ALiEM

NOVEMBER 18, 2024

A 48-year-old male with no significant past medical history presented to the Emergency Department with a left-sided facial rash and associated burning left eye pain that started four days prior. He was seen at an ophthalmology clinic when his symptoms started and given oral valacyclovir which he took for three days without improvement. He also endorsed left-sided facial weakness and diplopia for the last eight days.

Emergency Department 161

Emergency Department ALS OR ED 161

Core EM

NOVEMBER 19, 2024

Introduction: - Ankle sprains are among the most common injuries, affecting both athletes and everyday pedestrians. - The streets of New York City illustrate how treacherous surfaces can lead to ankle injuries. - The ankle is the most commonly injured joint in sports; jogging is a frequent cause. Anatomy of the Ankle: - The ankle joint, or mortise, is formed by the talus bone fitting snugly between the distal fibula and tibia. - Key ligaments securing the ankle include: Medial deltoid ligament S

Emergency Department 130

Emergency Department Ambulance OR 130

Critical Care Scenarios

NOVEMBER 13, 2024

We talk about diagnosis, treatment, and subsequent care of the patient with bacterial meningitis, with Emory neurointensivist Casey Albin, MD (@caseyalbin). Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! Takeaway lessons Resources We talk about diagnosis, treatment, and subsequent care of the patient with bacterial meningitis, with Emory neurointensivist Casey Albin, MD ( @caseyalbin ).

OR 169

OR 169

Pediatric EM Morsels

NOVEMBER 15, 2024

Seizures are super scary for a parent to witness, but not all seizures mean danger. There is actually a diagnosis of seizures that has “ BENIGN” in the name! Have you ever had that feeling of falling that rapidly wakes you from sleep? While it’s unlikely that you were having Benign Epilepsy with CentroTemporal Spikes (BECTS) seizures or a benign Rolandic seizure, that tenuous state between sleeping and waking is a time when some odd neurologic things can happen, including BECTS.

ALS 152

ALS OR EMS 152

The Skeptics' Guide to EM

NOVEMBER 16, 2024

Date: October 28, 2024 Reference: Verma et al. Clinical evaluation of a machine learning–based early warning system for patient deterioration. CMAJ September 2024 Guest Skeptic: Michael Page is currently the Director of Artificial Intelligence (AI) Commercialization at Unity Health Toronto. He leads an AI team intending to improve patient outcomes and healthcare system efficiency.

ICU 142

ICU Emergency Department ALS EMS 142

American Ambulance Association

NOVEMBER 18, 2024

This content is for AAA members only. Please either Log In or Join! The post Now Available: Materials from October EMS Focus Webinar appeared first on American Ambulance Association.

EMS 130

EMS Ambulance OR 130

Chicago EMT Training

NOVEMBER 16, 2024

Our third annual graduation ceremony was a success. We hosted around 250 people at the SkyDeck of the Sears Tower. We had Chief Deborah Sommer and Dr. Dave Nayak speak some wisdom and inspiration to some newly minted EMTs and their families. We also hosted various agencies where our new grads could be utilized. Agencies like CFD, CPD, OEMC, IL state police, cook county sheriff's office, and various private ambulance companies.

EMT 130

EMT EMT Ambulance 130

Core Ultrasound

NOVEMBER 18, 2024

In this virtual interview, Dr. Longino and Dr. Riscinti—both from Denver Health—share their expertise on the background of the VExUS (Venous Excess UltraSound) exam. Whether you’re a clinician seeking to refine your ultrasound skills or a learner diving into advanced techniques, this discussion offers expert insights from two leaders in the field. This episode is part one of a two part interview where I personally learned so much and I’m thankful for all of the knowledge translation from Drs.

OR 130

OR 130

NVFC

NOVEMBER 19, 2024

Safe and adequate personal protective equipment is essential to firefighters performing at their best. However, many volunteer fire departments lack the resources to purchase new gear, leaving them to function with old, torn, and non-compliant equipment. To help combat this issue, the National Volunteer Fire Council (NVFC) has partnered with MSA Safety and DuPont Personal Protection to award 13 volunteer fire departments with new turnout gear and helmets in 2024.

