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Airway management is a priority for both nurses and first responders. A critical component of this is effective airway clearance techniques to manage oropharyngeal secretions. Whether in the field or a hospital, the how and when of oral suctioning must be mastered to ensure the patient's patent airway.
-Case- It’s a busy shift in the ED when EMS rolls in with a 56-year-old man. He’s diaphoretic, tachycardic, and complaining of excruciating pain in his left leg. His wife says it started as a minor scrape two days ago, but now his entire leg is swollen, red, and dusky. His vitals are notable for a fever to 103°F, heart rate of 130, and blood pressure at 90/60.
Spencer winds his mind around a call where a patient is heroically pulled from a fire! But they are, unfortunately, lacking a pulse. How does Spencer stack up? Check our IG to vote! Spencer winds his mind around a call where a patient is heroically pulled from a fire! But they are, unfortunately, lacking a pulse. How does Spencer stack up? Check our IG to vote!
-Case- It’s a busy shift in the ED when EMS rolls in with a 56-year-old man. He’s diaphoretic, tachycardic, and complaining of excruciating pain in his left leg. His wife says it started as a minor scrape two days ago, but now his entire leg is swollen, red, and dusky. His vitals are notable for a fever to 103°F, heart rate of 130, and blood pressure at 90/60.
St.Emlyn's - Emergency Medicine #FOAMed We are back at the TBS (The Big Sick) Conference in Zermatt, exploring key research papers that challenge critical care practices. Highlights include arterial blood pressure monitoring, intra-arrest DBP in cardiac arrest, SAPBs for rib fractures, the DanGer shock trial, and double sequential defibrillation timing.
Medicine often carries an aura of mystiquea profession elevated by society as a noble calling, a higher pursuit. But for those of us in the trenches, the reality is far simpler (: medicine is a job. A demanding, high-stakes, and sometimes unforgiving job, but a job nonetheless. This isnt a dismissal of its importance but […] The post There IS Beauty in Medicine appeared first on EMOttawa Blog.
Authors: Lloyd Tannenbaum, MD (EM Attending Physician, Geisinger Wyoming Valley, PA); Mai Saber, DO (EM Attending Physician, Hackensack University Medical Center, NJ); Rachel Bridwell, MD (EM Attending Physician, Charlotte, NC) // Reviewer: Brit Long, MD (@long_brit) Hello and welcome back to ECG Pointers, a series designed to make you more confident in your ECG interpretations.
Authors: Lloyd Tannenbaum, MD (EM Attending Physician, Geisinger Wyoming Valley, PA); Mai Saber, DO (EM Attending Physician, Hackensack University Medical Center, NJ); Rachel Bridwell, MD (EM Attending Physician, Charlotte, NC) // Reviewer: Brit Long, MD (@long_brit) Hello and welcome back to ECG Pointers, a series designed to make you more confident in your ECG interpretations.
Written by Magnus Nossen (with 2 important comments by Smith at the bottom) The patient in todays case is a 50 year old man who presented due to "dizziness" and episodes of presyncope. The patient's symptoms had started about 14 days prior to admission but worsened significantly during the course of the last 24 hours. Previously healthy, taking no medication and exercising regularly.
Join Rommie Duckworth and FOAMfrat as we discuss the mental framing and big-picture thought process behind the first five minutes of any mass casualty incident (MCI). Rommie Duckworth, a fire captain and shift commander, is a wealth of knowledge on this topic and speaks globally to prepare emergency responders for these events. Initial Assessment and Action Upon arrival at an MCI, the scene can often feel overwhelming.
Methodology 3/5 Usefulness 2/5 Hoppe JA, et al. Ann Emerg Med. 2024 Jan;83(1):3-13. Question and Methods: The study evaluated whether integrating prescription drug monitoring program (PDMP) tools with clinical decision support in EHR workflows improved PDMP usage and opioid prescribing practices using a stepped-wedge design. Findings: PDMP usage improved modestly during clinical alerts (23.8%), but […] The post Implementation of Electronic Health Record Integration and Clinical Decision Su
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