The Skeptics' Guide to EM

NOVEMBER 2, 2024

Date: October 29, 2024 Reference: Galili et al. Low dose ketamine as an adjunct to morphine: a randomized controlled trial among patients with and without current opioid use. AEM Oct 2024. Guest Skeptic: Dr. Neil Dasgupta is an emergency medicine physician and ED intensivist from Long Island, NY. He is the Vice Chair of the Emergency Department and Program Director of the EM residency program at Nassau University Medical Center in East Meadow, NY, the safety net hospital for Nassau County.

Emergency Department 234

Emergency Department ED ALS EMS 234

American Ambulance Association

NOVEMBER 6, 2024

Register now for our upcoming National Rural Health Day webinar The Centers for Medicare & Medicaid Services Office of Minority Health (CMS OMH) invites you to celebrate National Rural Health […] The post CMS National Rural Health Day Webinar appeared first on American Ambulance Association.

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130

Critical Care Scenarios

OCTOBER 30, 2024

We chat with Nick Ghionni, pulm/crit attending at MedStar Baltimore Hospital, about identifying and combating cognitive biases in our clinical decision-making. Check out the Intensive Care Academy here! Find us on Patreon here! Buy your merch here! We chat with Nick Ghionni, pulm/crit attending at MedStar Baltimore Hospital, about identifying and combating cognitive biases in our clinical decision-making.

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177

ALiEM

NOVEMBER 1, 2024

A 67-year-old male with a past medical history of CHF, MI, hypertension, and diabetes presented to the ED with complaints of headache, chest pain, and dyspnea for the past four days. He stated that he has been without his medications for the past few months due to cost. He denied any past surgical history. He stated that he primarily presented because he felt like “my blood pressure is high” Additional Images Physical Exam Cardiovascular : Tachycardic, 2+ pedal edema bilaterally Re

ED 161

ED OR 161

Chicago EMT Training

NOVEMBER 4, 2024

We are ready to begin hosting psychomotor exams for BLS providers that successfully completed their written NREMT requirement. Assessments include: Medical Assessment (Neuro) Trauma Assessment (Head to Toe) Airway Management (with iGel) CPR//AED/choking for adults, pediatrics, and infants Bleeding Control (tourniquet) Penetrating Chest Trauma Spinal Motion Restriction OB Delivery Please schedule an appointment with Victor at info@chicagoemttraining.com To prepare, you can utilize our study guide

BLS 130

BLS CPR 130

American Ambulance Association

NOVEMBER 4, 2024

This content is for AAA members only. Please either Log In or Join! The post IV Fluid Conservation Briefing Now Available appeared first on American Ambulance Association.

Ambulance 130

Ambulance OR 130

Core EM

NOVEMBER 1, 2024

We review Sexually Transmitted Infections and pertinent updates in diagnosis and management. Hosts: Avir Mitra, MD Brian Gilberti, MD [link] Download Leave a Comment Tags: gynecology , Infectious Diseases , Urology Show Notes Table of Contents (1:49) Chlamydia (3:31) Gonorrhea (4:50) PID (6:14) Syphilis (8:08) Neurosyphilis (9:13) Tertiary Syphilis (10:06) Trichomoniasis (11:13) Herpes (12:49) HIV (14:10) PEP (15:13) Mycoplasma Genitalium (18:00) Take Home Points Chlamydia: Prevalence: M

OR 130

OR 130

ALiEM

OCTOBER 30, 2024

‘Dope’ is no longer heroin in an increasing number of our communities. The biggest change has been the gradual replacement of diacetylmorphine (heroin) by fentanyl and other synthetic opioids. Due in large part to the proliferation of anonymous chemical factories able to produce industrial volumes of inexpensive synthetic opioids without opium or other controlled precursors, fentanyl spilled into the United States, Canada, and Europe, heroin soon fell to market forces [1, 2].

E-9-1-1 161

E-9-1-1 Naloxone Emergency Department ALS 161

NVFC

NOVEMBER 5, 2024

The National Emergency Response Information System (NERIS) launched on November 4 to modernize incident data collection and provide vital intelligence for local fire departments across the United States. NERIS is a secure, cloud-based platform developed in collaboration with the American fire service to capture all-hazards incident data and provides analytic tools for local fire and emergency service leaders in near-real time.

