EMS 12-Lead

APRIL 28, 2022

David Didlake, NRP, APRN, ACNP-BC @DidlakeDW Expert analysis provided by Dr. Ken Grauer [link] @ekgpress EMS is called to the main reception area of a retirement center where an elderly female is found down, unconscious and unresponsive. She has a palpable pulse at the radial arteries, bilaterally, with shallow respirations. This particular facility is situated for independent living, thus no medical providers are on site to provide pertinent details for medical history, medication intake, or re

E-9-1-1 130

E-9-1-1 ALS Coronary EMS 130

Emergency Medicine Cases

APRIL 26, 2022

Computer interpretation of the ECG has been called a double-edged sword: when correct, it increases physician accuracy, but when incorrect it increases errors. This is especially problematic in the emergency department, where computer accuracy drops as clinical significance increases—with common errors for arrhythmias and ischemia. Jesse McLaren guides us through 10 cases where the computer interpretation misguides us and how to avoid these pitfalls.

Emergency Department 130

Emergency Department STEMI EMS 130

Critical Care Scenarios

APRIL 24, 2022

We review a case of massive intraparenchymal hemorrhage progressing to brain death, including the process of brain death testing and declaration, with Dr. Casey Albin (@CaseyAlbin), neurologist and neurointensivist, assistant professor of Neurology and Neurosurgery at Emory and part of the NeuroEmcrit team. For 20% off the upcoming Resuscitative TEE courses (through July 23, 2022), … Continue reading "Episode 46: Neurologic catastrophe and brain death with Casey Albin" We review a case of massiv

OR 130

OR 130

The Skeptics' Guide to EM

APRIL 23, 2022

Date: April 19th, 2022 Guest Skeptic: Sarah Mojarad is a Lecturer in Advanced Writing, #SciComm, & Mis/disinfo topics • Kavli Fellow • Reed Awardee. This is an SGEM Xtra episode. When planning a brief trip to Los Angeles for the EMRAP One Conference, I remembered that Sarah is from LA. I thought to myself, perhaps […] The post SGEM Xtra: She Blinded Me with Science Communication first appeared on The Skeptics Guide to Emergency Medicine.

OR 130

OR 130

EMergucate

APRIL 20, 2022

The following ECG is from a 52 year old male with a history of bipolar mood disorder and cardiomyopathy. He presents to ED complaining of increasing shortness of breath and leg swelling.

ED 130

ED EMS 130

Prehospital Emergency Care Podcast

APRIL 29, 2022

PEC Podcast Episode 112 is here! In this episode, we cover Volume 26 Number 1 of the Prehospital Emergency Care Journal. We highlight such manuscripts like: Overdose Receiving Centers – An Idea Whose Time Has Come? & Initial Prehospital Rapid Emergency Medicine Score (REMS) as a Predictor of Patient Outcomes Click here to download today! As always THANK YOU for listening.

Overdose 52

Overdose 52

EMS 12-Lead

APRIL 21, 2022

David Didlake, NRP, APRN, ACNP-BC @DidlakeDW Peer review provided by Dr. Steve Smith @smithECGblog A 55 y/o Male presents to a freestanding urgent care center with chest discomfort, left arm pain, nausea, and diaphoresis. He reports to staff that for the past two months, approximately, he has experienced intermittent dyspnea on exertion when walking the dog, particularly when scaling an incline.

Coronary 130

Coronary ALS OR ACS 130

Critical Care Scenarios

APRIL 10, 2022

Brandon and Bryan discuss a practical approach to abdominal compartment syndrome: when to suspect it, confirming the diagnosis with bladder pressure or other monitoring, management, and prognosis. Sorry for the audio on this one! Brandon and Bryan discuss a practical approach to abdominal compartment syndrome: when to suspect it, confirming the diagnosis with bladder pressure or other monitoring, management, and prognosis.

OR 100

OR 100

The Skeptics' Guide to EM

APRIL 2, 2022

Date: March 31st, 2022 Reference: Butt et al. Take-Pause: Efficacy of mindfulness-based virtual reality as an intervention in the pediatric emergency department. AEM March 2022 Guest Skeptic: Dr. Lauren Westafer is an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School – Baystate. She is the cofounder of FOAMcast and is a pulmonary embolism […] The post SGEM#363: View Master – Virtual Reality Immersion Tool to Reduce Pediatric Anxiety fir

Emergency Department 130

Emergency Department ALS ED OR 130

EMergucate

APRIL 16, 2022

The chest x-ray shows : There is consolidation involving the left upper lobe with silhouetting of the left cardiac border … Continue reading →

EMS 130

EMS 130

On Time Medical Transportation

APRIL 27, 2022

This week, we caught up with Denise Goodman, On Time's Logistics & Retention Manager. We discussed the connection between scheduling and employee retention, the challenges of keeping track of crews and trucks, and the expectations for EMTs in terms of communication and availability.

