Active Vegetarian.
An overview and management tips of hemoptysis in the ED. Hosts: Brian Gilberti, MD Audrey Bree Tse, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Hemoptysis.mp3 Download Leave a Comment Tags: Critical Care, Pulmonary Show Notes OVERVIEW: Definition: expectoration/ coughing of blood originating from tracheobronchial tree Sources: Bronchial arteries (90%): under systemic circulatory pressure to supply supporting structures of the lung → heavier bleeding Pulmonary arteries (5%): under low pressure to supply alveoli → milder bleeding Nonbronchial arteries (5%): intercostal arteries, coronary arteries, thoracic/ upper/ inferior phrenic arteries Quantification: Mild: 300mL-1L/ 24hr Mortality: 38% for massive (>500mL/ 24hr) vs 4.5% for nonmassive Etiology (in adults): Infectious ...
We are loving the fact that veganism has finally gone mainstream! We began our plant-based journey back in 1996 when the word “vegan” was mostly idolized by hippies and animal activists. Fast forward to 2020, and with more than 57 million #vegan posts on Instagram, it’s safe to say that this lifestyle is no longer… The post #82: Healthy & Easy Plant-Based Food Swaps appeared first on Active Vegetarian.
We go over the recent updates in the workup and management of pneumonia. Hosts: Brian Gilberti, MD Audrey Tse, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Pneumonia_Updates.mp3 Download Leave a Comment Tags: Infectious Diseases, Pulmonary Show Notes 2007 Infectious Diseases Society of America/American Thoracic Society Criteria for Defining Severe Community-acquired Pneumonia Validated definition includes either one major criterion or three or more minor criteria Minor criteria Respiratory rate > 30 breaths/min PaO2/FIO2 ratio 20 mg/dl) Leukopenia* (white blood cell count , 4,000 cells/ml) Thrombocytopenia (platelet count , 100,000/ml) Hypothermia (core temperature , 368 C) Hypotension requiring aggressive fluid resuscitation Major criteria Septic shock with need for vasopressors Respiratory failure requiring mechanical ventilation A special thanks to our Infectious Diseases Editor: Angelica Cifuentes Kottkamp, MD Infectious Diseases & Immunology NYU School of Medicine Read More
Diagnosing and managing one of our critical diagnoses - posterior stroke. Hosts: Mukul Ramakrishnan, MD Audrey Bree Tse, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/final_posterior_stroke_podcast_post_edit.mp3 Download One Comment Tags: Neurology, Posterior Stroke Show Notes See Dr. Newman-Toker demonstrate the HINTS exam here Kattah JC, Talkad AV, Wang DZ, Hsieh YH, Newman-Toker DE. HINTS to diagnose stroke in the acute vestibular syndrome: three-step bedside oculomotor examination more sensitive than early MRI diffusion-weighted imaging. Stroke. 2009 Nov;40(11):3504-10 Read More
We discuss one of the most complex problems we face – Homelessness Hosts: Kelly Doran, MD Audrey Tse, MD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Homelessness.mp3 Download Leave a Comment Tags: Social Emergency Medicine Show Notes Special Thanks To: Dr. Kelly Doran, MD MHS Ronald O. Perelman Department of Emergency Medicine at NYU Langone Health, NYC Health + Hospitals/ Bellevue ___________________________ References: Doran, K.M. Commentary: How Can Emergency Departments Help End Homelessness? A Challenge to Social Emergency Medicine. Ann Emerg Med. 2019;74:S41-S44. Doran, K.M., Raven, M.C. Homelessness and Emergency Medicine: Where Do We Go From Here? Acad Emerg Med. 2018;25:598-600. Salhi, B.A., et al. Homelessness and Emergency Medicine: A Review of the Literature. Acad Emerg Med. 2018;25:577-93. U.S. Department of Housing and Urban Development, Annual Homeless Assessment Report to Congress. Available at: https://www.hudexchange.info/resource/5783/2018-ahar-part-1-pit-estimates-of-homelessness-in-the-us/ U.S. Interagency Council on Homelessness. Home, Together Federal Strategic Plan to Prevent and End Homelessness.
