Fri.Dec 06, 2024

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OSHA’s Emergency Response Rulemaking Update

American Ambulance Association

The OSHA Emergency Response Team shared an update on the Emergency Response Rulemaking Process on Friday, December 6, 2024. The update can be read below. AAA President, Randy Strozyk, provided […] The post OSHA’s Emergency Response Rulemaking Update appeared first on American Ambulance Association.

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Are there hyperacute T-waves? And how can we know?

Dr. Smith's ECG Blog

A 50-something man presented with worsening severe exertional chest pain which was just resolving as he had an ECG recorded in triage. Time zero. Are the T-waves in leads I and II hyperacute? Hard to tell. How can we know? By the evolution of the ECG! Watch what happends as the heart recovers from its episode of ischemia. The T-waves deflate, demonstrating that the first one was indeed hyperacute. 2 hours T-waves in lead II are significant smaller In lead I not much difference Troponins returned

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VICTORY: BOI Blocked, Top Small Business Issues, and More!

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post VICTORY: BOI Blocked, Top Small Business Issues, and More! appeared first on American Ambulance Association.

Ambulance 130
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How First Responders Can Find Balance During the Holidays

First Responder Wellness

Emergencies do not stop for the holidays, and neither do First Responders. As a public safety professional, working through the holidays while trying to maintain your family life, personal health, and social life may feel like juggling more than you can handle. As a result, you may find yourself attending more to one over the other, leading you to feel off balance.

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OSHA’s Emergency Response Rulemaking-Update

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post OSHA’s Emergency Response Rulemaking-Update appeared first on American Ambulance Association.

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Xylazine Up, Deaths Down

Peter Canning

Why are overdoses fatalities dropping? There has been much speculation and the answer probably doesnt lie with one factor but with many, including increased availability of naloxone, the efforts of harm reduction workers, the end of the COVID isolation, the trend away from injecting to snorting or smoking, a less toxic drug supply, and expanded treatment.

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ToxCard: Iron

EMDocs

Authors: Haley Dusek, MD (Emergency Medicine Resident, Carolinas Medical Center ); Erik Fisher, MD (Emergency Medicine Attending/Medical Toxicologist, Carolinas Medical Center) // Reviewed by: Anthony Spadaro, MD (@TSpadaro91, Medical Toxicology Fellow, Rutgers New Jersey Medical School, Newark, NJ); James Dazhe Cao, MD (@JamesCaoMD, Associate Professor of EM, Medical Toxicology, UT Southwestern Medical Center, Dallas, TX); Alex Koyfman, MD (@EMHighAK); and Brit Long, MD (@long_brit) Case: A 27-

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Building Excellence in EMS Credentialing

The EMS Educator

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Residency Spotlight: ChristianaCare Emergency Medicine Residency Program

ACEP Now

What does your program offer that residents cant get anywhere else? We see a high volume of critically ill patients within our department (approximately 210,000 visits per year). Our catchment area is extensive, including all of Delaware and portions of Maryland, New Jersey, and Pennsylvania. Our three campuses that we work at are within 35 minutes of each other and provide a diverse patient population.

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[PCC Leadership Summit 2025] Call for Speakers

Paramedic Chiefs of Canada

The PCC is pleased to announce a call for speakers for the 2025 Annual Leadership Summit in Winnipeg, Manitoba June 10th-12th, 2025. The PCC Leadership Summit program provides a platform for sharing of information covering topics related to (but not limited to) Leadership, Research, Paramedic Health and Wellness, Innovation and Technology, and Workplace Culture.

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Case Report: Coronary Vasospasm-Induced Cardiac Arrest

ACEP Now

A 45-year-old male with a history of chronic obstructive pulmonary disease (COPD), asthma, amphetamine and tetrahydrocannabinol (THC) use, and coronary vasospasm presented to triage with chest pain. During initial assessment, an ECG was obtained and revealed ST-segment elevation (STE) in the inferior leads with ST depression anteriorly. FIGURE 1. Initial ECG demonstrating inferolateral ST segment elevation and anteroseptal depression, just prior to cardiac arrest.

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Parvovirus Infection In Children

Pediatric EM Morsels

Rashes are, as we know, a common complaint in the pediatric ER and one of the most difficult things to diagnose ( in my opinion ). Many of them look the same and distinguishing between what is a benign rash vs something sinister can always be a challenge. As we sort through the potential concerning ailments, it is also good to keep in mind the stereotypic causes of mild pediatric rashes.

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Case Report: Biatrial Myxoma in a 46-Year-Old Female

ACEP Now

A 46-year-old female with a prior medical history of asthma presented to the emergency department with shortness of breath and wheezing. After three DuoNeb treatments and 16 mg of dexamethasone, her wheezing improved; however, she continued to report shortness of breath on exertion. Given the persistent symptoms, a cardiac point-of-care ultrasound was obtained.

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SAEM Clinical Images Series: Rash and Fever in a Returned Traveler

ALiEM

A 21-year-old otherwise healthy female presented to the Emergency Department with a fever after recently returning from Ghana. She reported intermittent fever, headache with photophobia, diarrhea, joint pains, and generalized weakness. She also noticed a diffuse, intermittently pruritic rash on her trunk and extremities. While in Ghana, she volunteered at a refugee hospital, ate street food, and was exposed to local animals.

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Rural Health Grants Available | Technical Assistance Webinar December 11

American Ambulance Association

Read this in your browser December 6, 2024 New Funding Available for Rural Health Care Services Outreach Program Apply by January 27, 2025 The Rural Health Care Services Outreach […] The post Rural Health Grants Available | Technical Assistance Webinar December 11 appeared first on American Ambulance Association.

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NEMPAC Creates Opportunities, Results for Emergency Medicine

ACEP Now

As voters across the country braced for uncertainty heading into Election Day 2024, emergency physicians could rest assured that the National Emergency Medicine Political Action Committee (NEMPAC) was looking out for their best interests. Although ACEP members have differing opinions on issues that drove voters to the polls, most agree on the pressing challenges facing emergency medicinepatient boarding, workplace violence, defending emergency medicine against insurer bad practices, and creating

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