The Skeptics' Guide to EM

DECEMBER 17, 2022

Date: December 16th, 2022 Reference: Hohle et al. AEM December 2022 Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Date: December 16th, 2022 Reference: Hohle et al. Massive Blood Transfusion Following Older Adult Trauma: the Effect of Blood Ratios on Mortality.

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Frozen Plasma FFP Emergency Medical Services Plasma 130

The Skeptics' Guide to EM

JANUARY 15, 2022

Date: January 16th, 2022 Reference: Matchett, G. Etomidate versus ketamine for emergency endotracheal intubation: a randomized clinical trial. Ketamine for Emergency Endotracheal Intubation first appeared on The Skeptics Guide to Emergency Medicine. Date: January 16th, 2022 Reference: Matchett, G.

Emergency Medical Services 109

Emergency Medical Services Firefighter Critical Care Paramedic 109

ACEP Now

APRIL 8, 2025

Organize an international conference on topics of interest in emergency medicine. Act as a resource in the development of emergency medical services. IFEM Opportunities Each year, IFEM holds a conference, the International Conference on Emergency Medicine (ICEM).

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Emergency Medical Services Critical Care Emergency Department ED 52

The Skeptics' Guide to EM

MAY 6, 2023

The American College of Emergency Physicians ( ACEP ) defined the term in 2009 as “acute delirium (not linked to dementia or preexisting pathologies) associated with extreme physical and psychomotor agitation”. In emergency medicine, we try to be the physician who will treat anyone for anything at any time (hopefully without judgment).

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ACEP Now

JUNE 21, 2023

Residency length has varied since the inception of the specialty of emergency medicine. 2,3 In the 2021-2022 academic year, categorical (non-combined) EM residency lengths included 221 (80 percent) PGY 1-3 and 55 (20 percent) PGY 1-4 programs. 1 Curricula with non-EM internships (i.e., 1 So, what does the additional year offer?

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EMS ALS Emergency Medical Services OR 114

First Responders Foundation

DECEMBER 31, 2024

Initially an independent contract Attorney in 2022, Chief Dittman came to TXPSI with experience practicing law for over ten years in the areas of criminal defense, government liaison, administrative law, and family law. He is nationally registered as an Emergency Medical Responder with the National Registry of Emergency Medical Technicians.

Public Safety 52

Public Safety Emergency Medical Technician First Responder Emergency Medical Services 52

ACEP Now

OCTOBER 3, 2023

Confounders to the GCS such as seizure and post-ictal phase, ingestions and drug overdose, as well as medications administered in the prehospital setting that impact GCS score should be documented. The GCS must be obtained through interaction with the patient (i.e., The GCS must be obtained through interaction with the patient (i.e.,

Emergency Medical Services 98

Emergency Medical Services EMS OR Overdose 98

EMT Training Station

FEBRUARY 11, 2024

In the world of emergency medical services, encountering victims of electrical burns presents a unique set of challenges. As a veteran emergency medical technician (EMT), I’ve seen firsthand the critical importance of prompt and effective prehospital care in these situations.

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EMT EMT Emergency Medical Technician First Aid 98

EMDocs

JUNE 2, 2023

Intramuscular (IM) is an option for the combative patient or patient who refuses to take oral medications, and who cannot be calmed using non-pharmacological means. I liken an anxiolytic or agitation med to taking medicine for pain – “we are not drugging you” we want to help you feel better. mg/kg/dose (PO/IM/IV) Midazolam – 0.25-0.5

Emergency Department 93

Emergency Department Emergency Medical Services Overdose ED 93

EMDocs

JANUARY 16, 2024

Louis) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case You are working in the trauma/critical care pod of your emergency department (ED). You receive a page for a cardiac arrest and take report from emergency medical services (EMS). It is unclear how long he was down.

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Defibrillator CPR Epinephrine Life Support 109

NAEMSP

FEBRUARY 15, 2023

2022 Sep;36(8):1228-1241. Epub 2022 Aug 8. 2022 Sep;36(8):1217-1227. 2022 Sep;36(8):1217-1227. Epub 2022 Aug 3. Ethical challenges experienced by prehospital emergency personnel: a practice-based model of analysis. 2022 Aug 12;23(1):80. 2022 Nov 26;23(1):120. 2022 Aug;64(2):e71-e76.

