EMS 12-Lead
MAY 15, 2024
TCP in the ROSC Patient: False Electrical Capture at 75mA Josh Kimbrell, NRP @joshkimbre Judah Kreinbrook, EMT-P @JMedic2JDoc This is the second installment of a blog series showing how transcutaneous pacing (TCP) can be difficult and how you can improve your skills. We will be using redacted information from different cases where paramedics attempted TCP in the field.
Emergency Medicine Cases
MAY 28, 2024
Once the diagnosis of nontraumatic subarachnoid hemorrhage (SAH) has been made, our job is not done. Mortality in SAH patients can be up to 30% even without neurological deficit. Paying attention to the time-sensitive details of ED management of SAH patients can have a significant impact on their outcome. In this second part of our 2-part podcast series on subarachnoid hemorrhage with Dr.
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Pediatric EM Morsels
MAY 10, 2024
Children like to pretend to be grown-ups. Unfortunately, sometimes they develop grown-up problems ( Cholelithiasis , Kidney Stones , and Hypertension ). Additionally, often kids will complain of symptoms that warrant great concern in adults, but often engender apathy when considered in children. Chest Pain in Children is a great example of one of these complaints.
Core EM
MAY 29, 2024
Optimizing Trauma Resuscitation Education: A Year-Long In-Situ Simulation Curriculum Ashika Jain, MD, Nelly Parisot, MD, Michael J. Klein, MD, Janice Shin-Kim, MD, Brian Lin, MD, Julia Paris, MD, Shannon McNamara, MD, Jessica Strauss, MD, Soma Pathak, MD Delivering optimal care in a trauma resuscitation requires a highly coordinated and skilled team.
The Skeptics' Guide to EM
MAY 25, 2024
Reference: Borgundvaag et al. Guidelines for Reasonable and Appropriate Care in the Emergency Department (GRACE-4): Alcohol use disorder and cannabinoid hyperemesis syndrome management in the emergency department. AEM May 2024 Date: May 22, 2024 Dr. Bjug Borgundvaag Guest Skeptic: Dr. Bjug Borgundvaag is the Founding Director of the Schwartz/Reisman Emergency Medicine Institute (SREMI), at Sinai Health System.
ALiEM
MAY 6, 2024
It has been 3 years since the 8-week, self-guided Bridge to Emergency Medicine (EM) curriculum was launched to help graduating medical students prepare for EM residency. The curriculum has been viewed over 43,000 times and we have awarded over 5,000 ALiEMU course certificates. It is now a part of many residency programs’ intern boot camp. Launching the 2nd edition of Bridge to EM (2024) We are thrilled to announce that we launching the second edition of the curriculum.
American Ambulance Association
MAY 15, 2024
Join Us for “EMS Day at the Museum” and National Mall Event to Commemorate EMS Week It’s the 50th anniversary of EMS Week and to celebrate this momentous occasion, the Smithsonian National […] The post EMS.gov | EMS Day at the Museum and National Mall Event appeared first on American Ambulance Association.
Paramedicine Now brings together the best content for paramedicine professionals from the widest variety of thought leaders.
Critical Care Scenarios
MAY 29, 2024
We discuss the principles and application of automatic tube compensation (ATC) on modern ventilators, with its creator Ben Fabry. Dr. Fabry is a professor and chair of biophysics at University of Erlangen-Nuremberg, originally trained as an electrical engineer, who originally developed ATC as part of his PhD program. Find us on Patreon here! Buy your … Continue reading "Episode 75: Automatic tube compensation, with Ben Fabry" We discuss the principles and application of automatic tube compensati
Pediatric EM Morsels
MAY 24, 2024
Evaluation of unintentional injury and trauma is one of the hallmarks of the EM and PEM physician. One of the most difficult and most satisfying parts of pediatric emergency medicine is using one’s history, exam and clinical tools to make an informed decision and spare children from unnecessary pain , uncomfortable exams, painful procedures and medical imaging.
The Skeptics' Guide to EM
MAY 18, 2024
Date: May 13, 2024 Guest Skeptics: Dr. Rebecca Szabo is an obstetrician/gynecologist and medical educator specializing in simulation from Melbourne, Australia working at The Royal Women’s Hospital and The University of Melbourne. This is her first time as a guest skeptic on the SGEM, she has created FOAMed content through various media, including the MedEd Stuff N Nonsense Podcast.
ALiEM
MAY 13, 2024
Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric soft tissue ultrasonography. Then test your skills on the ALiEMU course page to receive your PEM POCUS badge worth 2 hours of ALiEMU course credit. Take the ALiEMU PEM POCUS: Soft Tissue Quiz Case Goals List the indications of performing a pediatric soft tissue point-of-care ultrasound (POCUS).
