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

OR 130

OR 130

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.

Coronary 130

Coronary STEMI Paramedic Defibrillator 130

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.

138

138

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.

ICU 101

ICU Emergency Department OR 101

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!

100

100

EMergucate

MARCH 18, 2023

The following chest x-ray is from a 42-year-old with asthma exacerbation. What can be noticed?

EMS 130

EMS 130

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.

EMT 52

EMT EMT Emergency Medical Technician Emergency Medical Services 52

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.

Firefighter 52

Firefighter Emergency Response EMS 52

EMergucate

MARCH 20, 2023

21-year-old man brought for ED for impaired mental state, he was extremely agitated and needed 6 staff members to restrain … Continue reading →

ED 100

ED 100

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.

ICU 52

ICU Emergency Department ALS OR 52

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.

STEMI 52

STEMI ACS CAD ED 52

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?

52

52

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.

Organ Donor 40

Organ Donor EMS 40

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.

ALS 52

ALS EMS ED OR 52

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.

STEMI 52

STEMI Coronary CAD OR 52

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.

40

40

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.

40

40

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.

OR 40

OR 40

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".

STEMI 52

STEMI Coronary CAD OR 52