EMDocs

MAY 25, 2024

We’ll keep it short, while you keep that EM brain sharp. A 70-year-old female with past medical history diabetes mellitus, hypertension, hyperlipidemia, dementia presents from nursing home with acute unilateral swelling along the left side of her face.

EMS 80

EMS E-9-1-1 OR ED 80

EMDocs

JUNE 8, 2024

We’ll keep it short, while you keep that EM brain sharp. A 27-year-old male presents to the ED for left eye pain after being hit in the face with a spare car part while working under the hood of his car. What is the diagnosis, and how do we manage it from the ED? 95% occupational injuries occur in males [1].

EMS 81

EMS Allergic Reaction Emergency Department ED 81

Emergency Medicine Cases

FEBRUARY 11, 2020

The current outbreak of the novel respiratory pathogen Coronavirus is an opportunity to remind ourselves of how to properly and adequately prepare for an emergency outbreak in our EDs. The post Preparation for Emergency Infectious Outbreak in your ED – Coronavirus appeared first on Emergency Medicine Cases.

ED 130

ED EMS OR 130

EMDocs

MAY 11, 2024

We’ll keep it short, while you keep that EM brain sharp. A 74-year-old female with a past medical history of hypertension, diabetes, recent basilar artery stent placement with a 20 pack-year smoking history presents to the ED via EMS for altered mental status and episodes of apnea. Vital signs include BP 168/89, HR 96, T 98.3,

EMS 89

EMS E-9-1-1 ALS OR 89

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. Here is the ED ECG (a photo of the paper printout) What do you think?

EMS 107

EMS CPR ED Coronary 107

Emergency Medicine Cases

JULY 18, 2023

You are working the ambulatory section of your ED and evaluating a 6-year boy with a possible distal radius injury. He lives with autism spectrum disorder and is uncomfortable in X-ray rooms, and you wonder if there is a role for PoCUS to help exclude a fracture.

OR 130

OR ED EMS 130

EMDocs

APRIL 13, 2024

We’ll keep it short, while you keep that EM brain sharp. A 24-year-old male presents to the ED from a mixed marital arts competition after being struck on the side of the right head by a fist earlier today. The patient denies any loss of consciousness, neck pain, vomiting, or use of blood thinners. RR 15, SpO2 99% on room air.

EMS 82

EMS E-9-1-1 OR Emergency Department 82

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 119

OR STEMI EMS ED 119

Pulsara

JANUARY 25, 2024

With a new protocol and Pulsara, Metropolitan Emergency Medical Services can now transport eligible pediatric behavioral health patients directly to behavioral health facilities—resulting in a 44% decrease of pediatric behavioral health patients transported to the ED. Download the case study or read on to learn more!

Emergency Medical Services 104

Emergency Medical Services EMS STEMI Emergency Department 104

EMDocs

JULY 3, 2023

Authors: Mikalah Ward, MD (EM Resident Physician, University of Kentucky); Susan Owens, MD (EM Attending Physician, University of Kentucky) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University in St. His last known normal was 5 hours prior to ED presentation. Glasgow coma scale (GCS) is 12.

ED 85

ED E-9-1-1 ALS OR 85

REBEL EM

MAY 15, 2023

You are working in a rural ED, and an older woman from a local assisted care facility arrives via ambulance in obvious respiratory distress. EMS is able to tell you that she is currently being treated for pneumonia. The patient is on a nonrebreather mask, and vital signs on arrival are BP 110/50 mm Hg, HR 120 bpm, RR 40/min, T 98.6°F

EMS 98

EMS Ambulance ED OR 98

The Skeptics' Guide to EM

JUNE 1, 2024

His research focuses on the pre-hospital care of children by EMS. He is the principal investigator for EMSC State Partnership in Washington, DC and is also involved in various multi-center EMS studies with the Pediatric Emergency Care Applied Research Network (PECARN). EMS placed him in a C-collar and brought him to you.

Emergency Medical Services 207

Emergency Medical Services Emergency Department EMS ALS 207

Emergency Medicine Cases

OCTOBER 13, 2020

In this podcast, Part 2 of our diabetic emergencies series with Melanie Baimel, Bourke Tillmann and Leeor Sommer, we dive into the recognition and ED management of Hyperglycemic Hyperosmolar State (HHS). Why is finding and treating the cause or trigger of HHS so important in the ED? How does fluid management differ in HHS from DKA?

