Sat.Feb 22, 2025 - Fri.Feb 28, 2025

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The 5 Basic Steps of CPR

Unitek EMT

A complete guide to life-saving CPR on adults, children, and infants Every second counts when someone experiences cardiac arrest, and the actions of a bystander can make all the difference. CPR or cardiopulmonary resuscitation can double or triple a persons chance of survival. According to a September 2018 article by the American Heart […] The post The 5 Basic Steps of CPR appeared first on Unitek EMT.

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Kangaroos, Simulation & Cardiac Arrest

Medic Mindset

Alex (Sandy) MacQuarrie , PhD and Paramedic, reflects on his move from Canada to Australia, principles of simulation in medical education & his personal experience with cardiac arrest. Topics discussed: Constructivism in education Organic versus mechanistic approach to learning Difference between feedback and debriefing Socratic method versus Advocacy-Inquiry model Peer-to-peer feedback Psychological safety in the classroom Emotional Seriousness in simulation NHET-SIM Certification Prebriefi

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Becker’s Hospital Review: How Cleveland Clinic’s geriatric ED model reduced admissions 42%

GEDC

Cleveland Clinic’s Geriatric Emergency Department (GED) model has significantly reduced hospital admissions and improved care for older emergency department (ED) patients. The GED model involves dedicated units, specialized practitioners, and a focus on early delirium detection, care transitions, and geriatric education. It operates in all 13 Cleveland Clinic EDs, with positive results: 17% admission rate for those seen by the geriatric team, compared to 55% for those not seen.

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EMCrit 395 – Stellate Ganglion Block – Not Whether, but When?

EMCrit Project

The Stellate Ganglion Block for Electrical Storm EMCrit Project by Scott Weingart, MD FCCM.

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Ep. 147 Freedom House with Chief Moon and Dr. Haamid

Prehospital Emergency Care Podcast

Title: Remembering Freedom House: A Legacy in EMS Join us for a special episode of the Prehospital Emergency Care (PEC) Podcast as we delve into the rich history and enduring legacy of Freedom House. In alignment with our commitment to Diversity, Equity, and Inclusion, we're honored to welcome two distinguished guests: Chief John Moon from Freedom House and Dr.

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Stop and Think: Post Intubation Management

The FllightBridge ED

Over the years I have come to understand that there are a few phrases that should make you STOP and THINK before you do anything…

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New Toolkit to Advance the Development of Partnerships between GEDs and Value-Based Care Organizations

GEDC

A new toolkit from the West Health Institute aims to equip clinical and operational leaders with the tools to partner with local value-based care organizations (VBCOs) in order to provide additional dispositions for older adults. Traditional paths of admission, discharge, or observation limit the scope of disposition choices to those that may not be optimal to address the patients acute needs and goals of care.

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Posttraumatic Stress Disorder (PTSD) and Police Officers

First Responder Wellness

by: Nancy Ryba Panza, PhD, ABPP At First Responder Wellness we specialize in the treatment of Posttraumatic Stress Disorder (PTSD). PTSD is diagnosed when someone has been exposed to an incident (or incidents) that involve actual or threatened death, injury, or sexual violence and then develops impairing symptoms after that exposure. Given the high propensity for police officers to be exposed to such events, it is not surprising that we see a higher rate of PTSD in officers than in the general p

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SGEM#468: Wide Open Monocytes – Using MDW to Diagnose Sepsis

The Skeptics' Guide to EM

Reference: Agnello et al. Monocyte distribution width (MDW) as a screening tool for early detecting sepsis: a systematic review and meta-analysis. Clinical Chemistry and Laboratory Medicine 2022; 60(5):786-792 Clin Chem Lab Med. 2022 Date: February 21, 2025 Guest Skeptic: Dr. Aaron Skolnik is an Assistant Professor of Emergency Medicine at the Mayo Clinic Alix School of Medicine and Vice Chair of Critical Care Medicine at Mayo Clinic Arizona.

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Member Advisory: MedPac to Discuss Ground Ambulance Data

American Ambulance Association

On Thursday, March 6, the Medicare Payment Advisory Committee (MedPAC) will hold the first of several Commission discussions related to the statutorily mandated report to review ground ambulancepayment policy in […] The post Member Advisory: MedPac to Discuss Ground Ambulance Data appeared first on American Ambulance Association.

