Paramedics Unlimited

MAY 14, 2017

Wow, we’ve had a wild and fun winter event season. We’ve so enjoyed delivering top notch medical standby at a variety of events throughout the valley, and beyond our valley! This season has seen so many different kinds of events, from medical standby at rappeling to conference and dinner functions.

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Core Ultrasound

APRIL 1, 2024

Pericardial effusion Old 5MS vid (2016) Pericardial Tamponade Courses The post 5 Min Sono – Pericardiocentesis (2024) first appeared on Core Ultrasound.

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130

Pediatric EM Morsels

APRIL 5, 2024

Climate change and changes in land usage have contributed to an expanded range of ticks (Beard 2016). 2016 Apr 26;315(16):1767-77. Traveling Ticks are more than just ticking off a checklist before you get ready to travel! There are species of ticks found on every continent and carrying a variety of vectors capable of infecting humans.

E-9-1-1 161

E-9-1-1 ALS OR EMS 161

Pediatric EM Morsels

NOVEMBER 3, 2023

2016 Apr; 32(4): 227–231. Worldwide, children <5 years old account for 76% of deaths related to malaria, but these are predominantly in Sub-Saharan Africa (WHO 2022) P. vivax , P. malariae , and the less common P. knowlesi and P. simium (Forgie 2022) P. vivax and P. falciparum parasitemia , and no other defined cause of AMS (WHO 2023).

ALS 278

ALS Critical Care EMS OR 278

Pediatric EM Morsels

AUGUST 4, 2023

Reece, 2016) There is multiple cases of sudden death from undiagnosed SMA syndrome in the literature attributed to a variety of causes at autopsy. 2016: 7809281. Ganss, 2018) At least one case of abdominal compartment syndrome noted in the literature. The Oschner Journal. 15(1):74-78. PMID: 25829884 Reece K, Day R, Welch J.

E-9-1-1 246

E-9-1-1 ED OR EMS 246

EMergucate

SEPTEMBER 21, 2021

Compass trial Design– double-blind trial involving placebo medication vs study medication, March 2013 to May 2016. Rivaroxaban (2.5mg bd) + … Continue reading →

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100

Pediatric EM Morsels

APRIL 7, 2023

Epub 2016 Oct 17. 2016 Dec 2;2016(1):625-631. Impact of the New American Heart Association/American Stroke Association Definition of Stroke on the Results of the Stenting and Aggressive Medical Management for Preventing Recurrent Stroke in Intracranial Stenosis Trial. J Stroke Cerebrovasc Dis. 2017 Jan;26(1):108-115. 2016.08.038.

ALS 130

ALS OR Critical Care EMS 130

The Skeptics' Guide to EM

OCTOBER 21, 2023

Population: Adults attending at continuously-staffed EDs in a health network covering 15 states, 2016-19. Implementation of a Clinical Management Tool for Spinal Epidural Abscess Early Diagnosis. AEM October 2023.

Emergency Department 264

Emergency Department ALS ED OR 264

Pediatric EM Morsels

MAY 12, 2023

However clinical judgement was more specific in this same group (54% vs 92%) [ Atabaki, 2016 ]. 2016 May;23(5):566-75. Epub 2016 Apr 20. When we discussed this topic previously , we concluded with “Clinical Guidelines are never perfect, but this one is pretty good”. Acad Emerg Med. doi: 10.1111/acem.12923. PMID: 26825755.

OR 130

OR EMS 130

REBEL EM

SEPTEMBER 9, 2024

Philadelphia, PA: Wolters Kluwer; 2016:27–54. [link] Myers SR, Schinasi DA, Nadel FM. Cardiopulmonary resuscitation. In: Shaw KN, Bachur RG, eds. Fleisher & Ludwig’s Textbook of Pediatric Emergency Medicine. FOR THE RIGHT ANSWER CLICK ON THE ROSH REVIEW LOGO BELOW Post Peer Reviewed By: Salim R.

