American Ambulance Association

JANUARY 17, 2025

This content is for AAA members only. Please either Log In or Join! The post Notice of Proposed Rule Making HIPAA Security Rule To Strengthen the Cybersecurity of Electronic Protected Health Information appeared first on American Ambulance Association.

Ambulance 130

Ambulance OR 130

EMergucate

JANUARY 14, 2025

The following ECG is from a 60-year-old male who has presented with 5 days of central chest pain and epigastric pain which radiates between his shoulder blades.

130

130

ALiEM

JANUARY 13, 2025

A 55-year-old female presented with the complaint of my right eye popped out. Symptoms started approximately seven hours prior to arrival and progressive, severe pain eventually prompted her visit to the ED. This happened once 10 years ago, requiring reduction in the ED. The patient denied preceding trauma, rubbing her eyes/eye-lids, or any history of thyroid disease.

Emergency Department 169

Emergency Department ED ALS OR 169

American Burn Association

JANUARY 14, 2025

Categories Advocacy Burn News MAC Spotlight Media Member Services Member Spotlight Organization News Prevention Quality Care Research Return to News & Activities CHICAGO [Jan. 14, 2025] In the aftermath of the devastating New Years Eve fireworks explosion in Honolulus Salt Lake neighborhood, which overwhelmed Hawaiis burn care capacity, and the ongoing challenges posed by the recent California wildfires, the American Burn Association (ABA) recognizes the extraordinary efforts of burn care

OR 105

OR 105

The Bottom Line

JANUARY 16, 2025

Whats new in the Critical Care literature monthly updates

Critical Care 105

Critical Care 105

ALiEM

JANUARY 10, 2025

A 3-month-old male with no past medical history was brought to the emergency department for evaluation of newly asymmetric pupils. The infant appeared to be asymptomatic per parents, without any behavior changes or associated symptoms noted. The patients mother noticed her sons left pupil was dilated and unresponsive to light the morning of presentation.

ALS 161

ALS Emergency Department OR EMS 161

American Ambulance Association

JANUARY 15, 2025

The 9 Line Company (www.the9linecompany.com) has launched a campaign to support EMS professionals who have lost their homes and are facing significant hardships due to the recent fires. As […] The post Fundraising Efforts for EMSers appeared first on American Ambulance Association.

Ambulance 130

Ambulance EMS 130

American Burn Association

JANUARY 10, 2025

Categories Advocacy Burn News MAC Spotlight Media Member Services Member Spotlight Organization News Prevention Quality Care Research Return to News & Activities CHICAGO [Jan. 10, 2025] As wildfires rage across California, the American Burn Association (ABA) is prepared to assist burn centers and healthcare providers in responding to burn injuries resulting from these devastating events.

First Responder 119

First Responder Life Support OR 119

EMOttawa

JANUARY 13, 2025

Methodology: 4/5 Usefulness: 4/5 Vallentin MF, et al. N Engl J Med. 2024 Oct 31. doi: 10.1056/NEJMoa2407616. Editorial: The Way to a Patient’s Heart – Vascular Access in Cardiac Arrest Question and Methods: This RCT compared IO vs. IV vascular access in adults with OHCA, using ROSC as a primary outcome. Findings: No significant difference […] The post Intraosseous or Intravenous Vascular Access for Out-of-Hospital Cardiac Arrest appeared first on EMOttawa Blog.

OR 101

OR ALS Critical Care 101

EMCrit Project

JANUARY 10, 2025

Nitty Gritty of All Things Defibrillation EMCrit Project by Scott Weingart, MD FCCM.

Defibrillator 86

Defibrillator 86

American Ambulance Association

JANUARY 15, 2025

This content is for AAA members only. Please either Log In or Join! The post What’s New at Savvik This Week? appeared first on American Ambulance Association.

Ambulance 130

Ambulance OR 130

St. Emlyn's

JANUARY 13, 2025

St.Emlyn's - Emergency Medicine #FOAMed Explore the variability in maintaining prehospital anaesthesia for trauma patients in this comprehensive summary of a multinational survey. With insights into drug protocols, administration methods, and governance, the article highlights challenges and opportunities for standardisation in prehospital care.