I had the honours of sitting down with Cara Carin Cifelli and we talked about how we can take a holistic approach to our wellbeing. All of us humans are gifted with “four bodies” the physical, mental, emotional and spiritual body. However, our society disproportionately focuses on the physical body – size, appearance, and what… The post #81: How To Break Free From Diets & Build A Healthy A Relationship With Food appeared first on Active Vegetarian.
We go into one of the more complex injuries – blunt neck trauma. Hosts: Audrey Bree Tse, MD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Blunt_Neck_Injuries.mp3 Download Leave a Comment Tags: Trauma Show Notes Overview Blunt neck trauma comprises 5% of all neck trauma Mortality due to loss of airway more so than hemorrhage Mechanism MVCs with cervical hyperextension, flexion, rotation during rapid deceleration, direct impact Strangulation: hanging, choking, clothesline injury (see section on strangulation in this chapter) Direct blows: assault, sports, falls Initial Management/Primary Survey Airway Evaluate for airway distress (stridor, hoarseness, dysphonia, dyspnea) or impending airway compromise Early aggressive airway control: low threshold for intubation if unconscious patient, evidence of airway compromise including voice change, dyspnea, neurological changes, or pulmonary edema Assume a difficult airway Breathing Supplemental oxygen
Summit quer dizer: o cume, o topo, o ápice. E foi isso que o Spotify tentou apresentar no Spotify for Podcasts Summit, no começo de novembro de 2019. No episódio de hoje, Mogli vai a São Paulo para cobrir o evento e tem a oportunidade de gravar com Fabiana Murray, do Pílulas de Beleza; Léo […] O post Galera do RAU – Extra – Mogli no Spotify for Podcasters Summit 2019 apareceu primeiro em Galera do RAU.
In this episode, we are going to answer a question that keeps coming our way on a regular basis these days – What are your thoughts on the plant-based keto diet? The ketogenic diet has become one of the most popular diet approaches in recent years, with everyone from celebrities to fitness gurus claiming that… The post #80: What are your thoughts on the plant-based keto diet? appeared first on Active Vegetarian.
Olá, saxofonistas da Galera do RAU! Fale ‘gravando’, organize um roda viva com o participante ausente e faça barulho pra fazer bullying com o editor. No episódio de hoje, Diogo Bob e Thiago Rissut recebem um timaço: Cafeína (Papo Delas), Mari Ribeiro (Mileniados), Leandro Pereira (Ergo) e Léo Oliveira (Fermata). Essa trupe vai trazer os […] O post Galera do RAU #107 – Ocasiões para ouvir Kenny G apareceu primeiro em Galera do RAU.
We dissect one of the most common injuries we see in the ER -- ankle sprains Hosts: Brian Gilberti, MD Audrey Bree Tse, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Ankle_Sprains.mp3 Download 2 Comments Tags: Orthopedics Show Notes Background Among most common injuries evaluated in ED A sprain is an injury to 1 or more ligaments about the ankle joint Highest rate among teenagers and young adults Higher incidence among women than men Almost a half are sustained during sports Greatest risk factor is a history of prior ankle sprain Anatomy Bone: Distal tibia and fibula over the talus → constitutes the ankle mortise Aside from malleoli, ligament complexes hold joint together Medial deltoid ligament Lateral ligament complex Anterior talofibular ligament Most commonly injured Weakest 85% of all ankle sprains Posterior talofibular ligament Calcaneofibular ligament Syndesmosis Mechanism of Injury
E se as coisas não fossem como são?E se você ficasse debatendo com um anarcocapitalista no Twitter?E se o Galera do RAU te trouxesse uma nova realidade?E se uma loucura agora fosse verdade?E se o Mogli fosse o entrevistador?E se o jogo fosse unir o sóbrio ao humor?E se Marlos Sanuto fosse o convidado?E se […] O post E SE #05 -The Rock brasileiro apareceu primeiro em Galera do RAU.
