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.
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.
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ALiEM
OCTOBER 7, 2024
A 52-year-old female with a past medical history of hypertension and prediabetes presented to the emergency department with double vision that started one day prior to arrival. She stated that her double vision improved when she closed one eye. She denied trauma, headache, neck pain, dizziness, dysphagia, numbness, tingling, weakness, or gait instability.
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.
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.
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.
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.
Paramedicine Now brings together the best content for paramedicine professionals from the widest variety of thought leaders.
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.
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.
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.
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.
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.
ACEP Now
OCTOBER 10, 2024
Every two years, Americans go to the polls to choose our representatives in Congress and at the state level. Few of the candidates vying to represent us have truly walked in our shoes as emergency physicians. However, seven emergency physicians—some incumbents and a few newcomers—are hoping to represent their communities in Washington, D.C. ACEP Now reached out to Drs.
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
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
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.
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.
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.
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.
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.
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?
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.
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.
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.
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.
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.
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.
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.
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.
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
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.
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.
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.
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.
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.
Don't Forget the Bubbles
OCTOBER 7, 2024
Electrical injuries can range from something minor that needs no medical input to tetany of respiratory muscles through to cardiac arrest secondary to dysrhythmia (VF, VT or asystole). Up to 5% of burns occur secondary to electrical injuries, and this rises to 27% in developing countries. There are two periods of peak incidence in children – under six years and adolescents aged between 13-18 years.
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.
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