Emergency Medicine Cases

AUGUST 19, 2024

We over-admit low risk acute heart failure patients and under-admit high risk heart failure patients. In this podcast we discuss the diagnostic accuracy of various clinical features, lab tests and imaging modalities for acute heart failure, the 3 validated risk stratification tools and a simple approach to PoCUS for the diagnosis and prognostication of acute heart failure in the ED to improve our diagnostic accuracy and disposition decisions for patients with acute heart failure.

ED 295

ED EMS 295

Pediatric EM Morsels

AUGUST 23, 2024

Concussions are commonly encountered in the Emergency Department. We have previously discussed an approach to the question of when a patient “ can return to sport.” That recommendation has been revised ( calling for us to Rebake this Morsel ) and now also pays specific attention to the important aspect of scholastic activities. Let’s take a quick minute to digest a morsel on the current concussion in sport recommendations with respect to Return to Learn and Return to Sport : Re

Emergency Department 270

Emergency Department OR ED EMS 270

High Performance EMS

AUGUST 9, 2024

Dispatching the right unit to an EMS call was much simpler when all resources had the same capabilities and a response time was the primary measure of success. It was a matter of determining which crew was available closest to the scene. Some computer-aided dispatch (CAD) software did better than others by considering the average travel time of an actual route instead of allowing nearness to be determined by a straight-line distance.

BLS 264

BLS CAD Advanced Life Support Life Support 264

The Skeptics' Guide to EM

AUGUST 17, 2024

Date: August 13, 2024 Guest Skeptics: We have two guest skeptics for this SGEM Xtra episode. Dr. Palma Dr. Francisco Campillo Palma is an Emergency Medicine doctor. He works in prehospital (EMS and HEMS), and at Morales Meseguer Hospital in public medical service in Murcia, Spain. Franciso has postgraduate Master's degrees in emergencies and urgent care, clinical ultrasound, and emergency and disaster management, from the University of Elche, the University of Madrid, and the University of Ovied

EMS 221

EMS OR 221

Core EM

AUGUST 1, 2024

- Importance of Catheter Selection: - The catheter’s diameter and length are critical factors affecting the flow rate. - Shorter, wider catheters provide a higher flow rate, making them preferable for rapid resuscitation. - Diameter and Flow Rate: - A larger diameter increases flow rate, and this relationship is proportional to the fourth power. For instance, doubling the diameter results in a 16-fold increase in maximum flow rate. - Peripheral 16-gauge IVs can sometimes outtransfuse larger cent

OR 196

OR Critical Care 196

ALiEM

AUGUST 26, 2024

A 27-year-old male with no past medical history presents to the Emergency Department with right eye pain. He states that approximately one week prior, he was working on a wire fence when he lost hold of a wire under tension, and it subsequently hit him in his right eye. He had immediate pain in his affected eye and was unable to see anything but light for the next three days.

Emergency Department 177

Emergency Department OR 177

Emergency Medicine Cases

AUGUST 19, 2024

ECG artifact and lead reversal can mimic tachy-arrhythmia, infarct or Brugada. Learn how to identify these errors to prevent misdiagnosis on this month's ECG Cases with Dr. Jesse McLaren. The post ECG Cases 51 – Artifact and Lead Misplacement appeared first on Emergency Medicine Cases.

OR 250

OR EMS 250

Pediatric EM Morsels

AUGUST 9, 2024

Neonates presenting to the Emergency Department often cause a lot of uncertainty. Is this scalp swelling normal? Is this bloody stool concerning? Are this odd movements part of normal development? Is that umbilical area ok or concerning? Fortunately, we have addressed many neonatal issues in the PedEMMorsels. Obviously, one of the most concerning considerations in neonates is the potential for infection.

