Mon.Feb 12, 2024

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Webcast | Evolving FirstNet for America’s First Responders

American Ambulance Association

Tuesday, Feb. 13, 2024 | 10:30 a.m. ET The First Responder Network Authority will be launching the next phase of the FirstNet network in partnership with its network contractor, AT&T. […] The post Webcast | Evolving FirstNet for America’s First Responders appeared first on American Ambulance Association.

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How to Become a Tactical EMT (TEMS)

Unitek EMT

Tactical Emergency Medical Support (TEMS) providers play a pivotal role in ensuring the well-being of individuals engaged in high-risk and tactical environments where law enforcement and military operations take place. TEMS providers shoulder a range of unique responsibilities and confront distinct challenges in their demanding roles. Frequently, they are the initial medical responders on the […] The post How to Become a Tactical EMT (TEMS) appeared first on Unitek EMT.

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No, you don’t need to order an MRI in first episode psychosis

First 10 EM

Usually, I reserve stand alone blog posts for high quality papers. Usually, garbage science is either ignored, or reserved for brief mentions in the Research Roundups. However, the conclusion of this paper, which states “it is becoming increasingly difficult to justify not making MRI a mandatory part of the clinical assessment of [first episode psychosis]”, […] The post No, you don’t need to order an MRI in first episode psychosis appeared first on First10EM.

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Vomiting, Diarrhea, and "Bubbles in my Chest"

Dr. Smith's ECG Blog

A 60-something complained of vomiting, diarrhea overnight, and "bubbles in my chest" that started just prior to calling 911. He had this ECG recorded prehospital: Smith interpretation: There are hyperacute T-waves in III and aVF, and reciprocal STD in aVL with a reciprocally inverted T-wave in aVL. There are also hyperacute T-waves in V3 and V4. There is STD in V1 and V2.

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Clinical Conundrums: Do We Need to Order a CT for Every Patient with Renal Colic?

REBEL EM

Bottom Line Up Top: In selective patients presenting with flank pain, we can diagnose renal colic without a CT scan. There is also a subset of patients that would benefit from IV contrast enhanced CT scanning. Clinical Scenario: A 35-year-old man with no PMH presents with left flank pain, hematuria and history of kidney stones. His vitals are: HR 90, BP 150/90, Temp 98, O2 Sat 99% on RA, RR 18.

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Conjunctivitis in kids

Don't Forget the Bubbles

It’s a classic presentation. Your patient is a toddler with a sticky red eye that – despite their parent’s best efforts to pull their hands away from their face – they cannot help but rub. Their parent is asking you if it’s contagious and if they need antibiotics. Conjunctivitis: An overview Conjunctivitis, inflammation of the conjunctiva, is characterised by infection or inflammation of the conjunctiva.

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ACEP’s New Clinical Policy on Severe Agitation

ACEP Now

On October 6, 2023, the ACEP Board of Directors approved a clinical policy developed by the ACEP Clinical Policies Committee on the evaluation and management of adult out-of-hospital or emergency department (ED) patients presenting with severe agitation. This clinical policy has been published in the January 2024 issue of the Annals of Emergency Medicine , and can be found on ACEP’s website.

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Emergency Preparedness in Omaha, NE: A Local Approach to Community Safety and Resilience

First Responders Foundation

In Omaha, Nebraska, where the weather can swiftly shift from peaceful to perilous, the importance of emergency preparedness cannot be overstated. From the tornadoes that sweep through the plains to the icy storms of winter, Omaha’s diverse climate presents unique challenges that necessitate a tailored approach to emergency planning and response. In this guide, we provide tips on how Omaha and its surrounding communities can enhance their readiness for emergencies, ensuring the safety and resilie

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Expedited transfer to a cardiac arrest centre for non-ST-elevation out-of-hospital cardiac arrest (ARREST): a UK prospective, multicentre, parallel, randomised clinical trial

EMOttawa

Methodology: 5/5 Usefulness: 3/5 Patterson T, et al. Lancet. 2023 Oct 14;402(10410):1329-1337. Patients who sustain an out-of-hospital cardiac arrest without signs of ST elevation had no improvement in mortality or functional neurological outcomes when transported to a cardiac arrest centre compared to standard of care. Question and Methods: In patients with non-ST elevation OHCA, does […] The post Expedited transfer to a cardiac arrest centre for non-ST-elevation out-of-hospital cardiac a

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Neuroimaging Cases 005

Life in the Fastlane

Michael Gibbs MD Neuroimaging Cases 005 Subdural haematoma.

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ABG Versus VBG in the Emergency Department

EMDocs

Authors: Rachel Kelly, MD ( EM Resident Physician, Stony Brook University Hospital); Robert Nocito, MD (EM Attending Physician, Stony Brook University Hospital) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University in St. Louis); Marina Boushra, MD (EM-CCM, Cleveland Clinic Foundation); Brit Long, MD (@long_brit) Case Emergency Medical Services brings in a 62-year-old male with COPD in acute on chronic hypoxemic respiratory failure (usually on 3 L nasal cannula, now o

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SAEM Clinical Images Series: One Month of Vaginal Bleeding

ALiEM

A 28-year-old female G3P2002 presented to the emergency department for one month of vaginal bleeding. The patient was seen in the emergency department one month earlier for vaginal bleeding in the first trimester of pregnancy. Her estimated gestational age was six weeks by last menstrual period. At the time her beta-hCG was 7225 mlU/mL with no intrauterine pregnancy demonstrated on transvaginal ultrasound.