Firefighter 105

Firefighter First Responder Emergency Response EMS 105

American Ambulance Association

NOVEMBER 14, 2024

This content is for AAA members only. Please either Log In or Join! The post OSHA Emergency Response Proposed Rule Hearing Links Published appeared first on American Ambulance Association.

Emergency Response 130

Emergency Response Ambulance OR 130

St. Emlyn's

NOVEMBER 19, 2024

St.Emlyn's - Emergency Medicine #FOAMed Traditionally, large-bore chest tubes have been standard for managing hemothorax, but smaller tubes are now proving just as effective in stable patients, with added benefits like reduced pain and fewer tube days. This review explores outcomes in drainage efficacy, complication rates, and patient comfort, showing that small-bore thoracostomy may be a reliable alternative for non-emergent cases.

OR 100

OR 100

EMergucate

NOVEMBER 19, 2024

The chest x-ray is from an adult with chest pain post MVA. What can be seen?

EMS 130

EMS 130

Dr. Smith's ECG Blog

NOVEMBER 14, 2024

This was texted to me by a paramedic while I was out running one day: "54 yo male chest pain started at 1pm. History of diabetes type II and stent placement in 2018. I’m seeing hyperacute T waves III, aVF, down sloping depression I and aVL. Thoughts?" What do you think? I responded: "Definite inferior OMI. And Right Ventricular. Activated the Cath Lab.

ED 116

ED Coronary Paramedic OR 116

This Podcast Will Kill You

NOVEMBER 19, 2024

We really don’t give fungi the credit they deserve. Over the years of this podcast, we’ve covered only a handful of fungal pathogens, and pathogenic fungi themselves represent a teeny tiny proportion of the incredible diversity of fungal life on this planet. But with this book club episode, we’re attempting to correct this oversight, at least a little bit.

97

97

American Ambulance Association

NOVEMBER 14, 2024

November 14, 2024 FOR IMMEDIATE RELEASE Contact: Amanda Riordan 703-615-4492 ariordan@ambulance.org EMS Heroes Honored in Washington, DC as 2024 Stars of Life Washington, DC—This week, the American Ambulance Association (AAA) […] The post News Release | EMS Heroes Honored in Washington, DC as 2024 Stars of Life appeared first on American Ambulance Association.

EMS 130

EMS Ambulance 130

REBEL EM

NOVEMBER 13, 2024

Take Home points : Always suspect an open joint if there is a laceration, regardless of size, the lies over joint CT scan of the affected joint is widely considered to be the standard approach to evaluation but the saline load test may be useful in certain circumstances. Obtain emergency orthopedics consultation for all open joints and administer antibiotics and update tetanus in all patients REBEL Core Cast 131.0 – Traumatic Arthrotomy Click here for Direct Download of the Podcast.

ED 102

ED OR EMS 102

Medic Mindset

NOVEMBER 13, 2024

Want CE for listening? Here’s how. Dr. Casey Patrick is the EMS medical director of Montgomery County Hospital District (Texas). As an EM physician, he shares how he decides to care for his own patients in the ED who present with rapid atrial fibrillation. He wants paramedics to ask the same question he asks: Is the rapid A-fib the primary problem or secondary to another critical condition like sepsis, PE, DKA, hypovolemia, etc?