Emergency Response 96

Emergency Response Public Safety Firefighter EMS 96

FirstNet Authority

OCTOBER 30, 2024

FirstNet Authority Welcomes New, Returning Board Members Press Releases michelle.fordi… Wed, 10/30/2024 - 13:08 The First Responder Network Authority (FirstNet Authority) is an independent authority within the U.S. Department of Commerce National Telecommunications and Information Administration. Established in 2012, the FirstNet Authority’s mission is to ensure the building, deployment, and operation of the nationwide broadband network that equips first responders to save lives and protect U.S.

First Responder 117

First Responder 117

EMOttawa

OCTOBER 31, 2024

Delirium is a medical emergency. It is characterized by acute disturbance of consciousness, with changes in perceptual disturbances and fluctuation of symptoms. Delirium is often the initial manifestation of an underlying acute illness and can be present before fever, tachypnea, tachycardia, or hypoxia. There is an ED prevalence ranging from 7-24%, with increased mortality rates […] The post Delirium revisited appeared first on EMOttawa Blog.

ED 111

ED OR EMS 111

Life in the Fastlane

NOVEMBER 2, 2024

Mike Cadogan Waiting Room Medicine With exponential Emergency Department over-crowding and spiraling waiting times, the Utopian College has produced a series of guidelines to assist fondling members.

Emergency Department 98

Emergency Department 98

The Curious Clinicians

NOVEMBER 1, 2024

How could you live with only one lung? The math seems simple. If you only have one lung, you only have 50% of your normal lung function, you can only get 50% of the normal amount of oxygen into your blood, and you’ll be dead in a few minutes. However, there are many patients who undergo pneumonectomies and not only survive, but don’t need supplemental oxygen and even can exercise.

ACS 97

ACS OR 97

American Ambulance Association

NOVEMBER 6, 2024

This content is for AAA members only. Please either Log In or Join! The post CMS Finalizes the Productivity Adjustment, Adds Prehospital Blood Transfusion to ALS2 appeared first on American Ambulance Association.

Ambulance 130

Ambulance OR 130

Unitek EMT

NOVEMBER 5, 2024

Everything you need to know about the education, licensing, job outlook, and earning potential of LPNs. Embarking on a career as a Licensed Practical Nurse (LPN) is a rewarding journey that offers a unique blend of compassion, technical skill, and the opportunity to make a meaningful impact on patients’ lives. As an essential part of […] The post Your Complete Guide to Becoming a Licensed Practical Nurse appeared first on Unitek EMT.

EMT 80

EMT EMT EMS 80

EM Literature of Note

NOVEMBER 4, 2024

It is clear LLMs have an uncanny ability to find associations between salient features, and to subsequently use those associations to generate accurate probabilistic lists of medical diagnoses. On top of that, it can take those diagnoses and use its same probabilistic functions to mimic the explanations it has seen in its training set. A powerful tool – clearly an asset to patient care?

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80

Life in the Fastlane

OCTOBER 30, 2024

Casey Parker and James Rippey Ultrasound Case 112 A 30 year old woman who is currently 30 weeks gestation presents to the ED with abrupt, severe right loin pain.

ED 110

ED 110

Dr. Smith's ECG Blog

OCTOBER 30, 2024

Smith Introduction: Saddleback ST Elevation is often an OMI mimic, so one needs to scrutinize these ECGs!! Written by Magnus Nossen Below are ECGs from six different patients. All of the patients contacted EMS due to acute onset chest pain. Imagine you get these ECGs in real time and you are asked whether or not the cath lab should be activated? All ECGs in this case have saddleback ST elevation.

Coronary 83

Coronary EMS OR STEMI 83

FirstNet Authority

NOVEMBER 5, 2024

September 3GPP Plenary: 6G officially begins, Release 19 on track Blog joseph.rey@fir… Tue, 11/05/2024 - 10:23 By Dean Prochaska, Senior Director of Standards, First Responder Network Authority Learn more about how FirstNet is transforming public safety communications — contact your local FirstNet Authority Public Safety Advisor and sign up for our discipline newsletters.

