Emergency Medicine Cases

NOVEMBER 12, 2024

In this EM Cases main episode podcast, we tackle the complexities of trauma airway management, including direct trauma to the airway. We discuss indications and timing of intubation, penetrating neck trauma, the head injured patient, the agitated patients and the soiled airway. The critical question is: when should we deviate from, delay or modify RSI, and how do we navigate the unique challenges presented by trauma airways and airway trauma?

EMS 277

EMS OR 277

The Skeptics' Guide to EM

NOVEMBER 2, 2024

Date: October 29, 2024 Reference: Galili et al. Low dose ketamine as an adjunct to morphine: a randomized controlled trial among patients with and without current opioid use. AEM Oct 2024. Guest Skeptic: Dr. Neil Dasgupta is an emergency medicine physician and ED intensivist from Long Island, NY. He is the Vice Chair of the Emergency Department and Program Director of the EM residency program at Nassau University Medical Center in East Meadow, NY, the safety net hospital for Nassau County.

Emergency Department 237

Emergency Department ED ALS EMS 237

ALiEM

NOVEMBER 22, 2024

A 13-month-old, full-term male presented due to intermittent emesis over a 3-week period. He and his parents had COVID one week prior to presentation. He had multiple episodes of non-bloody, non-bilious vomit the day before and the day of presentation. Parents noted he had been listless and unable to tolerate food. The mother was also concerned that he was straining to have bowel movements and that a mass was coming out of his bottom on the ride to the hospital.

OR 183

OR ED 183

Critical Care Scenarios

NOVEMBER 13, 2024

We talk about diagnosis, treatment, and subsequent care of the patient with bacterial meningitis, with Emory neurointensivist Casey Albin, MD (@caseyalbin). Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! Takeaway lessons Resources We talk about diagnosis, treatment, and subsequent care of the patient with bacterial meningitis, with Emory neurointensivist Casey Albin, MD ( @caseyalbin ).

OR 169

OR 169

Pediatric EM Morsels

NOVEMBER 15, 2024

Seizures are super scary for a parent to witness, but not all seizures mean danger. There is actually a diagnosis of seizures that has “ BENIGN” in the name! Have you ever had that feeling of falling that rapidly wakes you from sleep? While it’s unlikely that you were having Benign Epilepsy with CentroTemporal Spikes (BECTS) seizures or a benign Rolandic seizure, that tenuous state between sleeping and waking is a time when some odd neurologic things can happen, including BECTS.

ALS 152

ALS OR EMS 152

Core EM

NOVEMBER 30, 2024

The Case An 88-year-old woman with a history of dementia, major depressive disorder, and hyperlipidemia presented to the ED via EMS after a near syncopal episode. She was running to catch the bus to visit her husband in the hospital when she developed acute onset shortness of breath, nausea,vomiting, and near loss of consciousness. The following ECG was obtained: Initial vitals: BP 85/52, HR 62, RR 22, Temp 98.4F, SpO2 92% on RA EKG Show Details EKG Characteristics Rate 66 Rhythm Normal Sinus Rh

Coronary 130

Coronary STEMI MICU ACS 130

EMergucate

NOVEMBER 25, 2024

72 year-year-old man with history of type II DM and has a single kidney. Presented with 2 weeks of diarrhoea. He has been in bed for 2 weeks. Unresponsive. Last proper meal was 2 weeks ago.

130

130

ALiEM

NOVEMBER 18, 2024

A 48-year-old male with no significant past medical history presented to the Emergency Department with a left-sided facial rash and associated burning left eye pain that started four days prior. He was seen at an ophthalmology clinic when his symptoms started and given oral valacyclovir which he took for three days without improvement. He also endorsed left-sided facial weakness and diplopia for the last eight days.

Emergency Department 177

Emergency Department ALS OR ED 177

American Ambulance Association

NOVEMBER 25, 2024

This content is for AAA members only. Please either Log In or Join! The post Registration Open! Public Meeting on December 4 for NACCD appeared first on American Ambulance Association.

