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Yesterday evening, March 14, the United States Senate by a vote of 54 to 46 passed the Full-Year Continuining Appropriations and Extensions Act, 2025 (H.R. 1968) to fund the federal […] The post Congress Extends Ambulance Add-On Payments Through September 30 appeared first on American Ambulance Association.
Objective: To describe the program and associated outcomes of an innovative medication safety and opioid risk screening program delivered by community paramedics Methods: The study was conducted within a health system community paramedic program in North America. Community paramedics employed a medication safety questionnaire and opioid risk assessment tool during home visits, offering tailored interventions based on individual patient risks.
Methodology: 4/5 Usefulness: 3.5/5 Gibbs KW, et al. N Engl J Med. 2024 Jun 20;390(23):2165-2177. Question and Methods:The PREOXI trial aimed to determine whether noninvasive ventilation (NIV) via BiPAP reduces hypoxemia compared to standard oxygen masks for preoxygenation in critically ill adults undergoing emergency intubation through a multicenter, randomized controlled trial.
St.Emlyn's - Emergency Medicine #FOAMed This epiode of the St Emlyns Podcast features Dr. Dan Dworkis discussing high-performance teams, excellence in crisis, and how emergency clinicians can continuously improve under pressure. The post Podcast – High Performing Teams with Dan Dworkis at Tactical Trauma 24 appeared first on St.Emlyn's.
-Case- A 30-year-old woman at 34 weeks gestation arrives at the ED complaining of a pounding headache, blurry vision, and swelling in her hands and face over the past few days. Her blood pressure reads 168/102 mmHg, has bilateral 2+ pitting edema of the lower extremities, and she has 3+ proteinuria on urine dipstick.
March 7, 2025 Re: Medicaid Supplemental Payments for Ground Ambulance Services Dear Chair Guthrie, Ranking Member Pallone, Chair Carter, and Ranking Member DeGette, On behalf of 31 state ambulance and […] The post 31 State Ambulance Associations Request Support of EMS Supplemental Payments appeared first on American Ambulance Association.
Proper hydration is critical to the health and safety of firefighters when responding to wildfires and other emergencies. Yet many volunteer fire departments have limited budgets, forcing them to choose between needed resources. To help combat this issue and free up department funds for other necessities, Anheuser-Busch is partnering with the National Volunteer Fire Council (NVFC) for the seventh consecutive year to donate emergency drinking water to volunteer fire departments across the country
Background : Paramedicine education faces challenges in aligning curricula with evolving practice. Despite updates, our study reveals minimal change since 2018, especially post-transition from the Council of Ambulance Authorities to Paramedicine Board of Australia accreditation. Updates in cultural competency and interprofessional education are noted, but primary healthcare integration remains inadequate, showing a critical gap between education and practice needs.
Background : Paramedicine education faces challenges in aligning curricula with evolving practice. Despite updates, our study reveals minimal change since 2018, especially post-transition from the Council of Ambulance Authorities to Paramedicine Board of Australia accreditation. Updates in cultural competency and interprofessional education are noted, but primary healthcare integration remains inadequate, showing a critical gap between education and practice needs.
Spyke, the self-loading stretcher from Stem EMS, is the ideal solution for transport trnsport, combining safety and practicality L'articolo Spyke: the Self-Loading Stretcher with predictive maintenance and intercheangeable modules proviene da Stem Ems.
Written by Jesse McLaren A 50 year old presented to triage with one hour of chest pain, and the following ECG labeled normal by the computer (GE Marquette SL) algorithm. What do you think? Theres normal sinus rhythm, first degree AV block, early R wave, normal voltages. Theres hyperacute T waves in I/aVL with reciprocal inferior ST depression, diagnostic of high lateral occlusion MI.
This content is for AAA members only. Please either Log In or Join! The post President Jamie Pafford-Gresham on the Ambulance Medicare Extenders appeared first on American Ambulance Association.
As hospital boarding, increased emergency department (ED) volumes, and complexity of patients have increased, so have wait times. Some physicians now coin themselves waiting room medicine specialists as departments schedule a physician in triage or attempt to evaluate patients in whatever spaces might be available. After years of training to fully undress a patient for an exam at ABEM General Hospital, patients may now routinely be treated in street clothes sitting in a hallway chair.