70

70

The Bottom Line

JANUARY 16, 2025

Whats new in the Critical Care literature monthly updates

Critical Care 81

Critical Care 81

EMDocs

JANUARY 11, 2025

Author: Christopher Blanton, MD, MBA (EM Resident, UTSW / Dallas, TX); Joslin Gilley-Avramis, MD (EM Attending Physician, UTSW / Parkland Memorial Hospital) // Reviewed by: Sophia Grgens, MD (EM Physician, BIDMC, MA); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Brit Long, MD (@long_brit) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providing an expedited review of clinical basics.

E-9-1-1 72

E-9-1-1 EMS Emergency Department OR 72

Ambulance Driver Files

JANUARY 11, 2025

The best… and worst… boss I ever had. I’m gonna miss her. I had been an EMT perhaps two weeks when I met her. The big EMS agency in my town wouldnt have anything to do with me; I showed up at their headquarters and asked the receptionist for an application, and then cooled my.

EMT 76

EMT EMT EMS 76

American Ambulance Association

JANUARY 13, 2025

This content is for AAA members only. Please either Log In or Join! The post State Snap Shots to Support EMS Advocacy appeared first on American Ambulance Association.

EMS 130

EMS Ambulance OR 130

EMCrit Project

JANUARY 15, 2025

More amazing discussion with Liz Crowe EMCrit Project by Scott Weingart, MD FCCM.

OR 61

OR 61

International Journal of Paramedicine

JANUARY 15, 2025

Approximately 10% of geriatric patients (adults over the age of 65) transported via ambulance will have a mental status altered from baseline, otherwise known as delirium. Many of these patients will be agitated, posing a management challenge for EMS practitioners. Existing protocols for delirium in the pre-hospital setting were designed for younger adults, who have different etiologies and different levels of tolerance for medications than most older adults.

Ambulance 52

Ambulance EMS ED OR 52

SSCOR

JANUARY 11, 2025

A growing group of people are passionate about airway management and minimizing the risks of aspiration and its subsequent effects. Dr. James DuCanto identified an improved technique called suction-assisted laryngoscopy and airway decontamination (SALAD).

59

59

Dr. Smith's ECG Blog

JANUARY 17, 2025

ECG Patterns of Occlusion Myocardial Infarction: A Narrative Review

52

52

Life in the Fastlane

JANUARY 11, 2025

Michael Gibbs MD Adult Ortho Cases 004 Shoulder Dislocations. Adult Orthopedic case interpretation.

52

52

Ambulance Driver Files

JANUARY 11, 2025

Haven’t updated this in a while… but the weight has steadily been coming down. Weighed in at 272.6 today, down 3.4 pounds since Wednesday. Not bad, considering I ate whatever I wanted during the holidays and haven’t been in the pool in two months. For those keeping score at home, that’s 127.4 pounds less than.

52

52

International Journal of Paramedicine

JANUARY 15, 2025

Body-worn cameras (BWCs) were introduced for ambulance crews in England in 2021 in response to rising rates of abuse targeted towards ambulance crews by members of the public. As part of an evaluation of the effectiveness of BWCs as a tool for reducing occupational violence, we produced a non-systematic literature review to examine the real-world outcomes and cost-effectiveness of BWCs in a variety of settings and countries.

Ambulance 52

Ambulance 52

FOAMfrat

JANUARY 10, 2025

In this episode of Good Reads, we look into the early stages of STEMI progression and how to identify critical ECG changes before obvious ST segment elevations appear. Using a 61-year-old male patient as a case study, we explore the significance of reciprocal lead changes, specifically in lead aVL, during early injury and ischemia phases. Learn to recognize early signs such as ST segment depression, T wave inversion, and checkmark T waves to improve early STMEI detection.

STEMI 52

STEMI 52

Dr. Smith's ECG Blog

JANUARY 13, 2025

A 50-something male presented to triage with chest pain for one day. An ECG was recorded quickly before any further history or physical exam: What do you think? When I saw this (presented at a conference), I immediately thought it looked like Thype 1 Brugada phenocopy (in other words, Type 1 Brugada ECG pattern ). There is an rSR' in lead V1 without any spike of the R'-wave.

E-9-1-1 75

E-9-1-1 OR STEMI ALS 75

St. Emlyn's

JANUARY 14, 2025

St.Emlyn's - Emergency Medicine #FOAMed The monthly update podcast from November 2024, including learning culture, chest drains in haemothorax, arterial lines in cardiac arrest and bad behaviour. The post Podcast – Monthly Round Up November 2024 – Learning culture, chest drains, arterial lines and more appeared first on St.Emlyn's.