Ambulance 130

Ambulance OR 130

Chicago EMT Training

NOVEMBER 16, 2024

Our third annual graduation ceremony was a success. We hosted around 250 people at the SkyDeck of the Sears Tower. We had Chief Deborah Sommer and Dr. Dave Nayak speak some wisdom and inspiration to some newly minted EMTs and their families. We also hosted various agencies where our new grads could be utilized. Agencies like CFD, CPD, OEMC, IL state police, cook county sheriff's office, and various private ambulance companies.

EMT 130

EMT EMT Ambulance 130

Core EM

NOVEMBER 19, 2024

Introduction: - Ankle sprains are among the most common injuries, affecting both athletes and everyday pedestrians. - The streets of New York City illustrate how treacherous surfaces can lead to ankle injuries. - The ankle is the most commonly injured joint in sports; jogging is a frequent cause. Anatomy of the Ankle: - The ankle joint, or mortise, is formed by the talus bone fitting snugly between the distal fibula and tibia. - Key ligaments securing the ankle include: Medial deltoid ligament S

Emergency Department 130

Emergency Department Ambulance OR 130

Emergency Medicine Cases

NOVEMBER 12, 2024

Dr. Sara Alavian describes some of the challenges of providing palliative care in low-income/low resource settings and offers some simple solutions in this Global EM column. The post Global EM 6 Palliative Care in Low-Resource Settings: Challenges and Solutions appeared first on Emergency Medicine Cases.

EMS 130

EMS 130

The Skeptics' Guide to EM

NOVEMBER 30, 2024

Date: November 10, 2024 Reference: Couper et al. The Paramedic 3 Trial: A randomized clinical trial of drug route in out-of-hospital cardiac arrest. October 31, 2024 NEJM Access to the SGEM Podcast episode at this LINK. Guest Skeptic: Missy Carter is a PA currently practicing in critical care after having attended the University of Washington's MEDEX program.

Epinephrine 168

Epinephrine OR CPR Paramedic 168

ALiEM

NOVEMBER 1, 2024

A 67-year-old male with a past medical history of CHF, MI, hypertension, and diabetes presented to the ED with complaints of headache, chest pain, and dyspnea for the past four days. He stated that he has been without his medications for the past few months due to cost. He denied any past surgical history. He stated that he primarily presented because he felt like “my blood pressure is high” Additional Images Physical Exam Cardiovascular : Tachycardic, 2+ pedal edema bilaterally Re

ED 161

ED OR 161

American Ambulance Association

NOVEMBER 18, 2024

This content is for AAA members only. Please either Log In or Join! The post Now Available: Materials from October EMS Focus Webinar appeared first on American Ambulance Association.

EMS 130

EMS Ambulance OR 130

EMergucate

NOVEMBER 10, 2024

This week our patient is a 34yr old gentleman who presents to the ED with a 1 week history of chest pain and palpitations, his initial ECG is: His potassium and magnesium are borderline low so you …

ED 130

ED 130

Chicago EMT Training

NOVEMBER 4, 2024

We are ready to begin hosting psychomotor exams for BLS providers that successfully completed their written NREMT requirement. Assessments include: Medical Assessment (Neuro) Trauma Assessment (Head to Toe) Airway Management (with iGel) CPR//AED/choking for adults, pediatrics, and infants Bleeding Control (tourniquet) Penetrating Chest Trauma Spinal Motion Restriction OB Delivery Please schedule an appointment with Victor at info@chicagoemttraining.com To prepare, you can utilize our study guide

BLS 130

BLS CPR 130

Core EM

NOVEMBER 1, 2024

We review Sexually Transmitted Infections and pertinent updates in diagnosis and management. Hosts: Avir Mitra, MD Brian Gilberti, MD [link] Download Leave a Comment Tags: gynecology , Infectious Diseases , Urology Show Notes Table of Contents (1:49) Chlamydia (3:31) Gonorrhea (4:50) PID (6:14) Syphilis (8:08) Neurosyphilis (9:13) Tertiary Syphilis (10:06) Trichomoniasis (11:13) Herpes (12:49) HIV (14:10) PEP (15:13) Mycoplasma Genitalium (18:00) Take Home Points Chlamydia: Prevalence: M

OR 130

OR 130

The Skeptics' Guide to EM

NOVEMBER 9, 2024

Date: October 28, 2024 Reference: Woelfle T et al. Benchmarking Human–AI collaboration for common evidence appraisal tools. J Clin Epi Sept 2024. Guest Skeptic: Dr. Laura Walker is an Associate Professor of Emergency Medicine and the vice chair for digital emergency medicine at the Mayo Clinic. In addition to finding ways to use technology in emergency department (ED) care, she is interested in how health systems work and how patients move through the healthcare system.

