ALiEM
OCTOBER 28, 2024
A 2-year, 11-month-old female with a history of constipation was brought to the ED by her mother for abdominal pain. The mother noticed that the patient’s abdomen had been enlarging for months. When they visited the pediatrician several months ago, the pediatrician also noticed a mildly enlarged abdomen but the patient was asymptomatic at that time.
EMergucate
OCTOBER 27, 2024
Today’s ECG is a 45yr male who presents to ED with a 12hr history of epigastric pain and diaphoresis. He is an ex smoker, no other cardiac risk factors.
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American Ambulance Association
OCTOBER 23, 2024
FOR IMMEDIATE RELEASE Contact: Tristan North tnorth@ambulance.org October 10, 2024 Senator Debbie Stabenow Receives Inaugural EMS Legacy Award from the American Ambulance Association Washington, D.C. — Senator Debbie Stabenow […] The post Senator Stabenow Receives Inaugural EMS Legacy Award appeared first on American Ambulance Association.
Emergency Medicine Cases
OCTOBER 22, 2024
On this month's EM Quick Hits podcast: Kevin Wasko on post-tonsillectomy hemorrhage management, Brit Long on assessment and management of post-CABG surgical incision infections, Anand Swaminathan on evidence, pitfalls and tips on using Bougies, Leah Flannigan on when to suspect vascular injury in patients with low energy mechanism pelvic fractures, Andrew Petrosoniak on debriefing after cases: why, when and how.
Core EM
OCTOBER 23, 2024
The Case A 24-year-old man with no past medical or surgical history presented to the emergency department with 5 days of progressively worsening bilateral leg cramping, paresthesias, and multiple falls. The following ECG is obtained: EKG Show Details EKG Characteristics Rate 88 Rhythm Sinus Rhythm with PAC's Intervals Normal PR and QRS interval, Prolonged QTc interval (619 ms) Axis Normal ST Segments Normal Additional Features Diffuse, prominent, prolonged T-waves Diagnosis Diagnosis : Hypokalem
American Ambulance Association
OCTOBER 25, 2024
As many of you are aware, OSHA has published the NPRM titled the Emergency Response Rule. This rule will have substantial impacts on EMS and Fire Emergency Service Organizations should […] The post SBA Informational Session on OSHA Emergency Response Rule appeared first on American Ambulance Association.
ALiEM
OCTOBER 25, 2024
A 64-year-old male with a history of bipolar 1 disorder, PTSD, anxiety, depression, obsessive-compulsive disorder, GERD, and HTN presented to the ED with the chief complaint of foreign body and self-injury. He reported years of sticking sewing needles into his right arm, most recently yesterday. He explained that inserting needles makes him feel better with mild associated pain.
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EMergucate
OCTOBER 28, 2024
This VBG was from a young girl with sever gastroenteritis (Vomiting and diarrhoea) for 3 days. PH = 7.52, that is moderate alkalaemia. pCO2 = 21 mmHg. So, we have respiratory alkalosis.
St. Emlyn's
OCTOBER 26, 2024
St.Emlyn's - Emergency Medicine #FOAMed This article reviews a recent study on the use of Tranexamic Acid (TXA) in traumatic brain injury (TBI) patients with intracranial hemorrhage (ICH), focusing on prehospital care. The study, a subgroup analysis from the Prehospital TXA for TBI Trial, compared different TXA dosing regimens and found that a 2-g TXA bolus significantly reduced 28-day mortality compared to placebo.
American Ambulance Association
OCTOBER 24, 2024
October 24, 2024 FOR IMMEDIATE RELEASE Contact: Amanda Riordan 703-615-4492 ariordan@ambulance.org EMS Heroes To Be Honored in Washington, DC as 2024 Stars of Life Washington, DC—This November, the American Ambulance […] The post News Release | EMS Heroes To Be Honored in Washington, DC as 2024 Stars of Life appeared first on American Ambulance Association.
ALiEM
OCTOBER 23, 2024
Ultrasound-guided procedures are difficult enough just identifying the anatomy. Performing a nerve block with the ultrasound in one hand and the needle in the other hand adds extra challenges. The simplest 1-person approach involves attaching a syringe with local anesthetic directly to the end of the procedural needle. A 2-person approach involves attach the syringe to a custom tubing-needle setup such as below.
NVFC
OCTOBER 22, 2024
The Occupational Safety and Health Administration (OSHA) will hold a public hearing on their controversial proposed Emergency Response Standard beginning on November 12. Last week OSHA sent out acknowledgement emails to those who submitted a Notice of Intention to Appear (NOITA). The email indicated that specific information about the designated time to testify at the hearing will be emailed within the next couple weeks.
EMOttawa
OCTOBER 24, 2024
Precedex (dexmedetomidine) is an alpha-2 adrenergic agonist increasingly used in critical care environments for sedation and anxiolysis. It offers a unique profile of sedation without respiratory depression, making it an attractive option in various clinical scenarios. Historically, it has been used more frequently in the ICU than in Emergency Departments, likely due to provider comfort. […] The post Is there a Precedence for Precedex in the ED?
