American Ambulance Association
OCTOBER 17, 2024
This content is for AAA members only. Please either Log In or Join! The post CMS Announces CY 2025 Ambulance Inflation Factor appeared first on American Ambulance Association.
Critical Care Scenarios
OCTOBER 16, 2024
We discuss the practical barriers to implementing the A-F ICU liberation bundle, with Kali Dayton, ACNP-BC (@HomeIcu), host of the Walking Home from the ICU podcast, and consultant to ICUs working on these issues. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! We discuss the practical barriers to implementing the A-F ICU liberation bundle, with Kali Dayton, ACNP-BC ( @HomeIcu ), host of the Walking Home from the ICU podcast, and consultant to ICUs working
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High Performance EMS
OCTOBER 11, 2024
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%.
American Ambulance Association
OCTOBER 10, 2024
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.
The Skeptics' Guide to EM
OCTOBER 12, 2024
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).
EMergucate
OCTOBER 15, 2024
An 80yr male presents with 2 weeks increasing shortness of breath, he has a history of CABG. What can be seen on the ECG: If these were new findings what might you be concerned about?
ALiEM
OCTOBER 11, 2024
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.
Paramedicine Now brings together the best content for paramedicine professionals from the widest variety of thought leaders.
St. Emlyn's
OCTOBER 10, 2024
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.
EMergucate
OCTOBER 15, 2024
The chest x-ray shows streaky lucency outlining the great vessels of the neck (tubular artery sign) & air in the … Continue reading →
SSCOR
OCTOBER 10, 2024
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.
American Ambulance Association
OCTOBER 15, 2024
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.
Dr. Smith's ECG Blog
OCTOBER 12, 2024
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.
EMDocs
OCTOBER 12, 2024
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
EMergucate
OCTOBER 15, 2024
The following axial CT is from a 60-year-old lady who has had a witnessed collapse. Provide your interpretation and diagnosis.
St. Emlyn's
OCTOBER 12, 2024
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.
American Ambulance Association
OCTOBER 10, 2024
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.
Dr. Smith's ECG Blog
OCTOBER 10, 2024
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?
EMOttawa
OCTOBER 17, 2024
We remain amid an opioid crisis in Canada, with over 8000 deaths (or 22/day) in 2023. The harms of opioid use in society are devastating and cannot be understated – but so too are the harms from stimulant and other substance use. In 2023 there were 3479 apparent stimulant toxicity deaths, which is approximately 10/day. […] The post S’now Problem: Keep your Cool when Stimulants turn up the Speed appeared first on EMOttawa Blog.
EMergucate
OCTOBER 15, 2024
The chest x-ray shows hyperexpanded & lucent right lung field. There is no radio-opaque foreign body seen.
SSCOR
OCTOBER 17, 2024
Endotracheal intubation offers life-saving relief when an airway obstruction endangers a patient’s life. Yet many first responders have little experience with endotracheal intubation, and some actively avoid training opportunities because they feel overwhelmed and intimidated by the process. Endotracheal intubation is a basic skill that every first responder must master.
American Ambulance Association
OCTOBER 10, 2024
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.
Dr. Smith's ECG Blog
OCTOBER 17, 2024
Written by Jesse McLaren Two patients in their 70s presented to the ED with chest pain and RBBB. Do either, both, or neither have occlusion MI? Patient 1 : a 75 year old called paramedics with one day of left shoulder pain which migrated to the central chest, which was worse with deep breaths. Past medical history included RBBB without other cardiac history, but old ECG was not available.
EMDocs
OCTOBER 14, 2024
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.
EMergucate
OCTOBER 15, 2024
The abdominal x-ray shows Gall stone ileus. There are prominent central bowel loops with pneumobilia.
The Bottom Line
OCTOBER 13, 2024
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.
Don't Forget the Bubbles
OCTOBER 10, 2024
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.
SSCOR
OCTOBER 12, 2024
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.
EMOttawa
OCTOBER 15, 2024
Methodology: 3/5 Usefulness: 4/5 Essat M, et al. Ann Emerg Med. 2024 Jun 18:S0196-0644(24)00260-9 Question and Methods: Using systematic review methodology, the authors aimed to determine sensitivity and specificity in the use of D-Dimer in the work-up for Acute Aortic Syndrome. Findings: A total of 25 studies were included in the primary meta-analysis; summary sensitivity […] The post Diagnostic Accuracy of D-Dimer for Acute Aortic Syndromes: Systematic Review and Meta-Analysis appeared
EMergucate
OCTOBER 15, 2024
The following ECG is from a 19-year-old female who has presented following a syncopal episode.
First 10 EM
OCTOBER 14, 2024
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.
EMDocs
OCTOBER 10, 2024
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.
REBEL EM
OCTOBER 16, 2024
Take Home Points Orogastric lavage may still play an important role in treatment of the overdose patient. Do not perform lavage if the ingestion has limited toxicity at any dose or the ingested dose is unlikely to cause significant toxicity. Strongly consider orogastric lavage in a patient who has taken an overdose of drugs that are particularly toxic, suspected extreme doses associated with high morbidity/mortality and do not have easily available and effective antidotes.
AAAM
OCTOBER 17, 2024
The Association for the Advancement of Automotive Medicine (AAAM) is proud to announce that our President-Elect, Associate Professor Sjaan Koppel, PhD , has been honored with the 2024 Australasian College of Road Safety (ACRS) Women in Road Safety Award. This esteemed recognition highlights Sjaan’s significant contributions to road safety research and advocacy, particularly in protecting vulnerable road users such as older adults and children.
EMergucate
OCTOBER 15, 2024
The left thigh x-ray shows fracture of proximal femur with massive callus formation.
Don't Forget the Bubbles
OCTOBER 14, 2024
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
Stem EMS
OCTOBER 15, 2024
Municipal Disaster Days in Madrid: an unmissable event for professionals and companies in the security sector L'articolo Municipal Disaster Days in Madrid proviene da Stem Ems.
EMOttawa
OCTOBER 10, 2024
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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