EMergucate

MAY 25, 2016

Definitions No standard definition. A disaster may be described as a mass casualty incident that overwhelms local services & requires … Continue reading →

EMS 100

EMS 100

EMS 12-Lead

APRIL 9, 2024

David Didlake @DidlakeDW EMS personnel responded to the residence of an 81 y/o Male with syncope. His spouse had called 911 after she heard a loud “thud” in the adjacent room. He was found altered, hypotensive, and with a large hematoma to the left periorbital region. This was deemed “non-specific” by the ED physicians.

Coronary 290

Coronary ACS CAD ED 290

High Performance EMS

JULY 13, 2020

The NHTSA Office of EMS released a significant document last year called the EMS Agenda 2050 that was carefully crafted to set a bold vision for the next 30 years of paramedicine by clearly differentiating the focus of care from its original definition in the 1996 EMS Agenda for the Future.

EMS 100

EMS Paramedicine Paramedicine Emergency Medical Services 100

EMergucate

MAY 30, 2016

Definition Transient LOC and loss of posture secondary to insufficient cerebral perfusion. Common – >25% lifetime incidence, 1% ED presentations … Continue reading →

EMS 100

EMS ED 100

EMergucate

MAY 30, 2016

Definitions (WHO) Mild HT/Grade I: 140/90 – 159/99 Moderate HT/Grade II: 160/100 – 179/109 Severe HT/Grade III: ≥180/110 Epidemiology ↑Risk … Continue reading →

EMS 100

EMS 100

EMDocs

MAY 25, 2024

We’ll keep it short, while you keep that EM brain sharp. The post EM@3AM: Sialadenitis appeared first on emDOCs.net - Emergency Medicine Education. She is breathing comfortably but seems to experience significant pain at the associated site of swelling. On examination, she has erythema and tenderness overlying her left parotid gland.

EMS 98

EMS E-9-1-1 OR ED 98

EMergucate

MAY 25, 2016

Definition Process of transferring critically ill patients using a team which travels to the patient location from a central location … Continue reading →

EMS 100

EMS 100

EMDocs

AUGUST 12, 2023

We’ll keep it short, while you keep that EM brain sharp. cc The post EM@3AM: Flexor Tendon Laceration appeared first on emDOCs.net - Emergency Medicine Education. A 41-year-old male with no significant past medical history presents with a deep hand laceration. Emergency Medicine Residents’ Association; 2022:10-11. Roberts, James R.

EMS 96

EMS ALS Emergency Department ED 96

High Performance EMS

AUGUST 9, 2024

Dispatching the right unit to an EMS call was much simpler when all resources had the same capabilities and a response time was the primary measure of success. No matter how you decide to distinguish the priority of each request, it is triaged to standardize the rules for a consistent response definition.

BLS 264

BLS CAD Advanced Life Support Life Support 264

EMDocs

JUNE 3, 2023

We’ll keep it short, while you keep that EM brain sharp. Definitive diagnosis of cerebellar infarction is made with MRI of the brain, as CT imaging (both non-contrast and IV contrast) is often unremarkable and has poor sensitivity for cerebellar stroke. Her symptoms have been constant over the last two weeks. 1998; 29(8):1550-1555.

EMS 98

EMS ALS OR ED 98

EMDocs

APRIL 27, 2024

We’ll keep it short, while you keep that EM brain sharp. link] The post EM@3AM: Malignant/Necrotizing Otitis Externa appeared first on emDOCs.net - Emergency Medicine Education. He says the pain is worse at night and when he is chewing. There is facial asymmetry that involves the forehead. What is the diagnosis? Reyes Suarez, L.

EMS 105

EMS ED OR ALS 105

EMDocs

MARCH 30, 2024

We’ll keep it short, while you keep that EM brain sharp. 14 CT is the imaging modality of choice and indicated for definitive clarification of injury; it can specify the type of injury and assist with definitive management. A 27-year-old man was brought into the emergency department via EMS after being stabbed.

EMS 105

EMS E-9-1-1 Emergency Department Ambulance 105

EMergucate

MAY 30, 2016

Definition Cardiac index < 1.8L/min/m2 min/m2 Classification Killip ranking of heart failure originally done for 30-day mortality post-MI Asymptomatic 5% mortality … Continue reading →

EMS 100

EMS 100

Pediatric EM Morsels

SEPTEMBER 22, 2023

To celebrate the end of trauma season ( is it ever really over? ), we here at the Ped EM Morsels Bakery have cooked up a morsel to remind you that pediatric trauma can be even more difficult than you think. Definition A series of hemodynamic changes related to autonomic denervation and loss of sympathetic tone. Never fear.