Public Safety 64

Public Safety First Responder OR 64

ESO

NOVEMBER 5, 2024

We’re excited to announce the launch of our advanced Critical Care functionality within ESO Electronic Health Record (EHR) , designed to meet the unique demands of high-acuity healthcare environments. Developed in close collaboration with our customers, this innovative upgrade helps streamline workflows for emergency medical and critical care professionals, enabling faster and safer decision-making on the ground and in the air.

Critical Care 59

Critical Care CAD OR EMS 59

First 10 EM

NOVEMBER 4, 2024

It is pretty rare for the phrase “we need more research” to be immediately followed by more research, but that seems to have happened here.v On October 7 I published my post about the HEMOTION trial, looking at transfusion thresholds in traumatic brain injury, and concluding that despite being a statistically negative trial, the results […] The post Liberal or restrictive transfusion in brain injury part 2 (The TRAIN trial) appeared first on First10EM.

OR 60

OR EMS 60

Pulsara

OCTOBER 30, 2024

OCTOBER RECAP As the weather cools down, birds begin their migration, and bears prepare for hibernation, you won't find our teams curled up waiting for spring to arrive—they've been hitting the road! In October, we exhibited at twelve shows traveling from New York to New Orleans. If you weren't able to connect with us this time around, don't worry! You'll have more opportunities to catch us before the year ends.

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72

Dr. Smith's ECG Blog

OCTOBER 31, 2024

This case was sent by an old residency friend, Kirk Lufkin. He works in a small hospital in Northern Michigan. Case A 61 year old female. hypertension no other past history presented with 30 minutes of fluctuating non-radiating heaviness in chest, with diaphoresis and nausea. VS normal. No cardiac past history. Here is her ECG: What do you think? There are inferior hyperacute T-waves (diagnostic of inferior OMI), with 1) reciprocal ST depression in aVL, 2) a reciprocally inverted hyperacute T-wa

STEMI 77

STEMI Coronary 77

St. Emlyn's

OCTOBER 30, 2024

St.Emlyn's - Emergency Medicine #FOAMed All the best from the blog from August 2024, in our easy to digest podcast. The post August 2024 Round-Up – Goldilocks Moments, Nasal Analgesia, and Public Health in the ED appeared first on St.Emlyn's.

ED 70

ED 70

NVFC

NOVEMBER 5, 2024

So, you’ve reserved a spot to testify at OSHA’s upcoming public hearing regarding the proposed Emergency Response Standard. Have questions about what to say? The hearing procedure? How to answer questions from the OSHA panel and the audience? This session on November 7 at 2pm ET will answer these questions and more as well as allow time for audience Q&A.

Emergency Response 52

Emergency Response 52

This Podcast Will Kill You

NOVEMBER 5, 2024

That little bottle of retinol serum sitting on your bathroom counter – what do you know about its history? This week, we’re digging deep into the man behind the medicine, renowned dermatologist Dr. Albert Kligman, and the unethical research he conducted at Holmesburg Prison in the mid-20th century. Kligman’s research program at Holmesburg spanned decades, involved dozens of experiments (including tretinoin) and thousands of individuals, received ample funding from public universities and m

E-9-1-1 52

E-9-1-1 ALS ED OR 52

SSCOR

NOVEMBER 2, 2024

Pediatric emergencies are always a bit unsettling. Fortunately, children make up a minority of our patients, but when these emergencies occur, it can be stressful—for the patient, for the patient’s family, and for you, the responder.

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Dr. Smith's ECG Blog

NOVEMBER 3, 2024

Written by Magnus Nossen ( with comments and laddergram by Ken Grauer ) The patient in today’s case is a man in his 60s — who presented with palpitations and lightheadedness. He had no history of syncope. The patient had hypertension, but was otherwise healthy. Due to the reported symptoms, he was admitted for observation and put on telemetry monitoring.