E-9-1-1 152

E-9-1-1 Plasma Emergency Department OR 152

The Skeptics' Guide to EM

AUGUST 10, 2024

Date: July 29, 2024 Reference: Connolly SJ et al (ANNEXA-I investigators) Andexanet for Factor Xa Inhibitor–Associated Acute Intracerebral Hemorrhage. NEJM May 2024 Guest Skeptic: Dr. Vasisht Srinivasan is an Emergency Medicine physician and neurointensivist at the University of Washington and Harborview Medical Center in Seattle, WA. He is an assistant professor in Emergency Medicine, Neurology, and Neurosurgery at the School of Medicine at the University of Washington.

Emergency Medical Services 172

Emergency Medical Services ALS Emergency Department ED 172

EMS 12-Lead

AUGUST 25, 2024

David Didlake, EMT-P, RN, ACNP @DidlakeDW An early 80’s Female was transported to the ED with new-onset facial droop, slurred speech, and focal deficit. No previous medical history was reported. My colleauges and I (interventional cardiology) were asked to consult during workup. MRI Brain demonstrated Left MCA acute/subacute infarct, MCA/PCA watershed, and no hemorrhagic transformation.

EMT 147

EMT EMT ED OR 147

ALiEM

AUGUST 30, 2024

A 5-year-old female presented to the emergency department (ED) with a one-year history of gradually increasing anterior neck swelling. The patient had no significant past medical history. She also endorsed three weeks of cough and congestion, and one day of muffled voice. She denied difficulty swallowing, fatigue, cold intolerance, or hair and nail changes.

ACS 161

ACS Emergency Department ED OR 161

FirstNet Authority

AUGUST 21, 2024

FirstNet Authority Advances Network Coverage Investment with Focus on Territories, Tribal Nations, Rural Areas Press Releases michelle.fordi… Wed, 08/21/2024 - 10:08 The First Responder Network Authority (FirstNet Authority) is an independent authority within the U.S. Department of Commerce. Created in 2012, its mission is to ensure the building, deployment, and operation of the nationwide broadband network that equips first responders to save lives and protect U.S. communities.

First Responder 139

First Responder 139

EMCrit Project

AUGUST 26, 2024

We often joke that the right ventricle is the “forgotten ventricle,” but there is a sad truth behind this joke. Recently, there has been increased recognition of the importance of right ventricle failure and systemic congestion within some circles (e.g., nephrologists and resuscitationists). However, overall the right ventricular failure continues to be commonly overlooked.

134

134

Pediatric EM Morsels

AUGUST 2, 2024

It’s never comfortable and is often very distressing to have skin problems and infections, such as intertrigo , folliculitis , panniculitis , omphalitis , or even preseptal or periorbital cellulitis. It’s even more distressing when the skin problem affects the penis. While summer is starting to wind down, and Summer Penile Syndrome is less likely to occur, we must still be vigilant for penile problems that can occur all year long.

Allergic Reaction 152

Allergic Reaction OR EMS 152

American Ambulance Association

AUGUST 30, 2024

This content is for AAA members only. Please either Log In or Join! The post Savvik | The NEW LifePak 35 is Publicly Bid Through Savvik! appeared first on American Ambulance Association.

Ambulance 130

Ambulance OR 130

EMS 12-Lead

AUGUST 20, 2024

A 50 y/o Male presented to the ED with new-onset chest discomfort. He reported no pertinent history (eg, HTN, HLD, DM, Smoking, etc). The initial Trop I returned <0.012 ng/mL. Here is the time-zero ECG. The critical features that immediately caught my attention were both the hyperacute T-wave in aVL, and the reciprocal down-up T-wave in III.

ED 147

ED 147

ALiEM

AUGUST 19, 2024

Dr. Sara Krzyzaniak, EM Match Advice Podcast Host and Stanford University PD, discusses key changes in the 2024 MyERAS (Electronic Residency Application Service) application that all EM applicants should know about. Take a listen to this short 14-minute, high-yield episode before submitting your application. Podcast 45: Key 2024 MyERAS updates Highlights Hometown preferences are now limited to 3 (no longer 5).