I've seen the following sequence of events several times. I can't prove the exact causality, but I have a strong suspicion about what is going on here. You can be the judge. clinical presentation A patient presents for management of a pleural effusion. A pigtail chest drain is inserted without difficulty or complication. The drain […] EMCrit Project by Josh Farkas.
While it may seem like a minor consideration to some, EMS providers know that patient positioning plays a crucial role in the quality, safety and effectiveness of medical treatment. An article from the Anesthesia Patient Safety Foundation states that patient positioning is 90% of the airway management battle.
Spyke, the self-loading stretcher from Stem EMS, is the ideal solution for transport trnsport, combining safety and practicality L'articolo Spyke: the Self-Loading Stretcher with predictive maintenance and intercheangeable modules proviene da Stem Ems.
This content is for AAA members only. Please either Log In or Join! The post Stop Overpaying on Supplies You’re a Savvik Member! appeared first on American Ambulance Association.
On this month's EM Quick Hits podcast: Stephen Freedman on pediatric bloody diarrhea, S-TEC and hemolytic uremic syndrome, Justin Morgenstern on the evidence for IM epinephrine in out of hospital cardiac arrest, Matthew McArther on recognition and ED management of dengue fever, Andrew Petrosoniak on imaging decision making in trauma in older patients, Brit Long & Michael Gotlieb on recognition and management of TTP.Please consider a donation to EM Cases to help ensure continued Free Open Acc
Date: February 22, 2025 Guest Skeptic: Nicholas Peoples, who is a medical student at Baylor College of Medicine in Houston, Texas. Nicks career has been an exciting blend of global health and emergency medicine. In 2015, Nick was part of the first-ever class to study at Duke Universitys new campus in China, where he earned a masters degree in global health.
Written by Magnus Nossen, with edits by Smith The patient in today's case is a 70-year-old farmer. He has a history of coronary artery disease and a STEMI two years prior that was treated with primary PCI. He contacted EMS due to acute onset chest pain and feeling unwell and fatigued. He was given ASA and sublingual NTG and taken to the ED. At the time of this initial ED ECG, his symptoms were improving ECG #1 on admission to the ED The patient was not seen quickly in the ED as it was a busy shi
Challenging working conditions in health services, especially in emergency departments (ED), lead to high levels of stress and burnout. This contributes to the staff retention problem recognised by professional associations such as RCEM and ACEM. As well as being a practice and policy priority, there have been repeated calls for research to better understand the problem.
100 Club Frontline Convention First Responders Wellness Center was present with intern Jesse Arvisu and VP Chicago FOP Mike Mette. 100 Club had some great speakers, and we all learned how to help first responders.
Spinal cord injuries are devastating events. In the U.S., most are the result of automobile collisions, but falls, penetrating injuries, and blunt trauma can also cause injury to the spinal cord, leading to a respiratory emergency. It is estimated that there are more than 18,000 spinal cord injuries each year in the U.S. When the injuries involve the cervical vertebrae, specifically the midsection (C3 through C5), they can disrupt the phrenic nerve, which controls the movement of the diaphragm,
Carpal tunnel syndrome can cause significant pain and disability, and in some cases, a rapid ultrasound-guided release can provide immediate relief in the emergency department. In this video, we walk you through a step-by-step approach to performing ultrasound-guided carpal tunnel release. Carpal Tunnel Exam Wrist Effusion Courses The post 5 Minute Sono Carpal Tunnel Release (2025) first appeared on Core Ultrasound.
To prepare for the new National Emergency Response Information System (NERIS) rollout, the Fire Safety Research Institute (FSRI), part of UL Research Institutes, in collaboration with the Department of Homeland Security Science and Technology Directorate (DHS S&T), and the United States Fire Administration (USFA), hosted several webinar sessions.
Written by Hans Helseth Hans is an EKG tech who is applying to medical school. EKG interpretation skills have little to do with one's level of education. In fact, much of what passes for EKG education can actually harm one's interpretation skills. A 62 year old man with hyperlipidemia presented to a rural emergency department with 7 hours of 3/10 chest pain.
