Sat.Dec 28, 2024 - Fri.Jan 03, 2025

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A Message from AAA President Jamie Pafford-Gresham

American Ambulance Association

Happy New Year from Our New Association President Dear Fellow Members, I am saddened to begin the New Year with such grim and shocking news from Louisiana and New […] The post A Message from AAA President Jamie Pafford-Gresham appeared first on American Ambulance Association.

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SGEM#464: I Can Do It with A Broken Heart – Compassion for Patients with OUD

The Skeptics' Guide to EM

Date: December 26, 2024 Reference: Steinhauser S et al. Emergency department staff compassion is associated with lower fear of enacted stigma among patients with opioid use disorder. AEM December 2024 Guest Skeptic:Dr. Suchismita Datta. She is anAssistant Professor and Director of Research in theDepartment of Emergency Medicine at the NYU Grossman Long Island Hospital Campus.

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Episode 204: Necrotizing Fasciitis

Core EM

We discuss the recognition and treatment of necrotizing fasciitis. Hosts: Aurnee Rahman, MD Brian Gilberti, MD [link] Download Leave a Comment Tags: Critical Care , General Surgery Show Notes Table of Contents 0:00 – Introduction 0:41 – Overview 1:10 – Types of Necrotizing Fasciitis 2:21 – Pathophysiology & Risk Factors 3:16 – Clinical Presentation 4:06 – Diagnosis 5:37 – Treatment 7:09 – Prognosis and Recovery 7:37 – Take Home points Int

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EM Cases Top 10 Best of 2024

Emergency Medicine Cases

Based on a blend of number of listens, views, feedback from listeners, website traffic and personal faves, EM Cases Top 10 Best of 2024 podcasts, videos and blog posts. The post EM Cases Top 10 Best of 2024 appeared first on Emergency Medicine Cases.

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CMS Posts Revised 2025 Public Use File

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post CMS Posts Revised 2025 Public Use File appeared first on American Ambulance Association.

Ambulance 130
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Communic8: Eight Universal Leadership Lessons from the Children’s Emergency Department

Don't Forget the Bubbles

The Childrens Emergency Department is a busy, challenging, and dynamic environment. The skills needed to deliver the best possible outcomes for children and young people are multifaceted and constantly evolving. They involve a mixture of clinical, communication, and leadership traits. Having recently moved from a leadership position within the Childrens Emergency Department to a more system-based role involving children of all ages, its apparent to me how transferable my experiences on the shop

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Lab case 454 interpretation

EMergucate

PH = 7.39, that is within the normal range. pCO2 = 30 mmHg, that is slightly low. This patient might have respiratory alkalosis. Next, we should look at the compensation for respiratory acidosis.

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Thank You & Farewell from AAA President Randy Strozyk

American Ambulance Association

Dear Fellow American Ambulance Association Members, Working on your behalf, first on the AAA board, then as president, has been the capstone of my 45-year EMS career. Both the past […] The post Thank You & Farewell from AAA President Randy Strozyk appeared first on American Ambulance Association.

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Torsade in a patient with left bundle branch block: is there a long QT? (And: Left Bundle Pacing).

Dr. Smith's ECG Blog

By Smith with comments from our electrophysiologist, Rehan Karim. (And of course Ken's comments at the bottom) An elderly obese woman with cardiomyopathy, Left bundle branch block, and chronic hypercapnea presented hypoxic with altered mental status. She was intubated. Bedside cardiac ultrasound showed moderately decreased LV function. CT of the chest showed no pulmonary embolism but bibasilar infiltrates.

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Cardiac Arrest Update 2024 (Part 2)

Core Ultrasound

In part two of this series on using ultrasound during cardiac arrest, we dive into advanced strategies to further optimize your resuscitation care. Building on the foundation from part one, this video focuses on actionable tips to take your ultrasound skills to the next level during cardiac arrest scenarios. Cardiac Arrest Part 1 RUSH exam Courses The post Cardiac Arrest Update 2024 (Part 2) first appeared on Core Ultrasound.

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Paramedic Chiefs of Canada – The Preburn Project: Preventing Burnout by Predicting Compromised Wellness in EMS Workers

FirstWatch

Instructions to join are below description and speakers. February 6th, 2025 | 9:00 am PST (12:00 pm EST) Join us for an in-depth exploration of the innovative Preburn Project: Preventing Burnout by Predicting Compromised Wellness in EMS Workers. This session is designed for EMS directors, EMS administrators, paramedics, dispatchers, mental health professionals and researchers who are committed to improving the well-being of frontline EMS workers.

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The Ultimate List of Emergency Medical Nursing Equipment

SSCOR

Preparedness is your best weapon against preventable morbidity and mortality. Here are the items you need to have in your emergency nursing equipment kit.