Emergency Medical Services 52

Emergency Medical Services EMS CPR Paramedic 52

NAEMSP

FEBRUARY 8, 2023

Mountfort & Wilson, 2022) Burnout among EMS providers has been linked to higher absenteeism and turnover which eventually will lead to a shortage of healthy, trained EMS professionals. Burnout and Coping Methods among Emergency Medical Services Professionals. J Am Coll Emerg Physicians Open. link] Campos, A.,

EMS 52

EMS Emergency Medical Services EMT EMT 52

EMDocs

JANUARY 17, 2024

When emergency medical services (EMS) arrived, she was in asystole with an empty, recently full, bottle of benzonatate 100 mg capsules. 2022-057779. She received cardiopulmonary resuscitation (CPR) and standard advanced cardiovascular life support (ACLS). PubMed PMID: 3788039. Pediatrics. 2022;150(6). doi: 10.1542/peds.2022-057779.

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E-9-1-1 Overdose Emergency Medical Services Life Support 89

Handtevy

SEPTEMBER 20, 2022

Case Report: The study discusses the case of a 17-year-old female who arrived at a community emergency department (ED) following a motor vehicle collision. Initially refusing emergency medical services, she was brought to the ED via a private vehicle. The Journal of Emergency Medicine. What are the key takeaways?

Operating Room 52

Operating Room Emergency Medical Services ED Emergency Department 52

ACEP Now

OCTOBER 9, 2024

A June CDC report found that, although medications for opioid use disorder substantially reduce mortality, they are underused. In 2022, only 25 percent of the patients needing OUD treatment received it, according to the report. There are five sets of domains.

Emergency Department 52

Emergency Department Emergency Medical Services ED OR 52

First Responders Foundation

DECEMBER 31, 2024

Initially an independent contract Attorney in 2022, Chief Dittman came to TXPSI with experience practicing law for over ten years in the areas of criminal defense, government liaison, administrative law, and family law. He is nationally registered as an Emergency Medical Responder with the National Registry of Emergency Medical Technicians.

Public Safety 52

Public Safety Emergency Medical Technician First Responder Emergency Medical Services 52

ACEP Now

NOVEMBER 16, 2023

2,3 In the 2021-2022 academic year, categorical (non-combined) EM residency lengths included 221 (80 percent) PGY 1-3 and 55 (20 percent) PGY 1-4 programs. For example, an emergency medical services scholarly track may not provide trainees with equal qualifications to a fellowship. 11 What Should We Take Away?

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ALS EMS Emergency Medical Services OR 52

TIMER

JANUARY 14, 2022

It’s more or less always a plastic box typically containing band-aids, crepe roll bandages, safety pins, tweezers, gauze dressings, pain medication, a disinfectant, and ointments. First aid is something that goes way beyond the contents of your medical box. We all have a first aid kit at our homes.

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First Aid CPR EMT EMT 40

EMDocs

JUNE 16, 2023

De-escalation is preferred as administering any physical restraint or sedative medication may mean that the patient is no longer able to participate in care, further prolonging their stay. One study found that mental health ED visits for children increased by 8% annually with 13% of those children presenting again within 6 months.

ED 52

ED Mental Health Services Emergency Department Emergency Medical Services 52

ACEP Now

MARCH 12, 2024

This bill would make assaulting a health care worker a federal crime and create grants to empower emergency departments to enact solutions that work best for their community, while ensuring critical protections for patients in mental health crisis or who may be limited in capacity.

Mental Health Services 52

Mental Health Services Emergency Department Emergency Medical Services OR 52

ACEP Now

OCTOBER 11, 2024

Optimally, bystander CPR, including the administration of rescue breaths, should be initiated prior to arrival of emergency medical services. 3 Once the patient arrives in your emergency department, a rapid review of the patient’s status and results of resuscitative efforts should be performed.

ALS 52

ALS Emergency Department Emergency Medical Services ED 52

First Responders Foundation

AUGUST 24, 2023

Justin was the keynote speaker for the 6th Annual 9/11 Luncheon of Honor in 2022. Career Captain Cooley’s career in the fire and EMS service began at the age of 18. He obtained a Bachelor of Science in Emergency Medical Services and two Associate of Science degrees in Fire Protection Technology and Business Management.

