The Skeptics' Guide to EM

JUNE 1, 2024

Reference: Tavender E, et al. Triage tools for detecting cervical spine injury in paediatric trauma patients. Cochrane Database Syst Rev. 2024 Date: May 29, 2024 Guest Skeptic: Dr. Caleb Ward is a pediatric emergency medicine attending and Associate Professor of Pediatrics and Emergency Medicine at Children’s National Hospital and The George Washington School of Medicine and Health Sciences in Washington, DC.

Emergency Medical Services 210

Emergency Medical Services Emergency Department EMS ALS 210

Pediatric EM Morsels

JUNE 7, 2024

Knowing how to manage a severe asthma exacerbation in the ER is a vital ingredient to being a successful ER doctor, but what about the more mild cases? The kids with a history of wheezing that are at the start of a viral URI but not yet in the midst of an exacerbation? What recommendations should we be giving these families? Lucky for us, in 2020 there were some updates made to the NIH Asthma Management Guidelines and we’re going to discuss which ones can help us in the Emergency Department!

Emergency Department 268

Emergency Department OR EMS 268

American Ambulance Association

JUNE 7, 2024

House Passes Language to Stop FY2025 Start of VA Final Rule On June 5, the U.S. House of Representatives passed the FY2025 MilCon-VA-Related Agencies Appropriations bill. Included in the bill […] The post Updates on the VA Final Rule and NDAA Workforce Amendment appeared first on American Ambulance Association.

Ambulance 130

Ambulance 130

Core EM

JUNE 3, 2024

We discuss an approach to the acutely agitated patient and review medications commonly used. Hosts: Jonathan Kobles, MD Brian Gilberti, MD [link] Download Leave a Comment Tags: Agitation , psychiatry , Toxicology Show Notes Background/Epidemiology • Definition and Scope : Agitation encompasses behaviors from restlessness to severe altered mental states.

Emergency Department 130

Emergency Department OR 130

Chicago EMT Training

JUNE 1, 2024

Marty and I created a new show. We hope to catch with up with old friends, discuss current events and policies, and cultivate discussions with healthcare adjacent professionals. Thanks for being here.

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130

EMergucate

JUNE 7, 2024

The lateral neck x-ray shows a linear radio opaque foreign body approximately 2 inch long (chicken bone from history) in … Continue reading →

EMS 130

EMS 130

American Ambulance Association

JUNE 7, 2024

The all-volunteer National EMS Memorial Service honors EMS professionals who have died in the line of duty. Write your message of sympathy for the families of the 2024 honorees below, […] The post Share Your Message of Support for Families of Fallen EMS Heroes appeared first on American Ambulance Association.

EMS 130

EMS Ambulance 130

EMCrit Project

JUNE 1, 2024

intro: the challenge of procedural sedation in critical illness Procedural sedation for critically ill patients is a minefield for several reasons: Patients are already physiologically unstable. Procedures are emergent (a factor widely associated with greater complications). Time constraints often prevent a complete pre-anesthetic evaluation (e.g., medical history and laboratory studies may be unknown).

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129

EMergucate

JUNE 7, 2024

The chest x-ray shows left sided pleural based opacity protruding into the lung field with a reverse D appearance.

EMS 130

EMS 130

American Ambulance Association

JUNE 5, 2024

It is with profound sorrow that the American Ambulance Association extends our heartfelt condolences to the Acadian family on the passing of Richard Zuschlag. As a cherished friend and esteemed […] The post Rest in Peace, Richard Zuschlag appeared first on American Ambulance Association.

Ambulance 130

Ambulance 130

EM Literature of Note

JUNE 5, 2024

Every so often a masterclass performance arises in the medical literature. A performance transcending the boundaries of what was once thought possible. A shining exemplar of human achievement. This is a trial, published in the New England Journal of Medicine , with the following features: Conducted by an institute sponsored by pharma. Designed by the first author, a consultant for pharma, and two employees of pharma.

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120

NVFC

JUNE 4, 2024

June is PTSD Awareness Month, and first responders may experience post-traumatic stress due to the traumatic events they are exposed to on the job. Use this opportunity to familiarize yourself and your department members of the signs and symptoms to watch for and the resources that are available if someone needs help. The NVFC offers the following: Webinar: Moral Injury – Peeling Back the Layers of PTSD – Register for this webinar, taking place June 11 and sponsored by ESO, to learn how moral di

First Responder 115

First Responder Firefighter EMS OR 115

EMCrit Project

JUNE 3, 2024

Today, we talk about a paper that showed impressive neurologically intact survival for all-rhythms presenting in cardiac arrest, both OHCA and IHCA. It uses a new set of strategies and technologies called CARL. The Paper Treatment of Refractory Cardiac Arrest by Controlled Reperfusion of the Whole Body: A Multicenter, Prospective Observational Study Supplemental Material […] EMCrit Project by Scott Weingart, MD FCCM.