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Implementing Ultrasound w/ Allen Wolfe

FOAMfrat

The integration of point-of-care ultrasound (POCUS) is transforming emergency medical services (EMS) by enhancing diagnostic capabilities and improving accuracy in answering important clinical questions. Recently, I had the opportunity to discuss this topic extensively with Allen Wolfe, the Senior Director of Education at Life Link III. Breaking Barriers to Adoption A significant challenge in incorporating ultrasound technology within EMS has been overcoming initial barriers to adoption.

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Trauma Stewardship: Caring for the Caregivers in EMS

The EMS Educator

How do EMS clincians process the trauma they witness dailyand how can they be better supported? In this episode of The EMS Educator podcast, hosts Rob Lawrence, Hilary Gates and Maia Dorsett explore the critical topic of trauma stewardship with guest Ronit Reguer, the first behavioral health coordinator for DC Fire and EMS. Together, they unpack the challenges of emotional resilience, the importance of proactive mental health care, and the cultural shifts shaping the future of first responder su

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Dizziness in a 40-something with recent stent for inferior OMI

Dr. Smith's ECG Blog

Dizziness is so unlikely to be OMI without an obvious ECG, that I am going to pretend that this patient presented with chest pain. The PMCardio Queen of Hearts app asks you, before giving an interpretation of OMI ("STEMI-Equivalent"), whether the patient's clinical presentation is high risk for OMI. If no, then she will tell you that the case is outside of the intended use group.

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Michael Cannon

FirstNet Authority

Michael Cannon michelle.

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Lifting Buddy - The Left Ventricular Assist Device

FOAMfrat

Anyone who has tried a little resistance training knows that a lifting buddy can really help lighten the load and ensure you have enough strength to prevent yourself from getting smothered by the bar. They may have to pick up the slack even more on days you are feeling weak, but a good lifting buddy helps you build strength and improve performance. The LVAD is a device for the weak heart that still requires some cardiac effort, but takes some the majority of burden off the LV.

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Reader Responds: The Intersections of Physical and Mental Health Disorders

ACEP Now

Thanks to Drs. Harrell and Bower for their excellent case discussion in the October issue of ACEP Now. They made a final diagnosis of hypertrophic obstructive cardiomyopathy and discussed how that diagnosis was made despite the initial anchoring on the wrong diagnosis. They continued to work the patient when they noted that the main presenting signtachycardiapersisted after the treatment for the initially anchored diagnosis, anxiety and panic disorder, and, possibly, hypovolemia.

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Step-by-Step Guide to Master the Jaw Thrust Maneuver

NHCPS Save a Life

The jaw thrust maneuver is one of the most important airway management techniques rescuers need to perfect. This method allows rescuers to secure and then maintain an open airway in an unconscious person. This method is unique because it limits the movement and potential aggravation of any known or unknown spinal or neck injuries. Understanding […] The post Step-by-Step Guide to Master the Jaw Thrust Maneuver appeared first on SaveaLife.com.

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Out of Place, Out of Time: Ectopic Pregnancy in the ED

EM Board Bombs

-Case- A 29-year-old woman presents to the emergency department with 6 hours of lower abdominal pain and vaginal bleeding. She reports her last menstrual period was six weeks ago and mentions intermittent lightheadedness. Her vital signs are notable for tachycardia to 110 bpm and a blood pressure of 100/65 mmHg. A urine pregnancy test is positive.

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2024 Ancient Order of St. Florian and St. Michael Inductees: Robert and Kirstiana Dittman

First Responders Foundation

2024 Ancient Order of St. Florian and St. Michael Inductees: Robert and Kirstiana Dittman Robert D. Dittman Division Chief, Internal Affairs Division, Texas Public Safety and Investigations (TXPSI LLC.) Robert Dittman was directly appointed as Division Chief to command the Internal Affairs Division January of 2023. Initially an independent contract Attorney in 2022, Chief Dittman came to TXPSI with experience practicing law for over ten years in the areas of criminal defense, government liaison,

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Tuesdays with Dr. Greg Henry: A Final Farewell (1946-2024)

ACEP Now

The first time I met Dr. Greg Henry, he promptly informed me that he had shoes and belts older than me. Not knowing whether to laugh or be intimidated, I stared at him blankly and he chuckled. He quickly took me under his wing. Beyond his professional achievements, Greg was revered for his larger-than-life personality, sharp wit, and generous mentorship.

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Top emDOCs Posts of 2024

EMDocs

Authors:Brit Long, MD ( @long_brit EM Attending Physician, San Antonio, TX);Manpreet Singh, MD ( @MPrizzleER Assistant Professor of Emergency Medicine / Department of Emergency Medicine Harbor-UCLA Medical Center); andAlex Koyfman, MD ( @EMHighAK EM Attending Physician, UT Southwestern Medical Center / Parkland Memorial Hospital) Happy New Year, and thank you for everything you do!