First Responder 52

First Responder Firefighter Emergency Medical Services EMS 52

ACEP Now

MARCH 14, 2024

A 44 year-old male with unknown past medical history came by emergency medical services (EMS) to the emergency department (ED) for an electrical injury and fall from a high voltage electrical pole. The patient was Glasgow Coma Scale (GCS) 15 on scene and complaining of back pain. Click to enlarge.)

Operating Room 52

Operating Room ACS Critical Care Coronary 52

NVFC

SEPTEMBER 10, 2024

I believe that the fire service can make great strides toward tackling these issues if we unite and speak with #FireServiceOneVoice. We took the first step in 2022 when we held the first U.S. This has become a complex issue for the fire service. Fire Administrator’s Summit on Fire Prevention and Control.

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Firefighter Emergency Response Public Safety Emergency Medical Services 116

EMDocs

FEBRUARY 12, 2024

Louis); Marina Boushra, MD (EM-CCM, Cleveland Clinic Foundation); Brit Long, MD (@long_brit) Case Emergency Medical Services brings in a 62-year-old male with COPD in acute on chronic hypoxemic respiratory failure (usually on 3 L nasal cannula, now on non-rebreather at 15 L/min).

Emergency Department 98

Emergency Department E-9-1-1 ED ICU 98

NAEMSP

MARCH 13, 2023

The EMS medical director wonders if this is a “one-off” case or an indicator of more systemic issues. Several considerations arise: How does the medical director develop ideas and choose what she wants to change in order to decrease UFAs? Prehospital Emergency Medicine Secrets. Elsevier; 2022:18-21. Prehosp Emerg Care.

EMS 52

EMS Emergency Medical Services EMT EMT 52

EMDocs

JUNE 3, 2023

In fact, the World Society of Emergency Surgery (WSES) classification assigns grades I-III depending on their Young-Burgess classification, but any patient hemodynamically unstable from their pelvic fracture is automatically WSES grade IV regardless of their fracture pattern. of pelvic fractures to be open.

ED 64

ED Operating Room ALS Frozen Plasma 64

Handtevy

OCTOBER 20, 2022

The study, conducted by Casey Patrick, Michael Smith, Zubaid Rafique, Kelly Rogers Keene, and Xavier De La Rosa, explores the use of nebulized ketamine for pain management in an urban, ground-based emergency medical services (EMS) system. The patients were treated between March 10-17, 2022. Prehospital Emergency Care.

Emergency Medical Services 52

Emergency Medical Services ED EMS Emergency Department 52

EMDocs

DECEMBER 18, 2023

Multiple studies published in 2022 have indicated that, despite disagreement surrounding prognostic accuracy, no such screening tool so far exists. Multiple studies published in 2022 have indicated that, despite disagreement surrounding prognostic accuracy, no such screening tool so far exists. vs. 8.52) when compared to MDW alone.

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E-9-1-1 ALS Emergency Department Plasma 91

Don't Forget the Bubbles

JULY 17, 2023

2023 Jun 20:archdischild-2022-324884. 2023 Jun 5:archdischild-2022-325148. 2023 Jun 12:archdischild-2022-325029. Emergency medical services utilisation among febrile children attending emergency departments across Europe: an observational multicentre study. Jamaluddine Z, et al. Arch Dis Child.

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E-9-1-1 ALS Emergency Department Emergency Medical Services 98

Peter Canning

FEBRUARY 13, 2025

The dangers of Opvee are described here in the The American College of Medical Toxicology and the American Academy of Clinical Toxicology position statement. We don’t have that luxury. So I appreciate their opinion. My job and our job is to save people’s lives and that’s our priority. They felt faint, some even passed out.

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Naloxone Overdose Emergency Medical Services EMS 64

Dr. Smith's ECG Blog

FEBRUARY 12, 2025

Many emergency medical services (EMS) activate catheterization labs to reduce time to PPCI, but suffer a high burden of inappropriate activations. Puskarich Abstract Objectives Data suggest patients suffering acute coronary occlusion myocardial infarction (OMI) benefit from prompt primary percutaneous intervention (PPCI).

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STEMI E-9-1-1 ACS Coronary 82