ALiEM

JANUARY 22, 2024

A 40-year-old male, tailor by occupation, was brought to the Emergency Department with complaints of high-grade fever for the past 11 days. Fever was documented to be 102°F and was not associated with any chills or rigors. The patient also complained of shortness of breath for one week associated with a dry cough, as well as an altered sensorium for one day.

Emergency Department 161

Emergency Department OR 161

American Ambulance Association

JANUARY 22, 2024

Statement from Global Medical Response Air Evac Lifeteam is heartbroken to report that three crew members have perished in an incident that occurred on Saturday, January 20. At 11:23 pm […] The post In Memory of the Crew of Air Evac Lifeteam N295AE appeared first on American Ambulance Association.

Ambulance 130

Ambulance 130

EMergucate

JANUARY 22, 2024

Answers PH = 7.507, that is alkalaemia pCO2 = 28 mmHg. So, we have respiratory alkalosis.

130

130

EMCrit Project

JANUARY 22, 2024

background: ANTHARTIC trial Prophylaxis against VAP (ventilator associated pneumonia) has is already supported by a few studies in the literature, perhaps most notably the ANTHARTIC trial. That was a multi-center RCT evaluating 48 hours of therapy with ampicillin-sulbactam for patients intubated following cardiac arrest. Antibiotic therapy reduced early-onset VAP, with a trend towards more ventilator-free […] EMCrit Project by Josh Farkas.

121

121

First 10 EM

JANUARY 22, 2024

Over the last few years, I have seen a steady increase in the number of non-inferiority trials being published. This makes some sense, as they generally require fewer participants, and are therefore cheaper and easier to run. However, it presents a problem, as most of us (including myself) don’t really understand the statistics being performed, […] The post You don’t understand non-inferiority trials (and neither do I) appeared first on First10EM.

111

111

EMOttawa

JANUARY 22, 2024

Methodology: 3.5/5 Usefulness: 4/5 Friedman BW, et al. Neurology. 2023 Oct 3;101(14):e1448-e1454. Question and Methods: This double-blinded RCT of 209 patients presenting to the ED with moderate to severe migraines compared high- to low- dose dexamethasone (16 mg vs 4 mg) on sustained headache relief 48 hours post discharge. Findings: There was no significant difference in sustained […] The post Randomized Trial Comparing Low- vs High-Dose IV Dexamethasone for Patients With Moderate to

ALS 107

ALS ED 107

REBEL EM

JANUARY 22, 2024

A 46-year-old woman with a history of borderline high cholesterol levels presents with acute-onset chest pain 2 days ago with progressively worsening shortness of breath. Her only medication is an oral contraceptive pill that she has taken for over 20 years. Vital signs show HR of 121 bpm, BP of 124/80 mm Hg, RR of 24/min, T of 37.2°C, and SpO2 of 93% on room air.

ALS 58

ALS ED EMS OR 58

First Responders Childrens' Foundation

JANUARY 22, 2024

Jillian Crane joined the First Responders Children’s Foundation’s Board of Directors in 2013. She became Board President in 2019 and was instrumental in leading the Foundation in a more mission-focused direction. In 2022, Jillian was appointed President and CEO, after securing a major gift from McKenzie Scott that she strategically crafted around the Foundation’s commitment to law enforcement, women first responders, and diversity.

First Responder 40

First Responder 40

Don't Forget the Bubbles

JANUARY 22, 2024

Choosing Wisely is an international initiative to reduce unnecessary tests, treatments, and procedures. The campaign started in the United States in 2012, in Canada two years later, and in the United Kingdom in 2016. Choosing Wisely has expanded to more than 20 countries, including European countries, Brazil, Japan, India, Australia, and New Zealand.

Emergency Department 90

Emergency Department ALS ED OR 90