Wed.Nov 29, 2023

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ACMT Toxicology Visual Pearl: Needle to Necrosis

ALiEM

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].

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CMS Announces 2024 Ambulance Inflation Factor

American Ambulance Association

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.

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Awake, and Paralysed: A Never Event

Don't Forget the Bubbles

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.

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TIRBO #49: The universal acuity equation

Critical Care Scenarios

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

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Quiz post: 2 similar patients with similar ECGs. Which, if any, or both, are OMI? Will you outperform the Queen of Hearts?

Dr. Smith's ECG Blog

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.

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emDOCs Videocast: EBM Update – Steroids in Severe CAP and CT in Post ROSC OHCA

EMDocs

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.

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Can The Feds Help? 5 Things To Know About Disaster Communications And Care

Pulsara

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

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PCC Strategic Plan – Call to Action

Paramedic Chiefs of Canada

Thank you to all our members who attended the PCCs Strategic Plan Call to Action Webinar on Monday. For those members who were unable to attend, the session was recorded and can be accessed here. A quick re-cap of the session; The PCC Board of Directors has finalized the strategic plan based on the principles and enabling factors of our visioning document.

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REBEL Core Cast 113.0 – ACS Therapies and Management

REBEL EM

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.

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