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Sudden Cardiac Arrest Awareness Month

High Performance EMS

October is Sudden Cardiac Arrest Awareness month, so High Performance EMS and PulsePoint are encouraging everyone to locate and register Automated External Defibrillators (AEDs). By doing so you’re helping to build this network of life-saving devices. Every minute that a victim of Sudden Cardiac Arrest (SCA) goes without potential defibrillation, the chances of a responding EMS crew finding a shockable rhythm decrease between 7 and 10%.

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Congressman Mike Bost Honored with Legislative Recognition Award

American Ambulance Association

FOR IMMEDIATE RELEASE Contact: Tristan North tnorth@ambulance.org October 10, 2024 Congressman Mike Bost Honored with Legislative Recognition Award from the American Ambulance Association Washington, D.C. — The American Ambulance […] The post Congressman Mike Bost Honored with Legislative Recognition Award appeared first on American Ambulance Association.

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SGEM #456: We are Young…but we can still Understand

The Skeptics' Guide to EM

Reference: Ma K et al. A national survey of children’s experiences and needs when attending Canadian pediatric emergency departments. PLoS One. June 2024 Date: Oct 1, 2024 Guest Skeptic: Dr. Andrew (Andy) Tagg is an Emergency Physician with a special interest in education and lifelong learning. He is the co-founder of website lead of Don’t Forget the Bubbles (DFTB).

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SAEM Clinical Images Series: A Blistery Mystery

ALiEM

A 76-year-old female presented with a lingering cough and an oral lesion to the left lower cheek. She reported ten days of improving flu-like symptoms but had a persistent cough and nasal congestion. On the day of presentation, she developed a painful, intermittently bleeding “blood blister” to the left lower cheek that had increased in size, as well as new red spots on her arms and legs.

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Imaging Case of the Week 606

EMergucate

The following chest x-ray is from a patient with chest pain. What can be noticed? Answer will be posted later.

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NVFC Volunteer Firefighter Support Fund Helps Responders Impacted by Disasters

NVFC

The NVFC mourns the loss of life and devastating impact caused by Hurricane Helene, and we grieve for the responders who died while protecting their communities. When a disaster strikes, volunteer firefighters and emergency personnel are quick to respond – risking their safety to protect and assist others. At the same time, many of these responders are also impacted by these disasters, having their homes damaged or destroyed while they are out protecting their neighbors.

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Senator Jerry Moran Honored with Legislative Recognition Award

American Ambulance Association

FOR IMMEDIATE RELEASE Contact: Tristan North tnorth@ambulance.org October 8, 2024 Senator Jerry Moran Honored with Legislative Recognition Award from the American Ambulance Association Washington, D.C. — The American Ambulance Association […] The post Senator Jerry Moran Honored with Legislative Recognition Award appeared first on American Ambulance Association.

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Adrenal Crisis and Addison’s Disease: What EMS Needs to Know

NAEMSP

Author: Joshua Stilley, MD FACEP FAEMS This article was written in collaboration with the National Adrenal Diseases Foundation Background: Adrenal crisis occurs when the adrenal glands are unable to produce enough endogenous steroids under stress. This is often due to primary adrenal insufficiency, also known as Addison’s disease, or secondary causes like chronic exogenous steroid use leading to adrenal suppression.

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An International Community Paramedic Career Structure

International Journal of Paramedicine

Introduction - Internationally, prehospital workers practice in a wide range of community paramedicine roles. It can be unclear where community paramedics fit within existing paramedicine career structures and their professional capabilities are sometimes ill-defined or misunderstood. This study aimed to clarify some of these questions through the development of a community paramedic career structure and descriptions of their professional capabilities at different levels of practice.

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NVFC and First Alert Team Up to Offer Fire Prevention and Safety Courses for Free in October

NVFC

The National Volunteer Fire Council (NVFC) and First Alert have partnered to create a series of online courses to equip first responders with the knowledge and resources to educate residents and make their communities safer and better prepared for emergencies. In honor of Fire Prevention Month and thanks to support from First Alert, these courses are available free of charge to the fire and emergency services community in October.

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Congressman Ryan Zinke Honored with Legislative Recognition Award

American Ambulance Association

FOR IMMEDIATE RELEASE Contact: Tristan North tnorth@ambulance.org October 10, 2024 Congressman Ryan Zinke Honored with Legislative Recognition Award from the American Ambulance Association Washington, D.C. — The American Ambulance […] The post Congressman Ryan Zinke Honored with Legislative Recognition Award appeared first on American Ambulance Association.

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If you were this patient, would you prefer to be managed with the Queen of Hearts?

Dr. Smith's ECG Blog

Written by Pendell Meyers A man in his early sixties with no significant medical history (including a "negative cardiac workup a few years ago" for unclear indication) called 911 for acute chest pain constantly for the past 5 hours. EMS arrived and recorded vital signs within normal limits and the following ECG during active pain: EMS1 @ 0157: What do you think?

