High Performance EMS

OCTOBER 11, 2024

October is Sudden Cardiac Arrest Awareness month, so High Performance EMS and PulsePoint are encouraging everyone to locate and register Automated External Defibrillators (AEDs). By doing so you’re helping to build this network of life-saving devices. Every minute that a victim of Sudden Cardiac Arrest (SCA) goes without potential defibrillation, the chances of a responding EMS crew finding a shockable rhythm decrease between 7 and 10%.

Public Safety 317

Public Safety Defibrillator EMD CPR 317

American Ambulance Association

OCTOBER 10, 2024

FOR IMMEDIATE RELEASE Contact: Tristan North tnorth@ambulance.org October 10, 2024 Congressman Mike Bost Honored with Legislative Recognition Award from the American Ambulance Association Washington, D.C. — The American Ambulance […] The post Congressman Mike Bost Honored with Legislative Recognition Award appeared first on American Ambulance Association.

Ambulance 263

Ambulance 263

The Skeptics' Guide to EM

OCTOBER 5, 2024

Date: October 2, 2024 Reference: Paxton et al. Headpulse measurement can reliably identify large-vessel occlusion stroke in prehospital suspected stroke patients: Results from the EPISODE-PS-COVID study. AEM Sept 2024 Guest Skeptic: Dr. Lauren Westafer an Assistant Professor in the Department of Emergency Medicine at the UMass Chan Medical School – Baystate.

Emergency Medical Services 248

Emergency Medical Services ALS EMS Paramedic 248

ALiEM

OCTOBER 11, 2024

A 76-year-old female presented with a lingering cough and an oral lesion to the left lower cheek. She reported ten days of improving flu-like symptoms but had a persistent cough and nasal congestion. On the day of presentation, she developed a painful, intermittently bleeding “blood blister” to the left lower cheek that had increased in size, as well as new red spots on her arms and legs.

OR 152

OR ALS 152

EMergucate

OCTOBER 8, 2024

The following chest x-ray is from a patient with chest pain. What can be noticed? Answer will be posted later.

EMS 130

EMS 130

American Ambulance Association

OCTOBER 8, 2024

FOR IMMEDIATE RELEASE Contact: Tristan North tnorth@ambulance.org October 8, 2024 Senator Jerry Moran Honored with Legislative Recognition Award from the American Ambulance Association Washington, D.C. — The American Ambulance Association […] The post Senator Jerry Moran Honored with Legislative Recognition Award appeared first on American Ambulance Association.

Ambulance 263

Ambulance 263

NVFC

OCTOBER 8, 2024

The National Volunteer Fire Council (NVFC) and First Alert have partnered to create a series of online courses to equip first responders with the knowledge and resources to educate residents and make their communities safer and better prepared for emergencies. In honor of Fire Prevention Month and thanks to support from First Alert, these courses are available free of charge to the fire and emergency services community in October.

First Responder 111

First Responder EMS OR 111

EMergucate

OCTOBER 7, 2024

An 8yr old female presents with heart palpitations, she is hemodynamically stable and talking to you.

EMS 130

EMS 130

American Ambulance Association

OCTOBER 10, 2024

FOR IMMEDIATE RELEASE Contact: Tristan North tnorth@ambulance.org October 10, 2024 Congressman Ryan Zinke Honored with Legislative Recognition Award from the American Ambulance Association Washington, D.C. — The American Ambulance […] The post Congressman Ryan Zinke Honored with Legislative Recognition Award appeared first on American Ambulance Association.

Ambulance 147

Ambulance 147

EMOttawa

OCTOBER 7, 2024

Methodology: 2.5/5 Usefulness: 3.5/5d Gaudreau-Simard M, et al. Ultrasound J. 2024 Feb 22;16(1):15. doi: 10.1186/s13089-023-00352-3. Question and Methods: The authors aimed to determine the test characteristics of point-of-care ultrasonography (POCUS) for detecting hydronephrosis in acute kidney injury. Findings: From 65 patients, POCUS had a sensitivity of 85% (95% CI 71-94%), specificity of 78% (95% CI […] The post Test characteristics of point-of-care ultrasonography in patients with ac

ALS 109

ALS 109

NVFC

OCTOBER 8, 2024

As the Occupational Safety and Health Administration’s (OSHA) November 12 public hearing on its proposed Emergency Response Standard approaches, tell your member of Congress and Senators how this standard would harm your department if adopted as written. Though OSHA’s proposed Emergency Response Standard is an Executive Branch action and Congress does not vote on the adoption of the final standard, it is important to continue to make Congress aware of the potential negative impacts of this stand

Emergency Response 105

Emergency Response 105

FOAMfrat

OCTOBER 7, 2024

In this episode, we sit down with Dr. Jeffrey Jarvis , author of a fascinating paper on the impact of lights and siren (L&S) use in EMS responses. If you’re like most of us, when you hear those blaring sirens and see flashing lights, you think, “Wow, someone’s really in trouble!” But the truth, according to Dr. Jarvis’ study, might surprise you.