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2025 Spring Ballot Measures & Referenda: How Voter Decisions Will Impact Firefighter Funding

Firefighters and EMS Fund

Every spring, communities across America face crucial decisions that shape the future of their emergency services. This year, several small towns are putting fire department funding measures on their ballots, presenting voters with choices that could dramatically impact emergency response capabilities in their neighborhoods. The stakes are particularly high in 2025, as departments nationwide grapple […] The post 2025 Spring Ballot Measures & Referenda: How Voter Decisions Will Impact

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NAVIGATE: Early noninvasive ventilation in general wards for acute respiratory failure

The Bottom Line

NAVIGATE: Early noninvasive ventilation in general wards for acute respiratory failure Monti et al. for the NAVIGATE Study Group, BJA Feb 2025. doi:10.1016/j.bja.2024.11.

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Podcast – GoodSam App Update with Mark Wilson at LTC

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed Discover how the GoodSAM app is revolutionizing emergency response, from cardiac arrest alerts to real-time video triage and crime prevention. Learn how you can get involved today. The post Podcast – GoodSam App Update with Mark Wilson at LTC appeared first on St.Emlyn's.

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IVC Distensibility Index vs Collapsibility Index: Using the Correct Index

REBEL EM

Background In 1979, Hiroshi Natori was the first to appreciate the sonographic changes that occur in the inferior vena cava (IVC)s diameter with ventilation in spontaneously breathing patients, mechanically ventilated patients, and those with carcinogenic and tuberculoid cardiac tamponade. 1 They noticed how spontaneously breathing patients had their IVC collapse with inspiration; and ventilated patients had their IVC dilate during positive pressure ventilation.

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Diltiazem for atrial fibrillation: does calcium pretreatment help?

First 10 EM

I have covered calcium channel blockers for atrial fibrillation a number of times. If you are pursuing a rate control approach, calcium channel blockers probably result in more rapid control. Thus, if you are trying to send these patients home, they might be a good choice. However, for long term management, cardiologists seem to prefer […] The post Diltiazem for atrial fibrillation: does calcium pretreatment help?

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Pulsara Around the World - March 2025

Pulsara

February Recap Last month, our teams attended trade shows in California, South Carolina, and New York. While our events schedule has been on the lighter side this year, we're ramping up for a very busy spring. Before we spring into March, let's look at what else Pulsara was up to in February. Driven by Our Purpose and Values It's not every day that Dale Pearson, President of Pulsara, shares insights about our business model.

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National Burn Awareness Week 2025: A Powerful Week of Impact and Engagement

American Burn Association

Categories Advocacy Burn News MAC Spotlight Media Member Services Member Spotlight Organization News Prevention Quality Care Research Return to News & Activities National Burn Awareness Week (NBAW) 2025 was an incredible success, thanks to the dedication of the burn care community, member burn centers, and the tireless efforts of the ABA Burn Prevention Committee.

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Clinical Conundrum: Do I Have to Replace the Nail After an Avulsion?

REBEL EM

Bottom Line Up Top: Replacing the nail into the eponychial fold doesnt appear to be critical to nail regrowth and cosmetic outcomes of finger injuries with nail avulsion. Clinical Scenario: A 6-year-old boy presents to the Peds ED with an injury to their left 2nd digit. The finger was caught in a car door, injuring the nail and nail bed. On presentation, the patient has a linear laceration the full length of the nailbed and the nail has been avulsed.

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A Guide to First Responder Peer Support Groups

First Responders Foundation

First responders face extraordinary stress and trauma throughout their careers. Whether its responding to a natural disaster, handling a violent situation, or witnessing the aftermath of a tragic event, the emotional and mental toll can be overwhelming for first responders and their family members. First responder peer support groups offer a vital resource to share their experiences and receive support from others who understand the unique challenges they face.

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The Pitt and Freedom House

Peter Canning

Medical drama TV doesn’t get any better than The Pitt. This show (on Max) impresses me so much I am compelled to post again about it. Not only is it getting the medicine right, it gets the human drama right, and it honors health care workers with sentiment, not sentimentality. In other words, the emotions are not sappy or sugary, they are honest, earned.