St. Emlyn's
OCTOBER 22, 2024
St.Emlyn's - Emergency Medicine #FOAMed This post accompanies the podcast “Simulation for Elite Team Performance,” which was recorded live at the Tactical Trauma 2024 conference in Sundsvall, Sweden. We are grateful to the organizing team […] The post Podcast – Simulation for Elite Team Performance with Andrew Petrosoniak at Tactical Trauma 2024 appeared first on St.Emlyn's.
American Ambulance Association
OCTOBER 23, 2024
Time to Register: NEMSAC Meeting November 6-7, 2024 The National EMS Advisory Council (NEMSAC) will host a hybrid meeting on Wednesday, November 6, 2024, at 1:00 pm ET, and Thursday, […] The post Register now: NEMSAC November Meeting appeared first on American Ambulance Association.
Dr. Smith's ECG Blog
OCTOBER 27, 2024
This was submitted by a paramedic, Hailey Kennedy A late 50s male called 911 following 2 hours of chest pain that started while working at his desk. He reported the crushing chest pain radiated down his left arm. Pt took an antacid with no relief and decided to call at the request of his wife. Here is his EMS ECG: What do you think? This was sent to me with no clinical information, and my initial impression viewing it on my phone was "It’s a tricky one.
NVFC
OCTOBER 22, 2024
The National Volunteer Fire Council (NVFC) is pleased to announce it has received a $740,000 Supplemental Public Sector Training (SPST) grant from the U.S. Pipeline and Hazardous Materials Safety Administration. The SPST program provides funding to national nonprofit fire service organizations, which then train instructors to provide training to public-sector hazmat responders or those tasked with responding to accidents and incidents involving hazardous materials.
Pulsara
OCTOBER 23, 2024
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.
Unitek EMT
OCTOBER 24, 2024
Everything you need to know about the education, licensing, job outlook, and earning potential of RNs. Nursing is one of the most fulfilling and impactful careers in healthcare, offering the opportunity to make a direct difference in patients’ lives. As a nurse, you provide essential care, emotional support, and health education, helping individuals and families […] The post Your Complete Guide to Becoming a Registered Nurse appeared first on Unitek EMT.
First 10 EM
OCTOBER 28, 2024
As with everything that comes out of the PECARN group, this is a huge study, and is therefore one that everyone needs to know about. That being said, despite working in two very busy community hospitals with a high percentage of pediatrics visits, c-spine injuries are just not an issue I struggle with. I have […] The post The PECARN c-spine rule could cause a lot of harm appeared first on First10EM.
Dr. Smith's ECG Blog
OCTOBER 24, 2024
Written by Pendell Meyers A woman in her 70s with with multiple medical comorbidities began to have episodes of weakness and pre-syncope off and on for several days, then suffered three episodes of syncope within a few hours. She was brought to an Emergency Department for evaluation. On arrival she was awake, alert, and asymptomatic, with normal vital signs except for heart rate in the low 50s.
EMDocs
OCTOBER 25, 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: Hypertensive Crisis Averted…New AHA Statement on Asymptomatic Hypertension Spoon Feed This article emphasizes the difference between hypertensive emergency and asymptomatic elevated blood pressure (BP); while hypert
EMOttawa
OCTOBER 28, 2024
Methodology: 4/5 Usefulness: 4/5 Geraghty LE, et al. N Engl J Med. 2024 May 30;390(20):1885-1894. doi: 10.1056/NEJMoa2402785. Question and Methods: Study aimed to determine if video laryngoscopy improves first-attempt intubation success in neonates compared to direct laryngoscopy through a randomized controlled trial. Findings: 74% first pass success with video laryngoscopy and 45% with direct laryngoscopy […] The post Video versus Direct Laryngoscopy for Urgent Intubation of Newborn Infa
SSCOR
OCTOBER 24, 2024
Anyone working in patient care knows how important oropharyngeal suctioning is to maintaining airway patency. Not only does it remove bodily fluids (blood, mucus, saliva, and vomit) from the airway, but it also allows visualization of the vocal cords during intubation—a crucial step in establishing an advanced airway.
The Bottom Line
OCTOBER 26, 2024
Restrictive vs Liberal Transfusion Strategy in Patients With Acute Brain Injury @fabio_taccone. JAMA. 2024. PMID: 39382241 Clinical Question In patients with acute brain injury, does a liberal, compared to a restrictive strategy of blood transfusion, improve neurological outcomes at 180 days?
St. Emlyn's
OCTOBER 26, 2024
St.Emlyn's - Emergency Medicine #FOAMed This article reviews a recent study on the use of Tranexamic Acid (TXA) in traumatic brain injury (TBI) patients with intracranial hemorrhage (ICH), focusing on prehospital care. The study, a subgroup analysis from the Prehospital TXA for TBI Trial, compared different TXA dosing regimens and found that a 2-g TXA bolus significantly reduced 28-day mortality compared to placebo.