EMS 106

EMS OR 106

American Ambulance Association

OCTOBER 7, 2024

FOR IMMEDIATE RELEASE Contact: Tristan North tnorth@ambulance.org October 7, 2024 Senator Jon Tester Honored with Legislative Recognition Award from the American Ambulance Association Washington, D.C. — The American Ambulance Association […] The post Senator Jon Tester Honored with Legislative Recognition Award appeared first on American Ambulance Association.

Ambulance 147

Ambulance 147

Dr. Smith's ECG Blog

OCTOBER 8, 2024

This was sent to me by a reader who wishes to remain anonymous. A lady in her 60s came to the ER with chest discomfort and shortness of breath. She had a history of previous anterior MI treated by primary PCI to the proximal LAD. The first EKG is from 2:30 PM on the day of presentation to the ER. Smith : To me this is a blatantly obvious acute anterior OMI.

OR 102

OR STEMI ICU Coronary 102

NVFC

OCTOBER 8, 2024

The NVFC mourns the loss of life and devastating impact caused by Hurricane Helene, and we grieve for the responders who died while protecting their communities. When a disaster strikes, volunteer firefighters and emergency personnel are quick to respond – risking their safety to protect and assist others. At the same time, many of these responders are also impacted by these disasters, having their homes damaged or destroyed while they are out protecting their neighbors.

Firefighter 105

Firefighter EMS OR 105

Broome Docs

OCTOBER 6, 2024

Welcome to a special edition of the Journal Club with Justin. This month we recorded live with a bunch of fantastic Broome junior doctors. Justin gate-crashed our local journal club to share his approach to “reading a paper” ( Video version here) and then we dived into a bunch of new papers… and one really old one. Thanks to Drs Emily Wishart, Josh Briotti and Will Arnott who were brave enough to join the chaos and unscripted nerd fest that we put on every month or two.

Critical Care 106

Critical Care ALS Emergency Department EMS 106

American Ambulance Association

OCTOBER 10, 2024

This content is for AAA members only. Please either Log In or Join! The post Non-Compete and “Stay or Pay” Agreements appeared first on American Ambulance Association.

OR 130

OR Ambulance 130

NAEMSP

OCTOBER 9, 2024

Author: Joshua Stilley, MD FACEP FAEMS This article was written in collaboration with the National Adrenal Diseases Foundation Background: Adrenal crisis occurs when the adrenal glands are unable to produce enough endogenous steroids under stress. This is often due to primary adrenal insufficiency, also known as Addison’s disease, or secondary causes like chronic exogenous steroid use leading to adrenal suppression.

EMS 98

EMS Crisis Prevention Emergency Department BLS 98

Life in the Fastlane

OCTOBER 7, 2024

Jeremy Rogers and Mike Cadogan Blood Gas Interpretation The blood gas is used to rapidly assess ventilatory function and identify acid-base disorders – and will also generally provide point-of-care testing of a number of values such as electrolytes, blood glucose and haemoglobin.

98

98

International Journal of Paramedicine

OCTOBER 8, 2024

Introduction - Internationally, prehospital workers practice in a wide range of community paramedicine roles. It can be unclear where community paramedics fit within existing paramedicine career structures and their professional capabilities are sometimes ill-defined or misunderstood. This study aimed to clarify some of these questions through the development of a community paramedic career structure and descriptions of their professional capabilities at different levels of practice.

Community Paramedicine 98

Community Paramedicine Paramedic Paramedicine Paramedicine 98

American Ambulance Association

OCTOBER 8, 2024

This content is for AAA members only. Please either Log In or Join! The post CISA | Hurricane Milton Access Coordination Request appeared first on American Ambulance Association.

Ambulance 130

Ambulance OR 130

Dr. Smith's ECG Blog

OCTOBER 10, 2024

Written by Pendell Meyers A man in his early sixties with no significant medical history (including a "negative cardiac workup a few years ago" for unclear indication) called 911 for acute chest pain constantly for the past 5 hours. EMS arrived and recorded vital signs within normal limits and the following ECG during active pain: EMS1 @ 0157: What do you think?

STEMI 90

STEMI EMS Coronary OR 90

EMDocs

OCTOBER 8, 2024

Today on the emDOCs cast Brit Long interviews Zachary Aust on the use of a mental model for patients with unexplained sinus tachycardia. Episode 108: Unexplained Sinus Tachycardia Mental Model Background: When a patient in the ED has sinus tachycardia our job as emergency physicians is to identify and treat of the underlying pathology. This is done with a HPI, review of systems, physical exam, and as indicated further diagnostic studies.

E-9-1-1 95

E-9-1-1 Emergency Department ED ALS 95

St. Emlyn's

OCTOBER 9, 2024

St.Emlyn's - Emergency Medicine #FOAMed Day one report of the Annual Scientific Conference of the Royal College of Emergency Medicine #RCEMASC #FOAMed @stemlyns The post RCEM ASC 2024. appeared first on St.Emlyn's.