An overview of Vaping Associated Lung Injury (VALI) Hosts: Audrey Bree Tse, MD Larissa Laskowski, DO Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Vaping_Associated_Lung_Injury.mp3 Download 2 Comments Tags: Pulmonary, Toxicology Show Notes Why this matters As of Oct 15, vaping has been associated with acute lung injury in over 1400 people 33 deaths have been confirmed in 24 states 70+% of those with VALI are young men A large number of patients are requiring ICU/ intubation/ ECMO 4 main ingredients in solvent +/- Flavor additives +/- Nicotine or THC (Tetrahydrocannabinol) Propylene Glycol (PG) Vegetable Glycerin (VG) CDC definition of VALI (Vaping Associated Lung Injury) Using an e-cigarette (“vaping”) or dabbing* in 90 days prior to symptom onset AND Pulmonary infiltrate,
LISTEN HERE | WATCH HERE Hello and thank you for tuning in! In this episode of the AV Show we are going to answer some of the common questions we receive about protein in a plant-based diet. You will learn how easy it could be for a plant-based eater to meet recommendations for protein, […] The post #78: Best Plant-Based Protein Sources, Meat Substitutes and Protein Powders appeared first on Active Vegetarian.
Olá, vacinados da Galera do RAU! Verifique seu ânus.. digo.. seu microfone e eleja um especialista para fazer bullying o episódio todo. No episódio de hoje, Diogo Bob e Thiago Rissut recebem o Dr. Leonardo para falar sobre vacina, sua origem, sua importância, crenças e descrenças à respeito do assunto. Por isso, fale da política […] O post Galera do RAU #106 – Vacina essa criança, cacete! apareceu primeiro em Galera do RAU.
Olá, endeusados da Galera do RAU! Fuja da Thata, largue a esposa na confraternização e aceite sua idade mental. No episódio de hoje, Diogo Bob e Mogli recebem Thata Finotto, do PQP Cast, e Andrey Mattos, do Dudecast, para parodiar a série Deuses Americanos e reverenciar os nossos Deuses Brasileiros. Por isso, invoque o Deus […] O post Galera do RAU # 105 – Brazilian Gods apareceu primeiro em Galera do RAU.
An overview of septic arthritis. Hosts: Audrey Bree Tse, MD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Septic_Arthritis.mp3 Download Leave a Comment Tags: Infectious Diseases, Orthopedics Show Notes Episode Produced by Audrey Bree Tse, MD Background Bacteria enters the joint by hematogenous spread due to absence of basement membrane in synovial space from invasive procedures, contiguous infection (e.g. osteomyelitis, cellulitis), or direct inoculation (e.g. plant thorns, nails) WBCs migrate into joint → acute inflammatory process → synovial hyperplasia, prevents new cartilage from forming, pressure necrosis on surrounding joint, purulent effusion Why do we care? irreversible loss of function in up to 10% & mortality rate as high as 11% Cartilage destruction can occur in a matter of hours Complications include bacteremia, sepsis, and endocarditis Etiology Risk factors: extremes of age, RA, DJD, IVDA, endocarditis, GC, immunosuppression, trauma, or prosthesis Organisms: Staph: staph aureus (most common),
E se as coisas não fossem como são?E se a escolha de um emprego não fosse uma escolha?E se o Galera do RAU te trouxesse uma nova realidade?E se uma loucura agora fosse verdade?E se o Mogli fosse o entrevistador?E se o jogo fosse unir o sóbrio ao humor?E se Thata Finotto fosse a convidada?E se uma […] O post E SE #04 – Secretária, tá ok!? apareceu primeiro em Galera do RAU.