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114

American Ambulance Association

JUNE 4, 2024

From the OSHA Website on June 4, 2024 NEW Update: The deadline for comment submission has been extended a second time to July 22, 2024. The Emergency Response proposed rule is here! OSHA […] The post OSHA Emergency Response Rule Comment Period Extended Again appeared first on American Ambulance Association.

Emergency Response 130

Emergency Response Ambulance 130

Dr. Smith's ECG Blog

JUNE 5, 2024

Written by Magnus Nossen The patient in todays case is a 50 year old male. He has a medical hx notable for hypertension, hyperlipidemia and previous tobacco use disorder. The patient presented due to chest pain that was typical in nature, retrosternal and radiating to the left arm and neck. He denied any exertional chest pain. The below ECG was recorded.

Coronary 106

Coronary ACS ALS OR 106

NVFC

JUNE 1, 2024

The second entry period is now open for the MSA Cairns® 1836 Fire Helmet Giveaway. Volunteer firefighters who are members of the National Volunteer Fire Council (NVFC) can enter to win one of the helmets, which showcase the iconic traditional design with innovative features that address today’s fire service needs. This is the second of four opportunities to win a Cairns® 1836 Fire Helmet in 2024.

Firefighter 116

Firefighter First Responder EMS 116

EMergucate

JUNE 7, 2024

The frontal x-ray shows crowding of the radio capitellar space.

EMS 130

EMS 130

American Ambulance Association

JUNE 4, 2024

Happy Pride Month from the American Ambulance Association! Facebook Instagram View this post on Instagram A post shared by American Ambulance Association (@amerambassociation) X (Twitter) This month, and every month, […] The post Happy Pride Month! appeared first on American Ambulance Association.

Ambulance 100

Ambulance Firefighter EMS 100

SSCOR

JUNE 6, 2024

Respiratory distress is a common reason for emergency room visits in children and neonates. Children under four are especially vulnerable to respiratory problems. First responders typically see an uptick in respiratory issues among children during cold and flu season. A prompt response can save lives; in 2023, 106 children died from flu complications.

First Responder 103

First Responder 103

FOAMfrat

JUNE 3, 2024

It’s a Fall night in the middle of nowhere, you’re staffing a Paramedic Ambulance in a combination system. You’re on a 24hr shift and getting ready for bed, already drowsy and ready for a nap. Right as you’re making your bunk you get dispatched for a reported overdose with police enroute, no further information. We’ve all had this call before, right?

Overdose 98

Overdose Ambulance First Responder ALS 98

EMergucate

JUNE 7, 2024

The abdominal x-ray shows paucity of gas in the abdomen.

EMS 130

EMS 130

American Ambulance Association

JUNE 4, 2024

This content is for AAA members only. Please either Log In or Join! The post OSHA NPRM Emergency Response Standard 2nd Comment Period Extension appeared first on American Ambulance Association.

Emergency Response 100

Emergency Response Ambulance OR 100

Dr. Smith's ECG Blog

JUNE 7, 2024

Written by Jesse McLaren A 45-year-old presented with 24 hours of intermittent chest pain. Below are serial ECGs focusing on the inferior leads and aVL. Can you guess the sequence? First, what’s the interpretation of each ECG on its own? #1 There’s T wave inversion in III/aVF and a taller T wave in aVL and V2. On it’s own this is nonspecific, but in the right context this could be diagonal occlusion (if active chest pain) or infero-posterior reperfusion (if resolved chest pain). #2 Normal ECG #3

STEMI 96

STEMI Coronary OR EMS 96

NVFC

JUNE 4, 2024

Safety Stand Down is just around the corner, and the National Volunteer Fire Council (NVFC) encourages all fire departments to participate by suspending non-emergency activities the week of June 16-22 to focus on training and education relating to this year’s theme – Fire Training: Back to Basics. Training is the foundation of any fire department. It is what prepares firefighters to be ready to respond to fires and a vast array of other emergencies so they can effectively and safely protect thei

Firefighter 100

Firefighter 100

Life in the Fastlane

JUNE 6, 2024

Sunayana Samantaray and Mike Cadogan The MATE ACT Mandate The Medication Access and Training Expansion (MATE) Act went into effect late 2023.

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105

Pulsara

JUNE 7, 2024

EDITOR'S NOTE: This article originally appeared on EMS1.com. Special thanks to our guest author, John Erich, for EMS1 BrandFocus Staff. __ Technologies require these four attributes to unite all the players in emergency response In many ways, the response to the November 2022 Club Q shooting in Colorado Springs was textbook. Police received the first call from inside the club at 11:56 p.m., got there at midnight and had the shooter—who had been subdued by club patrons— in custody by 12:02 a.m.

