Sun.Feb 11, 2024

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SGEM#430: De Do Do Do, De Dash, Dash DAShED – Diagnosing Acute Aortic Syndrome in the ED.

The Skeptics' Guide to EM

Reference: McLatchie et al and DAShED investigators. Diagnosis of Acute Aortic Syndrome in the Emergency Department (DAShED) study: an observational cohort study of people attending the emergency department with symptoms consistent with acute aortic syndrome. EMJ Nov 2023. Date: February 11, 2024 Guest Skeptic: Nirdosh Ashok Kumar, Emergency Medicine Specialist – Aga Khan University Hospital, Karachi, Pakistan. […] The post SGEM#430: De Do Do Do, De Dash, Dash DAShED – Diagnosing Acute Aortic Sy

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EMS vs. EMT: Clarifying Roles in Emergency Healthcare

EMT Training Station

In the realm of emergency healthcare, the terms EMS (Emergency Medical Services) and EMT (Emergency Medical Technician) are often used interchangeably, yet they represent distinct aspects of medical response and care. This article aims to demystify these acronyms, shedding light on their unique roles within the healthcare system. Understanding the difference between EMS and EMT is not just a matter of semantics; it’s crucial for appreciating the depth and breadth of emergency medical servi

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See What PM Cardio Digitization can do with this ECG

Dr. Smith's ECG Blog

This was a patient with chest pain. The ECG was faxed to a cardiologist. But it was very difficult for him to see. He showed this to me the next day.

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On the Scene: Prehospital Care for Electrical Burns for EMTs

EMT Training Station

In the world of emergency medical services, encountering victims of electrical burns presents a unique set of challenges. As a veteran emergency medical technician (EMT), I’ve seen firsthand the critical importance of prompt and effective prehospital care in these situations. Electrical burns, often invisible yet dangerously profound, require a nuanced approach combining swift action with a deep understanding of their complex nature.

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FACEPs in the Crowd: Dr. Matt Astin

ACEP Now

When attending Mercer University in Macon, Ga., ACEP Fellow Dr. Matt Astin got his best friend to join him on the cheerleading team … but there was a condition that ultimately put Dr. Astin on center stage. “He said he would try out for the team if I auditioned for the spring musical. Not sure who lost that bet,” Dr. Astin joked. “We were cheerleaders for three years and coached Mercer for two.

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Residency Spotlight: Olwens Community College Center for Emergency Preparedness

ACEP Now

What Does Your Program Offer That Residents Can’t Get Anywhere Else? One of our former residents described our program as “a community program with county patients but university faculty.” While being the tertiary care center of the Mercy system in northwest Ohio, St. V’s is the only hospital remaining in downtown Toledo and receives 70 percent of local EMS traffic, ensuring high acuity.

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Case Report: A Sneaky Culprit for Altered Mental Status in Elderly Patients

ACEP Now

A 95-year-old female with a history of stage III chronic kidney disease (CKD), heart failure with reduced ejection fraction (HFrEF), and dementia with baseline orientation only to person and place, presented to the emergency department (ED) for upper extremity myoclonic jerking for one day. Her review of systems upon initial presentation was negative other than for a dry cough.

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By the Numbers: Leishmaniasis

ACEP Now

ACEP Now offers real-time clinical news, news from the American College of Emergency Physicians, and news on practice trends and health care reform for the emergency medicine physician. ACEP Now is an official publication of the American College of Emergency Physicians.

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Case Report: Cutaneous Leishmaniasis in Chicago

ACEP Now

A 25-year-old Venezuelan male presented to a Chicago area emergency department (ED) in early November 2023. He had traveled with his family through Panama, Costa Rica, Nicaragua, Honduras, Guatemala, Mexico, and Texas before arriving in Chicago approximately one month prior to his ED visit. He noted spending about five days walking through a jungle, as well as traversing rivers.

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How To Perform an Ultrasound-Guided Clavipectoral Block

ACEP Now

The clavicle is one of the most commonly fractured bones in the human body. Every year, approximately 332,000 people in the United States suffer from a clavicular fracture. 1,2 In the emergency department (ED), the focus of treatment is pain control and immobilization unless there is a clear indication for surgery, such as open fractures, skin tenting, or neurovascular compromise. 1,2 The mainstay of pain control in the ED has been either oral or intravenous non-steroidal anti-inflammatory drug

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