Emergency Medicine Cases

APRIL 2, 2024

In this part 2 of our 2-part podcast on asthma with Dr. Sameer Mal and Dr. Leeor Sommer, we dig into the recognition and management of life-threatening asthma. We answer such questions as: what are the key elements in recognition of threatening asthma? What are the most time-sensitive interventions required to break the vicious cycle of asthma? What are the best options for dosing and administering magnesium sulphate, epinephrine, fentanyl and ketamine in the management of the crashing asthmatic

Epinephrine 344

Epinephrine EMS 344

First 10 EM

APRIL 2, 2024

Give your patients a break. Nobody is a perfect diagnostician. Not even the best trained physician can determine, with 100% accuracy, which patients have serious pathology. Even with advanced testing, we aren’t close to perfect. However, if you listen to the subtext of breakroom complaints, it seems like we expect patients to be better diagnosticians […] The post Are you a perfect diagnostician?

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140

Emergency Medicine Cases

APRIL 2, 2024

In this ECG Cases blog, Jesse McLaren and Rajiv Thavanathan explore how ECG and POCUS complement each other for patients presenting to the emergency department with shortness of breath or chest pain. They explain complementary diagnostic insights into pericardial effusion and cardiac tamponade, occlusion MI and RV strain. The post ECG Cases 49 – ECG and POCUS for Dyspnea and Chest Pain appeared first on Emergency Medicine Cases.

Emergency Department 307

Emergency Department OR STEMI EMS 307

Dr. Smith's ECG Blog

APRIL 2, 2024

An elderly man collapsed. There was no bystander CPR. Medics found him in ventricular fibrillation. He was defibrillated, but they also noticed that he was being internally defibrillated and then found that he had an implantable ICD. He was unidentified and there were no records available After 7 shocks, he was successfully defibrillated and brought to the ED.

Defibrillator 128

Defibrillator Coronary Epinephrine CPR 128

FOAMfrat

APRIL 2, 2024

I read a comment the other day on Facebook that said, “To error is human, but to blame someone else… that shows management potential.” I have heard this expression before and laugh every time. Humans have made mistakes throughout our existence on earth, and how we synthesize the information surrounding that mistake can be the “make or break” when it comes to reducing the odds of it repeating.

OR 75

OR 75

Pulsara

APRIL 2, 2024

March Recap Our teams exhibited at 5 trade shows in March, including the South Carolina EMS Conference and the Texas EMS Medical Director Conference. As we prepare for a busy April, let's take a moment to review the exciting announcements we made this month. Welcoming a New Health System Carolina Pines Regional Medical Center is the first in South Carolina to implement Pulsara, greatly improving collaboration between EMS partners and the emergency department, ultimately leading to better patient

Emergency Department 97

Emergency Department EMS 97

EMergucate

APRIL 2, 2024

The lumbar spine x-rays are from an adult with back pain following high speed MVA. What can be noticed?

EMS 100

EMS 100

St. Emlyn's

APRIL 2, 2024

St.Emlyn's - Emergency Medicine #FOAMed The ARC-H principle: re-defining global health & shifting the balance. Anisa Jafar @EMergeMedGlobal takes us through why definitions really matter. The post The ARC-H principle: re-defining global health & shifting the balance. appeared first on St.Emlyn's.

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90

Clinical Correlations

APRIL 2, 2024

By Sarah M. Jackson Peer Reviewed During the COVID-19 pandemic, opioid overdose deaths increased from 50,000 in 2019 to 80,000 in 2021, largely driven by synthetic opioids such as fentanyl.1 Despite the escalating use of synthetic.

Overdose 52

Overdose 52

ACEP Now

APRIL 2, 2024

Posterior circulation strokes make up 20 percent of all strokes but account for 40 percent of stroke misdiagnoses. 1 Vertigo and dizziness are often the hallmarks, but distinguishing a central (brain) from a peripheral (vestibular) etiology is difficult. Dizziness is especially tricky, with up to 40 percent of strokes presenting with dizziness being missed. 2 Vertebral artery dissection (VAD) is notoriously elusive, producing anatomically scattered symptoms that may stutter for days. 3 Case 1: P

ALS 40

ALS ED Emergency Department OR 40

ACEP Now

APRIL 2, 2024

An 18-year-old woman presented to the emergency department (ED) with symptoms of nausea, vomiting, diarrhea, and abdominal pain. She reported that these symptoms started two days prior, shortly after consuming a fruit known as ackee. Since the onset of illness, she had been unable to tolerate any oral intake. Before arriving at our ED, the patient sought care at an urgent care clinic, where she was prescribed ondansetron without improvement.

Plasma 40

Plasma ALS Emergency Department ED 40

ACEP Now

APRIL 2, 2024

“How bad could it be?” was the last thought before I took a small bite of the Carolina Reaper pepper I had grown in my (toxicology-required) garden. “Am I going to die?” was the next thought as I swigged milk to extinguish the blowtorch in my mouth, mopped sweat off my forehead, tried not to retch, and rethought recent life-choices. The Carolina Reaper pepper.

ALS 40

ALS OR ED 40