Tue.Jun 18, 2024

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ECG Cases 50 – STEMI: A Failed Paradigm, Enter Occlusion MI

Emergency Medicine Cases

Dr. Jesse McLaren illustrates the paradigm shift from STEMI to Occlusion MI (OMI) through 9 cases, and drives home the points that if there is STEMI criteria, consider false positives (eg. secondary and proportional to LVH or BER); if there is no STEMI criteria, consider false negatives and look for other signs of occlusion (eg. acute Q waves or loss of R waves, hyperacute T waves, or reciprocal STD/TWI) and if the ECG is nondiagnostic, consider other OMI signs including clinical (refractory isc

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ECG of the Week 19th June 2024

EMergucate

The following ECG is from a 38-year-old type 1 diabetic who has come by ambulance with epigastric pain, dyspnoea and feeling generally unwell. What are the key ECG features?

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EM Quick Hits 57 – HIV Diagnosis, Failed Paradigm of STEMI Criteria, Poisoned Patient Airway Management, Spontaneous Bacterial Peritonitis, DIY Investments

Emergency Medicine Cases

In this month's EM Quick Hits podcast: Megan Landes on the importance of diagnosing HIV in the ED, Jesse McLaren on the failed paradigm of STEMI criteria and ECG tips to identify acute coronary occlusion, Anand Swaminathan on evidence for non-invasive airway management in the poisoned patient, Brit Long and Hans Rosenberg on the identification, workup and management of spontaneous bacterial peritonitis, Matt Pointer on the most lucrative side-gig, DIY investing.

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Imaging Case of the Week 595

EMergucate

The following chest x-ray is from an elderly patient with chest pain & hypotension. What can be seen?

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Serving the Whole Community: Including LGBTQ+ Populations in Your Department & Community Outreach

NVFC

Practical tips for diversity, equity, and inclusion in your community Source: FEMA Office of Community and Faith Partnerships The Human Rights Campaign Foundation has reported that an estimated 20 million adults in the U.S. identify as lesbian, gay, bisexual, or transgender (LGBT). June is recognized nationally as Pride Month, commemorating the struggles and progress of people who identify as LGBTQ+.

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Noninvasive Ventilation for Preoxygenation during Emergency Intubation

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed Does the use of non invasive ventilation prior to intubation of critically ill patients improve outcomes? The post Noninvasive Ventilation for Preoxygenation during Emergency Intubation appeared first on St.Emlyn's.

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NVFC Testifies to Congress Regarding OSHA’s Emergency Response Standard and Develops One-Pager to Assist with Public Comments

NVFC

On June 4, the National Volunteer Fire Council (NVFC) testified before the House of Representatives Homeland Security Committee’s Subcommittee on Emergency Management and Technology regarding the impact that the Occupational Safety and Health Administration’s (OSHA) proposed Emergency Response Standard will have on volunteer fire departments. OSHA published a Notice of Proposed Rulemaking on February 5 to replace their Fire Brigade Standard with the proposed Emergency Response Standard.

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Apply Today: ACEP Now Is Recruiting Next Resident Fellow

ACEP Now

ACEP Now is looking for its next resident to join our editorial team. The position is open to any emergency medicine resident physician in an ACGME-accredited program who will be PGY2–4 during the July 2024–July 2025 Resident Fellow term. Responsibilities include: Regularly promote ACEP Now articles via social media, including Twitter and Facebook. Author or curate 4 Resident Voice columns during the 12-month position.

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EMCrit RACC-Lit Review for June 2024

EMCrit Project

All the literature goodness for June 2024 EMCrit Project by Scott Weingart, MD FCCM.

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Understanding Myocardial Infarction: A Comprehensive Guide to Heart Health

Paramedics World

Welcome to our comprehensive guide on everything you need to know about myocardial infarction, more commonly known as a heart attack. In this blog post, we will delve into the… The post Understanding Myocardial Infarction: A Comprehensive Guide to Heart Health appeared first on Paramedics World.

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Abdominal Imaging: Diaphragm

Life in the Fastlane

Kyle Cunningham MD and Michael Gibbs MD Abdominal Imaging: Diaphragm Abdominal Imaging: Diaphragm and Diaphragmatic injuries with Kylee Brooks MD, Parker Hambright MD, Alexis Holland MD, and William Lorenz and EMGuidewire

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Your Ultimate Guide to Understanding and Managing Hyperlipidemia

Paramedics World

Welcome to the ultimate guide on hyperlipidemia – a mouthful term for something that affects millions of people worldwide. If you’ve ever wondered how those lipids in your blood can… The post Your Ultimate Guide to Understanding and Managing Hyperlipidemia appeared first on Paramedics World.

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Article Bites #50: Comparative Effectiveness of Analgesics to Reduce Pain in the Prehospital Setting

NAEMSP

Article Summary by Sarah Fabiano, MD, FACEP, FAAEM Sobieraj DM, Martinez BK, Miao B, et al. Comparative effectiveness of analgesics to reduce acute pain in the prehospital setting. Prehosp Emerg Care 2020 Mar-Apr;24(2):163-74. doi: 10.1080/10903127.2019.1657213. Epub 2019 Sep 23. PMID: 31476930. Background This study compared the effectiveness/harms of opiates versus non-opiates for moderate and severe acute pain in the prehospital setting.

