Thu.Jul 11, 2024

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CMS Proposed Expansion of ALS-2 to include Low-Tier O+ Whole Blood Transfusions Fails to Include Additional Funding for the Services

American Ambulance Association

The Centers for Medicare & Medicaid Services (CMS) has released the Calendar Year (CY) 2025 proposed rule that proposes changes to the CY 2025 definitions of ALS-2 services to include […] The post CMS Proposed Expansion of ALS-2 to include Low-Tier O+ Whole Blood Transfusions Fails to Include Additional Funding for the Services appeared first on American Ambulance Association.

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Non-fatal strangulation

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed The Faculty of Forensic & Legal Medicine's guidelines for managing non-fatal strangulation (NFS). These guidelines advocate a trauma-informed, multidisciplinary approach to improve outcomes for patients who have experienced NFS. @stemlyns #FOAMed The post Non-fatal strangulation appeared first on St.Emlyn's.

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REVISE – Stress Ulcer Prophylaxis during Invasive Mechanical Ventilation

The Bottom Line

Stress Ulcer Prophylaxis during Invasive Mechanical Ventilation (REVISE) D. Cook. NEJM 2024. DOI: 10.1056/NEJMoa2404245 Clinical Question In mechanically ventilated adults, does stress ulcer prophylaxis with intravenous pantoprazole (40 mg daily), compared with placebo (0.9% saline), reduce the occurrence of clinically important upper gastrointestinal bleeding at 90 days?

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Intubation and Ventilation of the Asthmatic Patient: What You Need to Know

SSCOR

Asthma is a common affliction, affecting 8% to 10% e of the population. Many childhood asthmatics grow out of the disorder in adulthood, so a disproportionate percentage of people with asthma are children. For most people, asthma is a minor inconvenience akin to – and often associated with – seasonal allergies. An unlucky fraction of asthmatics, however, have a more severe form of the illness.

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MAJOR Legislative Victory: AFG and SAFER Signed Into Law

Firefighters and EMS Fund

On June 18th, 2024, firefighters across America earned a powerful reason to celebrate: by a landslide vote of 88 to 2, the U.S. Senate approved S.870, also known as the Fire Grants and Safety Act. As one of the final acts of the current legislative term, this bill will secure significant funds for fire and […] The post MAJOR Legislative Victory: AFG and SAFER Signed Into Law appeared first on Firefighters and EMS Fund.

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See how bad the outcome can be if you don't know OMI findings on the ECG, and don't use the Queen of Hearts

Dr. Smith's ECG Blog

This is another case sent by the undergraduate (who is applying to med school) who works as an EKG tech. How is it possible that a kid who has not even started medical school can know so much about EKGs and cardiology? Because: 1) He has been reading this blog for a long time. 2) He is curious This is how Pendell got started. Case A 43 year old male with a history of DM II, hyperlipidemia, and a family history of myocardial infarction presented to a family clinic with two days of epigastric pain

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Predicting Occult Scaphoid Fractures in the ED Using Clinical Features

CanadiEM

Clinical scenario A 27-year old female presents to the emergency department (ED) after a fall onto her hand from amotorized scooter. She has pain on the radial aspect of her left wrist and anatomical snuffbox.However, the X-rays do not indicate an obvious scaphoid fracture. Clinical question: What are the predictive clinical features for occult scaphoid fractures in patients with normal initial radiographs in the ED?

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FirstNet at the Cow Creek Umpqua Pow Wow

FirstNet Authority

FirstNet at the Cow Creek Umpqua Pow Wow Blog joseph.rey@fir… Thu, 07/11/2024 - 13:08 By Jasper Bruner, National Tribal Government Liaison, First Responder Network Authority Learn more about how FirstNet is transforming public safety communications — contact your local FirstNet Authority Public Safety Advisor and sign up for our discipline newsletters.

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NVFC Holds Train-the-Trainer Sessions for National Instructor Network

NVFC

The National Volunteer Fire Council (NVFC) recently hosted two train-the-trainer events for instructors who will teach about key issues in the fire service across the U.S. One session addressed electric vehicle/alternative fueled vehicle (EV/AFV) incidents, while the other focused on recruitment and retention (R&R). Both trainings took place in Buffalo, NY, immediately following the NVFC Training Summit.

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Problem Drinking Remains a Big Problem

ACEP Now

It’s 7 a.m. and before you’ve even taken the first sips of your morning coffee, you’ve already received sign out. The last person on your list is the young man resting in a hallway bed recovering from a drunken fight. Thankfully he has no major injuries and by the time you get around to evaluating him, he’s clinically sober come up and eager to leave.

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Arkansas EMS Org Improves Pediatric Behavioral Health Patient Care with Pulsara

Pulsara

The mental health of America’s youth is under duress, and it didn’t start with COVID-19. It’s a problem that’s been a much longer time coming. In 2023, authors led by Mayo Clinic psychiatrist Tanner Bommersbach, M.D., MPH, examined trends in young people’s use of emergency departments. What they discovered was startling: From 2011 to 2020, the weighted number of pediatric ED visits related to mental health rose from 4.8 million to 7.5 million – an average increase of 8% a year.

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