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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.
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.
This content is for AAA members only. Please either Log In or Join! The post One Strategy for Addressing the EMS Workforce Shortage appeared first on American Ambulance Association.
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.
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.
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.
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.
Disability Rights Oregonscasecan proceed against Washington County, alleging that 911 dispatchers fail to send trained mental health clinicians to calls involving people in crisis.
St.Emlyn's - Emergency Medicine #FOAMed RCEM 2025 Day 3 explored mental health, autism, palliative care, high-intensity users, and modern transfusion and diabetes management in the ED. The post RCEM Conference 2025: Reflections from Day 3 appeared first on St.Emlyn's.
The ABCs of patient care begin with the airway. Does your patient have airway patency? Can your patient maintain their airway? Are there any obstructions or contaminants obstructing the airway? Questions like these are likely second nature to you, and you probably dont even realize you are asking them when caring for your patients.
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.
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
Reference: Sax DR, et al. Emergency Severity Index Version 4 and Triage of Pediatric Emergency Department Patients. JAMA Pediatrics, October 2024 Date: February 12, 2025 Dr. Brandon Ho Guest Skeptic: Dr. Brandon Ho is a graduating pediatric emergency medicine fellow at Childrens National Hospital in Washington DC and soon to be attending physician at Seattle Children's.
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.
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.
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
This was written by one of our really fine 3rd year residents, Katie Buerk. This case was a 69 year old male, brought in by ambulance, after being found unresponsive in bed by family earlier that day. He had last been seen 3-7 days ago. For the medics, he was bradycardic in the 20-30s. They were unable to obtain a blood pressure. On arrival to the ED, he was breathing spontaneously, had faint pulses, and was cool to the touch.
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.
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.
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?
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