ALiEM

NOVEMBER 3, 2023

Reference Lin M, Phipps M, Chan TM, et al. Digital Impact Factor: A Quality Index for Educational Blogs and Podcasts in Emergency Medicine and Critical Care. Ann Emerg Med. 2023;82(1):55-65. doi: 10.1016/j.annemergmed.2023.02.011

Critical Care 211

Critical Care EMS Emergency Department ALS 211

Pulsara

OCTOBER 9, 2024

Editor's Note: In August 2024, EMS1 and Fitch & Associates released their annual EMS t rend survey, What Paramedics Want, proudly sponsored by Pulsara. Read, enjoy, share, and take to heart the following information brought to you by the most prestigious thought leaders in EMS. Territories, and Canada.

EMS 98

EMS Paramedic ALS 98

ACEP Now

JUNE 21, 2023

emergency medicine (EM) residency training length has been a decades-long dilemma: four vs. three years. First, is three years enough time to become an EM physician? But critical questions remain unanswered when it comes to specialization, career trajectory, and actual competence as an EM physician. 11 What should we take away?

EMS 114

EMS ALS Emergency Medical Services OR 114

The Skeptics' Guide to EM

AUGUST 19, 2023

Mike Pallaci is a Professor of Emergency Medicine (EM) for the Northeast Ohio Medical University, and an Adjunct Clinical Professor of […] The post SGEM#413: But Even You Cannot Avoid…Pressure – Intensive Care Bundle with Blood Pressure Reduction in Acute Cerebral Haemorrhage first appeared on The Skeptics Guide to Emergency Medicine.

EMS 186

EMS ALS Emergency Department OR 186

ALiEM

OCTOBER 26, 2023

The Problem: Emergency Medicine (EM) in Pakistan has moved from developing to developed stage in the last decade [1]. It is an innovation that is based on a community of practice merged with the need-based assessment of a young EM residency program in a developing country. Originally developed by Marsh et al., 2003;19(3):257-70.

EMS 161

EMS Emergency Department ALS ED 161

EMDocs

NOVEMBER 19, 2024

10 Table 1: Second-Generation Antipsychotics and Associated Adverse Effects Adapted from: UpToDate 8 with additional sources Micromedex 9 and Riboldi, et al 11 *SL=sublingual, IM=intramuscular, PO=oral, ODT=orally disintegrating tablets, ER=extended release, IR=immediate release. +to Gummin DD, Mowry JB, Beuhler M, et al.

Overdose 111

Overdose EMS Emergency Medical Services OR 111

Pediatric EM Morsels

OCTOBER 27, 2023

Practice using the Broselow tape and looking at what information is and is not included on the tape so that it’s of most benefit when you need it. 2020) The Times & Tapes Are a-Changin’: The Latest Broselow-Luten Tape for EMS , EMS World. link] Lubitz DS, Seidel JS, Chameides L, Luten RC, Zaritsky AL, Campbell FW.

E-9-1-1 271

E-9-1-1 Emergency Medical Services Life Support ALS 271

ALiEM

OCTOBER 14, 2023

Reference Lin M, Phipps M, Chan TM, et al. 2023.02.011 , PMID 36967275 Sponsors Thank you to the Society of Academic Emergency Medicine (SAEM) and the Council of EM Residency Directors (CORD) for jointly sponsoring the AIR Series! Ann Emerg Med. 2023;82(1):55-65. doi: 10.1016/j.annemergmed.2023.02.011 Ann Emerg Med. 2023;82(1):55-65.

Critical Care 169

Critical Care EMS Emergency Department ALS 169

EMDocs

DECEMBER 23, 2024

Lets look at a few and make an informed decision. Now lets walk through them quickly: Ho et al (4) looked at termination of VT in 15 min or hemodynamic deterioration. Gorgels et al (5) looked at procainamide vs lidocaine and again and primary outcome was VTach termination. His initial EKG is the following: What do you think?