Firefighter 92

Firefighter First Responder Emergency Response Emergency Department 92

First 10 EM

JUNE 3, 2024

Back again with another month’s worth of interesting, inane, or sometimes important emergency medicine literature. As always, podcast version on BroomeDocs or YouTube. Obviously, GCS 8 doesn’t mean intubate Freund Y, Viglino D, Cachanado M, Cassard C, Montassier E, Douay B, Guenezan J, Le Borgne P, Yordanov Y, Severin A, Roussel M, Daniel M, Marteau […] The post Research Roundup (June 2024) appeared first on First10EM.

OR 88

OR EMS 88

NVFC

JUNE 4, 2024

By David Cook, FirstNet Authority Senior Public Safety Advisor Volunteer firefighters are the heart of our nation’s fire services community. Over 80% of fire departments in the United States are either all or mostly volunteer organizations. These agencies are often smaller, rural, and have fewer resources. However, there are ways volunteer agencies can level the playing field, despite the challenges.

Firefighter 94

Firefighter Public Safety First Responder OR 94

St. Emlyn's

JUNE 1, 2024

St.Emlyn's - Emergency Medicine #FOAMed Journal club review of an RCT on the use of nebulised ketamine use in the emergency department. Yet another route for ketamine? Or maybe not?? #FOAMed @stemlyns The post JC: Is nebulised ketamine an option in the ED? appeared first on St.Emlyn's.

ED 90

ED Emergency Department OR 90

EMDocs

JUNE 5, 2024

Authors: Travis Mok, MD (@tkcm01 on Threads, Emergency Medicine Resident, Rutgers New Jersey Medical School); Cynthia Santos, MD (Emergency Medicine Attending, Medical Toxicologist, Rutgers New Jersey Medical School) // Reviewed by: Anthony Spadaro, MD (@TSpadaro91, Medical Toxicology Fellow, Rutgers New Jersey Medical School, Newark, NJ); James Dazhe Cao, MD (@JamesCaoMD, Associate Professor of EM, Medical Toxicology, UT Southwestern Medical Center, Dallas, TX); Alex Koyfman, MD (@EMHighAK); Br

Overdose 78

Overdose ALS OR Emergency Department 78

Life in the Fastlane

JUNE 5, 2024

Chris Nickson CCR24 and CCR Down Under Don't miss out on the livestream for the upcoming CCR24 meeting. and registrations for CCR Down Under have opened!

Critical Care 75

Critical Care 75

EMOttawa

JUNE 6, 2024

Your patients need you to start rethinking what you know about pre-oxygenation. The peri-intubation period is a physiologically hazardous time; when we feel forced to act in critical situations, we often try to speed things up and cut corners. We hope to convince you, with an abundance of evidence, that taking the time to perfectly […] The post Trust No One, Believe Nothing, Pre-Oxygenation is Key appeared first on EMOttawa Blog.

Critical Care 63

Critical Care ED 63

St. Emlyn's

JUNE 5, 2024

St.Emlyn's - Emergency Medicine #FOAMed The latest St Emlyn's podcast with discussion about Bougies, cardiac arrest, trauma, sepsis, race and medicine and choosing with intention The post Podcast – April 2024 Monthly Round Up – Bougies, cardiac arrest, trauma, sepsis, race and medicine, and choosing with intention appeared first on St.Emlyn's.

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84

EMDocs

JUNE 1, 2024

We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: What’s the Best Target in the Neck for US Guided Central Access Spoon Feed This was a network meta-analysis of 13 randomized controlled trials comparing 5 different central venous catheterization (CVC) approaches.

Emergency Department 64

Emergency Department OR 64

Unitek EMT

JUNE 5, 2024

Learn about EMT services in disaster response, conflict zones, and underserved areas, and how to get involved. As healthcare services become increasingly globalized, the demand for Emergency Medical Technicians (EMTs) on the international stage has never been higher. The integration of international medical support is vital in addressing global challenges such as natural disasters, conflicts, […] The post EMT Opportunities Abroad appeared first on Unitek EMT.

EMT 61

EMT EMT Emergency Medical Technician EMS 61

NVFC

JUNE 3, 2024

A total of $60,000 will be donated to six departments by CHEMTREC® and its supporters As the number of hazmat incidents occurring annually continues to increase, more volunteer fire departments are finding it difficult to afford the training and equipment needed to prepare for and respond to these kinds of incidents. To help departments access these much-needed resources, CHEMTREC® has partnered with the National Volunteer Fire Council (NVFC) for the sixth year to offer the CHEMTREC HELP (Hazmat

First Responder 78

First Responder OR EMS 78

Life in the Fastlane

JUNE 7, 2024

Georgina Beech, Leon Lam, Jennifer Davidson and Parvathy Suresh Kochath CT Case 067 80-year-old female presents with four days of left flank pain and fever. She is febrile 39.5, HR 110, and hypotensive with SBP 90.

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