E-9-1-1 304

E-9-1-1 Epinephrine ALS EMS 304

EMDocs

JUNE 17, 2023

We’ll keep it short, while you keep that EM brain sharp. 2009-1709 The post EM@3AM: Periorbital Cellulitis appeared first on emDOCs.net - Emergency Medicine Education. An 8-year-old boy with no medical history born full term presents with left eyelid swelling for 2 days. There is mild warmth but no crusting or active drainage.

EMS 97

EMS OR Emergency Department ALS 97

EMDocs

JULY 1, 2023

We’ll keep it short, while you keep that EM brain sharp. link] The post EM@3AM: Kawasaki Disease appeared first on emDOCs.net - Emergency Medicine Education. A 3-year-old male with no past medical history presents to the ED with one week of daily fevers >102°F associated with four days of rash on the trunk. UpToDate;2022.

EMS 94

EMS Coronary ED OR 94

Pediatric EM Morsels

AUGUST 23, 2024

Concussion – Presentation [ Silverberg, 2023 ] There is no definitive test to diagnose concussion in the ED. The post Return to Learn / Return to Sport after Concussion appeared first on Pediatric EM Morsels. Mild traumatic brain injury also includes a larger group of injuries that may have evidence of structural injury.

Emergency Department 281

Emergency Department OR ED EMS 281

Dr. Smith's ECG Blog

SEPTEMBER 11, 2024

Here is the case: Report from EMS was witnessed syncope, his son did CPR, but the patient had pulses when EMS arrived. When the patient arrived in the ED, he was still hypotensive in 70s, slowly improving with EMS fluids. Hope you’re doing well! How excited would you have been about this case?" No Chest Pain, but somnolent.

EMS 114

EMS CPR ED Coronary 114

EMDocs

NOVEMBER 18, 2023

We’ll keep it short, while you keep that EM brain sharp. x The post EM@3AM: Liver Transplant Complications appeared first on emDOCs.net - Emergency Medicine Education. Liver Transpl. 2017;23(S1):S85-S88. doi:10.1002/lt.24840 24840 28) Savitsky EA, Votey SR, Mebust DP, Schwartz E, Uner AB, McCain S. Acad Emerg Med. 2000;7(8):898-905.

EMS 96

EMS E-9-1-1 ALS Emergency Department 96

International Journal of Paramedicine

APRIL 3, 2024

Age may be a factor in Emergency Medical Services (EMS) treatment of patients, and understanding of age-related patient differences is important to those providing care in the prehospital environment. However, there is a wide variety of age and other categorizations used to define the pediatric EMS population.

Emergency Medical Services 40

Emergency Medical Services EMS 40

Pediatric EM Morsels

JUNE 7, 2024

Difficult vs. Severe Asthma: Definition and Limits of Asthma Control in the Pediatric Population. The post ReBaked Morsel on Asthma Control – The 2020 NIH Asthma Management Guidelines appeared first on Pediatric EM Morsels. References Licari A, Brambilla I, Marseglia A, De Filippo M, Paganelli V, Marseglia GL. Front Pediatr.

Emergency Department 208

Emergency Department EMS OR 208

Dr. Smith's ECG Blog

SEPTEMBER 12, 2024

Written by Pendell Meyers A man in his 40s called EMS for acute chest pain that awoke him from sleep, along with nausea and shortness of breath. Learning Points: Currently by definition, there is unfortunately no such thing as a formal diagnosis of STEMI or STEMI criteria in the setting of RBBB and LAFB.

STEMI 121

STEMI EMS ACS ED 121

Pediatric EM Morsels

JULY 19, 2024

The definitions, typical healing course, timing of bleed, indications for tonsillectomy and the procedure itself have not changed much since our original morsel. The post Post-Tonsillectomy Hemorrhage: ReBaked Morsel appeared first on Pediatric EM Morsels. Int J Pediatr Otorhinolaryngol. 2024 Feb;177:111859. doi: 10.1016/j.ijporl.2024.111859.

E-9-1-1 290

E-9-1-1 Epinephrine Emergency Department OR 290

The Skeptics' Guide to EM

JANUARY 1, 2022

He became double board certified in Emergency Medicine (EM) and Emergency Medical Services (EMS). He became double board certified in Emergency Medicine (EM) and Emergency Medical Services (EMS). Date: December 21st, 2021 Guest Skeptic: Dr. Howard “Howie” Mell began his career as a firefighter / paramedic in Chicago.

Emergency Medical Services 130

Emergency Medical Services Firefighter Paramedic ALS 130

REBEL EM

NOVEMBER 6, 2024

PMID: 31082090 Post Peer Reviewed By: Anand Swaminathan MD, MPH (Insta @EMSwami) The post Elbow Dislocations appeared first on REBEL EM - Emergency Medicine Blog. Treasure Island (FL): StatPearls Publishing; 2024 Jan–.

