Pediatric EM Morsels

APRIL 5, 2024

Traveling Ticks are more than just ticking off a checklist before you get ready to travel! Climate change and changes in land usage have contributed to an expanded range of ticks (Beard 2016). There are species of ticks found on every continent and carrying a variety of vectors capable of infecting humans. Globally, ticks are the second most common vector to transmit illnesses after mosquitos (Parola 2018).

E-9-1-1 161

E-9-1-1 ALS OR EMS 161

ACEP Now

APRIL 5, 2024

A 68-year-old man presents to the emergency department (ED) with altered mental status and fever. Vital signs on arrival are: Temperature: 38.8 degrees Celsius Heart rate:128 Blood pressure: 74 over 48 Respiratory rate: 10 Oxygen saturation: 77 percent Physical examination was notable for lethargy and confusion. He has an absent gag reflex. He has a Class I Mallampati view and lung sounds were diminished in all fields.

OR 73

OR ALS Emergency Department Critical Care 73

EMCrit Project

APRIL 5, 2024

The 2nd FoundStab SOP is on standard intubation. EMCrit Project by Scott Weingart, MD FCCM.

92

92

The EMS Educator

APRIL 5, 2024

How involved in education is the medical director for your paramedic program? If you answered, "Not very much," you are not alone. Join us as we interview research authors Michael Kaduce and Jonathan Powell, who recently published a paper in Prehospital Emergency Care titled: Medical Directors, Facilities, and Finances: Resource Deficiencies in Accredited Paramedic Programs.

Paramedic 40

Paramedic Organ Donor EMS 40

ACEP Now

APRIL 5, 2024

A 33-year-old woman presents with confusion, abdominal pain, and fever. Her vital signs are: Blood pressure of 118 over 93 Heart rate of 120 Respiratory rate of 18 She has a history of lupus. CBC shows a thrombocytopenia of 27 x 109/L platelets. What is the best management of this condition? For six decades, the pentad of fever, thrombocytopenia, hemolytic anemia, renal injury, and neurological manifestations has remained the classic clinical diagnostic criteria for Thrombotic Thrombocytopenic P

Frozen Plasma 40

Frozen Plasma Plasma Emergency Department FFP 40

ACEP Now

APRIL 5, 2024

By late 1988, 11 Black women had been found dead in the same area of Miami with low levels of cocaine in their blood. Forensic pathologist Dr. Charles Wetli of the University of Miami had conducted autopsies that he said, “conclusively showed that they have not been murdered.” 1,2 He attributed their deaths to a female-specific manifestation of the mysterious phenomenon he had identified in men who had also died after consuming less-than-lethal amounts of cocaine.

E-9-1-1 49

E-9-1-1 ALS Paramedic OR 49