EMS 152

EMS OR 152

EMergucate

AUGUST 29, 2024

Dental Trauma in Paediatrics Learn about how to number children’s teeth correctly, what lateral luxation vs subluxation means, and how … Continue reading →

130

130

Core EM

AUGUST 28, 2024

We discuss a case of ataxia in children and how to approach the evaluation of these pts. Hosts: Ellen Duncan, MD, PhD Brian Gilberti, MD [link] Download Leave a Comment Tags: Neurology , Pediatrics Show Notes Introduction The episode focuses on ataxia in children, which can range from self-limiting to life-threatening conditions. Pediatric emergency medicine specialist shares insights on the topic.

Emergency Department 130

Emergency Department ED OR 130

The Skeptics' Guide to EM

AUGUST 24, 2024

Date: August 19, 2024 Reference: Partyka et al. Serratus Anterior Plane Blocks for Early Rib Fracture Pain Management: The SABRE Randomized Clinical Trial. JAMA Surg 2024 Guest Skeptic: Dr. Sean Baldwin is an Emergency Physician practising in Sydney, Australia in both a large tertiary emergency department and a small regional emergency department. Interests include information systems and digital health, research and education.

Emergency Department 129

Emergency Department ALS OR ED 129

American Ambulance Association

AUGUST 27, 2024

This content is for AAA members only. Please either Log In or Join! The post HR | Updated Decision on Rule Banning Non-Compete Agreements appeared first on American Ambulance Association.

Ambulance 130

Ambulance OR 130

EMS 12-Lead

AUGUST 18, 2024

David Didlake EMT-P, RN, ACNP @DidlakeDW An adult male self-presented to the ED with palpitations and the following ECG. The patient was very uncomfortable, dyspneic, and displayed an SpO2 90% on RA. He denied any known history of CAD, but did report ASCVD risk factors to include HTN, HLD, and DM. Of interest, he specified that he awoke earlier that morning in his usual state of health, then developed chest discomfort, then developed palpitations.

CAD 147

CAD EMT EMT ACS 147

Critical Care Scenarios

AUGUST 7, 2024

We explore the fascinating world of artificial intelligence and its role in medicine, with Nawar Shara (@NawarShara), PhD, Chief of Research Data Science at Medstar Health Research Institute and cofounding director of the AI Collab between Medstar and Georgetown. Check out the Intensive Care Academy here! Find us on Patreon here! Buy your merch here!

130

130

EMergucate

AUGUST 29, 2024

Neonatal Jaundice In this quick hits presentation, learn about what tests to request for a jaundice baby, what the possible … Continue reading →

130

130

Core EM

AUGUST 28, 2024

Medical Education Fellowship NYU Langone’s Ronald O. Perelman Department of Emergency Medicine is excited to introduce our new fellowship, starting July 2025. The Medical Education Fellowship is designed for emergency physicians aspiring to advance their careers in medical education. This two-year fellowship provides an extensive curriculum aimed at developing skills necessary for roles such as program directors, clerkship directors, and academic leaders in the field of emergency medicine.

Emergency Department 130

Emergency Department OR 130

NVFC

AUGUST 13, 2024

The National Volunteer Fire Council (NVFC) has been awarded an FY 2023 Fire Prevention and Safety (FP&S) grant by the Federal Emergency Management Agency (FEMA) to further its firefighter health and safety initiatives and reduce line-of-duty injuries and deaths. The grant initiatives will focus specifically on emergency responder behavioral health.

Firefighter 122

Firefighter First Responder EMS Emergency Management 122

American Ambulance Association

AUGUST 23, 2024

The AAA is projecting that the 2025 Medicare Ambulance Inflation Factor will likely be 2.6%, plus or minus 0.1%. Section 1834(l)(3)(B) of the Social Security Act mandates that the Medicare […] The post Preliminary Calculation of 2025 Ambulance Inflation Update appeared first on American Ambulance Association.