ALS 75

ALS OR STEMI EMS 75

EMDocs

OCTOBER 21, 2023

We’ll keep it short, while you keep that EM brain sharp. While MRI is more resource and time intensive, studies have shown that a 6-minute protocol can give sufficient information to dictate treatment in the right setting. References: Gaillard F, Glick Y, Tatco V, et al. 61.4.496 Navi BB, Kamel H, Shah MP, et al.

EMS 97

EMS ALS OR ACS 97

The Skeptics' Guide to EM

JANUARY 16, 2021

Date: January 5th, 2021 Reference: Shipman et al. Annals of EM 2020 Guest Skeptic: Dr. Will Flanary is an ophthalmologist, writer, and comedian who moonlights in his free time as “Dr. Date: January 5th, 2021 Reference: Shipman et al.

ALS 130

ALS Emergency Department EMS ED 130

EMDocs

MARCH 30, 2024

We’ll keep it short, while you keep that EM brain sharp. A 27-year-old man was brought into the emergency department via EMS after being stabbed. However, it does not provide detailed information about the specific neurologic changes associated with Brown-Séquard syndrome. 060513 Itodo OA, Flueck JL, Raguindin PF, et al.

EMS 106

EMS E-9-1-1 Emergency Department Ambulance 106

The Skeptics' Guide to EM

MAY 2, 2020

Date: April 24th, 2020 Reference: Watanabe et al. A Contemporary Analysis Using National EMS Information System (NEMSIS) Data. Date: April 24th, 2020 Reference: Watanabe et al. A Contemporary Analysis Using National EMS Information System (NEMSIS) Data. Reference: Watanabe et al.

ED 100

ED Ambulance Medical Transportation EMS 100

REBEL EM

JULY 1, 2024

Paper: Goren NZ et al. References: Goren NZ et al. PMID: 34462252 Abubacker AP et al. Advocates feel that AVAPS is a more comfortable pressure support mode, which varies according to the patient’s needs (This is like PRVC for mechanical ventilation). Balkan Med J 2021. AVAPS: 0.07 AVAPS: 10.20 AVAPS: 0.07 AVAPS: 10.20

ED 132

ED Emergency Department ALS OR 132

The Skeptics' Guide to EM

FEBRUARY 23, 2019

Date: February 22nd, 2019 Reference: Lane et al. Date: February 22nd, 2019 Reference: Lane et al. The study by Alam et al took adult patients with a diagnosis of suspected infection and randomized them to ceftriaxone 2g IV started pre-hospital or usual care with a primary outcome of all-cause mortality at 28 days.

Paramedic 130

Paramedic ALS Ambulance EMS 130

International Journal of Paramedicine

OCTOBER 8, 2024

The objective of this study was to examine the relationship between patient acuity and level of EMS care adjusting for rurality and insurance. Data were obtained from the National Emergency Services Information System (NEMSIS) database for 2019. Discussion.

BLS 52

BLS Advanced Life Support ALS Community Paramedicine 52

ACEP Now

NOVEMBER 7, 2023

Background As Electronic Health Information (EHI) has increased in prominence, the U.S. The 2015 Edition Cures Act sought to promote “transparency, modern standards, and enhanced health IT capabilities by fostering innovation in the health care technology ecosystem to deliver better information to patients, clinicians, and other users.”

ED 52

ED ALS OR Emergency Department 52

Pediatric EM Morsels

JULY 5, 2024

Baumann F, Ernstberger T, Neumann C, et al. Leonard JC, Harding M, Cook LJ, et al. Leonard JC, Kuppermann N, Olsen C, et al. 2014;133(5) Mathews JD, Forsythe AV, Brady Z, et al. Nigrovic LE, Rogers AJ, Adelgais KM, et al. Slaar A, Fockens MM, Wang J, et al. Pediatr Emerg Care. 2018;34(10):677-686.

