ALiEM
DECEMBER 16, 2024
A 12-year-old male with a history of autism spectrum disorder and chronic sinusitis presented for forehead swelling. His mother reported that she noticed progressive forehead swelling for about one month. She had followed up with the patients pediatrician and ENT and was given oral cephalexin and fluticasone nasal spray which did not make any changes in his symptoms.
American Ambulance Association
DECEMBER 20, 2024
This content is for AAA members only. Please either Log In or Join! The post Submit Comments: EMS Compact Draft Rules appeared first on American Ambulance Association.
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The Skeptics' Guide to EM
DECEMBER 14, 2024
Reference: Sanchez-Pinto, L.N., et al. Development and Validation of the Phoenix Criteria for Pediatric Sepsis and Septic Shock. JAMA 2024. Guest Skeptic: Prof. Damian Roland is a Consultant at the University of Leicester NHS Trust and Honorary Professor for the University of Leicesters SAPPHIRE group. He specializes in Paediatric Emergency Medicine and is a passionate believer and advocate of FOAMed.
EMergucate
DECEMBER 15, 2024
The following elbow x-ray is from an adolescent who has pain & swelling in the elbow after a fall on outstretched hand. What can be seen?
Core Ultrasound
DECEMBER 17, 2024
Ultrasound is a powerful tool that can significantly enhance patient care during cardiac arrest. In Part 1 of this lecture, we break down how ultrasound can be effectively utilized in three key areas: identifying reversible causes, assisting in critical procedures, and guiding resuscitation. RUSH exam Courses The post Cardiac Arrest Update 2024 (Part 1) first appeared on Core Ultrasound.
ALiEM
DECEMBER 20, 2024
A 3-year-old male with a history of severe atopic dermatitis presented for facial rash and hand pain. Mom had been applying Aquaphor and Vaseline several times a day. On the day of presentation, he woke up with a new rash over his face and hands which prompted the ED visit. He is up to date on childhood immunizations and is not prescribed any oral medications.
Pediatric EM Morsels
DECEMBER 20, 2024
Its been a BIG year for Mycoplasma! If your EDs have been anything like ours, youve been seeing more patients with Mycoplasma Pneumonia than you expected. Many kids are presenting to the ED for failure of outpatient antibiotic therapy of community acquired pneumonia, only to find out thats because they werent on the right meds! Let’s debrief on this atypical bug.
Paramedicine Now brings together the best content for paramedicine professionals from the widest variety of thought leaders.
EMergucate
DECEMBER 17, 2024
This week our case involves complications around elective cardioversion.
EMDocs
DECEMBER 18, 2024
Authors: Kyler Osborne (EM-3 Resident Physician; Tacoma, WA); Katey DG Osborne, MD (EM Attending Physician; Tacoma, WA); Rachel Bridwell, MD (EM Attending Physician; Charlotte, NC) // Reviewed by: Alex Koyfman, MD (@EMHighAK, EM Attending Physician, UTSW / Parkland Memorial Hospital) and Brit Long, MD (@long_brit, EM Attending Physician) Welcome to emDOCs revamp!
St. Emlyn's
DECEMBER 16, 2024
St.Emlyn's - Emergency Medicine #FOAMed The blog highlights the updated 2024 guidelines from the Royal College of Radiologists (RCR) on imaging in pediatric trauma. It emphasizes critical changes from the previous 2014 guidelines, focusing on the judicious use of imaging to minimize ionizing radiation exposure in children. Key updates include algorithms for blunt trauma, penetrating trauma, and blast injuries.
SSCOR
DECEMBER 14, 2024
The holiday season in the U.S. is upon us, and food, family, gifts, and much more bring us joy. Unfortunately, some unique challenges for emergency responders accompany these special days.
American Ambulance Association
DECEMBER 19, 2024
On Tuesday, Congressional Leaders released a FY 2025 Continuing Resolution (CR) to fund the Federal Government through March 14, 2025. A two-year extension through December 31, 2026 of the temporary […] The post Ambulance Medicare Add-On Extension Update appeared first on American Ambulance Association.
Pulsara
DECEMBER 20, 2024
December Recap In addition to exhibiting at three trade shows, Pulsara's SVP - Med Ops, Brandon Means, presented the session, 'Emergency Operations that Scale: Redefining How We Communicate.' at the IAEM Annual Conference & EMEX. What has Team Pulsara been up to in 2024? Take a look below at our annual Year in Review.