Emergency Department 59

Emergency Department ED EMS 59

ALiEM

MAY 13, 2024

Acad Emerg Med 2016 [7] 800 Systematic review of adult and pediatric (patients from birth – 21yrs) studies 97% (94-98%) 83% (75-88%) POCUS may assist physicians in distinguishing cellulitis versus abscess. 2016 Nov;23(11):1298-1306. Epub 2016 Nov 1. 2016 Feb;169:122-7.e1. Lam et al., 94.7%) 80% (70.0-87.4%)

E-9-1-1 161

E-9-1-1 ALS Emergency Department OR 161

ALiEM

SEPTEMBER 9, 2024

2016 Dec 28;7(Suppl 44):S1150-S1153. Bales J, Morton RP, Airhart N, Flum D, Avellino AM. Transanal presentation of a distal ventriculoperitoneal shunt catheter: Management of bowel perforation without laparotomy. Surg Neurol Int. doi: 10.4103/2152-7806.196930. PMID: 28194303; PMCID: PMC5299151.

Emergency Department 152

Emergency Department ED OR 152

This Podcast Will Kill You

SEPTEMBER 3, 2024

2016): 421-433. 2016): e0143759. De Graaf, Miranda, Janko van Beek, and Marion PG Koopmans. “Human norovirus transmission and evolution in a changing world.” ” Nature Reviews Microbiology 14.7 De Graaf, M., van Beek, J. and Koopmans, M.P., Human norovirus transmission and evolution in a changing world. 2008): 54-62.

ALS 52

ALS OR 52

REBEL EM

NOVEMBER 13, 2024

cefazolin or cefuroxime) If risk factors for MRSA present, use agent with activity against MRSA (i.e. vancomycin) If significant soft tissue injury, add gram negative coverage like late generation cephalosporin, extended-spectrum penicillin, or aminoglycoside (i.e.

ED 102

ED OR EMS 102

FOAMcast

JANUARY 25, 2023

2016 May 1;202(1):182-7. 2016 Aug;33(8):569-72. Epub 2016 Feb 4. Hypocalcemia in trauma patients receiving massive transfusion. J Surg Res. doi: 10.1016/j.jss.2015.12.036. 2015.12.036. Epub 2015 Dec 30. PMID: 27083965. Webster S, Todd S, Redhead J, Wright C. Emerg Med J. doi: 10.1136/emermed-2015-205096. PMID: 26848163.

Emergency Department 52

Emergency Department OR 52

REBEL EM

NOVEMBER 6, 2024

2016 Jan 6;17:6-11. 2016 Jul;24(7):413-23. Multiple Concomitant Injuries in One Upper Extremity: A Case Report. Am J Case Rep. doi: 10.12659/ajcr.894984. PMID: 26732673 Akhondi H, Varacallo M. Anterior Interosseous Syndrome. 2023 Aug 4. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. Shoulder Elbow.

E-9-1-1 59

E-9-1-1 ACS OR Emergency Department 59

ALiEM

FEBRUARY 20, 2024

2016 Mar;12(1):121-9. Acute Card Care. 2013 Dec;15(4):90-2. doi: 10.3109/17482941.2013.841949. Epub 2013 Nov 7. PMID: 24200150. Bruccoleri RE, Burns MM. A Literature Review of the Use of Sodium Bicarbonate for the Treatment of QRS Widening. J Med Toxicol. doi: 10.1007/s13181-015-0483-y. PMID: 26159649 ; PMCID: PMC4781799.

Life Support 183

Life Support Overdose ED 183

Pulsara

JUNE 7, 2024

In 2016, they were early adopters of Pulsara , a streamlined, HIPAA-compliant app designed to help unite and inform inter-organizational care teams throughout major incidents and beyond. “They should be able to prepare and estimate how many patients they have [and] the severity.”

Firefighter 92

Firefighter First Responder Emergency Response Emergency Department 92

Pediatric EM Morsels

JULY 5, 2024

2016; Published June 20, 2016. J Spinal Disord Tech. 2015;28(7). PMID: 26165728. Cui LW, Probst MA, Hoffman JR, Mower WR. Sensitivity of plain radiography for pediatric cervical spine injury. Emerg Radiol. doi:10.1007/s10140-016-1417-y. Easter JS, Barkin R, Rosen CL, Ban K.

