EMDocs

FEBRUARY 15, 2024

1 These plants contain tropane alkaloids such as atropine (mixture of d-hyoscyamine and l-hyoscyamine) and scopolamine which are muscarinic receptor antagonists. 2 Jimson weed ( Datura stramonium, Figure 1) is one of several anticholinergic plants that if ingested can cause anticholinergic toxicity. 3 Figure 1. 3 Figure 1.

E-9-1-1 90

E-9-1-1 Overdose ED OR 90

Dr. Smith's ECG Blog

NOVEMBER 14, 2023

Learning Point: 1. The Queen of Hearts AI app will hopefully be FDA approved in Q1 of 2024. For examples of such exceptions — See My Comment in the January 9, 2019 — August 22, 2020 — and June 30, 2023 posts in Dr. Smith's ECG Blog ). Figure-1: Comparison between the first 3 ECGs in today's case.

E-9-1-1 111

E-9-1-1 Coronary EMS ED 111

FOAMfrat

MAY 19, 2024

Many of us grew up in the age of EMS, which emphasized the need to memorize everything. While transporting to the emergency department, the patient’s mother informed me that PDCD affects less than 1 in 50,000 individuals and is more common in males than females. 2007 9. van Dongen S, Brown RM, Brown GK, Thorburn DR, Boneh A.

E-9-1-1 98

E-9-1-1 ALS Emergency Department EMT 98

ACEP Now

JULY 7, 2024

9 By speaking out, I hope to once again find my calling in medicine. Accessed May 19, 2024. Accessed May 19, 2024. 2024;15(1):3-16. Muir-Cochrane E, Oster C. 2020;55(3 Suppl 1):7-16. Why are women leaving EM?: 2024;46(1):1,21. and her emergency medicine residency in Syracuse, N.Y.,

E-9-1-1 52

E-9-1-1 First Responder ALS Emergency Department 52

Don't Forget the Bubbles

AUGUST 4, 2024

You will find the list is broken down into four sections: 1.Reviews 2024 Jul 9:e2023064794. 2024 Jul 8. 2024 Jul 21. Beaulieu E, Beno S. 2024 Jul 22;29(4):255-269. 2024 Jul 29. 2024 Jul 20;404(10449):277-293. 2024 Jul 11. 2024 Jul 11. Vassilopoulou E, et al.

E-9-1-1 52

E-9-1-1 ALS Emergency Department OR 52

EMDocs

JULY 13, 2024

We’ll keep it short, while you keep that EM brain sharp. 1997 Mar;11(1):203-22. A 37-year-old G2P2 female with no other past medical history presents to the ED with a 2-day history of intermittent fever and foul-smelling vaginal discharge. Infect Dis Obstet Gynecol. 2000;8(2):77-82. PMID: 10805361; PMCID: PMC1784665. Casey BM, Cox SM.

EMS 64

EMS E-9-1-1 Plasma OR 64

Dr. Smith's ECG Blog

SEPTEMBER 2, 2024

Her husband called EMS when the patient experienced new onset seizures accompanied by micturition. The ECG below was recorded by EMS. ECG #1 Interpretation: ECG #1 shows sinus rhythm at a heart rate of 77 bpm. For clarity in Figure-1 — I've reproduced the initial ECG in today's case. What is your assessment?

E-9-1-1 107

E-9-1-1 ALS Defibrillator OR 107

Pediatric EM Morsels

MAY 10, 2024

Chest Pain in Children: Hysteria vs Vigilance Diverse pathology can present as chest pain in children Cardiac 1-9% GI 2-10% Musculoskeletal – 2-20% No Identifiable cause – 21-45% of the time! Pediatr Rev September 2020; 41 (9): 469–480. 2021;13(1):2. Pediatrics. 2013 Oct;132(4):e1010-7. link] Hanson MG, Chan B.

E-9-1-1 263

E-9-1-1 OR EMS 263

REBEL EM

MAY 27, 2024

No significant differences in heart rate 1 minute after cardioversion were observed between the three groups. 2010;17(1):44-49. Qiu, S., & Zhang, Q. Combined modified Valsalva maneuver with adenosine supraventricular tachycardia: A comparative study. The American Journal of Emergency Medicine, 78, 157–162. seconds (range: 22.5,

OR 137

OR E-9-1-1 ED ALS 137

REBEL EM

FEBRUARY 29, 2024

1, 2 Its occurrence often portends worse outcomes in intubated patients, whose projected hospital course was already tenuous. 1, 4, 6 The overall incidence of VAP is somewhere around 5%-40% of all intubated patients, depending on the study and country from which it is reported. Mimoz (2024). 4, 8 Paper: Dahyot-Fizelier, C.,

E-9-1-1 124

E-9-1-1 ICU OR ALS 124

FOAMfrat

APRIL 22, 2024

Simulation allows EMS clinicians to train for scenarios they may encounter in the field. Depending on the EMS providers, these scenarios may be ones that they have already encountered or those that they have yet to see in real life. 2024 Mar 15:1-9. Robichaud L, Ross D, Proulx MH, Légaré S, Vacon C, Xue X, Segal E.

E-9-1-1 78

E-9-1-1 ACS Paramedic Critical Care 78

ACEP Now

APRIL 5, 2024

11 “The 2021 report strives to highlight that ‘excited delirium with severe agitation’ is not a diagnosis in the living or the deceased,” explained Dr. Jeffrey Goodloe, who serves as an EMS Chief Medical Officer, ACEP Board member, and one of the authors of this recent work. Accessed March 26, 2024. Accessed March 26, 2024.

E-9-1-1 49

E-9-1-1 ALS OR Paramedic 49