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SAEM Clinical Images Series: Spontaneous Eye Luxation

ALiEM

A 55-year-old female presented with the complaint of my right eye popped out. Symptoms started approximately seven hours prior to arrival and progressive, severe pain eventually prompted her visit to the ED. This happened once 10 years ago, requiring reduction in the ED. The patient denied preceding trauma, rubbing her eyes/eye-lids, or any history of thyroid disease.

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ECG of the Week – 15th January

EMergucate

The following ECG is from a 60-year-old male who has presented with 5 days of central chest pain and epigastric pain which radiates between his shoulder blades.

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A Message from AAA President Jamie Pafford-Gresham

American Ambulance Association

Happy New Year from Our New Association President Dear Fellow Members, I am saddened to begin the New Year with such grim and shocking news from Louisiana and New […] The post A Message from AAA President Jamie Pafford-Gresham appeared first on American Ambulance Association.

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The EM Expert Mindset – A Female Perspective

Emergency Medicine Cases

Dr. Patricia Lee is an EM physician in Calgary, Alberta and an Assistant Professor at the University of Calgary in the Department of Emergency Medicine. She reached out to me after listening to Episode 200 How EM Experts Think Part 1 as a longtime supporter of EM Cases, to highlight the importance of recognizing challenges that female-identifying EM physicians may face before, during and after ED shifts.

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SGEM#464: I Can Do It with A Broken Heart – Compassion for Patients with OUD

The Skeptics' Guide to EM

Date: December 26, 2024 Reference: Steinhauser S et al. Emergency department staff compassion is associated with lower fear of enacted stigma among patients with opioid use disorder. AEM December 2024 Guest Skeptic:Dr. Suchismita Datta. She is anAssistant Professor and Director of Research in theDepartment of Emergency Medicine at the NYU Grossman Long Island Hospital Campus.

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Episode 204: Necrotizing Fasciitis

Core EM

We discuss the recognition and treatment of necrotizing fasciitis. Hosts: Aurnee Rahman, MD Brian Gilberti, MD [link] Download Leave a Comment Tags: Critical Care , General Surgery Show Notes Table of Contents 0:00 – Introduction 0:41 – Overview 1:10 – Types of Necrotizing Fasciitis 2:21 – Pathophysiology & Risk Factors 3:16 – Clinical Presentation 4:06 – Diagnosis 5:37 – Treatment 7:09 – Prognosis and Recovery 7:37 – Take Home points Int

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SAEM Clinical Images Series: A Curious Case of Anisocoria

ALiEM

A 3-month-old male with no past medical history was brought to the emergency department for evaluation of newly asymmetric pupils. The infant appeared to be asymptomatic per parents, without any behavior changes or associated symptoms noted. The patients mother noticed her sons left pupil was dilated and unresponsive to light the morning of presentation.

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State Snap Shots to Support EMS Advocacy

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post State Snap Shots to Support EMS Advocacy appeared first on American Ambulance Association.

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Communic8: Eight Universal Leadership Lessons from the Children’s Emergency Department

Don't Forget the Bubbles

The Childrens Emergency Department is a busy, challenging, and dynamic environment. The skills needed to deliver the best possible outcomes for children and young people are multifaceted and constantly evolving. They involve a mixture of clinical, communication, and leadership traits. Having recently moved from a leadership position within the Childrens Emergency Department to a more system-based role involving children of all ages, its apparent to me how transferable my experiences on the shop

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Lab case 455

EMergucate

80 year old man presented with shortness of breath. This patient had history of CHF and COPD. His venous blood gases showed the following PH = 7.

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SAEM Clinical Images Series: Xylazine Wounds

ALiEM

A 32 year-old male with PMH significant for opioid use disorder, a prior admission in 2021 for left-sided empyema s/p thoracotomy and decortication, gas bacteremia, and tricuspid endocarditis presented for a left leg wound. The patient reported a wound to his left leg that had become larger over the past 5 months. The pain worsened today, prompting him to come to the emergency department for evaluation.

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EM Cases Top 10 Best of 2024

Emergency Medicine Cases

Based on a blend of number of listens, views, feedback from listeners, website traffic and personal faves, EM Cases Top 10 Best of 2024 podcasts, videos and blog posts. The post EM Cases Top 10 Best of 2024 appeared first on Emergency Medicine Cases.

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Savvik’s Latest: Shop Henry Schein, Propper, and More!

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post Savvik’s Latest: Shop Henry Schein, Propper, and More! appeared first on American Ambulance Association.

