ALiEM

JANUARY 13, 2025

A 55-year-old female presented with the complaint of my right eye popped out. Symptoms started approximately seven hours prior to arrival and progressive, severe pain eventually prompted her visit to the ED. This happened once 10 years ago, requiring reduction in the ED. The patient denied preceding trauma, rubbing her eyes/eye-lids, or any history of thyroid disease.

Emergency Department 169

Emergency Department ED ALS OR 169

American Ambulance Association

JANUARY 13, 2025

This content is for AAA members only. Please either Log In or Join! The post State Snap Shots to Support EMS Advocacy appeared first on American Ambulance Association.

EMS 130

EMS Ambulance OR 130

St. Emlyn's

JANUARY 13, 2025

St.Emlyn's - Emergency Medicine #FOAMed Explore the variability in maintaining prehospital anaesthesia for trauma patients in this comprehensive summary of a multinational survey. With insights into drug protocols, administration methods, and governance, the article highlights challenges and opportunities for standardisation in prehospital care.

70

70

EMOttawa

JANUARY 13, 2025

Methodology: 4/5 Usefulness: 4/5 Vallentin MF, et al. N Engl J Med. 2024 Oct 31. doi: 10.1056/NEJMoa2407616. Editorial: The Way to a Patient’s Heart – Vascular Access in Cardiac Arrest Question and Methods: This RCT compared IO vs. IV vascular access in adults with OHCA, using ROSC as a primary outcome. Findings: No significant difference […] The post Intraosseous or Intravenous Vascular Access for Out-of-Hospital Cardiac Arrest appeared first on EMOttawa Blog.

OR 75

OR ALS Critical Care 75

Dr. Smith's ECG Blog

JANUARY 13, 2025

A 50-something male presented to triage with chest pain for one day. An ECG was recorded quickly before any further history or physical exam: What do you think? When I saw this (presented at a conference), I immediately thought it looked like Thype 1 Brugada phenocopy (in other words, Type 1 Brugada ECG pattern ). There is an rSR' in lead V1 without any spike of the R'-wave.

E-9-1-1 74

E-9-1-1 OR STEMI ALS 74

Don't Forget the Bubbles

JANUARY 13, 2025

One-liner Neonate with persistent cyanosis? Think TAPVD. A 6-hour-old baby is brought to A+E with respiratory distress. On arrival, his oxygen saturations are 78% in the air. The baby was born at home at term. Mum had normal antenatal scans. Following birth the baby cried immediately, however has had increasing work of breathing and poor colour. The A+E team has started the baby on 15 L face mask oxygen, and his saturations are now 85%.

ALS 59

ALS Critical Care OR Coronary 59