EMDocs
OCTOBER 25, 2024
Today on the emDOCs cast with Brit Long, MD ( @long_brit) , and Rachel Bridwell, MD ( @rebridwell ), we cover corneal abrasions and DRESS. Episode 109: Corneal Abrasion and DRESS Corneal Abrasion Epidemiology Ocular diagnoses comprise 8% of total ED visits with 45% of those being corneal abrasions. Corneal epithelium is easily damaged, however, regenerates quickly with a healing time of 24-48 hours.
FOAMfrat
OCTOBER 28, 2024
In this episode of FOAMfrat, Tyler speaks with paramedic Kyle Rice to discuss a deeply personal and eye-opening experience—rolling his ambulance after running a red light. Kyle shares the lessons he learned about complacency, crew resource management, and the often-overlooked dangers of driving with lights and sirens. Together, they explore how EMS providers can stay vigilant behind the wheel, adopt safer driving practices, and shift their mindset when responding to emergencies.
SSCOR
OCTOBER 26, 2024
With the advent of minimally invasive in-office procedures, patients are increasingly choosing sedation instead of general anesthesia. Sedation exists on a continuum, ranging from very mild sedation to deep sedation, but it is generally safer than anesthesia and requires a shorter recovery time. Patients also may require sedation in some emergency medicine scenarios.
First Responders Wellness Center
OCTOBER 27, 2024
Too often I see first responders who are not checked for a concussion at an emergency after a OIS, traffic crash or fall. Please start demanding to have all first responders checked for this when at the hospital. Here is a new easy way to be checked. New testing options could change the way concussions are assessed, and that could have big implications for the future.
The Vocal CORD
OCTOBER 25, 2024
We are excited to introduce the dedicated individuals who form the backbone of our organization. Each month, we will spotlight different board members, offering insights into their backgrounds, interests, and unique perspectives. Through these introductions, we hope you will appreciate the expertise and vision driving CORD’s mission forward. Stay tuned to get to know the leaders shaping our future!
FirstNet Authority
OCTOBER 25, 2024
A new space race has launched — this time in the cellular world. The FirstNet Authority’s Jeff Bratcher and Pat Schwinghammer, AT&T’s Mohammad Baig, and Gypsum Fire Chief Justin Kirkland discuss what satellite-to-device services could mean for public safety live at 5x5: The Public Safety Innovation Summit.
EMDocs
OCTOBER 29, 2024
Authors: Rachel Bridwell, MD (EM Attending Physician; Tacoma, WA), Katey DG Osborne, MD (EM Attending Physician; Tacoma, WA) // Reviewed by: Alex Koyfman, MD (@EMHighAK, EM Attending Physician, UTSW / Parkland Memorial Hospital) and Brit Long, MD (@long_brit, EM Attending Physician, San Antonio, TX) Welcome to emDOCs revamp! This series provides evidence-based updates to previous posts so you can stay current with what you need to know.
This Podcast Will Kill You
OCTOBER 29, 2024
When the Massachusetts Institute of Technology admitted in 1999 that they had discriminated against women on its faculty, it sent shockwaves throughout institutions of higher learning across the country. In this TPWKY book club episode, Pulitzer Prize-winning journalist Kate Zernike joins us to discuss her book The Exceptions: Nancy Hopkins, MIT, and the Fight for Women in Science , which details the sequence of events that led sixteen scientists to demand the equality that had been denied to th
First Responders Wellness Center
OCTOBER 23, 2024
Dr. Steiner will be speaking at the following: Trucking Company Representatives- Earn your 2 hour Reasonable Suspicion Certification The Midwest Center for Traffic Safety is hosting the Midwest Trucker’s Association at our annual conference. Besides presentations on how commercial vehicle crashes are investigated, we will host the FMCSA mandated “Reasonable Suspicion Training” This presentation will satisfy 49 CFR Part 382.603's requirement to have Reasonable Suspicion training for Supervis
NVFC
OCTOBER 22, 2024
International collaboration in the firefighting community is vital for enhancing skills, sharing knowledge, and fostering global relationships. The exchange of ideas and experiences between countries not only improves individual skill sets but also strengthens collective responses to emergencies. The National Volunteer Fire Council (NVFC) recognizes the importance of these connections and actively participates in international activities, showcasing a commitment to advancing training and network
FirstNet Authority
OCTOBER 25, 2024
Live at 5x5: Public Safety Advancements Around the Globe 2024 joseph.rey@fir… Fri, 10/25/2024 - 09:34 Recorded live at 5x5: The Public Safety Innovation Summit, this dynamic panel features leaders with expertise leading international public safety broadband network deployments. Their conversation delves into operational challenges, technological advancements, and opportunities for cross-border collaboration.
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