ALS 164

ALS OR ED Emergency Department 164

ALiEM

JULY 17, 2023

The Study In an Annals of Emergency Medicine paper , Preiksaitis et al. sought to identify program factors associated with unfilled post-graduate year 1 (PGY-1) emergency medicine (EM) positions in the 2023 Match [1]. Many of these findings were similar to a study of the 2022 EM Match results by Murano et al.,

EMS 130

EMS ALS Emergency Department ED 130

The Skeptics' Guide to EM

JULY 23, 2022

Date: July 22nd, 2022 Reference: Perry et al. Date: July 22nd, 2022 Reference: Perry et al. It is a great example of how knowledge translation can take years or even decades for clinically relevant information to reach the patients’ bedside due to leaks in the EM knowledge translation pipeline [6-7].

ALS 130

ALS Emergency Department ED OR 130

REBEL EM

FEBRUARY 8, 2024

In shocky patients, arterial lines are often used to monitor hemodynamic parameters and inform treatment decisions. Paper: Haber, EN et al. References: Haber, EN et al. PMID: 38215002 Kaufmann T et al. PMID: 32109843 For More Thoughts on This Topic Checkout: REBEL EM: Is ATLS Wrong About Palpable Blood Pressure Estimates?

ICU 123

ICU MICU ALS EMS 123

EMDocs

AUGUST 22, 2024

They are proficient in both the patient’s language and English, ensuring accurate and precise communication without omitting or altering critical information. They may alter information based on personal biases or concerns, potentially hindering effective communication and jeopardizing patient care. Lion KC, et al.

Emergency Department 104

Emergency Department ALS E-9-1-1 ED 104

FOAMfrat

MAY 19, 2024

Many of us grew up in the age of EMS, which emphasized the need to memorize everything. " The patient’s mother informed us that the patient suffers from PDCD and is generally non-verbal but interactive with limited motor function. The reality is, nothing could be farther from the truth! Absolutely! My brain is like, "ok!

E-9-1-1 98

E-9-1-1 ALS Emergency Department EMT 98

ALiEM

MARCH 7, 2024

Transvere ultrasound views of the bladder: Left – Uterus identified posteriorly in girl; Right – Prostate identified posteriorly in boy (Images courtesy of Dinh et al.) Sagittal view of bladder: Left – Uterus identified posteriorly in girl; Right – Prostate identified posteriorly in boy (Images courtesy of Dinh et al.)

E-9-1-1 177

E-9-1-1 Emergency Department ALS ED 177

The Skeptics' Guide to EM

NOVEMBER 25, 2017

[display_podcast] Date: November 24th, 2017 Reference: Roldan et al. display_podcast] Date: November 24th, 2017 Reference: Roldan et al. It was called HUGS and showed lower hospital admissions and opioid use in patients receiving 5mg of haloperidol ( Ramirez et al AJEM ). You can find a good review on this paper on REBEL EM.

Emergency Department 100

Emergency Department ALS EMS OR 100

NVFC

SEPTEMBER 24, 2024

Committees Meetings Many NVFC committees met during the fall meeting, along with the Council’s EMS/Rescue Section. For more information on this standard, visit the NVFC landing page. The NVFC’s OSHA Task Force also provided an update on the proposed Emergency Response Standard. Joe Maruca was sworn into the Executive Committee.

Emergency Response 105

Emergency Response Public Safety Firefighter ALS 105

Pediatric EM Morsels

APRIL 7, 2023

Observation, interaction with patient, as well as parent information is key to bring the whole picture together! References: Al Kasab S, Lynn MJ, Turan TN, Derdeyn CP, Fiorella D, Lane BF, Janis LS, Chimowitz MI; SAMMPRIS Investigators. The post Sickle Cell Disease and Stroke appeared first on Pediatric EM Morsels.

ALS 130

ALS OR EMS Critical Care 130

ACEP Now

AUGUST 22, 2023

Regardless of the domain, somewhere an expert panel has convened to issue a pronouncement informing all of the ideal care of patients under their specialty umbrella, indirectly extending to their care in the emergency department. Therefore, the authors of GRACE-3 call for wide training of the EM workforce in the use of HINTS.