REBEL EM
MAY 27, 2024
Background: The REVERT Randomized Controlled Trial demonstrated the superiority of the modified valsalva maneuver (MVM) over the standard valsalva maneuver (VM) in re-establishing normal sinus rhythm (NSR) in patients with PSVT (Appelboam 2015). MVM exaggerates venous return to the heart and increases vagal outflow by elevating the patient’s legs.
Emergency Medicine Cases
MAY 28, 2024
Dr. Howard Ovens reflects on the role of leader in the EM in this 2nd part of a 2-part Waiting to Be Seen blog series on EM leadership. He touches on mentoring, being committed, aligning with patients' interests, being a role model and a few quick takes on some controversial issues in EM. The post WTBS 30 Lessons on Emergency Medicine Leadership: The Role of The Leader appeared first on Emergency Medicine Cases.
Critical Care Scenarios
MAY 8, 2024
We chat about pulmonary/critical care medicine fellowship with recent graduate Nicholas Ghionni (@pulmtoilet), a first-year attending at the MedStar Baltimore Hospital system. He completed PCCM fellowship at MedStar Washington Hospital Center where he also served as chief fellow. Find us on Patreon here! Buy your merch here! We chat about pulmonary/critical care medicine fellowship with recent graduate Nicholas Ghionni ( @pulmtoilet ), a first-year attending at the MedStar Baltimore Hospital sys
American Ambulance Association
MAY 28, 2024
May 21, 2024 Edition The post FEMA & USFA | Weekly Infectious Disease Update appeared first on American Ambulance Association.
The Skeptics' Guide to EM
MAY 11, 2024
Reference: Jain A, et al. Effectiveness of nail bed repair in children with or without replacing the fingernail: NINJA multicentre randomized clinical trial. Br J Surg. March 2023 Date: May 7, 2024 Guest Skeptic: Dr. Brian Lee is a pediatric emergency medicine attending at the Children’s Hospital of Philadelphia and Assistant Professor of Pediatrics at the Perelman School of Medicine at the University of Pennsylvania.
EMergucate
MAY 28, 2024
The lateral neck x-ray is from a patient with dysphagia. What can be seen? Answer will be posted later.
St. Emlyn's
MAY 18, 2024
St.Emlyn's - Emergency Medicine #FOAMed The practice of coordinating, consulting and managing an entire acute clinical service in real-time is fairly unique to emergency medicine. Central to this is the EPiC (or emergency physician in charge) role #FOAMed @stemlyns with @codingbrown The post An EPiC mental model. St Emlyn’s appeared first on St.Emlyn's.
Emergency Medicine Cases
MAY 28, 2024
Once the diagnosis of nontraumatic subarachnoid hemorrhage (SAH) has been made, our job is not done. Mortality in SAH patients can be up to 30% even without neurological deficit. Paying attention to the time-sensitive details of ED management of SAH patients can have a significant impact on their outcome. In this second part of our 2-part podcast series on subarachnoid hemorrhage with Dr.
Dr. Smith's ECG Blog
MAY 20, 2024
This was sent by an undergraduate (not yet in medical school, but applying now) who works as an ED technician (records all EKGs, helps with procedures, takes vital signs) and who reads this blog regularly. Edited by Smith He also sent me this great case. A 63 year old man with a history of hypertension, hyperlipidemia, prediabetes, and a family history of CAD developed chest pain, shortness of breath, and diaphoresis after consuming a large meal at noon.
American Ambulance Association
MAY 28, 2024
On May 13, the AAA submitted a Comment Letter to the Department of Labor (DOL) in response to their Request for Information (RFI) on modernizing the process and updating the occupations […] The post AAA Submits Paramedic Expedited Visa Comments in Line with PARA-EMT Act appeared first on American Ambulance Association.
Life in the Fastlane
MAY 18, 2024
Kane Guthrie Cardiac Arrest – the 5 C’s Cardiac Arrest - the 5 C's with Cliff Reid. Causes Of Cardiac Arrest You NEVER Thought Of?! Meet The Hs & Ts & Cs!
EMergucate
MAY 28, 2024
The following ECG is from a 64-year-old man who presents with severe abdominal pain.
Critical Care Scenarios
MAY 22, 2024
Brandon summarizes his recent publication describing best practices for performing POCUS. Read the paper open access at POCUS Journal. Find us on Patreon here! Buy your merch here! Brandon summarizes his recent publication describing best practices for performing POCUS. Read the paper open access at POCUS Journal. Find us on Patreon here! Buy your merch here!
