ICEM2022 and The First IFEM Medical Student Symposium

IFEM MSS

Dear medical students and EM community,

We invite you to the IFEM Medical Student Symposium, the first of its kind, to discuss the present and future of undergraduate emergency medicine education. The IFEM Medical Student Symposium will bring together speakers, facilitators, and attendees from seven regions of Africa, Asia, Central and South America, Europe, the Gulf, North America, and Oceania. You can find more details on the flyer below.

It will take place on June 14th, 2022, at 13:30 AEST (GMT +10). The symposium fee is 10 AUD. Thanks to IFEM leadership and the ICEM organising committee, participants intending to join the Medical Student Symposium only can use this link on the workshop page to register without an additional conference fee.

Please share this blogpost with your colleagues and trainees who might be interested in joining this conversation. We are looking forward to meeting you all virtually at the symposium.

Best regards,
Dr Elif Dilek Cakal & Dr Erin Simon
IFEM Medical Student Symposium Co-leads
IFEM Core Curriculum and Education Committee

1 Week to ICEM2022 and The First IFEM Medical Student Symposium

1 week to IFEM MSS

Dear medical students and EM community,

We invite you to the IFEM Medical Student Symposium, the first of its kind, to discuss the present and future of undergraduate emergency medicine education. The IFEM Medical Student Symposium will bring together speakers, facilitators, and attendees from seven regions of Africa, Asia, Central and South America, Europe, the Gulf, North America, and Oceania. You can find more details on the flyer below.

It will take place on June 14th, 2022, at 13:30 AEST (GMT +10). The symposium fee is 10 AUD. Thanks to IFEM leadership and the ICEM organising committee, participants intending to join the Medical Student Symposium only can use this link on the workshop page to register without an additional conference fee.

Please share this blogpost with your colleagues and trainees who might be interested in joining this conversation. We are looking forward to meeting you all virtually at the symposium.

Best regards,
Dr Elif Dilek Cakal & Dr Erin Simon
IFEM Medical Student Symposium Co-leads
IFEM Core Curriculum and Education Committee

IFEM Medical Student Symposium – Team Oceania

Dear medical students and EM community,

We invite you to the IFEM Medical Student Symposium, the first of its kind, to discuss the present and future of undergraduate emergency medicine education. The IFEM Medical Student Symposium will bring together speakers, facilitators, and attendees from seven regions of Africa, Asia, Central and South America, Europe, the Gulf, North America, and Oceania. You can find more details on the flyer below.

It will take place on June 14th, 2022, at 13:30 AEST (GMT +10). The symposium fee is 10 AUD. Thanks to IFEM leadership and the ICEM organising committee, participants intending to join the Medical Student Symposium only can use this link on the workshop page to register without an additional conference fee.

Please share this blogpost with your colleagues and trainees who might be interested in joining this conversation. We are looking forward to meeting you all virtually at the symposium.

Best regards,
Dr Elif Dilek Cakal & Dr Erin Simon
IFEM Medical Student Symposium Co-leads
IFEM Core Curriculum and Education Committee

 

 

 

 

IFEM Medical Student Symposium – Team Gulf

Dear medical students and EM community,

We invite you to the IFEM Medical Student Symposium, the first of its kind, to discuss the present and future of undergraduate emergency medicine education. The IFEM Medical Student Symposium will bring together speakers, facilitators, and attendees from seven regions of Africa, Asia, Central and South America, Europe, the Gulf, North America, and Oceania. You can find more details on the flyer below.

It will take place on June 14th, 2022, at 13:30 AEST (GMT +10). The symposium fee is 10 AUD. Thanks to IFEM leadership and the ICEM organising committee, participants intending to join the Medical Student Symposium only can use this link on the workshop page to register without an additional conference fee.

Please share this blogpost with your colleagues and trainees who might be interested in joining this conversation. We are looking forward to meeting you all virtually at the symposium.

Best regards,
Dr Elif Dilek Cakal & Dr Erin Simon
IFEM Medical Student Symposium Co-leads
IFEM Core Curriculum and Education Committee

 

 

 

IFEM Medical Student Symposium – Team North America

Dear medical students and EM community,

We invite you to the IFEM Medical Student Symposium, the first of its kind, to discuss the present and future of undergraduate emergency medicine education. The IFEM Medical Student Symposium will bring together speakers, facilitators, and attendees from seven regions of Africa, Asia, Central and South America, Europe, the Gulf, North America, and Oceania. You can find more details on the flyer below.

It will take place on June 14th, 2022, at 13:30 AEST (GMT +10). The symposium fee is 10 AUD. Thanks to IFEM leadership and the ICEM organising committee, participants intending to join the Medical Student Symposium only can use this link on the workshop page to register without an additional conference fee.