Emergency Department 98

Emergency Department ALS ED OR 98

ALiEM

MAY 13, 2024

Study N Methods POCUS Sensitivity (95% CI) POCUS Specificity (95% CI) Conclusions Gottleib et al., Lam et al., of cases* Subramaniam et al., Lam et al., of cases* Subramaniam et al., Adams et al., Adams et al., Sivitz et al., Yen ZS, Wang HP, Ma HM, et al. 97.4%) 85.4% (78.9-90.2%)

E-9-1-1 161

E-9-1-1 ALS Emergency Department OR 161

The Skeptics' Guide to EM

FEBRUARY 6, 2021

All of their shared information is based on the latest medical studies and data. Reference: Ruberto et al. Annals of EM 2020. Background: Chronic marijuana use was recognized by Allen el al in 2004 to cause cyclical vomiting in patients from South Australia. Reference: Ruberto et al.

ALS 100

ALS Emergency Department Paramedic OR 100

EMDocs

JANUARY 29, 2024

Authors: Sameer Desai, MD (EM Attending Physician, University of Kentucky); Omar Abbas Ahmed Malik, MBBS (Patients’ Aid Foundation, Jinnah Postgraduate Medical Center) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University School of Medicine in St. References: Powers WJ, Rabinstein AA, Ackerson T, et al.

ALS 99

ALS Critical Care OR EMS 99

EMDocs

OCTOBER 30, 2023

Pillai, MBBS (@sspillai01, EM Resident Physician, University of Kentucky) and Christopher N. 2 In response to the constrained availability of contrast media, emergency medicine (EM) and radiology departments were compelled to enact modifications in their imaging techniques. 16 In a study conducted by Millet et al. 11 Table 1.

E-9-1-1 99

E-9-1-1 Emergency Department ALS CCT 99

EMDocs

AUGUST 31, 2023

2020.09.082 Full prescribing information. link] Full prescribing information. Unified Treatment Algorithm for the management of crotalid snakebite in the United States: results of an evidence-informed consensus workshop. Bush SP, Ruha AM, Seifert SA, et al. link] Kanaan NC, Ray J, Stewart M, et al. Ann Emerg Med.

Allergic Reaction 96

Allergic Reaction Plasma ALS EMS 96

EMDocs

JANUARY 3, 2024

As you order a dose of intravenous diuretic, you wonder what device they have and what information it can give. Angermann CE, Assmus B, Anker SD, et al. Brugts JJ, Radhoe SP, Clephas PRD, et al. Lindenfeld J, Zile MR, Desai AS, et al. Eur J Heart Fail. 2020;22(10):1891-1901. doi:10.1002/ejhf.1943.

Defibrillator 112

Defibrillator Allergic Reaction ED ALS 112

EMDocs

JUNE 9, 2023

After listening to this episode you will be able to: Identify unique aspects of the pre-hospital environment that impact assessment and treatment of agitated children Describe the role of EMS personnel and EMS director in the care of agitated children. That includes the patient, EMS personnel, and general public.

Emergency Medical Services 98

Emergency Medical Services EMS Emergency Department Ambulance 98

Don't Forget the Bubbles

MAY 17, 2023

Antonaci L, et al. Tritos NA, et al. Levi M, et al. Fishbein MH, et al. Cetinkaya PG, et al. Niu T, et al. Verkuijl SJ, et al. Varni JW, et al. Dias FC, et al. Peter C, et al. Ahlberg R, et al. Shir A, et al. Kuypers KLAM, et al. Hegeman EM, et al.

ALS 72

ALS ACS Emergency Department EMS 72

REBEL EM

SEPTEMBER 7, 2023

More research is needed to inform preventive treatment strategies for seizures in patients with spontaneous intracerebral hemorrhage (ICH). Article : Peter-Derex et al. Larger multicenter RCTs are still required to inform decisions on seizure prophylaxis in patients with ICH. Peter-Derex et al. Neurocrit Care.

OR 130

OR ALS EMS 130