ALiEM

NOVEMBER 15, 2023

What toxin is found in bitter apricot kernels? Cardiac glycoside Cyanogenic glycoside Dinitrophenol Lysergic Acid Reveal the Answer 2. Cyanogenic glycoside Background Apricot kernels contain a cyanogenic glycoside called amygdalin which is hydrolyzed to hydrogen cyanide in the gastrointestinal tract [1]. There are over 2,000 species of cyanogenic glycoside producing plants, including apricots, almonds, peaches, and cassava [2].

OR 169

OR ED 169

Core EM

NOVEMBER 15, 2023

The Case A 62-year-old male with a history of Hypertension, Hyperlipidemia, Coronary Artery Disease with stents, Pulmonary Embolism on Eliquis, presents with sudden onset, severe, mid-sternal chest pain that started 15 minutes prior to arrival. He arrived initially with diaphoresis and pallor which have self-resolved following arrival to the ED. EKG Show Details EKG Characteristics Rate 95 BPM Rhythm Normal Sinus Rhythm Intervals PR 164, QRS 82, QT/QTc 360/452 (normal) Axis Normal Additional Fea

Coronary 130

Coronary STEMI ED 130

American Ambulance Association

NOVEMBER 15, 2023

This content is for AAA members only. Please either Log In or Join! The post CMS Finalized CY 2024 Ambulance Fee Schedule Add-Ons and Adopts Helpful Modifications to Ground Ambulance Data Collection System appeared first on American Ambulance Association.

Ambulance 130

Ambulance OR 130

Critical Care Scenarios

NOVEMBER 15, 2023

Which site should you select for your central line placement? A discussion of some considerations. Which site should you select for your central line placement? A discussion of some considerations.

100

100

REBEL EM

NOVEMBER 15, 2023

Take Home Points: Dose your RSI meds correctly. Reach for post-intubation sedation at the same time you are asking for your induction agent and paralytic. Propofol is a great choice for post-intubation sedation, and if your patient becomes hypotensive do not be afraid of adding on a pressor! REBEL Core Cast 112.0 – Awareness During Paralysis [“[link] Click here for Direct Download of the Podcast Awareness during paralysis is real.

Emergency Department 105

Emergency Department ED EMS ALS 105

Dr. Smith's ECG Blog

NOVEMBER 15, 2023

A 70-something female with no previous cardiac history presented with acute chest pain. She awoke from sleep last night around 4:45 AM (3 hours prior to arrival) with pain that originated in her mid back. She stated the pain was achy/crampy. Over the course of the next hour, this pain turned into a pressure in her chest. She said this was midsternal and felt like a tightness.

Coronary 102

Coronary E-9-1-1 STEMI ACS 102

Don't Forget the Bubbles

NOVEMBER 15, 2023

One-liner… Understanding how to manage maintenance fluids in critically unwell children best is a basic but important way to improve outcomes. Background Prescribing maintenance fluids can seem like a straightforward tick-off from the to-do list for many of us. However, considering human mass is composed of 60% water ( 70% for term neonates), we must get this right.

Plasma 80

Plasma ALS ICU Critical Care 80

ACEP Now

NOVEMBER 15, 2023

The emergency medicine workforce is an important issue with ramifications for physicians relocating or retiring, medical students considering the specialty, and graduating residents seeking their first jobs. In August 2021, an article published in the Annals of Emergency Medicine projected a surplus of more than 7,800 emergency physicians in 2030 based on multiple scenarios, including patterns of supply and demand for emergency physicians at that time. 1 The workforce in emergency medicine is co

Emergency Department 52

Emergency Department ALS ED OR 52

Paramedic Chiefs of Canada

NOVEMBER 15, 2023

Link to recording: Hosting PCC Webinar @ 10 to 11am Pacific-20231127 1800-1 Strategic Plan: Paramedics-Chiefs-of-Canada-StrategicPlan2023.pptx Presentation: PCCStrategicPlanUpdateNov2023-KSRevisedNov29.pptx PCC Advocacy Committee TOR Final: PCC Advocacy Committee TOR Final PCC Research Committee TOR 2023 10 39: PCC Research Committee TOR 2023 10 30 PCC Strat Plan Call to Action 2023: PCCStr atPlanCalltoAction2023 SAVE THE DATE!

Paramedic 40

Paramedic OR 40