The Skeptics' Guide to EM

JANUARY 29, 2022

Date: January 25th, 2022 Reference: Beyde et al. Efficacy of empiric antibiotic management of septic olecranon bursitis without bursal aspiration in emergency department patients. AEM January 2022 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. Case: You’re working in your busy freestanding emergency department […] The post SGEM#358: I Would Do Anything for Septic Olecranon Bursitis But I Won’t Tap That fir

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Emergency Department ALS ED 130

Critical Care Scenarios

JANUARY 23, 2022

An overview of the role and contributions of a clinical pharmacist in the ICU, with Laura Means Ebbitt of the University of Kentucky, a clinical pharmacist specializing in colorectal/ENT surgery and critical care. Takeaway lessons A clinical pharmacist is a “knowledge pharmacist,” dispensing advice rather than medications. They round with the team to review meds … Continue reading "Episode 42: Clinical pharmacists with Laura Means Ebbitt" An overview of the role and contributions of a clinical p

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ICU Critical Care OR 130

High Performance EMS

JANUARY 20, 2022

I have often heard comparisons on the automation of System Status Management to the 2002 Spielberg movie starring Tom Cruise called “ Minority Report ” loosely based on the 1956 short story by Philip K. Dick. This science fiction action thriller is set in the year 2054 when police utilize a psychic technology to arrest and convict murderers before they commit their crime.

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OR Emergency Medical Services EMS 130

Emergency Medicine Cases

JANUARY 18, 2022

A few select videos from EM Cases Summit 2021 have been made FOAMed and available here and on our youtube channel. The latest release is with Dr. Rob Simard who explains the failings of the ACLS protocol for PEA arrest, how PoCUS pulse checks can help us differentiate true PEA from pseudoPEA, and how to integrate this information and our PoCUS skills into the flow of our cardiac arrest management.

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EMS 130

EMergucate

JANUARY 29, 2022

Original paper here What is this study about Authors hypothesized that given intramuscularly, Ketamine would work quicker (and safer) when … Continue reading →

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EMS 130

The Overrun

JANUARY 24, 2022

I knew I wanted to go into medicine when I was 5. At first, I wanted to be a paramedic (just like my dad), then switched to wanting to be a doctor (because I would get to tell my dad what to do! Imagine that!) Of course, as I grew up, that reason gave way to other, more important reasons: because I wanted to take care of people and make sure that everyone gets the same quality care.

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EMT EMT Paramedic EMS 52

The Skeptics' Guide to EM

JANUARY 8, 2022

Date: December 28th, 2021 Reference: Kulvatunyou et al. The small (14 Fr) percutaneous catheter (P-CAT) versus large (28–32 Fr) open chest tube for traumatic hemothorax: A multicenter randomized clinical trial. J Trauma and Acute Care Surgery. November 2021. Guest Skeptic: Dr. Chris Root is a second-year resident physician in the Department of Emergency Medicine at the University […] The post SGEM#355: Bigger Isn’t Better When It Comes to Chest Tubes first appeared on The Skeptics Guide to Emerg

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ALS Emergency Department Paramedic OR 130

Silk City Blog

JANUARY 20, 2022

Background: Severely ill patients diagnosed with COVID-19 have an increased risk of cardiovascular complications, especially thromboembolic events (Bikdeli 2020). The overall incidence of developing venous thromboembolism (VTE) is approximately 17% in patients diagnosed with COVID-19, with a significantly higher rate in the ICU setting (Jiménez 2021).

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ICU EMS 52

Emergency Medicine Cases

JANUARY 18, 2022

In this months EM Quick Hits podcast: Ken Milne expertly walks us through the 10 biggest EM papers of 2021, Brit Long on a careful structured approach to Febrile Neutropenia to improve outcomes, Catherine Varner on how not to miss Peripartum Cardiomyopathy, Joe Nemeth on Anaphylaxis update and Anand Swaminathan gives us his approach to the Crashing Asthmatic.

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EMS Epinephrine 130

EMergucate

JANUARY 29, 2022

The following chest x-ray is from an 88 year old who has presented with acute onset left sided chest pain followed by diaphoresis and dyspnoea. Patient is afebrile.

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EMS 130

Paramedic Training Spot

JANUARY 20, 2022

Have you ever considered a career in healthcare? Like many in the age of pandemics, aging populations, addictions, and violence – you’ve probably thought about how you can do your part. But the healthcare industry can be cloaked in mystery when you are trying to start that career – especially if you’re considering a career in emergency medical services.