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Your Ultimate Guide to Understanding and Managing Hyperlipidemia

Paramedics World

Welcome to the ultimate guide on hyperlipidemia – a mouthful term for something that affects millions of people worldwide. If you’ve ever wondered how those lipids in your blood can… The post Your Ultimate Guide to Understanding and Managing Hyperlipidemia appeared first on Paramedics World.

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Notice of Funding Opportunity: USDOT SMART Grants

NVFC

Applications are being accepted through 5pm ET on July 12 for Stage 1 of the U.S. Department of Transportation’s Strengthening Mobility and Revolutionizing Transportation (SMART) Grants. Established by the Bipartisan Infrastructure Law, the program provides $100 million for funding to public-sector agencies, including EMS, for projects that focus on using technology interventions to solve real-world challenges facing communities.

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Understanding Myocardial Infarction: A Comprehensive Guide to Heart Health

Paramedics World

Welcome to our comprehensive guide on everything you need to know about myocardial infarction, more commonly known as a heart attack. In this blog post, we will delve into the… The post Understanding Myocardial Infarction: A Comprehensive Guide to Heart Health appeared first on Paramedics World.

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Take the IAFC Hazmat Training Gap Analysis and Needs Assessment

NVFC

The International Association of Fire Chiefs (IAFC) is conducting a national hazardous materials emergency response training gap analysis focusing on rural emergency first response operations to railroad incidents involving hazardous materials. The results of this analysis will help inform an assessment that will identify emergency response hazmat training needs and gaps.

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Apply To Be ACEP Now’s Next Resident Fellow

ACEP Now

ACEP Now is looking for its next resident to join our editorial team. The position is open to any emergency medicine resident physician in an ACGME-accredited program who will be PGY2–4 during the July 2024–July 2025 Resident Fellow term. Applications are due July 15, 2024, for a year-long term that will begin August 15, 2024. Learn more and apply at acepnow.com/article/resident-fellow.

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New Issue of Firefighter Strong Hitting Mailboxes This Month

NVFC

Check your fire department mailbox as the 2024 issue of the NVFC’s annual printed newsletter Firefighter Strong is on its way! Sent to all U.S. volunteer and combination departments, Firefighter Strong features information, tools, and resources to help strengthen departments, address critical challenges, and improve the health and safety of responders.

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Ketamine Compared With Morphine for Out-of-Hospital Analgesia for Patients With Traumatic Pain: A Randomized Clinical Trial

EMOttawa

Methodology: 3/5 Usefulness: 1.5/5 Le Cornec C, e al. JAMA Netw Open. 2024 Jan 2;7(1):e2352844. Question and Methods: This was a multicenter, single-blind, noninferiority RCT, to assess the noninferiority of intravenous ketamine vs intravenous morphine for pain relief in adults with out-of-hospital traumatic pain. Findings: In this RCT including 251 patients, the ketamine group had […] The post Ketamine Compared With Morphine for Out-of-Hospital Analgesia for Patients With Traumatic Pain:

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Special Opportunities Available for Volunteer Fire Departments

NVFC

The NVFC regularly works with our partners to offer special grant, giveaway, and scholarship opportunities to members of the volunteer fire, EMS, and rescue community. The application period is currently open for the MSA Cairns® 1836 Fire Helmet Giveaway, Columbia Southern University Scholarship, and the CHEMTREC® HELP (Hazmat Emergencies Local Preparedness) Award.

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Pinnacle Webinar Series – Tackling Overdoses with Real-Time Data

FirstWatch

Register for Webinar Tuesday, July 16 th | 11:00 am – 12:00 pm PT Overdoses continue to plague communities throughout the US and Canada. One North American EMS system recently had 245 overdoses in a single day. Identifying, tracking, and mapping overdoses is key to effective intervention. During this engaging session, we will explore cutting-edge technology that EMS systems use to tackle this problem in near real-time.

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Take the NVFC Survey on OSHA’s Proposed Emergency Response Standard

NVFC

The NVFC is seeking to understand the wide-ranging impact the proposed OSHA Emergency Response Standard would have on volunteer departments across the U.S. We need your help! If you have not yet taken the NVFC’s OSHA Preparedness Assessment , do so now. It only takes 10 minutes, and your feedback will help the NVFC better understand the full impact of the proposed standard and thus be better able to communicate this impact to OSHA.

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Safety Stand Down: Fire Training – Back To Basics

NVFC

This week is Firefighter Safety Stand Down, and fire departments are encouraged to suspend non-emergency operations to focus on training and education relating to this year’s theme – Fire Training: Back to Basics. Daily topics focus on the fundamentals of a successful training program, culminating in the 12 Foundations of Fire Department Training. Many resources are available to help departments implement Safety Stand Down and enhance their training initiatives throughout the year.