ALiEM

NOVEMBER 6, 2023

A 55-year-old female with a history of hyperlipidemia presents after a syncopal episode. She had mild nausea and diarrhea on the morning of presentation but otherwise had no prodromal symptoms before suddenly losing consciousness in a grocery store. Of note, she recalls a similar syncopal episode in the remote past, also preceded by gastrointestinal symptoms at that time.

OR 195

OR 195

EMDocs

NOVEMBER 6, 2023

Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American Heart Association 2023 Guideline for managing cardiac arrest or life-threatening toxicity due to poisoning was recently released. This post will focus on the key parts of the guideline that affect ED evaluation and management. Top 10 Take Home Pearls 1. Treatment of cardiac arrest and life-threatening toxicity due to poisoning often requires specialized treatments that most clinicians do not use frequentl

Naloxone 94

Naloxone OR Overdose BLS 94

Don't Forget the Bubbles

NOVEMBER 6, 2023

Starting conversations with stories There’s something about a bookshop – a calm and comforting sense that I am surrounded by stories. The knowledge that within each beautiful book are words, illustrations, and photographs from which I can learn so much. I gently run my fingers over the front cover of a book that I know my daughter will like. Turning it over, I scan the back.

OR 86

OR 86

First 10 EM

NOVEMBER 6, 2023

One of the downsides of subscribing to more than 50 journal feeds is the huge number of interesting papers that I flag for later, but never find time to return to. I have started clearing out old PDFs for papers I never found time to fully appraise, but I figured that if the titles caught […] The post Research Roundup: Old article dump appeared first on First10EM.

EMS 61

EMS 61

Firefighters and EMS Fund

NOVEMBER 6, 2023

During the 2022 general election, Firefighters and EMS Fund tested its singular capability to turn out voters in support of Pro-Fire and EMS politicians and encourage them to support ballot measures that will benefit their local fire departments. We chose to engage citizens who did not vote in recent elections, indicating those voters were under-served […] The post The Results Are In: 2022 General Election Impact appeared first on Firefighters and EMS Fund.

Firefighter 52

Firefighter EMS 52

REBEL EM

NOVEMBER 6, 2023

Background Information: Vasoplegic shock is defined as hypotension with normal or increased cardiac output and can commonly occur in post-cardiac surgery patients having received cardiopulmonary bypass. This dysregulation of vasodilation is associated with a mortality of close to 25%. After catecholamine vasopressors, treatment options include angiotensin II, corticosteroids, methylene blue and hydroxocobalamin.

Epinephrine 64

Epinephrine ICU ALS OR 64