ALiEM

NOVEMBER 29, 2023

Which of the following agents, when injected along with heroin, is associated with the skin changes pictured? Cocaine Fentanyl Methamphetamine Xylazine Photo by Dr. Matthew Salzman Reveal the Answer 4. Xylazine Background Xylazine is a synthetic substance approved by the U.S. Food and Drug Administration for veterinary use, specifically for its muscle relaxant, sedative, and analgesic effects [1].

Naloxone 169

Naloxone Overdose ALS Epinephrine 169

American Ambulance Association

NOVEMBER 29, 2023

This content is for AAA members only. Please either Log In or Join! The post CMS Announces 2024 Ambulance Inflation Factor appeared first on American Ambulance Association.

Ambulance 130

Ambulance OR 130

Critical Care Scenarios

NOVEMBER 29, 2023

Explaining the ultimate expression of prognosis: Morbidity = (Severity x Duration)/Reversibility Explaining the ultimate expression of prognosis: Morbidity = (Severity x Duration)/Reversibility

100

100

Dr. Smith's ECG Blog

NOVEMBER 29, 2023

Written by Pendell Meyers Two adult patients in their 50s called EMS for acute chest pain that started within the last hour. Both were awake and alert with normal vital signs. Both cases had an EMS ECG that was transmitted to the ED physician asking "should we activate the cath lab?" What do you think? Here they are: Patient 1, ECG1: Zoll computer algorithm stated: " STEMI , Anterior Infarct" Patient 2, ECG1: Zoll computer algorithm stated: "ST elevation, probably benign early repolarization.

OR 115

OR STEMI EMS ED 115

EMDocs

NOVEMBER 29, 2023

Welcome to the emDOCs Videocast – please subscribe to our YouTube channel. These videos will cover post summaries, take homes on clinical condition, and EBM/guideline literature updates. Our first video provides EBM updates on steroids in severe community-acquired pneumonia and CT in post ROSC OHCA. EBM Update: Steroids in Severe CAP and CT in Post ROSC OHCA #1: Dequin PF, Meziani F, Quenot JP, et al; CRICS-TriGGERSep Network.

ICU 80

ICU CAD ALS OR 80

Pulsara

NOVEMBER 29, 2023

EDITOR'S NOTE: This artic le originally appeared on EMS1.com. Sp ecial thanks to our guest author, John Erich, for EMS1 BrandFocus Staff. __ Assistance is available from the U.S. government, but local systems have important responsibilities When a major disaster strikes, Americans are used to seeing FEMA rush in. The Federal Emergency Management Agency is typically among the first nonlocal entities to get boots on the affected ground, with a mission of evaluating damages and needs, and then acti

Emergency Management 52

Emergency Management Emergency Manager 52

EMDocs

NOVEMBER 29, 2023

Welcome to the emDOCs Videocast – please subscribe to our YouTube channel. These videos will cover post summaries, take homes on clinical condition, and EBM/guideline literature updates. Today we focus on pancreatitis. EBM Update: Fluids in Pancreatitis, Hypertriglyceridemic Pancreatitis #1: de-Madaria E, Buxbaum JL, Maisonneuve P, et al; ERICA Consortium.

E-9-1-1 66

E-9-1-1 ICU ALS OR 66

Don't Forget the Bubbles

NOVEMBER 29, 2023

You are the Paediatric doctor on call and receive a call for an incoming patient to the emergency department. A 12-year-old male is being transported by ambulance after a road traffic accident. His name is Ben. Ben has a possible skull fracture and has been intubated, but his oxygen requirement is minimal. While waiting, another call comes in. Ben suddenly woke up and accidentally self-extubated.

E-9-1-1 135

E-9-1-1 Emergency Department ED CPR 135

REBEL EM

NOVEMBER 29, 2023

Take Home Points: All STEMIs should be loaded with dual antiplatelet therapy. Prasugrel (Effient) is avoided as there is an increase in bleeding complications if the patient requires a CABG. NSTEMI cases can be challenging to manage. Consult Cardiology early and use all available data. The appropriate medical treatment for ACS patients is as important as PCI.

ACS 83

ACS STEMI EMS ED 83