Don't Forget the Bubbles
DECEMBER 16, 2024
Over the last decade, there has been a concerning decline in childhood vaccination rates in the UK. This has been mirrored in many parts of the world. This trend, exacerbated by the COVID-19 pandemic, has led to a resurgence of vaccine-preventable diseases such as measles and pertussis. Once on the brink of eradication, these diseases now pose significant public health risks, especially to vulnerable groups like infants, young children, and the immunocompromised.
EMCrit Project
DECEMBER 14, 2024
All thing for HyperAngulated Blade Mastery EMCrit Project by Scott Weingart, MD FCCM.
REBEL EM
DECEMBER 17, 2024
Bottom Line Up Top: There doesnt appear to be a morbidity or mortality benefit to treating fever in sepsis and fever may have a protective effect. Only treat fever if it causes the patient distress. Clinical Scenario: A 45-year-old woman presents with cough and shortness of breath. Vitals are BP 114/42, HR 138, T 102.1, Sat 93% on RA. The patient is alert and oriented and has no other complaints.
American Ambulance Association
DECEMBER 19, 2024
This content is for AAA members only. Please either Log In or Join! The post GADCS Year 1 & Year 2 Cohort Analysis Released appeared first on American Ambulance Association.
The Bottom Line
DECEMBER 15, 2024
Early Restrictive vs Liberal Oxygen for Trauma Patients Arleth. JAMA 2024. doi: 10.1001/jama.2024.25786 Clinical Question In adult patients experiencing blunt or penetrating trauma does an early restrictive oxygen strategy compared to a liberal oxygen strategy reduce death and/or major respiratory complications within 30 days?
SSCOR
DECEMBER 19, 2024
Airway management is a key pillar of emergency medicine. When performed correctly, it can save lives, improve surgical outcomes, and improve the quality of life for terminally ill patients. However, airway management presents complications and risks. Knowing the contraindications for airway management can help you better serve patients and reduce the risk of needless morbidity.
ACEP Now
DECEMBER 17, 2024
Medical training is a difficult task. As residents and fellows, we move wherever the Match sends us, endure grueling hours, and sacrifice time with loved onesall in pursuit of becoming the best doctors we can be and delivering excellent patient care. But we should not have to sacrifice our own well-being in the process. In Washington, D.C., more than 450 residents and fellows employed by George Washington University (GW) spent the past 15 months fighting for our first contract.
Peter Canning
DECEMBER 21, 2024
Last night, I watched Asphalt City , a movie about paramedics in New York City starring Sean Penn as a burnt out medic with a failed family life and Tye Sheriden as the young rookie medic studying at night for his medical school entrance exams. The movie is based on the novel Black Flies by Shannon Burke, which like the movie Apocalypse Now , is a loose retelling of Joseph Conrads Heart of Darkness , the story of an outpost trader whose methods in the wilds of Africa, become unsound.
American Ambulance Association
DECEMBER 18, 2024
This content is for AAA members only. Please either Log In or Join! The post Helpful Resources for Protecting EMS appeared first on American Ambulance Association.
ESO
DECEMBER 16, 2024
Hospitals today face over 600 regulatory requirements, with compliance costing the healthcare industry nearly $USD 41 billion annually. It’s an administrative burden that demands extensive documentation and reporting. However,advances in data exchange are helping hospitals bridge the gap. By connecting systems and sharing information in real time, hospitals can improve the accuracy of their records, simplify compliance processes, and prioritize better patient outcomes.
FirstNet Authority
DECEMBER 19, 2024
2024 FirstNet Authority Accomplishments joseph.rey@fir Thu, 12/19/2024 - 09:54 Check out some of the highlights of 2024 for the FirstNet Authority! Learn more at FirstNet.gov.
Life in the Fastlane
DECEMBER 18, 2024
Kevin Ostrowski and James Miers Procedure: Lateral Canthotomy Today we cover lateral canthotomy and cantholysis, with a guide made in partnership with a recent publication in Australasian Emergency Care
Peter Canning
DECEMBER 14, 2024
In October of 2023, there were curious headlines out of Mexico that the Sinaola Cartel was getting out of the fentanyl business. Mexican Sinaloa Cartels Message to Members: Stop Making Fentanyl or Die blared the headline in the Wall Street Journal expose. According to the report, this written warning appeared throughout Sinaloa: “In Sinaloa, the sale, manufacture, transportation, or any type of business that involves the substance known as fentanyl is strictly prohibited, including the sal
American Ambulance Association
DECEMBER 17, 2024
This content is for AAA members only. Please either Log In or Join! The post REMINDER: Register Now: EMS Focus Webinar appeared first on American Ambulance Association.