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FACEPs in the Crowd: From Medicine to the Kitchen: Dr. Elie’s Journey of Heritage and Healing

ACEP Now

For Marie-Carmelle Elie, MD, FACEP, a trailblazing physician and academic leader, the journey to the kitchen took a little longer than the journey to the top of her field. Dr. Elie is the first Black woman to be named professor and chair of an academic emergency medicine department at a major American medical school, the University of Alabama at Birmingham.

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The EMT and The Sea

EMS 20/20

of bodily fluid. The guys set sail on an adventure to see what they can find on a particularly. sticky. call. Also. IT ENDS WITH A SONG! of bodily fluid. The guys set sail on an adventure to see what they can find on a particularly. sticky. call. Also. IT ENDS WITH A SONG!

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Chest pain followed by 6 days of increasing dyspnea -- what happened?

Dr. Smith's ECG Blog

Written by Magnus Nossen, edits by Smith The patient in today's case is an 85-year-old male with a history of COPD and dementia. He presented to the emergency department for evaluation. Lets us consider two different clinical presentations. How will you manage this patient in each scenario? Scenario 1 : The patient presents with 24 hours of substernal chest pain.

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Overdose Prevention Center Testimony

Peter Canning

I testified before the Connecticut Legislature’s Public Health Committee on February 21, 2025 in support of a bill to create an overdose prevention center pilot program in our state. The bill is sponsored by Senator Saud Anwar, a physician and great friend of of harm reduction. Here is a link to the text of the bill: AN ACT ESTABLISHING AN OVERDOSE PREVENTION CENTER PILOT PROGRAM Here is a link to my submitted written testimony, which is more detailed than my in person testimony.

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EM Runs in the Family

ACEP Now

If you ask Sullivan Sully Smith, MD, FACEP, he says his kids paid the price for his medical service to the community of Cookeville, Tennessee. As an emergency physician, Dr. Sully Smith missed birthday parties, tee-ball games and an entire season of soccer. He imagined his absence would push his four children far away from following in his medical footsteps.

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Mycoplasma Genitalium (AKA Mgen)

Pediatric EM Morsels

Sexual Transmitted Infections in Children ? Dr. Jackson, are you gonna have us talk to teens about sex again? Yes. Yes I am. Whether I am in Charlotte or B’awlmer (currently hanging out as Faculty at Johns Hopkins), I will strive to make us all uncomfortable… so that we can be more comfortable in having important conversations with our pediatric patients!

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EM@3AM: CSF Leak

EMDocs

Authors: Caleb Graham, MD (EM Resident Physician, UTSW/ Dallas, TX); Colin Danko, MD (EM Faculty Physician, UTSW/ Dallas, TX) // Reviewed by: Sophia Grgens, MD (EM Physician, BIDMC, MA); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providing an expedited review of clinical basics.

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Death in 2025: New Definitions, Ethical Questions & Medical Guidelines

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed What does it truly mean to be dead? In 2025, updates to Death by Neurological Criteria (DNC) challenge long-standing medical definitions, raising new ethical and practical questions. This post explores the latest AOMRC guidelines, the evolving role of brainstem death, and how these changes impact emergency and intensive care medicine.

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Episode 167 Viagra/Sildenafil: Raising the bar

This Podcast Will Kill You

Has a name brand prescription medication ever shot to notoriety as quickly as Viagra did? Within a few months of its arrival on the market, it seems like everyone knew about the little blue pill, whether through commercials featuring celebrity spokespeople or from endless jokes on late night talk shows. But while everyone understood that this medication promised to treat erectile dysfunction, what most people didnt know was the wild story leading to its development.

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Leucodepletion in Bordetella Pertussis

Don't Forget the Bubbles

Two-month-old Isla presents to their local hospital following a prolonged apnoea at home. They had a two-day history of reduced feeding. Their clinical examination is unremarkable: normal heart sounds, palpable femoral pulses bilaterally, and no rashes, bruises, or signs of injury. They have a soft anterior fontanelle and no focal neurology. Because of their worsening respiratory acidosis, they were intubated in the ED, The initial chest-x ray shows a right-sided consolidation, in keeping with b

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Death in 2025: New Definitions, Ethical Questions & Medical Guidelines

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed What does it truly mean to be dead? In 2025, updates to Death by Neurological Criteria (DNC) challenge long-standing medical definitions, raising new ethical and practical questions. This post explores the latest AOMRC guidelines, the evolving role of brainstem death, and how these changes impact emergency and intensive care medicine.

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