Olá, folclóricos da Galera do RAU! Coloque o microfone na xícara, critique a pauta e abra a janela do armário. No episódio de hoje, Diogo Bob e Thiago Rissut recebem Luiz Henrique, do Lote Piloto, para confrontar as lendas do folclore brasileiro com personagens de filmes de terror. Por isso, viva o terror à luz […] O post Galera do RAU # 104 – Ultimate Folclore Combat II apareceu primeiro em Galera do RAU.
A look at the most common type of seizures in the young pediatric population. Hosts: Brian Gilberti, MD Audrey Bree Tse, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Febrile_Seizures.mp3 Download Leave a Comment Tags: Pediatrics Show Notes Background The most common type of seizure in children under 5 years of age Occur in 2-5% of children In children with a fever, aged 6 months to 5 years of age, and without a CNS infection Risk Factors 4 times more likely to have a febrile seizure if parent had one Also increase in risk if siblings or nieces / nephews had one Common associated infections Human Herpesvirus 6 Human Herpesvirus 7 Influenza A & B Simple Febrile Seizure Generalized tonic-clonic activity lasting less than 15 minutes in a child 6 months to 5 years of age Complex Febrile Seizure Lasts longer than 15 minutes, occurs in a child outside of this age range, are focal, or that recur within a 24-hour period. Diagnostics / Workup Gather thorough history and perform thorough physical exam Most cases will not require labs, imaging or EEG If e/o meningitis, perform LP AAP suggests considering LP in: Children 6-12 months who are not immunized for H flu type B or strep pneumo Children who had been on antibiotics For complex seizures, clinician may have a lower threshold for obtaining labs Hyponatremia is more common in this group than in the general population. LPs are more commonly done by providers, but these are low yield with one study showing bacterial meningitis being diagnosed in just 0.9% (Kimia 2010),
Como está a sua autoestima? Como andam as validações internas de sua força divina? Como sua mente lhe trata? Com carinho ou sem muito afeto? venha ouvir esse episódio cheio de energia alta, de boas Leia mais…
Olá, ansiosos da Galera do RAU! Veja no Instagram como é bonito o batom da Dani, compre uma passagem pra Alagoas, mas não pra região litorânea. No episódio de hoje, Diogo Bob, Mogli e Thiago Rissut recebem a futura psicóloga Dani Almeida, do Portal Deviante e Podcast Los Chicos, para falar sobre transtorno de ansiedade, […] O post Galera do RAU #103 – Ansiedade apareceu primeiro em Galera do RAU.
A review for the emergency physician of this common tick-borne illness. Hosts: Audrey Bree Tse, MD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Lyme_Disease.mp3 Download Leave a Comment Tags: Infectious Diseases Show Notes Episode Produced by Audrey Bree Tse, MD Background Most common tick-born illness in North America Endemic in Northeast, Upper Midwest, northwest California 80% to 90% in summer months Pathophysiology Ixodes tick (deer tick) has a 3-stage life cycle (larvae, nymph, adult) & takes 1 blood meal per stage Deer tick feeds on an infected wild animal (infected with spirochete Borrelia burgodrferi) then bites humans On humans, they typically move until they encounter resistance (e.g. hairline, waistband, elastic, skin fold). It takes 24-48 hrs for B. Burgdorferi to move from the tick to the host Pathogenesis: organism induced local inflammation, cytokine release, autoimmunity No person to person transmission Clinical Presentation Stage 1: Early Symptom onset few days to a month after tick bite Erythema migrans rash: bulls eye rash seen in more than 90% of patients with Lyme disease (Irregular expanding annular lesion(s)) Regional adenopathy, intermittent fevers, headache, myalgias, arthralgia, fatigue, malaise Stage 2: disseminated/ secondary Days to weeks after tick bite Intermittent fluctuating sx that eventually resolve Triad of aseptic meningitis, cranial neuritis, and radiculoneuritis: bell palsy most common Cardiac symptoms: tachycardia, bradycardia, AV block, myopericarditis Stage 3: tertiary/ late
Olá, podcasteiros da Galera do RAU! Faça uma pauta porca, inove no freestyle e invista em ditados populares, mas com feed. No episódio de hoje, Diogo Bob, Mogli e Thiago Rissut comentam o que é necessário para que um podcast atinja o sucesso, o triunfo, a perfeição. Por isso, deixe o ouvinte sem saber o […] O post Galera do RAU #102 – O Podcast Perfeito apareceu primeiro em Galera do RAU.