What would you say if I were to ask you to describe how the heart gets its oxygenated blood? Would you describe the major coronary arteries and the areas of the heart they feed? Would you describe the aortic valves role in the matter? Can you picture yourself describing WHY the coronaries fill mostly during diastole?Like the rest of the body, the heart requires a constant supply of freshly oxygenated blood.
Editor's Note: In October 2024, FireRescue1 released their annual digital edition, Fire Command Ready: Build Your Command Confidence , proudly sponsored by Pulsara. Because the articles and advice found within contain such critical subject matter, we've elected to publish each segment one at a time here on our blog. Read, enjoy, share, and take to heart the following information.
Authors: Lloyd Tannenbaum, MD (EM Attending Physician, APD, Geisinger Wyoming Valley, PA); Scott Mitsko, PharmD (Emergency Pharmacy Resident, Geisinger Wyoming Valley); Molly Rinkevich, PharmD (Emergency Pharmacy Resident, Geisinger Wyoming Valley) // 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.
Fatal Overdoses continue to show a decline both nationally (27.5% from the June 2023 rolling 12-month high) and here in Connecticut (32.7% from our rolling 12-month high of November 2021), according to just released data from the CDC which reflects their data through the end of October 2024. The national data reflects an annual decline of 29,446 deaths and the Connecticut data, 511 deaths.
We may all reach a point in our lives when carrying a particular burden becomes too unbearable. Yet upon reaching this point, we may find that we are hesitant to tell anyone we are struggling or that we need help. For many reasonsincluding not wanting to let go of control, feeling ashamed, feeling needy, or not wanting to be rejectedwe often don’t know the best way to ask for the help we need.
MCI Collaboration w/ ATECMS & Travis County Star FlightMass casualty incidents (MCIs) are challenging scenarios that require precise coordination, rapid response, and strategic thinking. Austin, Texas, presents a unique case study in handling such emergencies, blending urban preparedness with rural responsiveness.
The National Volunteer Fire Council (NVFC) is always working for the volunteer fire, EMS, and rescue services, and 2024 was no different. Highlights from the year include: Fought for the reauthorization of the Assistance to Firefighters Grant, Staffing for Adequate Fire and Emergency Response Grant, and the U.S. Fire Administration Led the volunteer response to proposed new OSHA regulations Partnered to provide over $2 million in grants, giveaways, and scholarships to volunteer departments and e
Designed for trauma professionals by trauma professionals, ESO Patient Registry is an incredibly intuitive tool made to simplify patient data collection. Currently a year into its rollout, ESO Patient Registry is not only built by those with industry know-how, it is continuously being improved upon. By applying what we learned over the last year, the ESO team has worked tirelessly to improve the product itself, along withthe onboarding process and product support.
-Case- EMS brings in a 52-year-old man found unresponsive at home with an empty bottle of an unknown medication nearby. His wife reports he had been complaining of dizziness and weakness earlier in the day. On arrival, Tom is bradycardic at 38 bpm, hypotensive at 75/40 mmHg, and minimally responsive. His ECG shows sinus bradycardia with a prolonged PR interval.
Every parent knows the importance of being prepared for the unknown. Even if you always keep a careful eye on your child, they will find a way to fall, scrape a knee, or otherwise put themselves in dangerous situations. While prevention is always the starting point, having a good understanding of first aid for kids […] The post First Aid for Kids: 10 Essential Techniques to Help Your Child appeared first on SaveaLife.com.
Youre working the night shift in a rural critical access hospital in the Midwest when a 36-year-old, 31-week primigravida patient with no known prior medical history presents with a mild headache. Initial vitals show a blood pressure (BP) of 170/115 mm Hg, which remains elevated 15 minutes later. You follow the recommended emergency department (ED) lab workup for hypertensive disorders of pregnancy, including urine protein/creatinine ratio, serum creatinine, platelet count, complete blood count,
On March 7, the National Fire Academy (NFA) was closed as part of the Administrations effort to evaluate its programs efficiency and alignment with their priorities. The NFA is closed indefinitely, and all in-person training is canceled. Many first responders around the country depend on training from the NFA, whether in-person courses at the campus in Emmitsburg, MD, courses brought to state and local training facilities, or online training.
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