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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
This content is for AAA members only. Please either Log In or Join! The post FOUO Critical Incident Report Regarding Unsubstantiated Threats to U.S. Hospitals appeared first on American Ambulance Association.
Medicare Ambulance Extender Bill Introduced in House Yesterday, March 18, Representatives Claudia Tenney (R-NY), Terry Sewell (D-AL), Cliff Bentz (R-OR), Paul Tonko (D-NY), Mike Carey (R-OH), Danny Davis (D-IL), Carol […] The post House Reintroduces Vital Medicare Extender and EMS Workforce Bills appeared first on American Ambulance Association.
PCC Members, Further to the bulletin issued on March 6, 2025 Member Messages regarding the impact of tariffs and counter-tariffs on equipment, supplies and services used to provide paramedic services across Canada, we want to provide an update on our advocacy activities and share resources to members as our messaging is expanding across government and the public.
A roundup from members of the SCCMs ICU Liberation committee, recorded at SCCM Congress 2025. Included: A roundup from members of the SCCM’s ICU Liberation committee, recorded at SCCM Congress 2025.
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.
Chris is in the hotseat and his patient is in respiratory distress and making alllll the sounds. How does Chris hold up to this onslaught of respiratory trouble? Vote on our Instagram at @ems2020podcast! Chris is in the hotseat and his patient is in respiratory distress and making alllll the sounds. How does Chris hold up to this onslaught of respiratory trouble?
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.
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.
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.
This content is for AAA members only. Please either Log In or Join! The post Additional Grant Funding Available to EMS Agencies appeared first on American Ambulance Association.
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.
Content Warning: This episode includes mentions of miscarriage, pregnancy loss, pregnancy complications, traumatic birth experiences, and other potentially disturbing topics related to childbirth, pregnancy, and the postpartum period. In Act 3 of our pregnancy series, we arrive at the big moment: childbirth. We begin the episode with a closer look at one of the most commonly performed surgeries around the world: the cesarean section.
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.
Case submitted by Andrew Grimes, Advanced Care paramedic, with additions from Jesse McLaren and Smith An 84-year-old male with a notable cardiac history (CABG, multiple stents) woke at 0500hrs with pressure in his chest, diaphoresis, and light-headedness. He presented to a rural ED at approximately 0630hrs. Since he was recovering from a recent bout of Influenza-like illness and said yes to several ILI screening questions at triage, his chest tightness and diaphoresis were initially attributed t
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.
The National Volunteer Fire Council (NVFC) is pleased to announce the winners of its annual fire service achievement awards. These awards recognize those who have gone above and beyond in service to their department and community. The 2025 recipients are: David Denniston, William J. Darley Lifetime Achievement Award, sponsored by Darley; Jeremy Sonenschein, Chief James P.
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.
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.
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.
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.
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.
Today on the emDOCs cast with Brit Long, MD ( @long_brit) , we cover the literature on evaluation and management of massive hemoptysis. Episode 116: Massive Hemoptysis Definition: Hemoptysis is expectoration of blood from the respiratory tract; ranges from mild with small streaks of blood to cardiopulmonary compromise (1-5). Massive hemoptysis: no clear definition, ranges from 50 mL in a single expectoration to 100 mL in 24 hours to over 1 L in 48 hours.
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.
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.
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.
What are some common signs that you or a loved one may be experiencing stress? How do you know when these levels of stress are becoming harmful? Taking time to identify hidden stress in yourself and others can lead to better mental health and well-being. As first responders, it is imperative to be able to identify hidden stress not only in others but also in yourself.
What is Dexmedetomidine? Dexmedetomidine (Dexmed) is a highly selective alpha-adrenoreceptor agonist that can provide anxiolysis, sedation , and analgesia. Alpha-adrenoreceptors are found all over the body and reduce the fight-or-flight (sympathetic) response. Dexmed targets the alpha-adrenoreceptors in the brainstem and spinal cord. In the brainstem, it works on the ponsa crucial hub that helps regulate breathing, sleep, and automatic body functions.
Why do patients with methemoglobinemia have an oxygen saturation fixed at 85%? Here’s a case for you: an older patient with lung cancer undergoes an awake intubation with benzocaine. They then experience hypoxemia which stays fixed at 85% despite receiving 100% FiO2 oxygen. The care team does an ABG, which yields chocolate-colored blood with a PO2 of 284.
Are patients allowed to eat in your department? Do you field endless phone calls from nurses asking whether a patient is allowed to eat? Have you ever witnessed a confrontation between a nurse and a patient or family member over NPO status? The concept of forcing emergency patients to remain nil by mouth on the […] The post Let them eat: Emergency department patients should be encouraged to eat and drink appeared first on First10EM.
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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