An in depth review of this notorious parasite. Hosts: Brian Gilberti, MD Audrey Bree Tse, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Malaria.mp3 Download Leave a Comment Tags: Infectious Diseases Show Notes Background In 2017, there were 219 million cases and 435,000 people deaths from malaria Five species: Falciparum, P. vivax, P. ovale, P. malariae, and P. knowlesi. Falciparum, Vivax and Knowlesi can be fatal History of recent travel to Africa (69% of cases in US), particularly to west-Africa should raise suspicion for malaria Clinical Manifestations Average incubation period for Falciparum is 12 days 95% will develop symptoms within 1 month Clinical findings with high likelihood ratios include periodic fevers, jaundice, splenomegaly, pallor. Can also have vomiting, headache, chills, abdominal pain, cough, and diarrhea Severe malaria has a mortality of 5% to 30%, even with therapy Diagnostic criteria for severe malaria:
A conversation on emergency preparedness as New Orleans waits for Tropical Storm Barry, Entergy's efforts to lower carbon emissions, and a new approach to give expelled students the tools to return to their regular classroom The post Behind The Lens episode 40: ‘You don’t know exactly what you’re gonna get until it gets here’ appeared first on The Lens.
Olá, telescópicos da Galera do RAU! Chegue cedo, mas atrase mesmo assim, porque não pagou a conta de luz. No episódio de hoje, Diogo Bob, Mogli e Thiago Rissut falam sobre o telescópio Hubble, suas contribuições, sua aposentadoria e o futuro da astronomia. Por isso, avance nos estudos de Óptica Geométrica, capriche na etimologia e […] O post Galera do RAU #101 – Hubble apareceu primeiro em Galera do RAU.
A look at this common and controversial topic. Hosts: Brian Gilberti, MD Audrey Bree Tse, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Acute_Otitis_Media.mp3 Download Leave a Comment Tags: Pediatrics Show Notes Background: The most common infection seen in pediatrics and the most common reason these kids receive antibiotics The release of the PCV (pneumococcal conjugate vaccine), or Prevnar vaccine, has made a big difference since its release in 2000 (Marom 2014) This, along with more stringent criteria for what we are calling AOM, has led to a significant decrease in the number of cases seen since then 29% reduction in AOM caused by all pneumococcal serotypes among children who received PCV7 before 24 months of age The peak incidence is between 6 and 18 months of age Risk factors: winter season, genetic predisposition, day care, low socioeconomic status, males, reduced duration of or no breast feeding, and exposure to tobacco smoke. The predominant organisms: Streptococcus pneumoniae, non-typable Haemophilus influenzae (NTHi), and Moraxella catarrhalis. Prevalence rates of infections due to Streptococcus pneumoniae are declining due to widespread use of the Prevnar vaccine while the proportion of Moraxella and NTHi infection increases with NTHi now the most common causative bacterium Strep pneumo is associated with more severe illness, like worse fevers, otalgia and also increased incidence of complications like mastoiditis. Diagnosis The diagnosis of acute otitis media is a clinical one without a gold standard in the ED (tympanocentesis) Ear pain (+LR 3.0-7.3), or in the preverbal child,
Nesse episódio trazemos para vocês informações sobre nossos chakras, sobre como equilibrá-los e consequentemente equilibrar nossa vida, projetos, ações, pensamentos e sentimentos através de práticas apresentadas no curso Equilíbrio dos Chakras. Você quer se conectar Leia mais…
Olá, gamers da Galera do RAU! No episódio #100 do RAU, chutamos o Diogo para que a comemoração não tenha “enfiiimmm”. Mas teve. No episódio de hoje, Mogli e Thiago Rissut recebem Ira Croft, do Ponto G, e Karin Voll, do X-poilers, para contar como foram introduzidos na vida gamer e suas percepções sobre o […] O post Galera do RAU #100 – No principio era o… Atari! apareceu primeiro em Galera do RAU.