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Paramedic Emergency Medical Technician Emergency Medical Services EMT 52

The Skeptics' Guide to EM

JANUARY 1, 2022

Date: December 21st, 2021 Guest Skeptic: Dr. Howard “Howie” Mell began his career as a firefighter / paramedic in Chicago. He became double board certified in Emergency Medicine (EM) and Emergency Medical Services (EMS). Howie also has a Master of Public Health. Reference: Grotta JC et al. Prospective, multicenter, controlled trial of mobile stroke units.

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Emergency Medical Services Firefighter Paramedic ALS 130

Critical Care Scenarios

JANUARY 9, 2022

Bryan and Brandon look back on the two-year anniversary of the show and reflect on where it’s been, where it’s going, lessons learned, and other deep thoughts. Bryan and Brandon look back on the two-year anniversary of the show and reflect on where it’s been, where it’s going, lessons learned, and other deep thoughts.

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The Overrun Podcast

JANUARY 16, 2022

If you were at the National Association of EMS Physicians Conference this past week, you would have been able to see Dr. Michael Lauria speak. Mike is a USAF veteran, Pararescueman, flight paramedic, and currently an emergency medicine physician in the US. He has appeared on the EMCrit podcast and numerous others to talk about stress and managing it in the field of medicine.

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Paramedic EMS 52

Emergency Medicine Cases

JANUARY 4, 2022

What is the preferred order of vasopressors and ionotropes in the management of cardiogenic shock? In which patients would dobutamine be preferred over milrinone and vice versa? How can we best pick up occult cardiogenic shock before it floured shock kicks in? What are the best strategies to efficiently get the patient in cardiogenic shock to definitive care, whether that be the cath lab or the operating room?

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Operating Room OR EMS 130

EMergucate

JANUARY 2, 2022

The facial x-ray shows irregularity of the left inferior orbital floor & fluid in the left maxillary antrum (blood in … Continue reading →

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EMS 130

Paramedic Training Spot

JANUARY 20, 2022

The United States Air Force exists to fly, fight and win – providing airpower anytime, anywhere. In order for the Air Force to provide air superiority in all of its operational theaters, all members of the service must be healthy enough to carry out their duties and proficient in those responsibilities. The 350,000 airmen of the U.S. Air Force are cared for by the specially trained healthcare providers of the U.S.

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Paramedic Emergency Medical Technician EMT EMT 52

The Skeptics' Guide to EM

JANUARY 15, 2022

Date: January 16th, 2022 Reference: Matchett, G. et al. Etomidate versus ketamine for emergency endotracheal intubation: a randomized clinical trial. Intensive Care Med 2021 Guest Skeptic: Missy Carter, former City of Bremerton Firefighter/Paramedic, currently a professor of Emergency Medical Services at Tacoma Community College’s paramedic program.

Emergency Medical Services 107

Emergency Medical Services Firefighter Critical Care Paramedic 107

Silk City Blog

JANUARY 17, 2022

This post first appeared on REBEL EM Blog. Background: Unintentional injuries remain the leading cause of mortality in children. While traumatic brain injuries and thoracic traumas are the top two causes of mortality and morbidity, abdominal traumas are the third most common cause. Additionally, children are at higher risk for clinically significant intra-abdominal (IAI) injuries as a result of their anatomy in comparison to adults.

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EMS 52

Prehospital Emergency Care Podcast

JANUARY 6, 2022

The PEC Airway Compendium Special Podcast! In Episode 106 we discuss the Procedural Aspects in Airway Management position statements. These position statements and resource documents covered in this episode include procedures like supraglottic airways, non-invasive positive pressure ventilation, drug-assisted airway management (DAAM), surgical airway, and mechanical ventilation.

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Dr. Smith's ECG Blog

JANUARY 3, 2022

This fantastic case and post was written by Jesse McLaren (@ECGcases), edited by Smith Case You’re shown an ECG from a patient in the waiting room with chest pain. What do you think? Sinus bradycardia, normal conduction, normal axis, normal R wave progression, no hypertrophy. There’s primary ST depression in the precordial leads maximal in V3-4, and an inverted T wave in V2.

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STEMI Coronary ALS ACS 52

EMergucate

JANUARY 10, 2022

The left wrist x-ray shows an intra-articular two part fracture of the base of the 5th metacarpal & scaphoid waist … Continue reading →

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EMS 130

On Time Medical Transportation

JANUARY 17, 2022

We caught up with Kaitlyn to ask about what made her want to join EMS, tips on getting promoted from within, and her career goals. Here’s what we learned.

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EMT EMT EMS Medical Transportation 52

The EMS Educator

JANUARY 28, 2022

Prodigy EMS is proud to welcome our new medical director, Maia Dorsett, MD, PhD. Maia chats with Rob and Hilary about her educational philosophies, especially around cultivating lifelong learning, creating psychological safety in the classroom, just culture and systems thinking. Check out the PEC position paper Maia co-authored on going beyond skills training in EMS, and follow her on Twitter @maiadorsett.

