The Skeptics' Guide to EM
DECEMBER 28, 2024
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.
EMergucate
DECEMBER 29, 2024
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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The Skeptics' Guide to EM
DECEMBER 21, 2024
Date: December 15, 2024 Guest Skeptics: Dr. Chris Carpenter, Vice Chair of Emergency Medicine at Mayo Clinic. Today, were sleighing through the holiday season with a special episode filled with statistical cheer, a dash of skepticism, and a hint of eggnog-flavoured nerdiness. This is an SGEM Xtra like the one we did on What I Learned from Top Gun. Its fun to mix it up and not do a structured critical appraisal of a recent publication and have a more philosophical chat.
ALiEM
DECEMBER 9, 2024
A 25-year-old female with no pertinent past medical history presented to an emergency department in Massachusetts with four days of generalized malaise, myalgias, congestion, low-grade fever, and a rash behind her left knee. The patient denied cough, shortness of breath, chest pain, abdominal pain, nausea, vomiting, and diarrhea. She lives with three roommates, none of whom were sick, and she denied any other known sick contacts.
American Ambulance Association
DECEMBER 23, 2024
On Saturday, December 21, the American Relief Act of 2025 (H.R. 10545) became law and thereby averted a partial federal government shutdown. Of critical importance to ground ambulance service organizations, […] The post Congress Extends Medicare Ambulance Add-On Payments appeared first on American Ambulance Association.
FOAMfrat
DECEMBER 26, 2024
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.
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.
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EMergucate
DECEMBER 22, 2024
The following knee x-rays are from an adult who has knee pain & swelling after a twisting injury to the … Continue reading →
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.
SSCOR
DECEMBER 26, 2024
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.
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.
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?
American Ambulance Association
DECEMBER 19, 2024
Share your insights with fellow EMS leaders surrounded by the charm and excitement of Lexingtons iconic hospitality featuring world-class dining, bourbon, and horseracing. Speaker proposal deadline extended to January 31! The post Speak at Annual 2025 in Lexington! appeared first on American Ambulance Association.
SSCOR
DECEMBER 21, 2024
While the mortality rate of aspiration pneumonia depends on complications of the disease, the 30-day mortality rate hovers around 21%, with a higher rate of 29.7% in hospital-associated aspiration pneumonia. For uncomplicated pneumonia, the mortality rate is still high around 5%.
St. Emlyn's
DECEMBER 23, 2024
St.Emlyn's - Emergency Medicine #FOAMed David Purkarthofer reviews the highlights from the fantastic EuSEM conference held in Copenhagen earlier this year. #FOAMed @stemlyns The post EuSEM 2024 in review appeared first on St.Emlyn's.
ALiEM
DECEMBER 13, 2024
An 87-year-old female with a history of hypertension, hyperlipidemia, chronic kidney disease stage IIIB, type 2 diabetes mellitus, and schizophrenia presented for evaluation due to sudden visual loss in her right eye, which began 12 hours before she arrived at the emergency department. She has experienced a sudden loss of vision in her right eye for more than six hours.
EMergucate
DECEMBER 10, 2024
A 23yr presents following a syncope, he denies chest pain. The following ECG is taken: What does this ECG demonstrate?
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.
The Bottom Line
DECEMBER 11, 2024
Whats new in the Critical Care literature monthly updates
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.
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.
EMergucate
DECEMBER 10, 2024
PH = 6.782, that is severe acidaemia. HCO3 = 2.5 mmol/L, that is extremely low. So we have metabolic acidosis.
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 11, 2024
Whats new in the Critical Care literature monthly updates
ESO
DECEMBER 19, 2024
2024 has been a transformative year for ESO, marked by groundbreaking product advancements, achievements by the incredible customers we serve, and impactful data and research initiatives. Our mission to improve health and safety through the power of data has guided everything we do to support first responders and healthcare providers. Earlier in the year, we released the 2024 ESO EMS, Fire Service, and Hospital Trend Reports , which forecasted the trends ESO experts believed would shape each ind
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.
EMergucate
DECEMBER 10, 2024
2-year-old boy brought to ED by ambulance as category 1 for severe croup. His blood gases showed the following.
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.
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!
ESO
DECEMBER 26, 2024
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.
St. Emlyn's
DECEMBER 13, 2024
St.Emlyn's - Emergency Medicine #FOAMed In October, I had the opportunity to give a talk on the ethics of Artificial Intelligence at the EUSEM Congress in Copenhagen. My focus was on the ethical implications of […] The post The Promise and Perils of Artificial Intelligence in Emergency Care: Reflections from EUSEM 2024 appeared first on St.Emlyn's.
EMergucate
DECEMBER 17, 2024
This week our case involves complications around elective cardioversion.
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.
REBEL EM
DECEMBER 23, 2024
Background: Sickle cell disease (SCD) affects an estimated 300,000 infants born worldwide each year and has a total estimated prevalence of 100,000 in the United States alone ( Piel 2017 ). Within this population, over 90% of healthcare encounters are due to painful vaso-occlusive episodes (VOE) ( Kidwell 2021 ). VOE is often complicated by hypovolemia, making fluid administration a common intervention ( Lovett 2017 ).
FOAMfrat
DECEMBER 28, 2024
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.
St. Emlyn's
DECEMBER 27, 2024
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
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.
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