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Podcast – Excellence in Debriefing with Richard Lyon at LTC

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed Recorded at the London Trauma Conference 2024, Richard Lyon shares insights from his powerful presentation on the importance of detailed case learning and debriefing both in hospital and pre-hospital settings. The post Podcast – Excellence in Debriefing with Richard Lyon at LTC appeared first on St.Emlyn's.

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Ventura County Fire Department Alliance RFP Announcement

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post Ventura County Fire Department Alliance RFP Announcement appeared first on American Ambulance Association.

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The Kids THRIVE study: high-flow apnoeic oxygenation for intubation

Don't Forget the Bubbles

We already know that nasal high-flow (NHF) apnoeic oxygenation is safe and effective in the controlled environment of elective theatre intubation and that it improves first-attempt success rates in neonates. But does it hold up in the unpredictable world of emergency paediatric intubation ? Thats exactly what Shane George et al. set out to explore in the Kids THRIVE study investigating whether NHF apnoeic oxygenation could improve intubation outcomes in critically unwell children needing emergen

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Bend

Peter Canning

I started this blog over 20 years ago. At the time I wrote mainly about the interesting calls I was doing. Nowadays, besides writing about the opioid epidemic, it seems I write mostly about being an old medic trying to keep up, beating back father time. This is another one of those posts. I worked a 12-hour shift last Friday. All my patients were younger than me, even the old and infirm ones ones.

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Episode 38: The Return of Measles

The EMS Show

In this episode of The EMS Show, Dr. Hayden Smith joins us to discuss the recent resurgence of measles cases, particularly focusing on the outbreak in Texas that has affected over 150 individuals and resulted in the tragic death of a child. Dr. Smith delves into the factors contributing to this uptick, including declining vaccination rates and public health challenges.

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Duration of CPR in Children?

Emergency Medicine Education

We often tend to spend more time on pediatric resuscitation and CPR compared to adults. However, the question remains: what is the optimal duration of resuscitation efforts in these patients before considering termination? A recent retrospective study from Japan addressed this issue and found that fewer than 1% of children achieved favorable neurological outcomes (defined as moderate disability or better at one month) when CPR exceeded 64 minutes.

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EMCrit 397 – Philosophy of Arterial Lines in the ED – A Debate in Absentia

EMCrit Project

A discussion of some arterial line philosophy, accuracy, and ease of placement. EMCrit Project by Scott Weingart, MD FCCM.

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The Role of Suction in Near Drowning Emergencies

SSCOR

About 11 people die by drowning each day in the U.S. alone. Thousands more are treated for nonfatal near-drowning incidents in emergency departments. Drowning is one of the leading causes of death among those aged 14 and under. When a person is injured in the water, seconds matter. Having the right portable suction machine available can reduce mortality and morbidity.

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RCEM Conference 2025: Reflections from Day 1

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed Day 1 at RCEM Conference 2025 tackled identity, innovation, wellbeing, and risk in Emergency Medicine. Key insights from Joey Godfrey on St Emlyns. The post RCEM Conference 2025: Reflections from Day 1 appeared first on St.Emlyn's.

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Critical Care Evidence Updates – February 2025

The Bottom Line

Whats new in the Critical Care literature monthly updates

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PCC President talks with VOCM host Tim Powers on Tariffs & Impact to Paramedic Services

Paramedic Chiefs of Canada

PCC President Kevin Smith spoke with @powerstim on @VOCMNEWS about how the ongoing tariff disputes are causing critical delays in medical supplies, directly impacting paramedic services and patient care.

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EEOC and Justice Department Issue Joint Statement on Workplace Discrimination and DEI Programs

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post EEOC and Justice Department Issue Joint Statement on Workplace Discrimination and DEI Programs appeared first on American Ambulance Association.

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Aspiration Pneumonia Treatment Guidelines

SSCOR

Aspiration pneumonia is a life-threatening complication resulting from the inhalation of airway contaminants and pathogen overgrowth. Multiple substances are directly toxic to the lungs or can stimulate an inflammatory response when aspirated gastric acid from vomiting is the most common aspirated substance.

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5 Factors That Can Impact Family Health

Paramedics World

Family health is not just about the mere absence of diseases but about the overall well-being of every member with an emphasis on preventive care and emotional health. However, quite… The post 5 Factors That Can Impact Family Health appeared first on Paramedics World.

