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A 26-year-old male with a past medical history of eczema presented to the Emergency Department with a rash for two days. The patient stated he first noticed a rash on his right arm that rapidly spread to his face, chest, and left arm. He reported having similar rashes before but never to this extent. The patient stated he was given Bactrim and amoxicillin about one month ago for another rash, though he was unsure of the diagnosis.
The Childrens Emergency Department is a busy, challenging, and dynamic environment. The skills needed to deliver the best possible outcomes for children and young people are multifaceted and constantly evolving. They involve a mixture of clinical, communication, and leadership traits. Having recently moved from a leadership position within the Childrens Emergency Department to a more system-based role involving children of all ages, its apparent to me how transferable my experiences on the shop
TRIGGER WARNING: TOPICS OF SUICIDE MAY BE HARD FOR SOME PEOPLE TO READ ABOUT. THIS ARTICLE IS COVERING THE MEDICAL ASPECTS OF CHEMICAL SUICIDES. IF YOU OR A LOVED ONE NEEDS HELP, CALL 988 OR SEEK CARE AT A LOCAL EMERGENCY DEPARTMENT. REMEMBER, IF YOU ARE TREATING A SUICIDE ATTEMPT SURVIVOR, DO NOT PASS JUDGMENT. WE, AS EMS PROFESSIONALS, SHALL PROVIDE COMPASSIONATE, APPROPRIATE CARE TO ALL PATIENTS.
St.Emlyn's - Emergency Medicine #FOAMed The blog highlights the updated 2024 guidelines from the Royal College of Radiologists (RCR) on imaging in pediatric trauma. It emphasizes critical changes from the previous 2014 guidelines, focusing on the judicious use of imaging to minimize ionizing radiation exposure in children. Key updates include algorithms for blunt trauma, penetrating trauma, and blast injuries.
Reference: Sanchez-Pinto, L.N., et al. Development and Validation of the Phoenix Criteria for Pediatric Sepsis and Septic Shock. JAMA 2024. Guest Skeptic: Prof. Damian Roland is a Consultant at the University of Leicester NHS Trust and Honorary Professor for the University of Leicesters SAPPHIRE group. He specializes in Paediatric Emergency Medicine and is a passionate believer and advocate of FOAMed.
Medical training is a difficult task. As residents and fellows, we move wherever the Match sends us, endure grueling hours, and sacrifice time with loved onesall in pursuit of becoming the best doctors we can be and delivering excellent patient care. But we should not have to sacrifice our own well-being in the process. In Washington, D.C., more than 450 residents and fellows employed by George Washington University (GW) spent the past 15 months fighting for our first contract.
Ultrasound is a powerful tool that can significantly enhance patient care during cardiac arrest. In Part 1 of this lecture, we break down how ultrasound can be effectively utilized in three key areas: identifying reversible causes, assisting in critical procedures, and guiding resuscitation. RUSH exam Courses The post Cardiac Arrest Update 2024 (Part 1) first appeared on Core Ultrasound.
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Ultrasound is a powerful tool that can significantly enhance patient care during cardiac arrest. In Part 1 of this lecture, we break down how ultrasound can be effectively utilized in three key areas: identifying reversible causes, assisting in critical procedures, and guiding resuscitation. RUSH exam Courses The post Cardiac Arrest Update 2024 (Part 1) first appeared on Core Ultrasound.
At ESO, we are a mission-centric company, which is why it is vital that each step that we take ties back to our commitment to transform community health and safety through the power of data, whether thats through product innovation or our research. The EMS, fire services, and hospital organizations that use our platform arent just our customers, but our partners in working towards that mission through their own achievements.
Authors: Grant Gerstner, DO (EM Resident Physician, San Antonio, TX); Kyle Smiley, MD (EM Resident Physician, San Antonio, TX) // Reviewed by: Sophia Görgens, MD (EM Physician, BIDMC, MA); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Alex Koyfman, MD (@EMHighAK) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providing an expedited review of clinical basics.
St.Emlyn's - Emergency Medicine #FOAMed Uncover the truth about alcohol poisoning. Find out how toxic alcohols can be ingested accidentally or intentionally and the serious consequences they can have with a focus on Emergency medicine management. #FOAMed @stemlyns The post Toxic alcohol poisoning: What do we know about fomepizole, methanol and ethylene glycol?
