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SAEM Clinical Images Series: Spontaneous Eye Luxation

ALiEM

A 55-year-old female presented with the complaint of my right eye popped out. Symptoms started approximately seven hours prior to arrival and progressive, severe pain eventually prompted her visit to the ED. This happened once 10 years ago, requiring reduction in the ED. The patient denied preceding trauma, rubbing her eyes/eye-lids, or any history of thyroid disease.

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ECG of the Week – 15th January

EMergucate

The following ECG is from a 60-year-old male who has presented with 5 days of central chest pain and epigastric pain which radiates between his shoulder blades.

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The EM Expert Mindset – A Female Perspective

Emergency Medicine Cases

Dr. Patricia Lee is an EM physician in Calgary, Alberta and an Assistant Professor at the University of Calgary in the Department of Emergency Medicine. She reached out to me after listening to Episode 200 How EM Experts Think Part 1 as a longtime supporter of EM Cases, to highlight the importance of recognizing challenges that female-identifying EM physicians may face before, during and after ED shifts.

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State Snap Shots to Support EMS Advocacy

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post State Snap Shots to Support EMS Advocacy appeared first on American Ambulance Association.

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Online QT calculator for wide QRS (LBBB, RBBB, etc.)

Dr. Smith's ECG Blog

(This was created by Arron Pearce ( [link] ) Online QT calculator for wide QRS (LBBB, RBBB, etc.

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SAEM Clinical Images Series: A Curious Case of Anisocoria

ALiEM

A 3-month-old male with no past medical history was brought to the emergency department for evaluation of newly asymmetric pupils. The infant appeared to be asymptomatic per parents, without any behavior changes or associated symptoms noted. The patients mother noticed her sons left pupil was dilated and unresponsive to light the morning of presentation.

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Ep 201 How EM Experts Think Part 2: Data Gathering, Diagnostic and Treatment Decision Making, Test Ordering and Interpretation, Documentation, Emotional Resilience

Emergency Medicine Cases

In this Part 2 of our 2-part podcast series on How EM Experts Think with Dr. Reuben Strayer, Dr. Mike Betzner and Dr. Scott Weingart we dive deep into the nuances of practicing smarter, faster, and better in the ED. We answer questions like: How should we employ hypothetico-deductive reasoning in our daily practice of Emergency Medicine? How can we best streamline thorough data gathering for each case so that we don't miss key data points?

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Savvik’s Latest: Shop Henry Schein, Propper, and More!

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post Savvik’s Latest: Shop Henry Schein, Propper, and More! appeared first on American Ambulance Association.

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American Burn Association Stands Ready to Support Burn Care Response Amid California Wildfires and Recent Disasters

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 [Jan. 10, 2025] As wildfires rage across California, the American Burn Association (ABA) is prepared to assist burn centers and healthcare providers in responding to burn injuries resulting from these devastating events.

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These are the ‘Roids you are looking for – Steroids in the ED

EMOttawa

In the acute care setting, steroids have various usages and indications, but their usage can often be nuanced. From adrenal crises to septic shock, severe community-acquired pneumonia, and even acute pharyngitis, steroids play a pivotal role in managing a variety of conditions encountered in the Emergency Department (ED). However, their use is far from straightforwardbalancing […] The post These are the ‘Roids you are looking for – Steroids in the ED appeared first on EMOttawa

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ECG Pointers: A Dynamic Approach to Tachydysrhythmias Part 4

EMDocs

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.

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Maintenance of Prehospital Anaesthesia in Trauma Patients: Variability in Practice

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed Explore the variability in maintaining prehospital anaesthesia for trauma patients in this comprehensive summary of a multinational survey. With insights into drug protocols, administration methods, and governance, the article highlights challenges and opportunities for standardisation in prehospital care.

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EMCrit 392 – All Things Defibrillation with Sheldon Cheskes

EMCrit Project

Nitty Gritty of All Things Defibrillation EMCrit Project by Scott Weingart, MD FCCM.

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3 Airway Management Scenarios You Need to Train For

SSCOR

Training is an essential part of your job. With the demands of your work schedule, spending time with your family, and your daily obligations, you may find yourself struggling to find the motivation to put in extra time for training. But even the most skilled practitioners need to trainand train oftento best serve their patients when airway emergencies occur.