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Emergency Evidence Updates – February 2025

The Bottom Line

Whats new in the Critical Care literature monthly updates

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Next Level Improvement – A Master course for EMS leaders

Paramedic Chiefs of Canada

Click here or on image to download (PDF) for more information and to register!

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Douglas County Sheriff's Office in Nebraska leverages FirstNet solutions for coverage where officers work

FirstNet Authority

Douglas County Sheriff's Office in Nebraska leverages FirstNet solutions for coverage where officers work Blog joseph.rey@fir Thu, 03/27/2025 - 15:14 By Ehrin Ehlert, Senior Public Safety Advisor, First Responder Network Authority Learn more about how FirstNet is transforming public safety communications contact your local FirstNet Authority Public Safety Advisor and sign up for our discipline newsletters.

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Only Anaphylaxis. and Nothing More.?

EMS 20/20

Is this a case of a LETHAL distracting injury? Can there ever be such a thing? Is an amped up responder with a "just-go" mentality in the right? Listen and find out! Is this a case of a LETHAL distracting injury? Can there ever be such a thing? Is an amped up responder with a "just-go" mentality in the right? Listen and find out!

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A Brief History of Insulin and Type 1 Diabetes

Clinical Correlations

By Matthew Ross Peer Reviewed In 1910, Ezra Hayman was on top of the world. The 26-year-old Nebraska native was a young ear, nose, and throat doctor studying abroad in Vienna, then one of the most prominent scientific and intellectual hubs in Europe. One.

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Hello world!

Elite Medical Training Solutions

Welcome to WordPress. This is your first post. Edit or delete it, then start writing!

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SGEM Xtra: 5 Papers in 15 Minutes (Incrementum 2025)

The Skeptics' Guide to EM

Date: March 23, 2025 I was honoured to be invited to speak at Incrementum 2025 in Mercia, Spain. Thank you to Paco, Carmen, and the Incrementum team for putting on one of the best conferences ever. They asked me to talk about five important recent papers in 15 minutes. Usually, I do ten papers in ten minutes.However, This was an international audience, with many of the close to 600 attendees having English as their second language.

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VBG of the week 26/3/25

EMergucate

A 40yr male patient presents with OOHCA.

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ABA Annual Meeting to Spotlight Innovation and Engagement in Burn Care

American Burn Association

Categories Advocacy Burn News MAC Spotlight Media Member Services Member Spotlight Organization News Prevention Quality Care Research Return to News & Activities Leading experts gather to advance patient outcomes April 811 in Phoenix CHICAGO (March 26, 2025) The American Burn Association (ABA) is pleased to announce its 2025 Annual Meeting, which will be held from April 8 to 11 at the Phoenix Convention Center.

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In the Shallow: An ED Approach to Superficial Vein Thrombosis

EMOttawa

You are working in the low acuity zone of the ED when you encounter your first patient. Shes a 75-year-old female with a history of hypertension, diabetes and total right hip replacement 1.5 months ago presenting with left leg swelling and pain. You see the patient and calculate a Well’s score of 3. Your D-Dimer […] The post In the Shallow: An ED Approach to Superficial Vein Thrombosis appeared first on EMOttawa Blog.

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Even in retrospect, no one could see it.

Dr. Smith's ECG Blog

This was sent to me by a former resident who is outstanding at reading ECGs for OMI. "Hi Steve wonder what you think of this ecg in a 60 yo woman w cp, known CAD" Presentation ECG (ECG 1): Here is her previous from one week prior when she presented with heart failure and trops were "negative" (ECG 2): My response: "They both look like active ischemia.

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ECG Pointers: Ok, Fine. Sometimes an Ultrasound is Better than an ECG

EMDocs

Authors: Lloyd Tannenbaum, MD (EM Attending Physician, APD, Geisinger Wyoming Valley, PA); Christian Daniello, MD (Staff Physician, 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. This week, we feature a post from Dr. Tannenbaums ECG Teaching Cases , a free ECG resource.

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EMergucate - Untitled Article

EMergucate

This week’s ECG is from a 61yr male presents 3/7 post TKR with sudden onset SOB: Please state your diagnosis … Continue reading →

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NIV vs HFNC to prevent re-intubation in patients with obesity

The Bottom Line

Humidified Non-Invasive Ventilation versus High-Flow Therapy to Prevent Reintubation in Patients with Obesity Hernndez et al. AJRCCM 2025. DOI: 10.1164/rccm.202403-0523OC Clinical Question In obese adult patients at intermediate risk for hypoxaemic extubation failure, does non-invasive ventilation (NIV) therapy with active humidification compared to use of high-flow nasal oxygen (HFNO or HFNC) reduce all-cause reintubation within 7 days after extubation?