On November 21, 2024, the HHS Office of the Inspector General (OIG) issued Advisory Opinion 24-09. The opinion relates to a proposal by a municipal ambulance service to begin billing […] The post HHS OIG Issues Favorable Advisory Opinion on Ambulance Treatment-in-Place appeared first on American Ambulance Association.
The integration of point-of-care ultrasound (POCUS) is transforming emergency medical services (EMS) by enhancing diagnostic capabilities and improving accuracy in answering important clinical questions. Recently, I had the opportunity to discuss this topic extensively with Allen Wolfe, the Senior Director of Education at Life Link III. Breaking Barriers to Adoption A significant challenge in incorporating ultrasound technology within EMS has been overcoming initial barriers to adoption.
In part two of this series on using ultrasound during cardiac arrest, we dive into advanced strategies to further optimize your resuscitation care. Building on the foundation from part one, this video focuses on actionable tips to take your ultrasound skills to the next level during cardiac arrest scenarios. Cardiac Arrest Part 1 RUSH exam Courses The post Cardiac Arrest Update 2024 (Part 2) first appeared on Core Ultrasound.
Assessing for a gag reflex is a basic skill that can become important in a variety of medical settings. It is also a way to measure brain death. Medical experts, however, now caution against using the gag reflex as a primary determinant of whether to intubate or as a measure of airway health. So first responders must balance competing information and studies to make informed decisions in each individual case.
Authors: Molly Rinkevich, PharmD, PGY2 EM Pharm Resident (Geisinger Wyoming Valley, Wilkes Barre, PA); Howard Rainey, DO (Geisinger Medical Center, Danville, PA); Drew Schmucker, PharmD (Geisinger Wyoming Valley, Wilkes Barre, PA); Lloyd Tannenbaum, MD (APD, Geisinger Wyoming Valley, Wilkes Barre, PA) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case: Its 3 am on a busy shift and EMS rolls in with a 67-year-old male coming in from home with a history of ischemic card
Over the last decade, there has been a concerning decline in childhood vaccination rates in the UK. This has been mirrored in many parts of the world. This trend, exacerbated by the COVID-19 pandemic, has led to a resurgence of vaccine-preventable diseases such as measles and pertussis. Once on the brink of eradication, these diseases now pose significant public health risks, especially to vulnerable groups like infants, young children, and the immunocompromised.
Explore the Path to Becoming an EMT: Timeline, Training Requirements, and What to Expect Along the Way. Emergency Medical Technicians (EMTs) are vital members of the healthcare and emergency response system. They are often the first healthcare providers on the scene of accidents, medical emergencies, and disasters, delivering life-saving care and ensuring patients are transported […] The post How Long Does It Take to Become an EMT?
Based on a blend of number of listens, views, feedback from listeners, website traffic and personal faves, EM Cases Top 10 Best of 2024 podcasts, videos and blog posts. The post EM Cases Top 10 Best of 2024 appeared first on Emergency Medicine Cases.
Expand your expertise in ultrasound-guided nerve blocks with Part 2 of this comprehensive tutorial series. In this video, we delve into advanced techniques, exploring brachial plexus blocks, fascia iliaca compartment blocks, and the erector spinae plane block (both in the thoracic and lumbar regions). Nerve Blocks, Pt 1 Courses The post Mastering Ultrasound-Guided Nerve Blocks Basics, Part 2 first appeared on Core Ultrasound.
Approximately 60,000 to 100,000 patients die from pulmonary embolism (PE) each year in the United States, and PE is the third leading cause of cardiovascular mortality. 1 A wide spectrum of severity exists in PE presentations, ranging from mild shortness of breath to cardiac arrest. A PE is classified into one of three categories: low risk, submassive, and massive.
Heres another case from Medical Malpractice Insights Learning from Lawsuits , a monthly email newsletter for ED physicians. The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. To opt in to the free subscriber list, click here. Stories of med mal lawsuits can save lives.