92

92

American Ambulance Association

OCTOBER 7, 2024

On Hold: Dire delays at hospital ERs create long waits for ambulance crews, put patients at risk National data shows delayed EMS crews frequently wait an hour or more before […] The post InvestigateTV | Dire delays at hospital ERs create long waits for ambulance crews appeared first on American Ambulance Association.

Ambulance 130

Ambulance EMS OR 130

SSCOR

OCTOBER 5, 2024

Pediatric intubation is a frightening scenario for a parent. Thanks in part to differences in children’s airway anatomy , they are more vulnerable to respiratory distress. Your agency must offer regular training on pediatric intubation because the pediatric airway is smaller, more difficult to access, and more susceptible to injury. Knowledge is no substitute for experience, so take every opportunity to practice pediatric intubation.

98

98

EM Literature of Note

OCTOBER 9, 2024

This exploration of LLMs in the emergency department is a bit unique in its conceptualization. While most demonstrations of generative AI applied to the ED involve summarization of records, digital scribing, or composing discharge letters, this attempts clinical decision-support. That is to say, rather than attempting to streamline or deburden clinicians from some otherwise time-intensive task, the LLM here taps into its ability to act as a generalized prediction engine – and tries its hand at p

Emergency Department 86

Emergency Department OR ED 86

St. Emlyn's

OCTOBER 10, 2024

St.Emlyn's - Emergency Medicine #FOAMed I’m back at the Sage in Gateshead for day 2 of the conference. David Williams and William Rutherford lectures. These are two prestigious named lectures at ASC. Dr John Ryan […] The post RCEM ASC conference 2024. Day 2. appeared first on St.Emlyn's.

88

88

American Ambulance Association

OCTOBER 7, 2024

This content is for AAA members only. Please either Log In or Join! The post Employee Voting Rights Overview with Scott Moore, Esq. appeared first on American Ambulance Association.

Ambulance 130

Ambulance OR 130

SSCOR

OCTOBER 10, 2024

Anyone in the medical field can attest to an epidemic sweeping our country: opioid overdose. This lethal condition has touched every region of the US and is now a leading cause of death. It’s been proclaimed a national health crisis. If you're an EMS responder, it is simply a matter of time before you are faced with this situation.

Overdose 87

Overdose EMS 87

EMCrit Project

OCTOBER 5, 2024

When you need to temporize orbital compartment syndrome, there is markedly easier way than Lateral Cantholysis EMCrit Project by Scott Weingart, MD FCCM.

98

98

St. Emlyn's

OCTOBER 6, 2024

St.Emlyn's - Emergency Medicine #FOAMed All the best from the blog from July 2024, in our easy to digest podcast. The post Podcast – July 2024 Round-Up appeared first on St.Emlyn's.

87

87

American Ambulance Association

OCTOBER 7, 2024

National Emergency Medical Services Advisory Council; Solicitation of Applications NHTSA is soliciting applications for appointment to the DOT’s NEMSAC. The purpose of NEMSAC is to serve as a nationally recognized […] The post NEMSAC | Applications Open appeared first on American Ambulance Association.

Emergency Medical Services 130

Emergency Medical Services Ambulance 130

First 10 EM

OCTOBER 7, 2024

How much blood people need in their body is an ongoing question. Physicians have moved beyond the days of removing blood from their patients, but we still aren’t totally sure when we are supposed to put blood back in. Most studies suggest we should transfuse less, but there are specific populations who, at least theoretically, […] The post Liberal or restrictive transfusion in brain injury (The HEMOTION trial) appeared first on First10EM.

OR 85

OR EMS 85

Don't Forget the Bubbles

OCTOBER 10, 2024

With millions of journal articles published yearly, it is impossible to keep up. This time the team from Bristol Royal Children’s Hospital ED tell us what is new in the world of paediatric literature… Led by Dr John Coveney a Paediatric Emergency Medicine Trainee in Bristol who has revived The Journal Club at Bristol Royal Children’s Hospital ED on a monthly basis.

ED 75

ED Emergency Department OR ALS 75

Unitek EMT

OCTOBER 7, 2024

Be prepared for anything with these critical supplies. In life, emergencies can arise when least expected. From minor injuries like scrapes and cuts to more serious incidents such as broken bones or heavy bleeding, having the right tools on hand can make a world of difference. While professional medical help is crucial, there are situations […] The post The 20 Essential Items for Building a First-Aid Kit appeared first on Unitek EMT.

First Aid 80

First Aid EMT EMT OR 80

Dr. Smith's ECG Blog

OCTOBER 6, 2024

This patient had the onset of chest pain 24 hours before arrival to the ED. An ECG was recorded immediately at triage and, at this hospital, the Queen of Hearts is routinely used to determine cath lab activation. Here is that ECG: Original ECG What do you think? There is ST depression maximal in V1-V4, which is diagnostic of posterior OMI. There is some ST Elevation and slightly hyperacute T-wave in V6.

STEMI 80

STEMI Coronary ED 80