E-9-1-1 116

E-9-1-1 ACS OR Emergency Department 116

Chicago EMT Training

AUGUST 12, 2021

We got in touch with someone on campus that shared a passion for EMS, and he was the key to legitimizing the program through the Environmental Health and Safety Office. This was something he definitely didn't plan for but took it in stride. The EMS program even had an ambulance at one point. His first cohort had 17 students.

EMT 130

EMT EMT BLS Ambulance 130

Handtevy

DECEMBER 23, 2024

Many showed positive trends, yet because each specific area had fewer than three supporting articles, ILCOR declined to make any definitive statements about their effectiveness. As EMS leaders, its our responsibility not only to examine the research ILCOR uses, but also to critically evaluate the studies that dont make the final cut.

Advanced Life Support 52

Advanced Life Support Epinephrine Life Support EMS 52

The Skeptics' Guide to EM

JANUARY 30, 2019

Date: January 30th, 2019 This is the third annual Canadian EM Wellness Week from CAEP. Date: January 30th, 2019 This is the third annual Canadian EM Wellness Week from CAEP. Definition of Wellness: the quality of state of being in good health especially as an actively sought goal.

EMS 130

EMS OR 130

Dr. Smith's ECG Blog

NOVEMBER 29, 2023

Written by Pendell Meyers Two adult patients in their 50s called EMS for acute chest pain that started within the last hour. Both cases had an EMS ECG that was transmitted to the ED physician asking "should we activate the cath lab?" 25 minutes later, EMS called back with this new ECG: Super obvious STEMI(+) OMI.

OR 125

OR STEMI EMS ED 125

High Performance EMS

MAY 11, 2023

As a consultant working with agencies across the nation that are representative of many distinct models of service, as well as being an EMS provider and a chief fire officer myself, I feel highly invested in the process to improve strategic dispatch and deployment decisions. Definitely worth a read!

Ambulance 130

Ambulance Paramedic EMS OR 130

Core EM

OCTOBER 16, 2024

To get a sense of how medical students feel about emergency medicine, we interviewed three students who are interested in EM: Nick, a graduating M4 pre-matched into EM residency, Charlotte, an M2 currently planning to pursue EM, and Annie, an M1 considering EM. What sparked your interest in emergency medicine?

ED 100

ED EMS Critical Care OR 100

Core EM

SEPTEMBER 24, 2024

To get a sense of how medical students feel about emergency medicine, we interviewed three students who are interested in EM: Nick, a graduating M4 pre-matched into EM residency, Charlotte, an M2 currently planning to pursue EM, and Annie, an M1 considering EM. What sparked your interest in emergency medicine?

ED 100

ED EMS Critical Care OR 100

The Skeptics' Guide to EM

JANUARY 29, 2020

Date: January 25th, 2020 SGEM#281: EM Docs Got an AmbuBag Statistically Significant: Dan Lane We want to make the SGEM even better and address some of the criticisms from the ClinEpi world about clinicians trying to do critical appraisal.

EMS 130

EMS OR 130

The Skeptics' Guide to EM

APRIL 4, 2020

Date: April 4th, 2020 It has been just over a year since Dr. Salim Razaie (REBEL EM) and I stepped into the ring for a boxing matched theme debate in Sydney, Australia. Date: April 4th, 2020 It has been just over a year since Dr. Salim Razaie ( REBEL EM) and I stepped into the ring for a boxing matched theme debate in Sydney, Australia.

Critical Care 130

Critical Care Epinephrine CPR Ambulance 130

ACEP Now

NOVEMBER 8, 2024

Historically, the endotracheal tube (ETT) has been considered the definitive airway of choice in both the prehospital and in-hospital setting. Emergency medical services (EMS) scope of practice is governed by the state, but national scope of practice guidelines are available for the four different EMS provider levels.

E-9-1-1 40

E-9-1-1 Emergency Medical Services Emergency Medical Technician AEMT 40

REBEL EM

AUGUST 7, 2023

Background: Getting a definitive airway in a critically ill trauma patient can be a stressful situation. PMID: 37058727 Clinical Question: Does delayed sequence intubation decrease peri-intubation hypoxia in trauma patients requiring definitive airway control compared to rapid sequence intubation? Anesth Analg 2023.

ALS 98

ALS OR EMS 98

The Skeptics' Guide to EM

MAY 6, 2023

At that time, we recognized there was no universally accepted definition of excited delirium. Fast forward to 2008 when an ACEP resolution called for a group to study “excited delirium,” and to disseminate the paper to Emergency Medical Services (EMS) and law enforcement. We had done a show on the topic five years ago on SGEM#218.

Emergency Medical Services 102

Emergency Medical Services Paramedic ALS EMS 102