Emergency Department 140

Emergency Department ED ALS OR 140

Critical Care Scenarios

NOVEMBER 27, 2024

We chat about the post-op transition of care from the OR to the ICU, including questions to ask, workflows, and pitfalls. Check out the Intensive Care Academy here! Bryan’s textbook: Concepts in Surgical Critical Care Find us on Patreon here! Buy your merch here! We chat about the post-op transition of care from the OR to the ICU, including questions to ask, workflows, and pitfalls.

Critical Care 117

Critical Care ICU OR 117

American Ambulance Association

NOVEMBER 14, 2024

This content is for AAA members only. Please either Log In or Join! The post OSHA Emergency Response Proposed Rule Hearing Links Published appeared first on American Ambulance Association.

Emergency Response 130

Emergency Response Ambulance OR 130

EMergucate

NOVEMBER 24, 2024

The supine chest x-ray shows left sided deep sulcus sign (lucency diving deep into left upper quadrant) indicative of a … Continue reading →

EMS 130

EMS 130

Core Ultrasound

NOVEMBER 29, 2024

In this video tutorial, we provide a detailed guide to operating the Sonosite LX ultrasound machine. Designed for both beginners and those familiar with ultrasound technology, this demonstration will walk you through the essential features and functions of this device. You’ll learn how to power it on, optimize image quality, navigate the user interface, save and review images, and utilize its advanced settings to improve your workflow. > The post 5 Minute Sono – Sonosite LX Machine Basics

130

130

Core EM

NOVEMBER 26, 2024

Diagnosis of acute aortic syndromes with ultrasound and d-dimer: the PROFUNDUS study European Journal of Internal Medicine, 2024 Background Acute aortic syndromes (AAS) are rare causes in patients presenting with chest/abdominal/back pain or syncope. Types of AAS include aortic dissection, intramural aortic hematoma, and penetrating aortic ulcer. Diagnosis of AAS requires urgent advanced aortic imaging (AAI), such as computed tomography angiography (CTA).

EMS 100

EMS OR ED 100

First 10 EM

NOVEMBER 11, 2024

In the most recent BroomeDocs podcast, we talk about an attempt to use the IM route to give cardiac arrest victims epinephrine faster. (The podcast and Research Roundups blog post might actually come out next week.) I was skeptical about the outcomes, partly because the evidence that epinephrine helps at all in cardiac arrest is […] The post IV versus IO for cardiac arrest (PARAMEDIC3 and IVIO) appeared first on First10EM.

Epinephrine 132

Epinephrine EMS 132

Dr. Smith's ECG Blog

NOVEMBER 30, 2024

Written by Jesse McLaren, with edits from Meyers Four patients presented with chest pain or shortness of breath, and ECGs labeled ‘inferior STEMI’. Using principles of hyperacute T waves, do any have inferior occlusion MI? Patient 1 : 60 year old with shortness of breath Patient 2 : 40 year old with chest pain Patient 3 : 65 year old with chest pain Patient 4 : 55 year old, prior inferior MI, with chest pain See this recent post on the new and evolving science of hyperacute T waves, including 1.

STEMI 114

STEMI OR Coronary 114

American Ambulance Association

NOVEMBER 14, 2024

November 14, 2024 FOR IMMEDIATE RELEASE Contact: Amanda Riordan 703-615-4492 ariordan@ambulance.org EMS Heroes Honored in Washington, DC as 2024 Stars of Life Washington, DC—This week, the American Ambulance Association (AAA) […] The post News Release | EMS Heroes Honored in Washington, DC as 2024 Stars of Life appeared first on American Ambulance Association.