EMT 52

EMT EMT Ambulance 52

EMS 12-Lead

APRIL 14, 2022

David Didlake, NRP, APRN, ACNP-BC This case is provided by C. Madden, Paramedic. Many thanks for sharing! A 48 y/o Male called 911 after experiencing sudden onset chest discomfort while performing yard work. He presented to EMS with extreme pallor, Levine sign, diaphoresis, bilateral arm pain, and an apprehensive sense of doom. Past medical history included HTN, HLD, and MI 10 years prior.

ACS 130

ACS Paramedic Coronary ALS 130

Emergency Medicine Cases

APRIL 12, 2022

Tahara Bhate's new QI corner Quick Hits series, Hans Rosenberg & Michael Gottlieb on the evidence around ED diagnosis and management of skin abscesses using PoCUS, Anand Swaminathan on what the oxygen saturation monitor can tell you besides oxygen saturation, Sarah Reid on how to pick up infantile spasms and prevent poor neurologic outcomes, Elisha Targonsky on battle of the ED rate control medications for rapid atrial fibrillation.

EMS 130

EMS ED 130

Critical Care Scenarios

APRIL 3, 2022

Reviewing the different approaches to placing central venous catheters in the subclavian vein. Reviewing the different approaches to placing central venous catheters in the subclavian vein.

100

100

The Skeptics' Guide to EM

APRIL 16, 2022

Date: April 16th, 2022 Reference: Blom et al. Common elective orthopaedic procedures and their clinical effectiveness: umbrella review of level 1 evidence. BMJ 2021 Guest Skeptic: Dr. Matt Schmitz, Pediatric Orthopedics, Adolescent Sports Medicine and Young Adult Hip Preservation Surgeon at San Antonio Military Medical Center in Texas. Disclaimer: The views and opinions of this blog […] The post SGEM#365: Stop!

Emergency Department 100

Emergency Department ALS OR ED 100

EMergucate

APRIL 6, 2022

A 67 year old female is BIBA as a priority 1 OHCA. There is limited history from the paramedics. They report the husband found the patient unresponsive.

Paramedic 130

Paramedic EMS 130

BoostPrep

APRIL 26, 2022

Welcome to our free NREMT practice test page! Click on the “start quiz” buttons below to start a NREMT practice test. Our EMT test questions will give you a better idea of what will be on your exam. EMT Airway, Respiration, & Ventilation Practice Test Time limit: 0 Quiz Summary 0 of 10 Questions completed Questions: Information You have already completed the quiz before.

EMT 52

EMT EMT CPR Emergency Medical Technician 52

EMS 12-Lead

APRIL 8, 2022

David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Peer review by Dr. Stephen Smith @smithECGblog I was reviewing ECG’s in our LifeNet database and happened upon this one without any knowledge of clinical circumstances. Figure 1 Raw findings include Sinus Rhythm, narrow QRS duration, small q-waves in Leads I / aVL / V5 / V6 (which is not entirely atypical), an inverted P-wave in V1 to suggest possible lead malposition, a normal QRS/T angle, and a dispersion of alterna

STEMI 130

STEMI ALS Coronary CAD 130

The Overrun Podcast

APRIL 25, 2022

If you haven't heard of these two individuals, you may be very soon. The reason why? They may have just built the BVM we all wish we had, and the potential to help patients is very high. Dan sits down with Jonathan and Adam from Compact Medical, and talks about their new Butterfly BVM™ and the advantages it will bring to a tool that really hasn't changed in 50 years.

52

52

Critical Care Scenarios

APRIL 17, 2022

A practical approach to choosing and escalating vasopressors for patients in shock. A practical approach to choosing and escalating vasopressors for patients in shock.

100

100

Medic Mindset

APRIL 25, 2022

These two guests are partners: a flight medic and a flight nurse. They dig into their relationship in a way that will make the listener think about their own role as a partner. We also have a chance to hear the flight medic reflect on a near-miss with a medication error, what he wished he had learned more about in paramedic school, why he isn’t a firefighter and a wide range of other topics.

Paramedic 52

Paramedic Firefighter EMS OR 52

EMergucate

APRIL 29, 2022

The wrist x-ray shows 2 injuries. Radial styloid fracture (Chauffeur’s fracture) & scapholunate dissociation (Terry Thomas Sign).

EMS 130

EMS 130

Dr. Smith's ECG Blog

APRIL 24, 2022

Case sent by Magnus Nossen MD, edits by Meyers A previously healthy woman in her 60s presented to an outpatient clinic for palpitations. Vitals were within normal limits other than heart rate. The ECG there reportedly showed an irregular tachycardia, and the patient was immediately referred to the emergency room. Here is her ECG on arrival: There is a wide complex tachycardia that is irregularly irregular (this is difficult to determine at these very high rates).

OR 52

OR 52

EMS 12-Lead

APRIL 2, 2022

David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Expert commentary provided by Dr. Ken Grauer CASE 1 An 82 y/o Male called 911 for sudden onset dizziness while at rest. Upon arrival he was found alert and oriented, and without gross distress. He denied difficulty breathing, epigastric pain, or chest discomfort. BP 110/67 HR 68 RR 14 (non-labored) SpO2 95 RA Physical exam revealed slight pallor and diaphoresis.

