ALiEM

SEPTEMBER 1, 2023

A 65-year-old male presented with chest and abdominal pain for three weeks. He endorsed a poor appetite and a weight loss of 16 kilograms in the last month. He denied fever, vomiting, diarrhea, and tarry stools and described having his usual bowel movements. Additional Images Physical Exam Vitals : BP 172/71; HR 127; T 35.9°C; O2 Sat 100% General : In acute distress Cardiovascular : Regular rate and rhythm; no murmur; bilateral upper extremity and lower extremity pulses palpable Gastrointestin

161

161

American Ambulance Association

SEPTEMBER 1, 2023

This content is for AAA members only. Please either Log In or Join! The post VA Final Rule on Ambulance Services Update appeared first on American Ambulance Association.

Ambulance 130

Ambulance OR 130

EM Literature of Note

SEPTEMBER 1, 2023

It’s a trick question – in the end, all of us have already lost. This is a short retrospective report evaluating, primarily, the Epic Sepsis Prediction Model, and the mode in which is deployed. The Epic SPM generates a “prediction of sepsis score”, calculated at 15 minute intervals, providing a continuous risk score for the development of sepsis.

OR 113

OR 113

First Responders Foundation

SEPTEMBER 1, 2023

The First Responders Foundation is honored to be inducting Maker’s Mark & Southern Glazer’s Wine and Spirits into the Ancient Order of the National Society of St. Florian and St. Michael at the 7th Annual 9/11 Luncheon of Honor on September 11, 2023. Accepting the award from Maker’s Mark will be Katie Ruhga and from Southern Glazer’s Wine and Spirits will be Jeremy Kirby.

First Responder 52

First Responder ALS OR 52

Dr. Smith's ECG Blog

SEPTEMBER 1, 2023

A 50-something male had onset of chest pain 1 hour prior to ED arrival. It is constant, 9/10, left-sided CP that radiates into left arm and jaw. Endorses some associated SOB, but denies back pain, fever, cough, chills, leg swelling, or other new symptoms. Has never had this before. Takes metoprolol for HTN. Here is the triage ECG: What do you think?

STEMI 124

STEMI Critical Care OR ED 124

Pediatric EM Morsels

SEPTEMBER 1, 2023

While the “excitement” of the Emergency Department that is seen on TV may make people think that the only skills we need are those that help us manage Critical Illnesses or Traumatic Injuries , as we have digested in prior Morsels (ex, Developmental Milestones , Formula Primer , Vegan Diets ) all aspects of patient care are important for us to be adept at.

ED 161

ED Emergency Department Overdose ALS 161