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Head-Splitting Decisions: Tackling Migraines in the ED

EM Board Bombs

-Case- It’s a busy Thursday evening in the ED, and a 36-year-old female presents with a severe headache. She describes a history of similar episodes and reports that this headache began gradually over the past 12 hours. It is located on the right side of her head; the pain is throbbing and is associated with nausea and photophobia.

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SquKid Game

EMS 20/20

Attention Players: A crew heads to a traffic accident with multiple patients and is assigned to care for a 3.517892 year old child with a leg injury. or ARE THEY? Attention Players: A crew heads to a traffic accident with multiple patients and is assigned to care for a 3.517892 year old child with a leg injury. or ARE THEY?

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[not-on-my-shift.org] [not-on-my-shift.org] [no

not-on-my-shift

not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-

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Don’t Forget to Bubble Wrap

Don't Forget the Bubbles

We love learning and sharing what we learn. In this post, we will discuss Bubble Wraps , one of the many ways to get further involved in the Dont Forget The Bubbles (DFTB) community. What is a Bubble Wrap? The DFTB team releases Bubble Wraps each month. They are a roundup of interesting and useful articles that our Bubble Wrappers have found during the month.

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ACEP’s Emergency Medicine Data Institute Improves Patient Care

ACEP Now

To tell a story, all you need is information. To tell an accurate story, when it comes to patient care in the emergency department (ED), you need much more, according to ED data experts and emergency physicians James Augustine, MD, FACEP, and Stephen Epstein, MD, MPP, FACEP. An accurate story requires information from millions of ED visits, a way to analyze the data, and a way to use that analysis across different settings and patient populations for better outcomes.

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Year in Review: The Impact of the ESO Community in 2024

ESO

At ESO, our mission is to transform community health and safety through the power of data. While the ESO team was busy with our own product innovations and research to support that mission, our customers played an integral part by achieving milestones of their own. It is with great pride that weve watched these organizations redefine whats possible in first response throughout the year.

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[not-on-my-shift.org] [not-on-my-shift.org] [no

not-on-my-shift

not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-

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OMI? Subendocardial ischemia? Does it matter in this clinical context?

Dr. Smith's ECG Blog

Written by Pendell Meyers A woman in her 70s with known prior coronary artery disease experienced acute chest pain and shortness of breath. The chest pain was described as severe pressure radiating to both shoulders. Vital signs were within normal limits. She presented to the Emergency Department at around 3.5 hours since onset. She had taken aspirin at home.

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Heart Attacks vs Angina

EMT First Aid

Heart Attack vs. Angina: Understanding the DifferencesChest pain is a serious symptom that can signal a range of heart-related conditions, but not all chest pain is the same. Two of the most common causes areanginaandheart attacks, which may feel similar but have very different implications for your health. Knowing the difference can save a life.What Is Angina?

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Can You Really Clear an Airway with a Ballpoint Pen Like in the Movies?

SSCOR

Its a dramatic plot twist in movies, medical dramas, and even the occasional sitcom (think MacGyver ): A character is choking or in respiratory distress and standard interventions like the Heimlich maneuver just arent cutting it. So a heroic bystander takes things into their own hands and jams a pen into the victims throat, much to everyones horror.

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[not-on-my-shift.org] [not-on-my-shift.org] [no

not-on-my-shift

not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-

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Bubble Wrap PLUS – January 2025

Don't Forget the Bubbles

Cant get enough of Bubble Wrap? The Bubble Wrap Plus is a monthly paediatric Journal Club reading list from Professor Jaan Toelen (University Hospitals Leuven) and Dr Anke Raaijmakers (Sydney Childrens Hospital). This comprehensive list is developed from 34 journals, including major and subspecialty paediatric journals. We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research.

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Woman less likely to receive bystander CPR compared to men!

EMT First Aid

Why Women Are Less Likely to Receive Bystander CPRAnd Why It MattersWhen someone experiences sudden cardiac arrest, receiving CPR (cardiopulmonary resuscitation) immediately can double or even triple their chances of survival. However, studies have shown a concerning trend: women are less likely to receive bystander CPR than men. This disparity can have life-or-death consequences, and understanding the reasons behind it is the first step toward change.

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EM@3AM: Acute Angle Closure Glaucoma

EMDocs

Authors: Evan Carlen, MD (EM Resident Physician, Mizzou Columbia, MO); Jessica Pelletier, DO, MHPE (Assistant Professor of EM/Assistant Residency Director, Mizzou Columbia, MO) // Reviewed by: Sophia Grgens, MD (EM Physician, BIDMC, MA); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); 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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