EMCrit Project
MARCH 21, 2023
Steroid is worthless for pneumonia! Wait, a new study shows it's beneficial! Hang on, a fresh meta-analysis shows that steroid it's useless! And wait, here's a fresh NEJM study showing mortality benefit!! This feels like a roller coaster. What's going on here? Several factors may explain this: Steroid is beneficial, but only in a subset […] EMCrit Project by Josh Farkas.
Core Ultrasound
MARCH 24, 2023
Examining the Utility of Cardiac Ultrasound During Cardiac Arrest Peer reviewed by Ben Smith, MD 3/23/23 RWMA R Heart TEE Cardiac POCUS can be dramatically useful and life-saving in cardiac arrest. I like to think about it in three different broad categories: Procedural, identifying reversible causes, and guiding therapy. This video isn’t a discussion regarding its utility for procedures or diagnosing reversible causes, but it is talking about how maybe the echo pulse check is not the best way t
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EMS 12-Lead
MARCH 19, 2023
David Didlake Acute Care Nurse Practitioner Firefighter / Paramedic (Ret) @DidlakeDW Expert contribution by Dr Robert Herman @RobertHermanMD @PowerfulMedical (Chief Medical Officer) An adult male called 911 for new-onset epigastric burning. Fire/EMS crews found him clammy and uncomfortable. Vital signs were noted to be unremarkable with respect to any hypo-hypertensive crisis, hypoxia, etc.
EMergucate
MARCH 18, 2023
The following chest x-ray is from a 42-year-old with asthma exacerbation. What can be noticed?
The Skeptics' Guide to EM
MARCH 18, 2023
Date: February 27, 2023 Reference: Walsh PS, Schnadower D, Zhang Y, Ramgopal S, Shah SS, Wilson PM. Association of early oseltamivir with improved outcomes in hospitalized children with influenza, 2007-2020. JAMA Pediatr. 2022. Guest Skeptic: Dr. Marisu Rueda-Altez is a pediatric infectious disease fellow at Children’s National Hospital in Washington, DC.
Critical Care Scenarios
MARCH 22, 2023
Some basic tactics for keeping attention in your live talks, presentations, and lectures. Find us on Patreon here! Buy your merch here! Some basic tactics for keeping attention in your live talks, presentations, and lectures. Find us on Patreon here! Buy your merch here!
EMT Training Station
MARCH 24, 2023
Tactical Emergency Medical Services (TEMS) presents an exciting and challenging career path for emergency medical technicians (EMTs) and paramedics looking to apply their skills and expertise in high-risk law enforcement environments. As a specialized field within emergency medicine, TEMS professionals work alongside Special Weapons and Tactics (SWAT) teams and other specialized law enforcement units, providing critical medical support during high-stakes operations.
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First Responders Foundation
MARCH 24, 2023
Our JAVELAN Team recently visited the Beemer American Legion where they received a very generous donation of $10,000. Reporter Ashley Gaughan of the West Point News wrote the following article and with permission, we are sharing her story. JAVELAN Service Dogs Give Veterans & Retired First Responders A New Outlook On Life. Many veterans and first responders will testify that their JAVELAN service dog has significantly changed their life for the better.
Firefighters and EMS Fund
MARCH 23, 2023
Firefighters and EMS personnel are on the front lines of emergency response, putting their lives on the line every day to protect their communities. However, they can only do so much without adequate funding and resources. That’s why two vital U.S. firefighter funding programs, Assistance to Firefighters Grant (AFG) and Staffing for Adequate Fire and […] The post 2 Major U.S.
REBEL EM
MARCH 23, 2023
Background information : Alcohol has potentiating effects on the inhibitory GABA neurotransmission system and inhibitory effects on the excitatory glutamate neurotransmission system. Chronic alcohol use causes changes to preserve homeostasis, and when the stimulus is removed, alcohol withdrawal results due to decreased inhibition via the GABA system and increased excitation via the glutamate system.
The Bottom Line
MARCH 22, 2023
In patients with severe community acquired pneumonia (CAP) does the use of hydrocortisone compared to a placebo reduce 28-day mortality?
Dr. Smith's ECG Blog
MARCH 20, 2023
Submitted by Dr. Caio Aguiar from Brazil, written by Pendell Meyers It is immensely rewarding to receive these emails, like I received from Dr. Aguiar last week: "Last year I had a couple of lessons with you while on my internship. I finished my residency of Emergency Medicine and I’m working at a great Emergency Department here in Brazil. Since then, I started looking for OMI EKG findings and not just STEMI.
University of Maryland Department of Emergency Med
MARCH 24, 2023
Patellofemoral anatomy and disease (part 1) During normal knee flexion, the patella slides within the trochlear grove. Both (patella and t.
REBEL EM
MARCH 22, 2023
Take Home Points AVNRT is a common tachydysrhythmia that results from a reentrant loop within the AV node. Unstable patients with AVNRT should be considered for immediate synchronized electrical cardioversion. Stable patients with AVNRT can have a trial of vagal maneuvers followed by chemical cardioversion with adenosine or verapamil and synchronized electrical cardioversion if that fails.
The EMS Educator
MARCH 23, 2023
What training did you receive when you became a field preceptor? Many in EMS would reply, "Not much." In this episode, hosts Rob Lawrence, Maia Dorsett and Hilary Gates welcome educators Ginger Locke and Ashley Liebig from Austin, TX. Ginger and Ashley share their ideas about this topic after recently teaching a comprehensive preceptor training course.
Dr. Smith's ECG Blog
MARCH 19, 2023
This ECG was texted to me in real time, but I did not notice the message until about an hour after it came. "50 + yo. Concerning history, known CAD" Recorded 2 hours after pain onset: What do you think? This was my response: "This looks like a worrisome EKG. It looks like an Occlusion MI (OMI), but I am not 100% certain. But by now you must have a repeat ECG.
University of Maryland Department of Emergency Med
MARCH 20, 2023
Things to Consider for Persistent or Worsening Septic Shock Septic shock is one of the most common critical illnesses in emergency.
University of Maryland Department of Emergency Med
MARCH 18, 2023
Predicting the need for a mass hemorrhage protocol (MHP) activation is important both for individual patient outcome as well as for prope.
Dr. Smith's ECG Blog
MARCH 24, 2023
Written by Jesse McLaren, with comments from Smith An 85 year old with a history of CAD presented with 3 hours of chest pain that feels like heartburn but that radiates to the left arm. Below is the ECG. What do you think? There’s sinus bradycardia, first degree AV block, normal axis, delayed R wave progression, and normal voltages. There’s minimal concave ST elevation in III which does not meet STEMI criteria, so this ECG is "STEMI negative".
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