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It’s the People You Meet Along the Way

Ambulance Driver Files

The best… and worst… boss I ever had. I’m gonna miss her. I had been an EMT perhaps two weeks when I met her. The big EMS agency in my town wouldnt have anything to do with me; I showed up at their headquarters and asked the receptionist for an application, and then cooled my.

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EM@3AM: Stercoral Colitis

EMDocs

Author: Christopher Blanton, MD, MBA (EM Resident, UTSW / Dallas, TX); Joslin Gilley-Avramis, MD (EM Attending Physician, UTSW / Parkland Memorial Hospital) // Reviewed by: Sophia Grgens, MD (EM Physician, BIDMC, MA); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Brit Long, MD (@long_brit) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providing an expedited review of clinical basics.

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Come join the 2025 Clinician Educator Incubator!

Life in the Fastlane

Chris Nickson Come join the 2025 Clinician Educator Incubator! Expressions of interest are now open for the sixth Clinician Educator Incubator - EOIs close Feb 10th 2025.

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Intraosseous or Intravenous Vascular Access for Out-of-Hospital Cardiac Arrest

EMOttawa

Methodology: 4/5 Usefulness: 4/5 Vallentin MF, et al. N Engl J Med. 2024 Oct 31. doi: 10.1056/NEJMoa2407616. Editorial: The Way to a Patient’s Heart – Vascular Access in Cardiac Arrest Question and Methods: This RCT compared IO vs. IV vascular access in adults with OHCA, using ROSC as a primary outcome. Findings: No significant difference […] The post Intraosseous or Intravenous Vascular Access for Out-of-Hospital Cardiac Arrest appeared first on EMOttawa Blog.

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37%, How to raise the bar and drop the number

FOAMfrat

From my first discussion with Alcohol Withdrawal I talked about my personal experience that's now become a driving motivation to improve the care we render for patients suffering Alcohol Withdrawal Syndrome in my state, but how exactly can we do that? How do we reduce a number as high as a 37% mortality rate, to an incredible 5%? Let's briefly discuss a case.

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American Burn Association Provides Essential Expertise in Times of Burn Disasters

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 [Jan. 14, 2025] In the aftermath of the devastating New Years Eve fireworks explosion in Honolulus Salt Lake neighborhood, which overwhelmed Hawaiis burn care capacity, and the ongoing challenges posed by the recent California wildfires, the American Burn Association (ABA) recognizes the extraordinary efforts of burn care

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Clear the Airway with SALAD

SSCOR

A growing group of people are passionate about airway management and minimizing the risks of aspiration and its subsequent effects. Dr. James DuCanto identified an improved technique called suction-assisted laryngoscopy and airway decontamination (SALAD).

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Adult Ortho Cases 004

Life in the Fastlane

Michael Gibbs MD Adult Ortho Cases 004 Shoulder Dislocations. Adult Orthopedic case interpretation.

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Steady Progress

Ambulance Driver Files

Haven’t updated this in a while… but the weight has steadily been coming down. Weighed in at 272.6 today, down 3.4 pounds since Wednesday. Not bad, considering I ate whatever I wanted during the holidays and haven’t been in the pool in two months. For those keeping score at home, that’s 127.4 pounds less than.

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A 50-something man with Chest pain at triage

Dr. Smith's ECG Blog

A 50-something male presented to triage with chest pain for one day. An ECG was recorded quickly before any further history or physical exam: What do you think? When I saw this (presented at a conference), I immediately thought it looked like Thype 1 Brugada phenocopy (in other words, Type 1 Brugada ECG pattern ). There is an rSR' in lead V1 without any spike of the R'-wave.

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Detecting STEMI Progression: Key ECG Indictors - Good Reads

FOAMfrat

In this episode of Good Reads, we look into the early stages of STEMI progression and how to identify critical ECG changes before obvious ST segment elevations appear. Using a 61-year-old male patient as a case study, we explore the significance of reciprocal lead changes, specifically in lead aVL, during early injury and ischemia phases. Learn to recognize early signs such as ST segment depression, T wave inversion, and checkmark T waves to improve early STMEI detection.

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Mobile Stroke Unit Propaganda Writ Large

EM Literature of Note

This is yet another one of those “Get With The Guidelines” stroke analyses, a retrospective dredge with massive imbalances between groups followed by statistical adjustments capable of turning out whichever result suits an author list with a full, dense printed page of pharma and stroke technology conflicts of interest. In that respect, the study is unremarkable.