Please share this blogpost with your colleagues and trainees who might be interested in joining this conversation. We are looking forward to meeting you all virtually at the symposium.

Best regards,
Dr Elif Dilek Cakal & Dr Erin Simon
IFEM Medical Student Symposium Co-leads
IFEM Core Curriculum and Education Committee

 

 

IFEM Medical Student Symposium – Team Central and South America

Dear medical students and EM community,

We invite you to the IFEM Medical Student Symposium, the first of its kind, to discuss the present and future of undergraduate emergency medicine education. The IFEM Medical Student Symposium will bring together speakers, facilitators, and attendees from seven regions of Africa, Asia, Central and South America, Europe, the Gulf, North America, and Oceania. You can find more details on the flyer below.

It will take place on June 14th, 2022, at 13:30 AEST (GMT +10). The symposium fee is 10 AUD. Thanks to IFEM leadership and the ICEM organising committee, participants intending to join the Medical Student Symposium only can use this link on the workshop page to register without an additional conference fee.

Please share this blogpost with your colleagues and trainees who might be interested in joining this conversation. We are looking forward to meeting you all virtually at the symposium.

Best regards,
Dr Elif Dilek Cakal & Dr Erin Simon
IFEM Medical Student Symposium Co-leads
IFEM Core Curriculum and Education Committee

 

IFEM Medical Student Symposium – Team Europe

Dear medical students and EM community,

We invite you to the IFEM Medical Student Symposium, the first of its kind, to discuss the present and future of undergraduate emergency medicine education. The IFEM Medical Student Symposium will bring together speakers, facilitators, and attendees from seven regions of Africa, Asia, Central and South America, Europe, the Gulf, North America, and Oceania. You can find more details on the flyer below.

It will take place on June 14th, 2022, at 13:30 AEST (GMT +10). The symposium fee is 10 AUD. Thanks to IFEM leadership and the ICEM organising committee, participants intending to join the Medical Student Symposium only can use this link on the workshop page to register without an additional conference fee.

Please share this blogpost with your colleagues and trainees who might be interested in joining this conversation. We are looking forward to meeting you all virtually at the symposium.

Best regards,
Dr Elif Dilek Cakal & Dr Erin Simon
IFEM Medical Student Symposium Co-leads
IFEM Core Curriculum and Education Committee

 

IFEM Medical Student Symposium – Team Asia

Dear medical students and EM community,

We invite you to the IFEM Medical Student Symposium, the first of its kind, to discuss the present and future of undergraduate emergency medicine education. The IFEM Medical Student Symposium will bring together speakers, facilitators, and attendees from seven regions of Africa, Asia, Central and South America, Europe, the Gulf, North America, and Oceania. You can find more details on the flyer below.

It will take place on June 14th, 2022, at 13:30 AEST (GMT +10). The symposium fee is 10 AUD. Thanks to IFEM leadership and the ICEM organising committee, participants intending to join the Medical Student Symposium only can use this link on the workshop page to register without an additional conference fee.

Please share this blogpost with your colleagues and trainees who might be interested in joining this conversation. We are looking forward to meeting you all virtually at the symposium.

Best regards,
Dr Elif Dilek Cakal & Dr Erin Simon
IFEM Medical Student Symposium Co-leads
IFEM Core Curriculum and Education Committee

 

IFEM Medical Student Symposium – Team Africa

Dear medical students and EM community,

We invite you to the IFEM Medical Student Symposium, the first of its kind, to discuss the present and future of undergraduate emergency medicine education. The IFEM Medical Student Symposium will bring together speakers, facilitators, and attendees from seven regions of Africa, Asia, Central and South America, Europe, the Gulf, North America, and Oceania. You can find more details on the flyer below.

It will take place on June 14th, 2022, at 13:30 AEST (GMT +10). The symposium fee is 10 AUD. Thanks to IFEM leadership and the ICEM organising committee, participants intending to join the Medical Student Symposium only can use this link on the workshop page to register without an additional conference fee.

Please share this blogpost with your colleagues and trainees who might be interested in joining this conversation. We are looking forward to meeting you all virtually at the symposium.

Best regards,
Dr Elif Dilek Cakal & Dr Erin Simon
IFEM Medical Student Symposium Co-leads
IFEM Core Curriculum and Education Committee

Question Of The Day #60

question of the day
Which of the following is the most likely cause for this patient’s condition? 