EMS 130

EMS Ambulance 130

EMergucate

NOVEMBER 25, 2024

Question 1: PH = 7.30, that is mild acidaemia. HCO3 = 18, that is low (less than 24), So we have metabolic acidosis.

130

130

Core Ultrasound

NOVEMBER 29, 2024

In this video tutorial, we provide a comprehensive guide to the basic operation of the Mindray TeX ultrasound machine. Whether you’re new to ultrasound or exploring this device for the first time, this step-by-step demonstration will help you confidently navigate its features and settings. We cover everything from powering on the machine and adjusting image quality to using the touch interface, saving and reviewing images, and making the most of its key functions.

OR 130

OR 130

EMOttawa

NOVEMBER 28, 2024

What do you do when expert nurses tell you they can’t obtain IV access? Do you spend 20 minutes performing an invasive central line? Does your resident finally get two IO EPAs? Or do you save the day with a slick, ultrasound guided IV? Obtaining peripheral ultrasound guided IV access is not only a core […] The post Ultrasound Guided Peripheral IVs appeared first on EMOttawa Blog.

OR 116

OR 116

St. Emlyn's

NOVEMBER 6, 2024

St.Emlyn's - Emergency Medicine #FOAMed Creating a learning culture in the emergency department (ED) fosters psychological safety, open communication, and continuous improvement. This approach supports team resilience, enhances patient care, and reduces burnout. Learn practical steps to build a strong learning culture in your ED, promoting growth and collaborative excellence in emergency medicine.

ED 123

ED Emergency Department 123

Dr. Smith's ECG Blog

NOVEMBER 27, 2024

Pendell and I and the geniuses at Powerful Medical (Producers of the PMCardio Queen of Hearts OMI AI app ) are working on an objective, mathematical definition of hyperacute T-waves , based on real OMI outcomes and hyperacute T-wave annotation that has excellent interrater agreement (between me and Pendell), and it will end up being a logistic regression using these 3 variables: 1) area under the curve (AUC) relative to the QRS size 2) increased symmetry , as defined by time from T-wave onset to

STEMI 111

STEMI OR 111

American Ambulance Association

NOVEMBER 10, 2024

The winners of the 2024 AAA Board of Directors election are listed below. Each board member’s term will begin on January 1, 2025. Please join us in thanking all candidates […] The post 2024 AAA Board of Directors Election Results appeared first on American Ambulance Association.

Ambulance 130

Ambulance 130

EMergucate

NOVEMBER 17, 2024

A 60yr old female presents to ED with 3hrs of pleuritic chest pain radiating to the back associated with diaphoresis.

ED 130

ED EMS 130

Core Ultrasound

NOVEMBER 6, 2024

In this Five Minute Sono video we provide a streamlined, step-by-step walkthrough on how to accurately conduct the VEXUS Score, perfect for clinicians who are already familiar with its purpose and clinical applications. IVC VTI Courses The post 5 Min Sono: The VExUS Score (2024) first appeared on Core Ultrasound.

147

147

NVFC

NOVEMBER 19, 2024

For the fourth year, General Motors (GM) has awarded the National Volunteer Fire Council (NVFC) a grant to make the roadways safer for emergency responders and the public. The grant for $155,000 will be used to provide critical training to emergency responders as well as promote driving safety and slow down, move over messaging. The new grant will build on the NVFC’s previous efforts to positively impact vehicle and road safety for volunteer responders and road users.

Firefighter 116

Firefighter EMS OR 116

St. Emlyn's

NOVEMBER 22, 2024

St.Emlyn's - Emergency Medicine #FOAMed This retrospective study explores the link between intra-arrest arterial blood pressure (IBP) and return of spontaneous circulation (ROSC) in out-of-hospital cardiac arrest (OHCA). Analysing data from 80 patients attended by the East Anglian Air Ambulance, it found that higher diastolic blood pressure (DBP) during CPR significantly increased the likelihood of ROSC.

CPR 114

CPR Ambulance 114