Trending Articles

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SGEM#458: Hurt So Good –Ketamine Can Make the Hurt so Good – If used as an Adjunct to Opioids for Acute Pain in the Emergency Department

The Skeptics' Guide to EM

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.

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CMS National Rural Health Day Webinar

American Ambulance Association

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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Lightning rounds 46: Nick Ghionni on combating cognitive bias

Critical Care Scenarios

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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SAEM Clinical Images Series: Clot in Transit

ALiEM

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

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NREMT Psychomotor Exam for BLS

Chicago EMT Training

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

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IV Fluid Conservation Briefing Now Available

American Ambulance Association

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.

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Episode 202: Sexually Transmitted Infections 2.0

Core EM

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

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Tranq dope (fentanyl-xylazine combination): A new horizon in opioid withdrawal treatment

ALiEM

‘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].

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National Emergency Response Information System Launched to Modernize Incident Data Collection for American Fire Departments

NVFC

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.

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FirstNet Authority Welcomes New, Returning Board Members

FirstNet Authority

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.

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Delirium revisited

EMOttawa

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.

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Waiting Room Medicine

Life in the Fastlane

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.

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Episode 99 – Living on a Lung

The Curious Clinicians

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.

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CMS Finalizes the Productivity Adjustment, Adds Prehospital Blood Transfusion to ALS2

American Ambulance Association

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.

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Your Complete Guide to Becoming a Licensed Practical Nurse

Unitek EMT

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.

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Get the “Human-Out-Of-The-Way”

EM Literature of Note

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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Ultrasound Case 112

Life in the Fastlane

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.

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Chest pain and Saddleback STE. For Which of these 6 Cases should we Activate the cath lab? And how does the Queen of Hearts perform?

Dr. Smith's ECG Blog

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.

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September 3GPP Plenary: 6G officially begins, Release 19 on track

FirstNet Authority

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.

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How ESO EHR Makes Critical Care Documentation Easier

ESO

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.

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Liberal or restrictive transfusion in brain injury part 2 (The TRAIN trial)

First 10 EM

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.

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Pulsara Around the World - November 2024

Pulsara

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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Can you treat Non-STEMI with thrombolytics if it is OMI (Occlusion MI)? Of course!

Dr. Smith's ECG Blog

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

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August 2024 Round-Up – Goldilocks Moments, Nasal Analgesia, and Public Health in the ED

St. Emlyn's

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.

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What You Need to Know Before Testifying at OSHA’s Emergency Response Public Hearing

NVFC

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.

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Episode 156 Retinoids Part 1: How it started…

This Podcast Will Kill You

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

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Four Common Pediatric Respiratory Emergencies and Preventing Complications

SSCOR

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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Electrophysiological curiosity. Can you spot it?

Dr. Smith's ECG Blog

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.

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Podcast – Prehospital eCPR with Alice Hutin at Tactical Trauma 2024

St. Emlyn's

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.

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Being Fair to Everyone: Why Diversity and Inclusion are Important for You and Your Department

NVFC

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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Elbow Dislocations

REBEL EM

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

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What to Know About Suctioning a Patient with COPD

SSCOR

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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Is There a Role for Vitamins in the Management of Alcohol Use Disorder?

Clinical Correlations

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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Saving Lives Through Community Education

The EMS Educator

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.

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Fall 2024 Issue of CRACKYL Magazine Now Available

NVFC

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.

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REBEL Core Cast 130.0 – Omphalitis

REBEL EM

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

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ToxCard: Tetanus and Strychnine – Expanding the Differential for Severe Muscle Spasm

EMDocs

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

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