St. Emlyn's
MAY 24, 2024
St.Emlyn's - Emergency Medicine #FOAMed JC: Review of an RCT of serratus anterior plane blocks in the emergency department for chest/rib injury. Is this now a standard of care? @stemlyns #FOAMed The post JC: Serratus Anterior Plane Blocks for rib fractures in the ED. St Emlyn’s appeared first on St.Emlyn's.
Dr. Smith's ECG Blog
MAY 25, 2024
An elderly dialysis patient presented with chest pain. She has poor LV function. Previous echo 4 months ago (confirmed with ED bedside echo): The estimated left ventricular ejection fraction is 30%. Severely decreased LV function. Regional wall motion abnormality-inferior, inferolateral, septum, anterolateral, anterior and apex, lateral. Here is her ECG: Regular Wide Complex Tachycardia.
American Ambulance Association
MAY 28, 2024
Webinar Recap & Materials: EMS Harm Reduction and SUD Treatment Thank you to everyone who attended our recent EMS Focus Webinar on EMS Harm Reduction and SUD Treatment. If you […] The post EMS.gov | On-Demand: EMS Harm Reduction and SUD Treatment appeared first on American Ambulance Association.
NVFC
MAY 21, 2024
On May 8 the House of Representatives passed an amended version of S. 870, the Fire Grants and Safety Act, by a vote of 393 Yes, 13 No, and 1 present. This bill would reauthorize the Assistance to Firefighters Grants (AFG), Staffing for Adequate Fire and Emergency Response (SAFER) grants, and U.S. Fire Administration (USFA) through the end of Fiscal Year (FY) 2028 and extend the statutory sunset for AFG and SAFER though the end of FY 2030.
EMergucate
MAY 26, 2024
Answers: Ph = 7.25, that is moderate acidaemia. pCO2 = 58 mmHg, so we have respiratory acidosis.
Critical Care Scenarios
MAY 10, 2024
Our collaboration with Sarah Lorenzini of the Rapid Response RN podcast, discussing a case and general principles for diagnosing and managing obstructive shock. Check out the other episodes on shock in the Nurses’ Podcrawl 2024! Find us on Patreon here! Buy your merch here! Our collaboration with Sarah Lorenzini of the Rapid Response RN podcast, discussing a case and general principles for diagnosing and managing obstructive shock.
First 10 EM
MAY 27, 2024
We have previously discussed the many pharmaceutical advertisements published by the New England Journal of Medicine, thinly disguised as science, such as the original open label uncontrolled look at andexanet alfa. (Connolly 2019) At that point, I concluded that andexanet alfa should clearly not be used (although our pharmacies didn’t listen and wasted a lot […] The post Andexanet alfa: expensive and harmful?
Dr. Smith's ECG Blog
MAY 27, 2024
Written by Jesse McLaren, with a very few edits by Smith A 60-year-old presented with chest pain. The ECG did not meet STEMI criteria, and the final cardiology interpretation was “ST and T wave abnormality, consider anterior ischemia”. But are there any other signs of Occlusion MI? There’s only minimal ST elevation in III, which does not meet STEMI criteria of 1mm in two contiguous leads.
American Ambulance Association
MAY 24, 2024
This content is for AAA members only. Please either Log In or Join! The post Change Healthcare Next Steps for EMS Providers appeared first on American Ambulance Association.
NVFC
MAY 21, 2024
May 19-25 marks the 50th anniversary of EMS Week with the theme “Honoring Our Past, Forging Our Future.” The National Volunteer Fire Council (NVFC) recognizes and gives thanks to all EMS providers for the lifesaving work you do every day. As we remember the past, we look forward to a future that builds on what has come before and strives to achieve excellence for the communities we serve.
EMergucate
MAY 26, 2024
85 year-old-woman with fracture of right neck of femur. Her blood gases showed the following: PH = 7.51 pCO2 = 59.5 mmHg pO2 = 70 mmHg HCO3 = 47.
Critical Care Scenarios
MAY 1, 2024
The difference between people and institutions. Find us on Patreon here! Buy your merch here! The difference between people and institutions. Find us on Patreon here! Buy your merch here!
Life in the Fastlane
MAY 7, 2024
Sheralyn Guilleminot and Mike Cadogan What Are the Best AI Detectors? We investigated to see which tools are the best detectors of artificial intelligence in medical writing. One tool was the clear winner, while others clearly struggled with accuracy!
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