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EMS 40

EMS 20/20

JANUARY 26, 2022

A drunk patient decides that a new Paramedic and their partner need a one stop shop for possible problems, and they absolutely deliver. But do Chris and Spencer deliver on the education? Listen and find out! A drunk patient decides that a new Paramedic and their partner need a one stop shop for possible problems, and they absolutely deliver. But do Chris and Spencer deliver on the education?

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Paramedic 40

Prehospital Emergency Care Podcast

JANUARY 6, 2022

The PEC Airway Compendium Special Podcast! In Episode 107 we discuss Oversight of Airway Management position statements. These position statements and resource documents covered in this episode include quality management, novel technologies, and education and training in airway management. We discuss these position statements with our friends, editors, and authors: Remle Crowe PhD @rpcrowe Catherine Counts PhD @catherinecounts Veer Vithalani MD @veervithalanimd Click here to download today!

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TIMER

JANUARY 20, 2022

There are certain jobs or roles that are not for everyone. Emergency medical technician (EMT), for instance, is a good career option for those who have a desire to help others in times of emergencies. This job calls for patience, dedication, and commitment. Since you will be playing a critical role in saving a person’s life, you should carefully consider whether EMT is a suitable career option for you or not.

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Emergency Medical Technician EMT EMT Heart Attack 40

EMergucate

JANUARY 10, 2022

A 45 year old male presents to ED complaining of central pleuritic chest pain for the last 9 days. The patient has a past history of AML.

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ED EMS 130

Emergency Medicine Ireland

JANUARY 10, 2022

Welcome back to the tasty morsels of critical care podcast. Today we look at everyone’s favorite mould – aspergillus. We see a number of fungal infections in the ICU, most commonly it’ll be the yeasts – forms of candida. Yeasts. Read More » Welcome back to the tasty morsels of critical care podcast. Today we look at everyone’s favorite mould – aspergillus.

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Critical Care ICU OR 40

EM Literature of Note

JANUARY 9, 2022

A few items to collate from the last several months’ efforts. The Annals of Emergency Medicine Podcast continues apace, with free monthly updates from the original research published in the journal: iTunes Link SoundCloud Link Likewise, the Annals of Emergency Medicine Journal Club has published several monthly installments: Predicting Outcomes in Pediatric Pneumonia: Are We Omnipotent or Incompetent?

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Emergency Department STEMI OR 40

EMS 20/20

JANUARY 19, 2022

Chris (finally) brings a call that involved an upside down truck, a frozen patient, and a frozen crew. at least when it comes to deciding on exactly what to do! Do they ever figure it out? Listen and find out! Chris (finally) brings a call that involved an upside down truck, a frozen patient, and a frozen crew. at least when it comes to deciding on exactly what to do!

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Prehospital Emergency Care Podcast

JANUARY 6, 2022

The PEC Airway Compendium Special Podcast! In Episode 108 we discuss the Clinical Aspects in Airway Management position statements. These position statements and resource documents covered in this episode include airway management of cardiac arrest patients, trauma patients, and peri-airway arrest patients. We discuss these position statements with our friends: Mike Levy MD @mklevy10 President of NAEMSP Henry Wang MD @henrywangmd Editor in Chief of the Airway Compendium Click here to downloa

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TIMER

JANUARY 17, 2022

What if you are away from the city, on the outskirts, and a medical emergency strikes? In such cases, when you cannot find a hospital in the vicinity, handling the situation by yourself can be overwhelming. In such cases, having fundamental know-how of basic support skills can help you tackle the situation. Since an emergency is always uncalled for, and it can strike anywhere, acting appropriately at the moment can save a person’s life.

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EMT EMT Emergency Response CPR 40

EMergucate

JANUARY 22, 2022

Chilaiditi’s Syndrome. The chest x-ray reveals bowel loop interposed between liver and right hemi diaphragm.

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EMS 130

The EMS Show

JANUARY 8, 2022

Mike Verkest and Dr. Ritu Sahni are reunited and it feels so good! We are back at it on The EMS Show!!

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EMS 40

EMT City

JANUARY 18, 2022

[link] Easy, free, and 100% legitimate. Be safe out there and stay healthy.

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EMS 20/20

JANUARY 12, 2022

A crew of three Paramedics finds themselves in a situation that no responder ever wants to be in when a patient goes Super Saiyan. Medicate? Evacuate? Also, Chris questions the validity of checking for painful stimuli and challenges the internet. will he regret it? A crew of three Paramedics finds themselves in a situation that no responder ever wants to be in when a patient goes Super Saiyan.

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Ambulance Paramedic 40