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emDOCs Podcast: Episode 108 – Unexplained Sinus Tachycardia Mental Model

EMDocs

Today on the emDOCs cast Brit Long interviews Zachary Aust on the use of a mental model for patients with unexplained sinus tachycardia. Episode 108: Unexplained Sinus Tachycardia Mental Model Background: When a patient in the ED has sinus tachycardia our job as emergency physicians is to identify and treat of the underlying pathology. This is done with a HPI, review of systems, physical exam, and as indicated further diagnostic studies.

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RCEM ASC 2024.

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed Day one report of the Annual Scientific Conference of the Royal College of Emergency Medicine #RCEMASC #FOAMed @stemlyns The post RCEM ASC 2024. appeared first on St.Emlyn's.

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Tell Congress How OSHA’s Proposed Emergency Response Standard Would Harm Your Department

NVFC

As the Occupational Safety and Health Administration’s (OSHA) November 12 public hearing on its proposed Emergency Response Standard approaches, tell your member of Congress and Senators how this standard would harm your department if adopted as written. Though OSHA’s proposed Emergency Response Standard is an Executive Branch action and Congress does not vote on the adoption of the final standard, it is important to continue to make Congress aware of the potential negative impacts of this stand

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Non-Compete and “Stay or Pay” Agreements

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post Non-Compete and “Stay or Pay” Agreements appeared first on American Ambulance Association.

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An elderly male with acute altered mental status and huge ST Elevation

Dr. Smith's ECG Blog

Written by Bobby Nicholson What do you think of this “STEMI”? A man in his 90s with a history of HTN, CKD, COPD, and OSA presented to the emergency department after being found unresponsive at home. With EMS, patient had a GCS of 3 and was saturating 60% on room air. He improved to 100% with the addition of non-rebreather, however remained altered and was intubated by EMS with ketamine and succinylcholine.

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Journal Feed Weekly Wrap-Up

EMDocs

We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: LR or NS for Sickle Cell Pain Crisis? Spoon Feed For sickle cell patients (particularly Hgb SS) with a vaso-occlusive episode (VOE), large volume resuscitation (>2L) with lactated ringers (LR) has been shown to

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RCEM ASC conference 2024. Day 2.

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed I’m back at the Sage in Gateshead for day 2 of the conference. David Williams and William Rutherford lectures. These are two prestigious named lectures at ASC. Dr John Ryan […] The post RCEM ASC conference 2024. Day 2. appeared first on St.Emlyn's.

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Airway Management and the Overdose Patient

SSCOR

Anyone in the medical field can attest to an epidemic sweeping our country: opioid overdose. This lethal condition has touched every region of the US and is now a leading cause of death. It’s been proclaimed a national health crisis. If you're an EMS responder, it is simply a matter of time before you are faced with this situation.

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CISA | Hurricane Milton Access Coordination Request

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post CISA | Hurricane Milton Access Coordination Request appeared first on American Ambulance Association.

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Cath Lab occupied. Which patient should go now (or does only one need it? Or neither?)

Dr. Smith's ECG Blog

This was sent to me by an undergraduate name Hans Helseth, who is an EKG tech, but who is an expert OMI ECG reader. He wrote most of it and I (Smith) edited. A prehospital “STEMI” activation was called on a 75 year old male ( Patient 1 ) with a history of hyperlipidemia and LAD and Cx OMI with stent placement. He arrived to the ED by helicopter at 1507, about three hours after the start of his chest pain while chopping wood around noon.

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Let ChatGPT Guide Your Hand

EM Literature of Note

This exploration of LLMs in the emergency department is a bit unique in its conceptualization. While most demonstrations of generative AI applied to the ED involve summarization of records, digital scribing, or composing discharge letters, this attempts clinical decision-support. That is to say, rather than attempting to streamline or deburden clinicians from some otherwise time-intensive task, the LLM here taps into its ability to act as a generalized prediction engine – and tries its hand at p

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RCEM Annual Scientific Conference. Day 3.

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed The final day of the RCEM Annual Scientific Conference with papers on chest pain, trauma, psychosocial, diagnostics and more. #rcemasc #FOAMed @stemlyns The post RCEM Annual Scientific Conference. Day 3. appeared first on St.Emlyn's.

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TIGHT K: Potassium Supplementation and Prevention of Atrial Fibrillation After Cardiac Surgery

The Bottom Line

Potassium Supplementation and Prevention of Atrial Fibrillation After Cardiac Surgery: The TIGHT K Randomized Clinical Trial O’Brien. JAMA 2024; 332:979 – 988. doi:10.1001/jama.2024.17888 Clinical Question In adult patients undergoing coronary artery bypass surgery (CABG) is supplementing potassium when serum concentration is ≤ 3.5 mEq/L non-inferior to supplementation when serum concentration is ≤ 4.

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CDC | Emergency Medical Services (EMS): A Look at Disparities in Funding and Outcomes

American Ambulance Association

CDC | Emergency Medical Services (EMS): A Look at Disparities in Funding and Outcomes “Limited EMS funding may affect nationwide EMS quality. The scarcity of nationwide EMS data makes studying […] The post CDC | Emergency Medical Services (EMS): A Look at Disparities in Funding and Outcomes appeared first on American Ambulance Association.