Paramedic 98

Paramedic Emergency Department EMS ED 98

EMDocs

NOVEMBER 19, 2024

Authors: Bricey Bayonnet, MD ( EM Resident Physician, Atrium Health’s Carolinas Medical Center, Charlotte, NC); Christine Murphy, MD (EM Attending Physician; Medical Toxicologist, Atrium Health’s Carolinas Medical Center, Charlotte, NC) // Reviewed by: James Dazhe Cao, MD (@JamesCaoMD, Associate Professor of EM, Medical Toxicology, UT Southwestern Medical Center, Dallas, TX); Anthony Spadaro MD, (@TSpadaro91, Fellow in Medical Toxicology, Rutgers NJMS); Alex Koyfman, MD (@EMHighAK); Brit Long, M

Overdose 74

Overdose EMS Emergency Medical Services OR 74

Unitek EMT

NOVEMBER 15, 2024

Key details on requirements, benefits, and how to stay current in your EMT career In the fast-paced world of emergency medical services, where every second counts, staying current with the latest protocols, guidelines, and medical technologies is vital for delivering life-saving care. An EMT Refresher Course is a structured educational program designed to help Emergency […] The post What is an EMT Refresher Course?

EMT 82

EMT EMT Emergency Medical Services EMS 82

FirstNet Authority

NOVEMBER 20, 2024

The evolution of technology has changed the landscape of search and rescue missions — clearing radio airwaves for essential traffic and mission critical information. Travis Hull, Kate Cummings, Ben Lawrence, and Jason Day explore how broadband solutions have increased operation efficiencies, live at 5x5: The Public Safety Innovation Summit.

Public Safety 64

Public Safety 64

REBEL EM

NOVEMBER 18, 2024

View Course Dates This 2-day course provides an in-depth look at effective surgical airway management techniques that you will actually use in your next emergency airway. There is a unique focus on airway anatomy and imaging combined with one-of-a-kind opportunity to practice the techniques on a large variety of non-embalmed, specially prepared cadavers.

Critical Care 69

Critical Care EMS OR 69

St. Emlyn's

NOVEMBER 19, 2024

St.Emlyn's - Emergency Medicine #FOAMed All the best from the blog from August 2024, in our easy to digest podcast. The post September 2024 Round-Up – Patient Experience in the ED, Dirty Adrenaline, and More! appeared first on St.Emlyn's.

ED 64

ED Emergency Department 64

Pulsara

NOVEMBER 20, 2024

EDITOR'S NOTE: This article originally appeared on EMS1.com under the title "Everyday use of this care platform helps prepare personnel for the 'big one.'" Special thanks to our guest author, John Erich, for EMS1 BrandFocus Staff. __ MCIs are no time to be learning new tools – this one is suitable for use on every call as well as major incidents In Texas, there’s rarely a dull moment for emergency responders.

Ambulance 62

Ambulance Firefighter EMS 62

Dr. Smith's ECG Blog

NOVEMBER 17, 2024

Written by Willy Frick A 51 year old man with hypertension presented with three hours of acute onset, severe midsternal chest pain associated with two episodes of nausea and vomiting. ECG 1 What do you think? Smith : Inferior leads have subtle ST Elevation with reciprocal STD in aVL. The end of the T-wave in all of II, III, aVF has a rapid downturn, suggesting early T-wave inversion.

OR 72

OR 72

EM Literature of Note

NOVEMBER 20, 2024

This article regarding the cost of upgrading emergency departments to be “ready” for sick children has been bouncing around in the background since its publication, with some initial lay press coverage. The general concept here is obviously laudable and the culmination of at least a decade of hard work from these authors and the team involved – with the ultimate goal of ensuring each emergency department in the country is capable of caring for critically unwell children.

Emergency Department 60

Emergency Department ED OR 60

FirstNet Authority

NOVEMBER 19, 2024

Baltimore on broadband: Improving public safety with data-based technologies Blog joseph.rey@fir… Tue, 11/19/2024 - 09:47 By Lori Stone, 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.

Public Safety 64

Public Safety First Responder OR 64

The Bottom Line

NOVEMBER 16, 2024

What’s new in the Critical Care literature – monthly updates

Critical Care 117

Critical Care 117

EMDocs

NOVEMBER 13, 2024

Today on the emDOCs cast with Brit Long, MD ( @long_brit) , we cover the literature on evaluation and management of primary SBP. Episode 110: Primary Spontaneous Bacterial Peritonitis Background: End-stage liver disease with cirrhosis and ascites is a major cause of death worldwide. Primary spontaneous bacterial peritonitis (SBP) is one of the most common infections in those with cirrhosis and ascites.