ED 130

ED OR EMS 130

EMS 12-Lead

APRIL 9, 2024

David Didlake @DidlakeDW EMS personnel responded to the residence of an 81 y/o Male with syncope. At the time of ED arrival he was alert, oriented, and verbalizing only a headache with a normalized BP. The ED activated trauma services, and a 12 Lead ECG was captured. This was deemed “non-specific” by the ED physicians.

Coronary 290

Coronary ACS CAD ED 290

Emergency Medicine Cases

JUNE 18, 2019

Whether you're studying for an exam or need to brush up on Pediatric EM because your ED doesn't see many pediatric patient, or you just want to make sure you etch all the practice enhancing pearls from the EM Cases main episode podcasts, The Quiz Vault will help you on your path to b the best EM provider you can be!

EMS 130

EMS ED OR 130

EMDocs

JULY 17, 2023

and is poorly tolerated by patients with obstruction, it should not be a routine part of the ED evaluation for LBO unless it is critical for another diagnosis on the differential. He describes the pain as a gradually worsening pressure-like discomfort distributed across his entire abdomen. He reports distension and the sensation of fullness.

E-9-1-1 77

E-9-1-1 ED ALS Operating Room 77

EMDocs

SEPTEMBER 9, 2023

We’ll keep it short, while you keep that EM brain sharp. He presents to the ED with profound difficulty extending his middle and ring finger. A 35-year-old right handed male with no significant past medical history presents with a deep hand laceration. The patient states they suffered a cut with a box cutter at a construction site.

EMS 78

EMS ED ALS Emergency Department 78

Dr. Smith's ECG Blog

OCTOBER 1, 2023

He called EMS who brought him to the ED. Here is the EM decision making: "The patient's EKG revealed some repolarization abnormalities but no clear signs of a STEMI. ED Diagnoses: 1. He was awakened from sleep by "sudden epigastric pain radiating to his chest" — and it was these symptoms that prompted him to call EMS.

OR 129

OR STEMI Coronary CAD 129

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

EMDocs

JULY 1, 2023

We’ll keep it short, while you keep that EM brain sharp. 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.

EMS 66

EMS Coronary ED OR 66

EMDocs

NOVEMBER 18, 2023

We’ll keep it short, while you keep that EM brain sharp. A 32-year-old female with a history of hypertension and autoimmune hepatitis status post liver transplant 6 weeks prior on tacrolimus and mycophenolate presents to the ED with abdominal discomfort. What are the complications of liver transplant that we see in the ED?

EMS 69

EMS E-9-1-1 ALS Emergency Department 69

The Skeptics' Guide to EM

JANUARY 6, 2024

She is an executive lead for the EMS for Children Innovation and Improvement Center. She is the co-Principal Investigator for the EMS for Children Data Center. She is nationally known for her work as an EMS researcher and educator. July 2023 * Population: ED leadership across the United States. JAMA Netw Open.

Emergency Department 268

Emergency Department Emergency Medical Services ALS ED 268

EMDocs

DECEMBER 2, 2023

We’ll keep it short, while you keep that EM brain sharp. A 50-year-old female with no past medical history presents to the ED with a diffuse, constant headache onset a few weeks. The patient describes droopiness of the left eye and double vision associated with specific directional movements of the eye.

EMS 67

EMS Emergency Department OR ED 67

ALiEM

FEBRUARY 5, 2024

Take the AIR Toxicology Module at ALiEMU Interested in taking the AIR quiz for fun or asynchronous (Individualized Interactive Instruction) credit? Please go to the above link. You will need to create a free, 1-time login account. Reference Lin M, Phipps M, Chan TM, et al.

Overdose 215

Overdose Critical Care EMS Emergency Department 215

EMDocs

SEPTEMBER 23, 2023

We’ll keep it short, while you keep that EM brain sharp. A 36-year-old female presents to the ED after experiencing an episode of sudden syncope. The patient has no significant past medical history, and reports that she was walking to the end of her driveway to retrieve her mail when she suddenly collapsed to the ground.

