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When you think about strokes, you probably picture a slurred speech, middle-aged hypertensive smoker with half their face drooping. You dont picture atoddler in a car seat or a baby in a crib. But the reality is that strokes happen to kids, too.As paramedics, we thrive on pattern recognition, but pediatric strokes are theultimate zebra in the room. They dont present like adult strokes; theyre incredibly rare,and the clock is still ticking as fast.
This content is for AAA members only. Please either Log In or Join! The post CAAS Releases GVS V4.0 Draft for Public Comment #2 appeared first on American Ambulance Association.
By Stephen Odom, PhD, Founder and Chief Clinical Officer, FR Health Family of Companies As we recognize Alcohol Awareness Month this April, its an important time to shine a light on the complex relationship between alcohol use and trauma in first responders. These are the men and women on the front lineslaw enforcement officers, firefighters, correctional officers, EMS personnel, 911 dispatcherswho routinely witness tragedy and stress in their work.
Disability Rights Oregonscasecan proceed against Washington County, alleging that 911 dispatchers fail to send trained mental health clinicians to calls involving people in crisis.
Does your classroom have a joyful buzz? Jonathan St. George has it figured out--as the founder of the Protected Airway Collaborative (PAC), Jonathan was inspired by a museum visit to create a learning environment like no other. Join us as we dive into his innovative world of airway management education. Prodigy EMS team members Maia Dorsett and Shane O'Donnell report from the PAC as they experienced the self-directed learning approach firsthand.
NeuroMuscular Emergencies are tough without neurology, but you can do it and do it well! Casey Albin is here to help. EMCrit Project by Scott Weingart, MD FCCM.
This content is for AAA members only. Please either Log In or Join! The post Savvik Spring Glove Giveaway is Here! appeared first on American Ambulance Association.
For Those Who Love a Good "Oopsie!" At Pulsara, we pride ourselves on enabling secure, HIPAA-compliant communication for healthcare teams. But lets be honestsometimes, people just love the thrill of an accidental message mishap. Were excited to announce our latest (and definitely not HIPAA-compliant) feature: Secure-ish Messaging.
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For Those Who Love a Good "Oopsie!" At Pulsara, we pride ourselves on enabling secure, HIPAA-compliant communication for healthcare teams. But lets be honestsometimes, people just love the thrill of an accidental message mishap. Were excited to announce our latest (and definitely not HIPAA-compliant) feature: Secure-ish Messaging.
Quickly and efficiently hooking up your portable suction machine can save precious seconds, preventing hypoxia and reducing the risk of serious respiratory complications. It should only take a few seconds, but if youve never done it before, the process can feel overwhelming and frustrating.
SPENCER is back in the hotseat! Is it trauma? Is it childbirth? Is it both? Is it a code? Vote now on our Instagram and let Spencer know how you feel! SPENCER is back in the hotseat! Is it trauma? Is it childbirth? Is it both? Is it a code? Vote now on our Instagram and let Spencer know how you feel!
Date: April 1, 2025 This is another SGEM Xtra. I was asked to give a public lecture for the Gateway Centre of Excellence in Rural Health. The topic was the zombie idea that emergency department crowding is due to non-urgent patients.You can click on this LINK and get a PDF copy of my slides. The YouTube video of the presentation with the Q&A session featuring rural physician Dr.
How do you predict which intermediate-risk patients will suddenly deteriorate? What role do risk scores, biomarkers, imaging, and hemodynamics play in decision-making? Should these patients receive anticoagulation alone, or is thrombolysis warranted? When should you consider catheter-directed or surgical interventions? This podcast focuses us to think critically about risk stratification, early interventions and escalation in care in PE.
Philippe Rola, intensivist, master of the VEXUS scan, and founder of the Hospitalist and Resuscitationist conference, shares his recent model of four hemodynamic interfaces to describe the entire circulatory system. Register for the H&R conference (May 22-23 2025) here with the discount code provided in the show. (No, were not sponsored, just a cool event.
We discuss the injuries sustained from smoke inhalation. Hosts: Sarah Fetterolf, MD Brian Gilberti, MD [link] Download Leave a Comment Tags: Environmental , Toxicology Show Notes Table of Contents 00:37 Overview of Smoke Inhalation Injury 00:55 Three Key Pathophysiologic Processes 01:41 Physical Exam Findings to Watch For 02:12 Airway Management and Early Intervention 03:23 Carbon Monoxide Toxicity 04:24 Workup and Initial Treatment of CO Poisoning 06:14 Cyanide Toxicity 07:19 Treatment
Written by Willy Frick A man in his 70s with hypertension and type 2 diabetes mellitus presented with chest pain which awoke him from sleep around midnight. He described it as substernal, non-radiating, 7 out of 10 intensity. His ECG obtained around 4 AM is shown. ECG 1 What do you think? I texted this ECG to Dr. Smith without any information and he immediately replied: "combination of precordial swirl and South African Flag sign, with Swirl predominating.
