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 97

EMS ALS Emergency Department ED 97

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

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

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 106

EMS ED OR ALS 106

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 106

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

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 98

EMS OR Emergency Department ALS 98

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 95

EMS Coronary ED OR 95

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 113

EMS CPR ED Coronary 113

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 OR EMS 208

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

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

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-9-1-1 114

E-9-1-1 ACS OR Emergency Department 114

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 124

OR STEMI EMS ED 124

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

EMDocs

NOVEMBER 1, 2023

Authors: Katey DG Osborne, MD (EM Attending Physician; Tacoma, WA), Rachel Bridwell, MD (EM Attending Physician; Tacoma, WA) // Reviewed by: Alex Koyfman, MD (@EMHighAK, EM Attending Physician, UTSW / Parkland Memorial Hospital) and Brit Long, MD (@long_brit, EM Attending Physician, San Antonio, TX) Welcome to emDOCs revamp!

Critical Care 96

Critical Care ED EMS OR 96

Emergency Medicine Cases

JUNE 29, 2021

Was CRASH-2 enough to be definitive, or does the classic EBM mantra of "we need more studies" remain true? Should we be using TXA for epistaxis, postpartum hemorrhage, hyphema or hemoptysis? Is it a miracle drug that stops all bleeding? Or has it been drastically overhyped?

OR 130

OR EMS 130

EMergucate

MAY 12, 2016

Definition Pathophysiology Causes Presentation Management Investigations Disposition Definition Multisystem severe hypersensitivity reaction of sudden onset (or rapidly progressive). Requires at … Continue reading →

OR 100

OR Critical Care EMS 100

REBEL EM

SEPTEMBER 27, 2023

REBEL Core Cast 109.0 – Na Channel Blocker Poisoning Click here for Direct Download of the Podcast Definition and Physiology Standard definition of a wide QRS is anything > 120 msec (3 small boxes on the ECG) In the context of poisoning, a “wide QRS” is anything greater than 100 milliseconds. Boehnert 1985 ).

E-9-1-1 104

E-9-1-1 Overdose EMS 104

Emergency Medicine Cases

JANUARY 4, 2022

What are the best strategies to efficiently get the patient in cardiogenic shock to definitive care, whether that be the cath lab or the operating room? In which patients would dobutamine be preferred over milrinone and vice versa? How can we best pick up occult cardiogenic shock before it floured shock kicks in?

Operating Room 130

Operating Room OR EMS 130

First 10 EM

SEPTEMBER 23, 2024

I definitely talk to people about smoking, but aside from brief counseling and occasionally prescribing nicotine replacement for […] The post Smoking cessation in the emergency department (The COSTED trial) appeared first on First10EM.

Emergency Department 106

Emergency Department OR EMS 106

The Skeptics' Guide to EM

APRIL 6, 2019

I would certainly exhaust all potential supportive and expectant management options first, as well as try to definitively confirm dabigatran as the culprit for abnormal hemostasis ( EM Lit of Note ). Idarucizumab clearly and effectively removes dabigatran from circulation and this ought to be occasionally clinically useful.

Frozen Plasma 130

Frozen Plasma Plasma ALS EMS 130

Pediatric EM Morsels

APRIL 7, 2023

Impact of the New American Heart Association/American Stroke Association Definition of Stroke on the Results of the Stenting and Aggressive Medical Management for Preventing Recurrent Stroke in Intracranial Stenosis Trial. The post Sickle Cell Disease and Stroke appeared first on Pediatric EM Morsels. J Stroke Cerebrovasc Dis.

ALS 130

ALS OR EMS Critical Care 130