E-9-1-1 84

E-9-1-1 EMS ALS OR 84

The Skeptics' Guide to EM

NOVEMBER 25, 2023

Delayed First Medical Contact to Reperfusion Time Increases Mortality in Rural EMS Patients with STEMI. Delayed First Medical Contact to Reperfusion Time Increases Mortality in Rural EMS Patients with STEMI. Upon EMS arrival, they find the patient is sweaty with normal vital signs. AEM November 2023. AEM November 2023.

Heart Attack 286

Heart Attack STEMI Emergency Medical Services Coronary 286

EMDocs

JUNE 3, 2023

We’ll keep it short, while you keep that EM brain sharp. A 53-year-old female with a past medical history significant for hypertension presents to the ED with headache and dizziness. Her symptoms have been constant over the last two weeks. 2 In the United States, approximately 795,000 people suffer from strokes every year.

EMS 74

EMS ALS OR ED 74

ESO

APRIL 19, 2024

From April 2-5, the top fire services and EMS industry thought leaders and data analysts gathered at Wave 2024 to share what trends they’re forecasting for both fields and how they’re enacting change within their own organizations through the power of data-driven insights. Data impacts every aspect of duties, from shifts start to end.

MIH 105

MIH EMS Firefighter Paramedic 105

EMDocs

JULY 29, 2023

We’ll keep it short, while you keep that EM brain sharp. A 75-year-old male with past history of HTN, CVA, DM II presents to the emergency department with right facial swelling since last night. Other bacterial causes include anaerobic oral flora, Strep viridans, E. Other bacterial causes include anaerobic oral flora, Strep viridans, E.

E-9-1-1 71

E-9-1-1 EMS Emergency Department OR 71

The Skeptics' Guide to EM

MARCH 2, 2024

Date: February 28, 2024 Guest Skeptic: Dr. Neil Dasgupta is an emergency medicine physician and ED intensivist from Long Island, NY. Neil Dasgupta is an emergency medicine physician and ED intensivist from Long Island, NY. Case: A 59-year-old man walks into your community emergency department (ED) complaining of chest pain.

Operating Room 306

Operating Room Emergency Department ALS ED 306

EMDocs

AUGUST 12, 2023

We’ll keep it short, while you keep that EM brain sharp. A 41-year-old male with no significant past medical history presents with a deep hand laceration. The patient states they were cutting an avocado when the knife pierced through and punctured his hand.

EMS 69

EMS ALS Emergency Department OR 69

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. It does NOT have structural brain damage visible on standard neuroimaging. Br J Sports Med. 2023 Jun;57(11):695-711.

Emergency Department 243

Emergency Department OR ED EMS 243

EMDocs

NOVEMBER 4, 2023

We’ll keep it short, while you keep that EM brain sharp. He came to the ED because he now has a fever, chills, and nausea along with his testicular pain. A 54-year-old male with a history of diabetes presents with “pain in my groin” for the past two weeks. An ultrasound of the testes reveals the following: What is the diagnosis?

EMS 68

EMS E-9-1-1 Emergency Department ALS 68

EMDocs

JUNE 22, 2023

So I did what we as ED physicians are all so good at – I prepared. Early contact with Medcom ensured that they would be able to activate one of the most effective and competent air EMS teams in the state – AirCare. We had sent off a Type and Screen as soon as the patient arrived at the ED. Should be here in 5 minutes.”

ED 96

ED Paramedic OR EMS 96

ALiEM

APRIL 14, 2023

Highlighted Quality Posts: Procedures Site Article Author Date Label Rebel EM Intra Articular Lidocaine vs Sedation in Shoulder Reductions Nordia Matthews, MD 30 Jan 2023 AIR EM Docs Video Laryngoscopy in the ED Cameron Jones, MD 8 Aug 2022 AIR First 10 EM Lacerations: Does closure technique matter?

EMS 246

EMS Emergency Department ED OR 246

Core EM

SEPTEMBER 11, 2024

The Case A 96-year-old female with a history of coronary artery disease, hypertension, and complete heart block status post dual-chamber pacemaker (remote) presents to the ED by EMS with generalized weakness and lethargy. This rhythm will not result in cessation with magnet application.

Coronary 130

Coronary ED EMS OR 130

Emergency Medicine Cases

SEPTEMBER 29, 2020

The post Ep 146 DKA Recognition and ED Management appeared first on Emergency Medicine Cases.

ED 130

ED OR EMS 130