E-9-1-1 65

E-9-1-1 ALS OR 65

St. Emlyn's

NOVEMBER 5, 2024

St.Emlyn's - Emergency Medicine #FOAMed At the Tactical Trauma 24 conference in Sundsvall, Sweden, St Emlyn’s hosts Iain Beardsell and Liz Crowe had the opportunity to speak with Alice Hutin, an emergency physician with Service […] The post Podcast – Prehospital eCPR with Alice Hutin at Tactical Trauma 2024 appeared first on St.Emlyn's.

Emergency Department 61

Emergency Department 61

NVFC

NOVEMBER 5, 2024

This course is aimed at increasing the participants’ cultural awareness, knowledge, and skills to benefit fire and emergency service organizations by promoting the inclusion of different identity groups and by facilitating teamwork. Understanding the true meaning of diversity will help to guide what expectations should be met in various scenarios.

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52

REBEL EM

NOVEMBER 6, 2024

Elbow Dislocation Definition: Disarticulation of the proximal radius & ulna bones from the humerus Epidemiology: Incidence Second most common joint dislocation (after shoulder) in adults Most commonly dislocated joint in children Accounts for 10-25% of all injuries to the elbow ( Cohen 1998 ) Posterolateral is the most common type of dislocation (80%) Demographics Most commonly affects patients between ages 10-20 years old As age increases, elbow dislocation rates tend to d

E-9-1-1 58

E-9-1-1 ACS OR Emergency Department 58

SSCOR

OCTOBER 31, 2024

Chronic obstructive pulmonary disease (COPD) affects almost 12 million people in the United States. Though people of widely varying health profiles can develop this disorder, it is more common among people who smoke. Suctioning these patients demands skill and compassion. Here’s what you need to know about suctioning a patient with COPD.

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59

Clinical Correlations

NOVEMBER 1, 2024

By Chloe Fong Peer Reviewed The correlation between vitamin deficiency and alcohol use disorder (AUD) has been well documented in the literature, with a study from 1963 finding that 70% of patients admitted to the hospital.

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The EMS Educator

OCTOBER 31, 2024

How should EMS educators expand their reach beyond the classroom? Prodigy's new Associate Medical Director of Pediatrics Sylvia Owusu-Ansah, MD, MPH, FAAP shares her profound dedication to public health education and CPR training in Pittsburgh’s community and beyond. Join hosts Rob Lawrence, Hilary Gates, and Maia Dorsett as they discuss Sylvia's live-saving training of University of Pittsburgh athletes to discussing her global initiatives, including her impactful work in Ghana.

Organ Donor 52

Organ Donor CPR Ambulance EMS 52

NVFC

NOVEMBER 5, 2024

The digital edition of the latest issue of CRACKYL Magazine is now available. In this issue, meet Jonathan Tate, a firefighter and owner of Food on the Stove who is committed to bringing healthy eating to the fire service. Also in this issue, learn more about how to prevent on-the-job heart attacks, discover a new hobby, try out a tactical workout, and much more.

Heart Attack 52

Heart Attack Firefighter 52

REBEL EM

OCTOBER 30, 2024

Take Home Points Early diagnosis: erythema and warmth of the skin surrounding the umbilicus isn’t normal. Get labs, start abx and get the patient admitted Consult peds surgery on all of these patients as progression to nec fast, while uncommon, is devastating If the patient appears toxic or has systemic symptoms, the simply omphalitis has progressed and aggressive treatment including surgery is likely indicated REBEL Core Cast 130.0 – Omphalitis Click here for Direct Download of the Podcas

EMS 58

EMS OR 58

EMDocs

NOVEMBER 6, 2024

Authors: Robert Nicholson, MD (EM Resident Physician, Carolinas Medical Center, Charlotte, NC) and Ann-Jeannette Geib, MD (EM Attending Physician, Medical Toxicologist, Carolinas Medical Center, Charlotte, NC) // Reviewed by: James Dazhe Cao, MD (@JamesCaoMD, Associate Professor of EM, Medical Toxicology, UT Southwestern Medical Center, Dallas, TX); Anthony Spadaro, MD (@TSpadaro91, Medical Toxicology Fellow, Rutgers New Jersey Medical School, Newark, NJ); Alex Koyfman, MD (@EMHighAK); Brit Long

E-9-1-1 52

E-9-1-1 ALS EMS OR 52