ALS 130

ALS STEMI Coronary OR 130

Best Practice Medicine

APRIL 22, 2022

Travel paramedics are part of the workforce solution healthcare desperately needs. Best Practice Medicine (BPM) created and is rapidly scaling the nation's first dedicated travel paramedic agency in support of ambulance and hospital operations nationwide.

Paramedicine 52

Paramedicine Paramedicine Paramedic Ambulance 52

On Time Medical Transportation

APRIL 19, 2022

Dayle Gibson is a Field Supervisor at On Time Ambulance. Starting as an EMT with the company in 2019, Dayle has held the roles of EMT Mentor, Field Training Officer, and now Field Supervisor. We caught up with Dayle to ask about what motivates her, the unique learning experiences in EMS, and what it takes to succeed in the field.

EMT 52

EMT EMT Ambulance EMS 52

The Overrun Podcast

APRIL 11, 2022

If you've been anywhere in this world the last few weeks, you know what's been going on in Ukraine. Once again, military medicine has taken front row. But what actually is military medicine about? What are some of the misconceptions? And what can we as civilians take away from our colleagues in service? On this episode, Dan and Ed are civilians talking medicine in the military to Dr.

ED 52

ED 52

EMergucate

APRIL 19, 2022

Following wrist x-rays are from a 38 year old with wrist pain and swelling after a fall on outstretched hand.

EMS 130

EMS 130

Dr. Smith's ECG Blog

APRIL 22, 2022

Written by Jesse McLaren, with comments from Smith and Grauer A 60 year old presented with three weeks of intermittent non-exertional chest pain without associated symptoms. ECG was labeled ‘normal’ by the computer (confirmed by the overreading cardiologist) and the high-sensitivity Troponin I was normal at a value of 11 ng/L (Abbott Alinity assay, where normal is S in V2.

E-9-1-1 52

E-9-1-1 STEMI ALS ED 52

EMS 20/20

APRIL 27, 2022

Spencer and Chris Boldly examine a call that occurs in a birthing center where a patient is hypotensive for obvious reasons. or are they? Spencer and Chris Boldly examine a call that occurs in a birthing center where a patient is hypotensive for obvious reasons. or are they?

OR 40

OR 40

Emergency Medicine Education

APRIL 25, 2022

Does Anterior-Posterior electrode pad work better than the Anterior-Lateral position? A multicenter Danish study in 468 patients with atrial fibrillation showed the Ant-Lat position was more effective than AP for biphasic cardioversion and converting to sinus rhythm. There was no safety concern between these 2 methods.

40

40

The EMS Educator

APRIL 20, 2022

Learn how to create effective, meaningful learning experiences for students in your EMS classroom. Hear from fellow educators about creative ways to implement FOAMed. Benji McCollum, NRP, RN, Paramedic Program Director at Midlands Technical College describes teach-back presentations, using SMEs, and teaching hands-on skills in a virtual environment.

Organ Donor 40

Organ Donor Paramedic EMS ALS 40

Emergency Medicine Ireland

APRIL 4, 2022

Welcome back to the tasty morsels of critical care podcast. Oh chapter 26 devotes a whole chapter to this and for those of us in cardiac units the arrival of several post cardiac surgery patients a day in your unit. Read More » Welcome back to the tasty morsels of critical care podcast. Oh chapter 26 devotes a whole chapter to this and for those of us in cardiac units the arrival of several post cardiac surgery patients a day in your unit is a routine part of the day.

Critical Care 40

Critical Care ICU OR 40

EMergucate

APRIL 29, 2022

The chest x-ray shows The PA chest x-ray shows obscuration of the right heart border by a density.

EMS 130

EMS 130

Dr. Smith's ECG Blog

APRIL 8, 2022

Case written and submitted by Brandon Fetterolf MD, edits by Meyers A woman in her early 30s with multiple autoimmune disorders including vasculitis presented with 2-3 hours of mid-left side chest discomfort with radiation to neck and left arm and associated with nausea, diaphoresis and dizziness. Initial ECG on presentation at 1554 (no prior for comparison): What do you think is happening to his 30s woman?

STEMI 52

STEMI Coronary ACS ED 52

EMS 20/20

APRIL 13, 2022

Spencer and Chris try to stay with a crew as they wind down the treacherous rabbit hole that is an altered mental status patient. Do they take the wrong path? In short. probably, but listen and find out why they go where they go on this week's episode! Spencer and Chris try to stay with a crew as they wind down the treacherous rabbit hole that is an altered mental status patient.

Overdose 40

Overdose 40

Emergency Medicine Education

APRIL 11, 2022

The choice of vasopressor is always a topic of controversy regarding post cardiac arrest patients. Intensive Care Medicine recently published an article with focus on “Epinephrine versus norepinephrine in cardiac arrest patients with post-resuscitation shock” This study was in Paris metropolitan region. They included 766 patients and they found using Epi in OHCA post cardiac arrest resuscitation was associated with higher all-cause of mortality compared with Norepi!

Epinephrine 40

Epinephrine 40