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Podcast – Likelihood Ratios: Critical Appraisal Nugget 12

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed Mastering likelihood ratios can transform your diagnostic skills. In this podcast with Rick and Greg, discover how likelihood ratios can enhance decision-making and improve patient care. The post Podcast – Likelihood Ratios: Critical Appraisal Nugget 12 appeared first on St.Emlyn's.

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Nurture Their Will To Win – Part 1

The FllightBridge ED

What does it mean to actually take care of a trainee or new hire? What does good mentorship/preceptorship look like?

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ASTER – Acetaminophen in Sepsis

The Bottom Line

Acetaminophen for Prevention and Treatment of Organ Dysfunction in Critically Ill Patients With Sepsis Ware. JAMA 2024. doi:10.1001/jama.2024.8772 Clinical Question In critically ill adult patients with sepsis does the administration of acetaminophen compared to placebo increase the number of days alive and free of organ support to day 28?

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Episode 83: Cardiac arrest with Scott Weingart

Critical Care Scenarios

We talk about the nitty-gritty details of a well-run cardiac arrest, with Scott Weingart of Emcrit (@emcrit), ED intensivist. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! Takeaway lessons Resources We talk about the nitty-gritty details of a well-run cardiac arrest, with Scott Weingart of Emcrit ( @emcrit ), ED intensivist.

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SGEM#465: Not A Second Time – Single Center RCTs Fail To Replicate In Multi-Center RCTs

The Skeptics' Guide to EM

Date: December 2o, 2024 Reference: Kotani et al. Positive single-center randomized trials and subsequent multicenter randomized trials in critically ill patients: a systematic review. Crit Care. 2023 Guest Skeptic: Dr. Scott Weingart is an ED Intensivist from New York. He did fellowships in Trauma, Surgical Critical Care, and ECMO. He is a physician coach concentrating on the promotion of eudaimonia and optimal performance.

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Podcast – Monthly Round Up November 2024 – Learning culture, chest drains, arterial lines and more

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed The monthly update podcast from November 2024, including learning culture, chest drains in haemothorax, arterial lines in cardiac arrest and bad behaviour. The post Podcast – Monthly Round Up November 2024 – Learning culture, chest drains, arterial lines and more appeared first on St.Emlyn's.

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Nurture Their Will To Win – Part 1

The FllightBridge ED

What does it mean to actually take care of a trainee or new hire? What does good mentorship/preceptorship look like?

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One of those ECGs you need to instantly recognize, which learners may struggle with at first

Dr. Smith's ECG Blog

Written by Pendell Meyers An adult man presented with acute chest pain. He appeared critically ill. He had undergone stenting of the LAD several weeks ago (unclear whether elective for stable symptoms, or in response to acute coronary syndrome). Here is his triage ECG: Here is the digitized version with higher image quality: He was rushed to the resuscitation area for "unstable VTach.

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EMT to Emergency Room Technician: Career Guide

Unitek EMT

How to Become an ER Technician: Duties, Requirements, Certifications, Job Outlook, and Salary Starting a career as a certified EMT is a rewarding way to step into the dynamic world of emergency medicine. Many EMTs find fulfillment in the fast-paced nature of the job and choose to continue working as first responders for the long […] The post EMT to Emergency Room Technician: Career Guide appeared first on Unitek EMT.

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Total Anomalous Pulmonary Venous Drainage

Don't Forget the Bubbles

One-liner Neonate with persistent cyanosis? Think TAPVD. A 6-hour-old baby is brought to A+E with respiratory distress. On arrival, his oxygen saturations are 78% in the air. The baby was born at home at term. Mum had normal antenatal scans. Following birth the baby cried immediately, however has had increasing work of breathing and poor colour. The A+E team has started the baby on 15 L face mask oxygen, and his saturations are now 85%.

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Talking Trauma – London Trauma Conference 2024 Day 2

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed Day 2 of the London Trauma Conference delivered impactful discussions on trauma care innovations, including advanced resuscitation strategies, rib fracture management, and prehospital interventions. The post Talking Trauma – London Trauma Conference 2024 Day 2 appeared first on St.Emlyn's.

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