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PulmCrit Wee – Loading infusion auto-titration (LIAT) for infused medications with intermediate half-lives

EMCrit Project

Let's talk about starting patients on milrinone. Milrinone is part of a group of medications that I would regard as quasi-titratable. They have an awkward half-life of roughly ~0.5-3 hours. Other medications in this group might include diltiazem, labetalol, and perhaps nicardipine. These drugs can be given as a continuous infusion, but they're not easy […] EMCrit Project by Josh Farkas.

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When ACS care is very delayed, "STEMI metrics" can be perfect. And how specific is Queen of Hearts?

Dr. Smith's ECG Blog

Written by Pendell Meyers, sent by anonymous, with additions by Smith A man in his 40s had acute chest pain and called EMS. EMS arrived and recorded this ECG: What do you think? Here is the PMcardio Queen of Hearts interpretation of the ECG: STEMI equivalent detected. Inferior and posterior OMI without STEMI criteria. If you think the Queen of Hearts is so sensitive because it sacrifices specificity, you would be wrong.

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Media Invited to Tour Burn Survivor Exhibit at the 2025 ABA Annual Meeting in Phoenix

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 (March 27, 2025) The American Burn Association (ABA), in collaboration with the Phoenix Society for Burn Survivors and Empathy Museum, is proud to announce the return of its interactive exhibit, A Mile in My Shoes: Compassion for Burn Survivors and Caregivers, at the 2025 ABA Annual Meeting.

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Inhaled Corticosteroids for Asthma

FOAMcast

Apple Podcasts , Spotify , Listen Here Summary in ACEPNow can be found here Rayner DG et al. Inhaled Reliever Therapies for Asthma: A Systematic Review and Meta-Analysis. JAMA. 2025 Jan 14;333(2):143-152. doi: 10.1001/jama.2024.22700. PMID: 39465893; PMCID: PMC11519786. Rayner DG et al. Inhaled Reliever Therapies for Asthma: A Systematic Review and Meta-Analysis.

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Should we be giving ketamine to opioid users in acute pain?

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed Should ketamine be used for opioid-dependent patients in acute pain? A recent randomized controlled trial explores the effectiveness of low-dose ketamine (LDK) as an adjunct to morphine in emergency settings. Results show significant short-term pain reduction and reduced opioid requirements, with manageable side effects.

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Your Ultimate Career Guide to Becoming an EMT Volunteer

Unitek EMT

Learn about the duties, responsibilities, requirements, certifications, and salary Emergency Medical Services (EMS) volunteers are the unsung heroes of their communities, stepping up in times of crisis to provide critical, life-saving care. Whether responding to accidents, natural disasters, or medical emergencies, these dedicated individuals play a vital role in ensuring public safety and well-being.

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New Integration Between Pulsara Platform and ZOLL emsCharts ePCR Streamlines Data Management and Improves Care Coordination

Pulsara

EMS providers and industry stakeholders can now improve data management, streamline workflows, and reduce the risk of double documentation through data interoperability New technology tools can be a double-edged sword in emergency medical response. On the one hand, they can enable new efficiencies and improved care. On the other hand, they may require more time, resources, or new workflows to manage and maintain.

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Can you localize the culprit lesion on angiogram without taking ECG findings into account?

Dr. Smith's ECG Blog

Written by Willy Frick A woman in her 60s with very severe hyperlipidemia (LDL >200 mg/dL) presented with acute onset chest pain. Her symptoms began while getting off the bus. She described the pain as moderate in severity, and said it had come and gone several times over the next few hours before ultimately resolving. On day of presentation, the pain returned and was very severe with associated dyspnea and vomiting.

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Ottawa DVT PoCUS Handbook

EMOttawa

TheOttawa DVT PoCUS Handbookis a peer-reviewed, practical guide designed to support emergency clinicians in the bedside diagnosis of deep vein thrombosis using point-of-care ultrasound (PoCUS). Developed by emergency medicine physicians at The Ottawa Hospital, this resource is tailored for learners and practitioners at all levels including medical students, residents, and staff physicians who […] The post Ottawa DVT PoCUS Handbook appeared first on EMOttawa Blog.

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