ESO
DECEMBER 18, 2024
When it comes to protecting the health of your community, the best defense is a good offense, which is why investing in prevent ion should be a big part of your strategy. After reviewing over 12 million EMS incidents that took place in 2023 , the 2024 ESO EMS Index highlights two critical areas that demand attention: Early CPR and Opioid Use Disorder (OUD).
First Responder Wellness
DECEMBER 20, 2024
Winter weather can bring about dangerous conditions. First Responders often attend emergencies on the most treacherous roads, drunk driving, or fighting fires caused by fires or heaters as the temperatures drop. Through tough and critical, winter may bring unique risks and challenges that can add what feels like a pillar of pressure. When conditions are challenging, First Responders inherently put themselves in tumultuous situations to help others.
EMOttawa
DECEMBER 18, 2024
Methodology: 4/5 Usefulness: 2/5 McMullan JT, et al. Ann Emerg Med. 2024 Oct;84(4):363-373. doi: 10.1016/j.annemergmed.2024.04.018. Question and Methods: This out of hospital, placebo-controlled, blinded, parallel group RCT compared reduction in pain scores between Fentanyl + IN Placebo and Fentanyl with IN Ketamine. Findings: There was no significant difference in reduction of pain scores or adverse […] The post Out-of-Hospital Intranasal Ketamine as an Adjunct to Fentanyl for the Treatme
Peter Canning
DECEMBER 19, 2024
Irked. The headline Irked me. Alzheimer’s Mortality Lowest for Taxi, Ambulance Drivers Some researchers out of Harvard Medical School did a study of over 443 occupations and found that taxi drivers and ambulance drivers had the lowest rates of dying from Alzheimer’s. Alzheimers disease mortality among taxi and ambulance drivers: population based cross sectional study Their big theory is that the brain required to navigate through busy streets provides protection in some way against A
American Ambulance Association
DECEMBER 16, 2024
This content is for AAA members only. Please either Log In or Join! The post Only 5 Days Left of 12 Days of Savvik! appeared first on American Ambulance Association.
Dr. Smith's ECG Blog
DECEMBER 20, 2024
Written by Willy Frick with edits by Ken Grauer An older man with a history of non-ischemic HFrEF s/p CRT and mild coronary artery disease presented with chest pain. He said he had had three episodes of chest pain that day while urinating. The following ECG was obtained in the emergency department during active chest pain. ECG 1 What do you think? There is a lot going on in this ECG.
Paramedic Chiefs of Canada
DECEMBER 19, 2024
Paramedic Chiefs of Canada (PCC) E-bulletin December 2024 PCC Leadership Summit June 10 th -12 th ,2025 Winnipeg, Manitoba Planning for the annual PCC Leadership Summit is well underway. We are pleased to offer a reduced registration rate to PCC members of $895.00 a reduction of $100.00. The Summit program provides a platform for sharing information and best practices.
The Bottom Line
DECEMBER 17, 2024
Liberal versus Restrictive Transfusion in Aneurysmal Subarachnoid Haemorrhage English S. NEJM 2024 DOI:10.1056/NEJMoa2410962 Clinical Question In patients following acute aneurysmal subarachnoid haemorrhage, does a liberal strategy of blood transfusion compared with a restrictive strategy of blood transfusion reduce unfavourable neurological outcome?
First 10 EM
DECEMBER 16, 2024
Antibiotic resistance is an existential problem. Optimizing sepsis care, including the appropriate length of antibiotic therapy, is an important goal. So should we be willing to allow an increase in mortality to reduce total antibiotic use, as the ADAPT-Sepsis non-inferiority design seems to imply? The paper Dark P, Hossain A, McAuley DF, Brealey D, Carlson […] The post Killer antibiotic stewardship strategy?
NVFC
DECEMBER 17, 2024
The National Volunteer Fire Council (NVFC) is excited to announce that registration is now open for the 2025 NVFC Training Summit , taking place June 20-21 in Salt Lake City, UT. This signature conference provides an opportunity for firefighters and EMS providers to participate in valuable classroom training, idea sharing, and networking. Three learning tracks will focus on responder health and safety, volunteer recruitment and retention, and emergency service leadership.
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