Ambulance 130
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"Call HazMat Before Opening"

FOAMfrat

TRIGGER WARNING: TOPICS OF SUICIDE MAY BE HARD FOR SOME PEOPLE TO READ ABOUT. THIS ARTICLE IS COVERING THE MEDICAL ASPECTS OF CHEMICAL SUICIDES. IF YOU OR A LOVED ONE NEEDS HELP, CALL 988 OR SEEK CARE AT A LOCAL EMERGENCY DEPARTMENT. REMEMBER, IF YOU ARE TREATING A SUICIDE ATTEMPT SURVIVOR, DO NOT PASS JUDGMENT. WE, AS EMS PROFESSIONALS, SHALL PROVIDE COMPASSIONATE, APPROPRIATE CARE TO ALL PATIENTS.

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Lab case 454 interpretation

EMergucate

PH = 7.39, that is within the normal range. pCO2 = 30 mmHg, that is slightly low. This patient might have respiratory alkalosis. Next, we should look at the compensation for respiratory acidosis.

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Online QT calculator for wide QRS (LBBB, RBBB, etc.)

Dr. Smith's ECG Blog

(This was created by Arron Pearce ( [link] ) Online QT calculator for wide QRS (LBBB, RBBB, etc.

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Pre Hospital Extracorporeal CPR (ECPR) in the UK: The Sub30 study

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed This feasibility study described the delivery of ECMO CPR (ECPR) for the first time in the UK The post Pre Hospital Extracorporeal CPR (ECPR) in the UK: The Sub30 study appeared first on St.Emlyn's.

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CMS Posts Revised 2025 Public Use File

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post CMS Posts Revised 2025 Public Use File appeared first on American Ambulance Association.

Ambulance 130
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American Burn Association Stands Ready to Support Burn Care Response Amid California Wildfires and Recent Disasters

American Burn Association

Categories Advocacy Burn News MAC Spotlight Media Member Services Member Spotlight Organization News Prevention Quality Care Research Return to News & Activities CHICAGO [Jan. 10, 2025] As wildfires rage across California, the American Burn Association (ABA) is prepared to assist burn centers and healthcare providers in responding to burn injuries resulting from these devastating events.

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Carbon Dioxide Toxicity Symptoms

SSCOR

Hypercapnia, also known as hypercarbia or carbon dioxide toxicity, causes dangerous levels of CO2 in the blood. In most cases, it signals a respiratory problem such as poor lung function, but it can also happen among deep divers, particularly when they do not breathe adequately, or have contaminated oxygen supplies.

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Post-Tonsillectomy Hemorrhage: A Three-Pronged Approach

ACEP Now

Its 4 a.m., and youre three hours from the nearest tertiary care center. A young woman, 13 days post-tonsillectomy, comes into your rural emergency department (ED) coughing up blood. On exam, you see bright red blood trickling down her left tonsillar fossa. Her vital signs are normal, except for a heart rate of 115 bpm. Its going to take time to get her to a tertiary center.

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Torsade in a patient with left bundle branch block: is there a long QT? (And: Left Bundle Pacing).

Dr. Smith's ECG Blog

By Smith with comments from our electrophysiologist, Rehan Karim. (And of course Ken's comments at the bottom) An elderly obese woman with cardiomyopathy, Left bundle branch block, and chronic hypercapnea presented hypoxic with altered mental status. She was intubated. Bedside cardiac ultrasound showed moderately decreased LV function. CT of the chest showed no pulmonary embolism but bibasilar infiltrates.

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Thank You & Farewell from AAA President Randy Strozyk

American Ambulance Association

Dear Fellow American Ambulance Association Members, Working on your behalf, first on the AAA board, then as president, has been the capstone of my 45-year EMS career. Both the past […] The post Thank You & Farewell from AAA President Randy Strozyk appeared first on American Ambulance Association.

Ambulance 130
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Cardiac Arrest Update 2024 (Part 2)

Core Ultrasound

In part two of this series on using ultrasound during cardiac arrest, we dive into advanced strategies to further optimize your resuscitation care. Building on the foundation from part one, this video focuses on actionable tips to take your ultrasound skills to the next level during cardiac arrest scenarios. Cardiac Arrest Part 1 RUSH exam Courses The post Cardiac Arrest Update 2024 (Part 2) first appeared on Core Ultrasound.

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The Ultimate List of Emergency Medical Nursing Equipment

SSCOR

Preparedness is your best weapon against preventable morbidity and mortality. Here are the items you need to have in your emergency nursing equipment kit.