ALS 161

ALS OR ED Emergency Department 161

Emergency Medicine Education

MAY 9, 2023

NEJM study in 2016 showed no survival benefits or favorable neurological outcome regarding use of Amiodarone vs Lidocaine vs placebo in OHCA. NEJM study in 2016 Acad Emerg Med

OR 40

OR 40

This Podcast Will Kill You

JANUARY 2, 2024

2016): 62-76. ” Orthopedic research and reviews (2016): 41-55. ” Quality of Life Research 25 (2016): 1877-1896. The Lancet , 363 (9418), pp.1377-1385. Bickel, Ralph K. Ghormley, and John D. Osteogenesis Imperfecta”. Radiology 1943 40:2, 145-154 Forlino, A. and Marini, J.C., Osteogenesis imperfecta. 2017): 128-129.

E-9-1-1 52

E-9-1-1 ALS OR 52

The Skeptics' Guide to EM

MAY 29, 2021

Date: May 20th, 2021 Guest Skeptic: Dr. Robert Edmonds is an emergency medicine physician in the Air Force in Dayton, Ohio, and a University of Missouri-Kansas City residency alumni from 2016. Reference: Jhunjhunwala et al. Reference: Jhunjhunwala et al. Journal of Trauma and Acute Care Surgery.

Emergency Medical Services 130

Emergency Medical Services ACS ALS Emergency Department 130

NVFC

NOVEMBER 5, 2024

CRSW, initiated by the Federal Highway Administration (FHWA) in 2016, is our opportunity to positively shift driver behavior, encourage adherence to Move Over laws, and to promote life-saving National Traffic Incident Management (TIM) Responder Training for all traffic incident responders.

EMS 59

EMS OR 59

Pediatric EM Morsels

OCTOBER 27, 2023

Bowen 2016] Moral of the Morsel: Weight Matters! [Khouli 2015] In South Sudan, the Broselow system overestimated weight by 26.6% in malnourished children and by 16.6% in non-malnourished children. The authors recommended alternate methods to estimate weights and doses of medications in low to middle income countries. x exp[0.02 x exp[0.02

E-9-1-1 269

E-9-1-1 Emergency Medical Services Life Support ALS 269

The Skeptics' Guide to EM

SEPTEMBER 2, 2023

However, over the past 20 years, there is burgeoning evidence that fast-acting subcutaneous insulin analogs could be a potential treatment option for mild to moderate severity DKA including a 2016 Cochrane SRMA [4].

ICU 201

ICU ED Critical Care ALS 201

EMDocs

JULY 9, 2024

2016 Nov 7;170(11):e162521. Epub 2016 Nov 7. 2016 Mar;16(2):168-74. Gottlieb LM, Hessler D, Long D, Laves E, Burns AR, Amaya A, Sweeney P, Schudel C, Adler NE. Effects of Social Needs Screening and In-Person Service Navigation on Child Health: A Randomized Clinical Trial. JAMA Pediatr. doi: 10.1001/jamapediatrics.2016.2521.

Emergency Department 71

Emergency Department Emergency Medical Services ED EMS 71

The Skeptics' Guide to EM

JUNE 11, 2017

Lancet 2016. Lancet 2016. Lancet 2016. Platelet transfusion versus standard care after acute stroke due to spontaneous cerebral haemorrhage associated with antiplatelet therapy (PATCH): a randomised, open-label, phase 3 trial. first appeared on The Skeptics Guide to Emergency Medicine.

ALS 130

ALS OR EMS 130

The Skeptics' Guide to EM

JUNE 4, 2017

Lancet August 2016. Lancet August 2016. Lancet August 2016. Immediate total-body CT scanning versus conventional imaging and selective CT scanning in patients with severe trauma (REACT-2): a randomised controlled trial.