Program will expand in 2025 to $1.5 million State Farm and the National Volunteer Fire Council (NVFC) teamed up to launch the Good Neighbor Firefighter Safety Program in 2024. In the inaugural year, 100 volunteer fire departments were each awarded $10,000 grants, for a total of $1 million provided to help local departments increase safety and efficiency and better serve their communities.
In this video, we demonstrate the technique for performing an ultrasound-guided interfascial shoulder plane block (IPB) a simple, effective, and motor-sparing alternative to the interscalene block for treating shoulder pain in the Emergency Department. Non-Rotator Cuff Exam Rotator Cuff Exam Courses The post 5 Min Sono Interfascial Shoulder Plane Block first appeared on Core Ultrasound.
Authors: Lloyd Tannenbaum, MD (EM Attending Physician, APD, Geisinger Wyoming Valley, PA); Christian Daniello, MD (Staff Physician, Geisinger Wyoming Valley) // 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. This week, we feature a post from Dr. Tannenbaums ECG Teaching Cases , a free ECG resource.
Users of battery powered portable suction devices often comment that it sucks. This can be interpreted two ways either negatively or positively. When the negative sentiment applies, theres no need to despair or throw the unit across the room There are three ways to increase the performance of your portable suction device to turn that negative into a positive.
Last week Rep. Greg Murphy (R-NC) reintroduced a bill (H.R. 2382) to amend both the Employee Retirement Income Security Act (ERISA) and the Internal Revenue Code to allow paid firefighters in nonprofit fire departments access to a states public pension system. The National Volunteer Fire Council (NVFC) strongly supports this legislation. This bill would especially impact North Carolina, where the states General Assembly passed legislation in 1999 which allowed paid firefighters in nonprofit depa
Introduction: In this episode of Rebel Cast, host Marco Propersi, along with co-hosts Steve Hockman and Kim Baldino, delve into the practice and importance of street medicinethe direct delivery of healthcare to homeless and unsheltered individuals. Special guests Dr. Jim O’Connell, a pioneer of street medicine, and Dr. Ed Egan, a recent street medicine fellowship graduate, share their experiences and insights on serving this vulnerable population.
Today on the emDOCs cast with Brit Long ( @long_brit) , we cover cavernous sinus thrombosis (CST). Episode 117: Cavernous Sinus Thrombosis What is CST? Thrombophlebitic disease of the cavernous sinuses with clot formation. Most commonly begins with a sinus or facial infection, which may spread to the cavernous sinus, but it may be associated with other conditions (aseptic).
Although they have the advantage of prior awareness and preparation, large-scale planned events pose unique challenges for emergency management teams. High patient volume, dispersed resources, and disjointed communication can make providing medical service for major events particularly difficult. Now imagine that your event has over 10,000 attendees spread across a 120-mile road through Death Valley, the hottest national park in the United States.
St.Emlyn's - Emergency Medicine #FOAMed What nearly dying can teahc us about living - teh fabulous Matt Morgan at The Big Sick 2025 The post Life 2.0 – What the dead can teach us about living – Matt Morgan at TBS 2025 appeared first on St.Emlyn's.
A 30 year old African American Male presented to the ED with chest pain that occurred the day before. It had been 6-7/10 in intensity and lasted for about 10 minutes, and was associated with strenuous activity. It radiated to the left arm and was associated with SOB. There was no pain on the day of presentation. Here is the ED ECG: What do you think?
We always work hard, but we may not have time to read through a bunch of journals. Its 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: Should We Use Normal Saline vs Balanced Fluid for TBI? Spoon Feed This large meta-analysis of ICU RCT subgroups found decreased mortality in patients with traumatic brain injury treated with normal saline vs. crysta
Pulmonary embolism is probably discussed far more than is truly necessary. It receives more attention than almost any other pathology. We endlessly debate the best algorithms for diagnosis. We add new decision tools almost yearly. However, if there is one aspect of pulmonary embolism that might be under-discussed it is the management of massive and […] The post Management of intermediate and high risk pulmonary embolism (aka submassive/massive PE) appeared first on First10EM.
With millions of journal articles published yearly, it is impossible to keep up.This month, the team from The Bridge will give us a whistle-stop tour of what’s new in Paeds literature. The Bridge is a Postgraduate Doctor in Training (PGDiT)- led paediatric research forum in Yorkshire and Humber, UK, with the aim of bridging the gap in research access among PGDiT.
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