A Guide to the Various Levels of EMT Certification, Including Education, Training, and Testing Requirements The National EMS Scope of Practice Model defines “scope of practice” as the set of activities a licensed individual is legally authorized to perform. It not only distinguishes the roles of professionals from those of a lay person but also […] The post The 4 Levels of EMT Certification appeared first on Unitek EMT.
Emergencies do not stop for the holidays, and neither do First Responders. As a public safety professional, working through the holidays while trying to maintain your family life, personal health, and social life may feel like juggling more than you can handle. As a result, you may find yourself attending more to one over the other, leading you to feel off balance.
Dear Fellow American Ambulance Association Members, Working on your behalf, first on the AAA board, then as president, has been the capstone of my 45-year EMS career. Both the past […] The post Thank You & Farewell from AAA President Randy Strozyk appeared first on American Ambulance Association.
PH = 7.39, that is within the normal range. pCO2 = 30 mmHg, that is slightly low. This patient might have respiratory alkalosis. Next, we should look at the compensation for respiratory acidosis.
Last night, I watched Asphalt City , a movie about paramedics in New York City starring Sean Penn as a burnt out medic with a failed family life and Tye Sheriden as the young rookie medic studying at night for his medical school entrance exams. The movie is based on the novel Black Flies by Shannon Burke, which like the movie Apocalypse Now , is a loose retelling of Joseph Conrads Heart of Darkness , the story of an outpost trader whose methods in the wilds of Africa, become unsound.
An 87-year-old female with a history of hypertension, hyperlipidemia, chronic kidney disease stage IIIB, type 2 diabetes mellitus, and schizophrenia presented for evaluation due to sudden visual loss in her right eye, which began 12 hours before she arrived at the emergency department. She has experienced a sudden loss of vision in her right eye for more than six hours.
Hospitals today face over 600 regulatory requirements, with compliance costing the healthcare industry nearly $USD 41 billion annually. It’s an administrative burden that demands extensive documentation and reporting. However,advances in data exchange are helping hospitals bridge the gap. By connecting systems and sharing information in real time, hospitals can improve the accuracy of their records, simplify compliance processes, and prioritize better patient outcomes.
The holidays can be stressful for first responders and their families, but the NVFC has resources to help. The NVFC First Responder Helpline provides counseling, resources, and referrals to assistance for a range of issues, including stress management, family conflict, anxiety, relationships, financial or legal concerns, child or elder care, and more.
On Saturday, December 21, the American Relief Act of 2025 (H.R. 10545) became law and thereby averted a partial federal government shutdown. Of critical importance to ground ambulance service organizations, […] The post Congress Extends Medicare Ambulance Add-On Payments appeared first on American Ambulance Association.
On November 14, 2024, ILCOR released their latest recommendations for adult and pediatric basic and advanced life support. Theres a lot to unpack, and Ill be highlighting the key changes during our upcoming webinar. If you havent registered yet, follow the CLICK HERE and join us for an in-depth review. What consistently intrigues me about these guidelines is how the recommendations are determined: which studies make the cut, which are set aside, and which never see the light of day.
Winter weather can bring about dangerous conditions. First Responders often attend emergencies on the most treacherous roads, drunk driving, or fighting fires caused by fires or heaters as the temperatures drop. Through tough and critical, winter may bring unique risks and challenges that can add what feels like a pillar of pressure. When conditions are challenging, First Responders inherently put themselves in tumultuous situations to help others.
When it comes to protecting the health of your community, the best defense is a good offense, which is why investing in prevent ion should be a big part of your strategy. After reviewing over 12 million EMS incidents that took place in 2023 , the 2024 ESO EMS Index highlights two critical areas that demand attention: Early CPR and Opioid Use Disorder (OUD).
Irked. The headline Irked me. Alzheimer’s Mortality Lowest for Taxi, Ambulance Drivers Some researchers out of Harvard Medical School did a study of over 443 occupations and found that taxi drivers and ambulance drivers had the lowest rates of dying from Alzheimer’s. Alzheimers disease mortality among taxi and ambulance drivers: population based cross sectional study Their big theory is that the brain required to navigate through busy streets provides protection in some way against A
This content is for AAA members only. Please either Log In or Join! The post Submit Comments: EMS Compact Draft Rules appeared first on American Ambulance Association.
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