Ambulance 130

Ambulance OR 130

St. Emlyn's

AUGUST 1, 2024

St.Emlyn's - Emergency Medicine #FOAMed "Time Critical: Information Light" decision-making is vital in emergency medicine, requiring swift actions with minimal data. However, uncertainty decreases over time as more information becomes available. This model highlights the importance of making high-stakes decisions promptly, avoiding premature or delayed interventions.

Critical Care 119

Critical Care OR 119

Dr. Smith's ECG Blog

AUGUST 2, 2024

Written by Willy Frick A 50 year old man with no medical history presented with acute onset substernal chest pain. His ECG is shown below. Pretty obvious anterior current of injury. This was a machine read STEMI positive OMI. Readers of this blog can easily appreciate the hyperacute T waves in the precordium, clearest in V1-V4. What would you guess is the culprit artery?

STEMI 117

STEMI ALS OR 117

EMergucate

AUGUST 29, 2024

Concussion This session covers the range of symptoms experienced in concussion, what can be done to reduce the risk of … Continue reading →

130

130

Core EM

AUGUST 6, 2024

Medical Education Fellowship NYU Langone’s Ronald O. Perelman Department of Emergency Medicine is excited to introduce our new fellowship, starting July 2025. The Medical Education Fellowship is designed for emergency physicians aspiring to advance their careers in medical education. This two-year fellowship provides an extensive curriculum aimed at developing skills necessary for roles such as program directors, clerkship directors, and academic leaders in the field of emergency medicine.

Emergency Department 130

Emergency Department OR 130

NVFC

AUGUST 13, 2024

There are over 12,000 roadway incidents in the U.S. every day, putting responders and community members at risk. August is Traffic Incident Awareness Month, and now is a great time for your department to focus on training and outreach that can increase safety and save lives. Below are a few resources to get you started: Traffic Incident Management Certificate Responder Safety Learning Network Federal Highway Administration Other Online Training: NVFC Course: Electric Vehicle Safety: An Awareness

NFPA 116

NFPA EMS 116

American Ambulance Association

AUGUST 16, 2024

April 15, 2024 Submissions Due September 20 | Submit to ariordan@ambulance.org | Notification of Award on October 15 Overview The American Ambulance Association (AAA) invites proposals from qualified strategic planning […] The post Strategic Planning Consultant Request for Proposals appeared first on American Ambulance Association.

Ambulance 130

Ambulance 130

ACEP Now

AUGUST 12, 2024

Every once in a while, I get a text from a friend of a meme decrying the inevitability of becoming interested in birds as you age. In a way, it’s true; it came out of nowhere for me. And granted it can seem peculiar to the uninitiated. But now that I have been indoctrinated for a couple of years, it has become much more than a hobby to me. I see it as a healthful exercise, a practice in mindfulness.

Emergency Department 115

Emergency Department OR 115

Dr. Smith's ECG Blog

AUGUST 26, 2024

A 60-something woman with no cardiac history presented with epigastric and right upper quadrant pain after eating spicy food. She had an ECG recorded at triage: What do you think? This was sent to me without any info while I was out and about, and I looked at it on my phone. I responded: "That is a tough one. V2 is very worrisome. But no other leads are.

Critical Care 114

Critical Care OR 114

EMergucate

AUGUST 29, 2024

HSP Learn about the most common vasculitis of childhood, when and how it presents, what complications it can cause an … Continue reading →

130

130

Core EM

AUGUST 1, 2024

We discuss a case of ataxia in children and how to approach the evaluation of these pts. Hosts: Ellen Duncan, MD, PhD Brian Gilberti, MD [link] Download Leave a Comment Tags: Neurology , Pediatrics Show Notes Introduction The episode focuses on ataxia in children, which can range from self-limiting to life-threatening conditions. Pediatric emergency medicine specialist shares insights on the topic.

Emergency Department 130

Emergency Department ED OR 130