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These are the ‘Roids you are looking for – Steroids in the ED

EMOttawa

In the acute care setting, steroids have various usages and indications, but their usage can often be nuanced. From adrenal crises to septic shock, severe community-acquired pneumonia, and even acute pharyngitis, steroids play a pivotal role in managing a variety of conditions encountered in the Emergency Department (ED). However, their use is far from straightforwardbalancing […] The post These are the ‘Roids you are looking for – Steroids in the ED appeared first on EMOttawa

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Year in Review: Product Innovation and Progress from 2024

ESO

At ESO, we are a mission-centric company, which is why it is vital that each step that we take ties back to our commitment to transform community health and safety through the power of data, whether thats through product innovation or our research. The EMS, fire services, and hospital organizations that use our platform arent just our customers, but our partners in working towards that mission through their own achievements.

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ECG Pointers: A Dynamic Approach to Tachydysrhythmias Part 4

EMDocs

Authors: Lloyd Tannenbaum, MD (EM Attending Physician, Geisinger Wyoming Valley, PA); Mai Saber, DO (EM Attending Physician, Hackensack University Medical Center, NJ); Rachel Bridwell, MD (EM Attending Physician, Charlotte, NC) // 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.

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What’s the long term complication rate of IO access?

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed Intraosseous (IO) access is essential in prehospital emergency care when intravenous access is challenging. A Danish retrospective cohort study of over 5,000 patients found fewer than five cases of osteomyelitis, no osteonecrosis or compartment syndrome, and no complications in children. Despite a high mortality rate (60% at 180 days) potentially underestimating long-term risks, the study's robust design supports IO access as a generally safe and effe

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EMCrit 392 – All Things Defibrillation with Sheldon Cheskes

EMCrit Project

Nitty Gritty of All Things Defibrillation EMCrit Project by Scott Weingart, MD FCCM.

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3 Airway Management Scenarios You Need to Train For

SSCOR

Training is an essential part of your job. With the demands of your work schedule, spending time with your family, and your daily obligations, you may find yourself struggling to find the motivation to put in extra time for training. But even the most skilled practitioners need to trainand train oftento best serve their patients when airway emergencies occur.

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Paramedic Chiefs of Canada – The Preburn Project: Preventing Burnout by Predicting Compromised Wellness in EMS Workers

FirstWatch

Instructions to join are below description and speakers. February 6th, 2025 | 9:00 am PST (12:00 pm EST) Join us for an in-depth exploration of the innovative Preburn Project: Preventing Burnout by Predicting Compromised Wellness in EMS Workers. This session is designed for EMS directors, EMS administrators, paramedics, dispatchers, mental health professionals and researchers who are committed to improving the well-being of frontline EMS workers.

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Implementing Ultrasound w/ Allen Wolfe

FOAMfrat

The integration of point-of-care ultrasound (POCUS) is transforming emergency medical services (EMS) by enhancing diagnostic capabilities and improving accuracy in answering important clinical questions. Recently, I had the opportunity to discuss this topic extensively with Allen Wolfe, the Senior Director of Education at Life Link III. Breaking Barriers to Adoption A significant challenge in incorporating ultrasound technology within EMS has been overcoming initial barriers to adoption.

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Maintenance of Prehospital Anaesthesia in Trauma Patients: Variability in Practice

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed Explore the variability in maintaining prehospital anaesthesia for trauma patients in this comprehensive summary of a multinational survey. With insights into drug protocols, administration methods, and governance, the article highlights challenges and opportunities for standardisation in prehospital care.

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It’s the People You Meet Along the Way

Ambulance Driver Files

The best… and worst… boss I ever had. I’m gonna miss her. I had been an EMT perhaps two weeks when I met her. The big EMS agency in my town wouldnt have anything to do with me; I showed up at their headquarters and asked the receptionist for an application, and then cooled my.

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EM@3AM: Stercoral Colitis

EMDocs

Author: Christopher Blanton, MD, MBA (EM Resident, UTSW / Dallas, TX); Joslin Gilley-Avramis, MD (EM Attending Physician, UTSW / Parkland Memorial Hospital) // Reviewed by: Sophia Grgens, MD (EM Physician, BIDMC, MA); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Brit Long, MD (@long_brit) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providing an expedited review of clinical basics.

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Come join the 2025 Clinician Educator Incubator!

Life in the Fastlane

Chris Nickson Come join the 2025 Clinician Educator Incubator! Expressions of interest are now open for the sixth Clinician Educator Incubator - EOIs close Feb 10th 2025.

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