66

66

Clinical Correlations

JANUARY 16, 2025

By Ella Feiner Peer Reviewed In a world abundant with food and sedentary lifestyles, the global prevalence of cardiometabolic disease has reached alarming levels.

40

40

International Journal of Paramedicine

JANUARY 15, 2025

Unresponsive patients with no family or friends can be particularly challenging for EMS providers, especially if they rapidly deteriorate or arrest on scene. Although the Hs & Ts are taught in ACLS, hyperkalemia is an infrequent cause of cardiac arrest and can be easily overlooked in patients not on dialysis. However, recognition is crucial as the standard approach to cardiac arrest will not work and specific medications are indicated.

EMS 52

EMS OR 52

The FllightBridge ED

JANUARY 10, 2025

What does it mean to actually take care of a trainee or new hire? What does good mentorship/preceptorship look like?

OR 40

OR 40

The Skeptics' Guide to EM

JANUARY 11, 2025

Date: December 2o, 2024 Reference: Kotani et al. Positive single-center randomized trials and subsequent multicenter randomized trials in critically ill patients: a systematic review. Crit Care. 2023 Guest Skeptic: Dr. Scott Weingart is an ED Intensivist from New York. He did fellowships in Trauma, Surgical Critical Care, and ECMO. He is a physician coach concentrating on the promotion of eudaimonia and optimal performance.

Critical Care 208

Critical Care ALS Emergency Department ED 208

St. Emlyn's

JANUARY 10, 2025

St.Emlyn's - Emergency Medicine #FOAMed Day 2 of the London Trauma Conference delivered impactful discussions on trauma care innovations, including advanced resuscitation strategies, rib fracture management, and prehospital interventions. The post Talking Trauma – London Trauma Conference 2024 Day 2 appeared first on St.Emlyn's.

40

40

ALiEM

JANUARY 17, 2025

An otherwise healthy 11-year-old female presented to the Emergency Department (ED) with one week of scalp pain and discharge. Her symptoms began as a dry and itchy rash in the scalp area that was unresponsive to triamcinolone 0.1% ointment. She was initially seen in clinic and was diagnosed with an abscess of the scalp and treated with Trimethoprim/ Sulfamethoxazole (TMP-SMX) for seven days.

ED 177

ED Emergency Department OR 177

International Journal of Paramedicine

JANUARY 15, 2025

Urban Emergency Medical Services benefit from an increased number of higher-level personnel (Advanced Emergency Medical Technicians and Paramedics) responding to all calls that are trained to obtain intravenous access. Current Advanced Trauma Life Support guidelines require all trauma patients to receive intravenous access, and as such it is essential for EMS clinicians to be conversant with situations which may require fluid resuscitation.

Emergency Medical Technician 52

Emergency Medical Technician Emergency Medical Services Life Support Paramedic 52

The FllightBridge ED

JANUARY 10, 2025

What does it mean to actually take care of a trainee or new hire? What does good mentorship/preceptorship look like?

OR 40

OR 40

Dr. Smith's ECG Blog

JANUARY 11, 2025

Written by Pendell Meyers An adult man presented with acute chest pain. He appeared critically ill. He had undergone stenting of the LAD several weeks ago (unclear whether elective for stable symptoms, or in response to acute coronary syndrome). Here is his triage ECG: Here is the digitized version with higher image quality: He was rushed to the resuscitation area for "unstable VTach.

STEMI 127

STEMI Coronary OR 127

FOAMfrat

JANUARY 16, 2025

On January 15, 2009, U.S. Airways Flight 1549 departed from LaGuardia International Airport. In New York City, with non-stop service to Charlotte, North Carolina. At 15:25:39 hours, Flight 1549 stowed its landing gear and began its ascent to cruising altitude. Less than two minutes after stowing its landing gear, Flight 1549 struck birds less than 5,000 feet off New York City.

OR 110

OR EMS 110

EMOttawa

JANUARY 16, 2025

A stable and functional fingertip is essential for sensation, fine motor skills, grip strength, and the overall durability and cosmetic appearance of the hand. Fingertips, often the first point of contact during daily activities, are particularly susceptible to trauma. Its no surprise that workplace injuries involving the hand account for nearly 500,000 cases annually in […] The post Nailed it!

99

99