This first-trimester pregnant patient presents with generalized weakness, nausea, and vomiting.  She is hypotensive and tachycardic with no sign of urinary infection on the urinalysis.  The many ketones in the urine indicate the patient has inadequate oral nutrition and is breaking down muscle and adipose tissue for energy.  This is likely related to the persistent vomiting the patient is experiencing.  This patient has hyperemesis, a common condition in the first trimester of pregnancy that is caused by rising levels of beta-human chorionic gonadotropin (BHCG).  Treatment for this patient should include IV hydration and antiemetics.  Admission criteria for these patients includes intractable vomiting despite antiemetic administration, over 10% maternal weight loss, persistent ketone or electrolyte abnormalities despite rehydration, or uncertainty in the diagnosis. 

The fluid losses caused by vomiting in this condition result in hypovolemic shock (Choice B).  Distributive shock (Choice C) is caused by other conditions, like sepsis, anaphylaxis, and neurogenic shock.  A ureteral stone (Choice D) is unlikely as the patient does not report any abdominal, back, or flank pain.  The urinalysis also does not show any hematuria, which is a common sign of a ureteral stone.  Pyelonephritis (Choice A) can cause vomiting and septic shock which can result in hypotension and tachycardia.  However, there is no sign of infection in the urinalysis provided, no fever, and no back or flank pain.  The best answer is choice B.  

References

Cite this article as: Joseph Ciano, USA, "Question Of The Day #60," in International Emergency Medicine Education Project, October 22, 2021, https://iem-student.org/2021/10/22/question-of-the-day-60/, date accessed: October 6, 2022

Question Of The Day #59

question of the day
38 - atrial fibrillation

Which of the following is the most likely cause for this patient’s respiratory condition?

This patient presents to the Emergency Department with palpitations, generalized weakness, and shortness of breath after discontinuing all her home medications.  She has hypotension, marked tachycardia, and pulmonary edema (crackles on lung auscultation).  The 12-lead EKG demonstrates atrial fibrillation with a rapid ventricular rate.  This patient is in a state of cardiogenic shock and requires prompt oxygen support, blood pressure support, and heart rate control. 

Pulmonary embolism (Choice A) can sometimes manifest as new atrial fibrillation with shortness of breath and tachycardia, but pulmonary embolism initially causes obstructive shock.  If a pulmonary embolism goes untreated, it can progress to right ventricular failure, pulmonary edema, and cardiogenic shock.  This patient has known atrial fibrillation and stopped all her home medications.  The abrupt medication change is a more likely cause of the patient’s cardiogenic shock.  Dehydration (Choice D) and systemic infection (Choice D) are less likely given the above history of abruptly stopping home maintenance medications.  Untreated cardiac arrythmia (Choice B) is the most likely cause for this patient’s pulmonary edema and cardiogenic shock. 

The chart below details the categories of shock, each category’s hemodynamics, potential causes, and treatments.  

 

References

Cite this article as: Joseph Ciano, USA, "Question Of The Day #59," in International Emergency Medicine Education Project, October 15, 2021, https://iem-student.org/2021/10/15/question-of-the-day-59/, date accessed: October 6, 2022

Question Of The Day #58

question of the day
720 - variceal bleeding

Which of the following is the most appropriate next step in management?   

This cirrhotic patient presents to the Emergency Department with epigastric pain after an episode of hematemesis at home.  His initial vital signs are within normal limits.  While waiting in the Emergency Department, his clinical status changes.  The patient has a large volume of hematemesis with hypotension and tachycardia.  This patient is now in hemorrhagic shock from an upper gastrointestinal bleed and requires immediate volume resuscitation.  The most common cause of upper gastrointestinal bleeding is peptic ulcer disease, but this patient’s cirrhosis history and large volume of hematemesis should raise concern for an esophageal variceal bleed.  IV Pantoprazole (Choice D) is a proton pump inhibitor that helps reduce bleeding in peptic ulcers, but it does not provide benefit in esophageal varices.  Volume repletion is also a more important initial step than giving pantoprazole.  IV Ceftriaxone (Choice C) helps reduce the likelihood of infectious complications in variceal bleed patients.  This has a mortality benefit and is a recommended adjunctive treatment.  However, rapid volume resuscitation is a more important initial step.  IV crystalloid fluids, like normal saline (Choice A), are helpful in patients with hypovolemic shock (i.e., dehydration, vomiting), distributive shock (i.e., sepsis, anaphylaxis), and obstructive shock (i.e., tension pneumothorax, etc.).  Hypovolemic shock due to severe hemorrhage (hemorrhagic shock) requires blood products, not crystalloid fluids which can further dilute blood and cause coagulopathy.  Administration of packed red blood cells (Choice B) is the best next step in management in this case.

References

Cite this article as: Joseph Ciano, USA, "Question Of The Day #58," in International Emergency Medicine Education Project, October 8, 2021, https://iem-student.org/2021/10/08/question-of-the-day-58/, date accessed: October 6, 2022