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The October 2024 Research Roundup

First 10 EM

Another month, another set of articles. Some clinically relevant. Some just thought provoking. One is more than 100 years old. Yes, I look everywhere for these papers. The BroomeDocs podcast version can be found here: [link] Clinically but not statistically significant: what do you do? Turgeon AF, Fergusson DA, Clayton L,et al. Liberal or Restrictive […] The post The October 2024 Research Roundup appeared first on First10EM.

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ECG Pointers: A Dynamic Approach to Tachydysrhythmias Part 2

EMDocs

Authors: Lloyd Tannenbaum, MD (EM Attending Physician, Geisinger Wyoming Valley, PA); Mai Saber, DO (EM Attending Physician, Hackensack University Medical Center, NJ); Rachel Bridwell, MD (EM Attending Physician, Charlotte, NC) // Reviewer: Brit Long, MD (@long_brit) Hello and welcome back to ECG Pointers, a series designed to make you more confident in your ECG interpretations.

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The 85th Bubble Wrap Bristol Royal Children’s ED Journal Club x DFTB

Don't Forget the Bubbles

With millions of journal articles published yearly, it is impossible to keep up. This time the team from Bristol Royal Children’s Hospital ED tell us what is new in the world of paediatric literature… Led by Dr John Coveney a Paediatric Emergency Medicine Trainee in Bristol who has revived The Journal Club at Bristol Royal Children’s Hospital ED on a monthly basis.

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The Routine Maintenance You Should Be Performing on Your Suction Equipment

SSCOR

Every paramedic knows their equipment is only as good as its upkeep. Drugs go out of date, oxygen tanks become depleted, and batteries lose their charge. Unless you remain vigilant, your equipment will fail you when you need it the most. This is especially true of one of your most basic, yet essential tools: your portable suction unit.

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The Bottom Line: Insights Into EMS Staffing [2024 EMS Trend Survey]

Pulsara

Editor's Note: In August 2024, EMS1 and Fitch & Associates released their annual EMS t rend survey, What Paramedics Want, proudly sponsored by Pulsara. Because the articles and advice found within contain such critical subject matter, we've elected to publish each segment one at a time here on our blog. Read, enjoy, share, and take to heart the following information brought to you by the most prestigious thought leaders in EMS.

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PoCUS Pearl – Measuring Fetal Heart Rate

EMOttawa

We often talk about PoCUS for first-trimester bleeding. Is there an IUP? NDIUP? IDK? Yet one of the most common questions patients ask is; “Can you see the heartbeat?” While measuring fetal heart rate is not always our top priority, I’m here to convince you of the following: Measuring it still has clinical value. […] The post PoCUS Pearl – Measuring Fetal Heart Rate appeared first on EMOttawa Blog.

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Medical Malpractice Insights: A Rare Presentation – Groin pain? Nec fasc? Diabetes? Appendicitis?

EMDocs

Here’s another case from Medical Malpractice Insights – Learning from Lawsuits , a monthly email newsletter for ED physicians. The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. To opt in to the free subscriber list, click here. Stories of med mal lawsuits can save lives.

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Network Five: Practice Changes In Paediatric Wheeze Management

Life in the Fastlane

Pramod Chandru Network Five: Practice Changes In Paediatric Wheeze Management Network Five Emergency Medicine Journal Club Episode 30 reviewing updates on paediatric wheeze management with paediatric respiratory and sleep specialist Dr Chetan Pandit!

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Tasty Morsels of Critical Care 084 | Empyema

Emergency Medicine Ireland

Welcome back to the tasty morsels of critical care podcast. Following on from our initial post in this entirely accidental series on “things you don’t want to find in the chest drain” we turn our eyes (if not our noses) to empyema. Many penumonias will develope a parapneumonic effusion. This is largely reactive and inflammatory but by no means does it mean there is infection.

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Europe’s Refugee Crisis: An Unresolved Humanitarian Emergency

Don't Forget the Bubbles

Some definitions Asylum seeker: A person who has fled their country and applied to another country to be recognised as a refugee but has not yet been granted this status. Refugee: Someone whose asylum application has been successful. The government recognizes they cannot return to their country of origin owing to a well-founded fear of being persecuted for the reasons provided for in the United Nations Refugee Convention or European Convention on Human Rights (such as persecution due to race, se

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PoCUS Pearl – Tibial Nerve Block

EMOttawa

Ever tried injecting local anesthetic into the bottom of someone’s foot? If you have, you’ll understand the incredible pain and difficulty in trying to anesthetize this region. Fortunately, there’s a better way to anesthetize the plantar foot, and avoid getting kicked in the face or causing a needle-stick injury: performing an ultrasound-guided tibial nerve block.1 […] The post PoCUS Pearl – Tibial Nerve Block appeared first on EMOttawa Blog.

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