E-9-1-1 72

E-9-1-1 ALS OR ED 72

Dr. Smith's ECG Blog

NOVEMBER 19, 2024

These ECGs were texted to me by one of our previous ultrasound fellows, Will Smoot An elderly male arrived via EMS for acute substernal chest pain with radiation to left shoulder and arm that awakened him from sleep at 0030. He took two full strength aspirin prior to EMS arrival. The pain was relieved by one prehospital NTG spray. He arrived at the ED just shy of two hours after onset, pain free.

OR 64

OR STEMI Coronary CAD 64

Pulsara

NOVEMBER 13, 2024

Editor's Note: In August 2024, EMS1 and Fitch & Associates released their annual EMS trend survey, What Paramedics Want, 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 brought to you by the most prestigious thought leaders in EMS.

Paramedic 73

Paramedic EMS Emergency Medical Services 73

Broome Docs

NOVEMBER 17, 2024

Palatinus HN, Johnson MA, Wang HE, Hoareau GL, Youngquist ST. Early intramuscular adrenaline administration is associated with improved survival from out-of-hospital cardiac arrest. Resuscitation. 2024 Aug;201:110266. doi: 10.1016/j.resuscitation.2024.110266. Epub 2024 Jun 9. PMID: 38857847 Bottom line: This before and after study demonstrates an association between early IM epinephrine and survival from cardiac arrest.

Epinephrine 62

Epinephrine Emergency Department Critical Care ICU 62

Don't Forget the Bubbles

NOVEMBER 18, 2024

As you roll into your night shift, getting briefed and handed the urgent pager, you exit the briefing room and go into the hum of the neonatal intensive care unit. The familiar beeps of monitors and the soft cries of a premature infant fill the air, but then—a sharp, unusual beep cuts through. Moments later, a nurse calls, “Doctor, could you check this blood pressure?

OR 59

OR Critical Care Coronary Emergency Department 59

First 10 EM

NOVEMBER 18, 2024

Back for another month of interesting, arcane, important, or baffling articles. As we enter the winter in the Northern hemisphere, and I have little interest in heading outside, I will probably spend more time reading, so these write ups might get longer for the next few months. For now, the weather remains fine, golf season […] The post The November 2024 Research Roundup appeared first on First10EM.

OR 58

OR Epinephrine 58

EMDocs

NOVEMBER 14, 2024

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.

EMS 64

EMS Emergency Department OR 64

St. Emlyn's

NOVEMBER 19, 2024

St.Emlyn's - Emergency Medicine #FOAMed Traditionally, large-bore chest tubes have been standard for managing hemothorax, but smaller tubes are now proving just as effective in stable patients. Dive in to explore the latest evidence in trauma management and see if small-bore thoracostomy is suitable for your practice’s patient population. The post Small Bore vs Large Bore Thoracostomy for Traumatic Haemothorax. appeared first on St.Emlyn's.

52

52

NVFC

NOVEMBER 19, 2024

The National Highway Traffic Safety Administration (NHTSA) is now accepting applications for the Road to Zero Community Traffic Safety Grants. These grants support projects and research to improve roadway safety, address disparities in mobility safety and access, and work toward achieving zero traffic fatalities. Projects should align with one or more components of the Safe System Approach to traffic safety: Safer People, Safer Vehicles, Safer Speeds, Safer Roads, and Post-Crash Care.

OR 52

OR 52

FirstNet Authority

NOVEMBER 19, 2024

Baltimore on Broadband: Improving public safety with FirstNet joseph.rey@fir… Tue, 11/19/2024 - 09:56 When an underground fire led to a total power outage in downtown Baltimore, first responders found themselves in the dark and without radio communications. The Baltimore City Sheriff's Office arrived on scene and deployed FirstNet devices for the first time--within minutes, they were communicating and coordinating response.

Public Safety 52

Public Safety First Responder 52