OR 130

OR ALS CPR ICU 130

Pulsara

MAY 23, 2024

The state was divided into 22 regions (i.e., Trauma Service Areas, or TSAs) and Regional Advisory Councils (RACs, which are non-profit and tax-exempt) who develop regional EMS plans, provide related public information, provide a forum for EMS providers and hospitals to discuss TSA issues and network with other RACs, and track related data.

Emergency Medical Services 82

Emergency Medical Services Public Information EMS OR 82

Pediatric EM Morsels

JULY 21, 2023

2016 Aug;23(8):878-84. Epub 2016 Aug 1. Borgialli DA, Mahajan P, Hoyle JD Jr, Powell EC, Nadel FM, Tunik MG, Foerster A, Dong L, Miskin M, Dayan PS, Holmes JF, Kuppermann N; Pediatric Emergency Care Applied Research Network (PECARN). Acad Emerg Med. doi: 10.1111/acem.13014. PMID: 27197686. Holmes, James F et al. 2005): 814–819.

Critical Care 246

Critical Care ALS OR Life Support 246

ALiEM

AUGUST 18, 2023

2016 May-Aug;9(2):80-6. Semin Neurol. 2000;20(1):55-74. doi: 10.1055/s-2000-6833. PMID: 10874777. Singh A, Bahuguna C, Nagpal R, Kumar B. Surgical management of third nerve palsy. Oman J Ophthalmol. doi: 10.4103/0974-620X.184509. PMID: 27433033; PMCID: PMC4932800.

Emergency Department 130

Emergency Department OR 130

The Skeptics' Guide to EM

DECEMBER 16, 2017

NEJM Dec 2016 Guest Skeptic: Dr. Neal Little is an Emergency Physician who works at Chelsea Hospital in Chelsea, Michigan. NEJM Dec 2016 Guest Skeptic: Dr. Neal Little is an Emergency Physician who works at Chelsea Hospital in Chelsea, Michigan. [display_podcast] Date: November 27th, 2017 Reference: Legriel et al.

ALS 100

ALS ICU Emergency Department Paramedic 100

This Podcast Will Kill You

JANUARY 30, 2024

” Molecular Immunology 69 (2016): 131-138. Immunological investigations , 39 (4-5), pp.303-355. Sepahi, Ali, and Irene Salinas. “The evolution of nasal immune systems in vertebrates.” Mörbe, U.M., Jørgensen, P.B., Fenton, T.M., von Burg, N., Spencer, J. and Agace, W.W., ” The Laryngoscope 112.S100 S100 (2002): 3-5.

OR 98

OR 98

EMDocs

SEPTEMBER 6, 2023

2016 study published in American Journal of Emergency Medicine , “ Urinary obstruction is an important complicating factor in patients with septic shock due to urinary infection ” by Reyner et al. 2016 Apr;34(4):694-6. CT shows occlusive right ureteral stone, pyelonephritis. Arterial line started. Am J Emerg Med.

ACS 71

ACS ICU EMS ALS 71

ALiEM

JANUARY 8, 2024

2016 May;68(5):689-94. Anti-Melanoma Differentiation-Associated Gene 5 Is Associated With Rapidly Progressive Lung Disease and Poor Survival in US Patients With Amyopathic and Myopathic Dermatomyositis. Arthritis Care Res (Hoboken). doi: 10.1002/acr.22728. PMID: 26414240; PMCID: PMC4864500.

ED 152

ED OR 152

First Responders Foundation

AUGUST 26, 2024

In 2003, she became the first Employee Resources Sergeant, a role she held until her retirement in 2016. Her experience managing employees with injuries or serious medical conditions led her to recognize the need for a liaison position within the Police Department.

First Responder 98

First Responder Public Safety Paramedic OR 98

Emergency Medicine Education

AUGUST 20, 2023

Recent JAMA article that enrolled 671 patients between 2016 and 2020 found DOACs are non inferior to LMWH for preventing recurrent VTE over 6-month follow-up. LMWH traditionally was recommended for venous thromboembolism (VTE) treatment in cancer patient. Link to article

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