A look at foot fractures – which can be splinted and which may need the OR. Hosts: Audrey Bree Tse, MD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Foot_Fractures.mp3 Download Leave a Comment Tags: Orthopedics Show Notes Episode Produced by Audrey Bree Tse, MD Background: Why do we care about Jones fractures? Propensity for poor healing due to watershed area of blood supply Fifth metatarsal fractures account for 68% of metatarsal fractures in adults Proximal 5th metatarsal fractures are divided into 3 zones (93% zone 1, 4% zone 2, 3% zone 3) Zone 1 (pseudo-Jones): Tuberosity avulsion fracture Typically avulsion type injuries due to acute episode of forefoot supination with plantar flexion Typical fracture pattern is transverse to slightly oblique Zone 2 (Jones fracture): Fracture at the metaphyseal-diaphyseal junction of the fifth metatarsal Typically acute episode of large adduction force applied to forefoot with the ankle plantar flexed Zone 3: Proximal diaphyseal stress fracture Typically results from a fatigue or stress mechanism
Olá, ouvintes da Galera do RAU! Se atrase (de novo) pra gravação, perca o presente da ouvinte e filosofe em Portugal. No episódio de hoje, Diogo Bob, Mogli e Thiago Rissu atendem aos desejos dos ouvintes mais uma vez e recebem suas sugestões de pauta. Por isso, disserte sobre a educação no Brasil, use a […] O post Galera do RAU #99 – O ouvinte quer saber… de novo! apareceu primeiro em Galera do RAU.
A discussion with Drs. McNamara and Leifer on the essentials and beyond of debriefing Hosts: Brian Gilberti, MD Audrey Tse, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Debriefing.mp3 Download Leave a Comment Tags: Resuscitation, Simulation Show Notes TAKE HOME POINTS Debriefing after a clinical case in the ED is a way to have an interprofessional, reflective conversation with a focus on improving for the next patient. We can debrief routine cases, challenging cases, or even cases that go well. Follow a structure when leading a debrief. The prebrief sets ground rules and informs the team that the debrief is optional and will only take 3-5 minutes. Introduce names and roles Then give a one-liner about what happened in the case, followed by a plus/ delta: address what went well and why, then how to improve Finally, wrap up with take home points Pitfalls to watch out for in clinical debriefing include: Avoid siloing or alienating any learners. Learn from all your colleagues on your team- it’s less about medicine and more about interprofessional and systems issues Don’t pick on individual performance. It’s not about shaming- it’s about improving patient care Avoid “guess what I’m thinking” questions; ask real questions Proceed with caution in order to dampen or avoid psychological trauma and second victim syndrome. The learner may ask “was this my fault?”; we never want a learner to feel this way. Ask, what systems supported or did not support you today? Talk about what happened. Avoid shame and blame. Have the right values and do it for the right reasons. ADDITIONAL TOOLS
Self-Care has become a trend and buzzword lately – which is great! We are happy more people are becoming aware of the value in attending to their personal needs! However, maybe you hear (or read) the word self-care and think “I WISH!”, the idea of a bath, a spa day or just curling up with… The post #77: Self-Care: 10 Simple Ways To Take Better Care Of Yourself appeared first on Active Vegetarian.