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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
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.
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
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.
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.
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.
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.
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
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
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.
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.
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.
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,
Preparedness is your best weapon against preventable morbidity and mortality. Here are the items you need to have in your emergency nursing equipment kit.
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.
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.
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.
-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.
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.
Leon Lam, Jennifer Davidson, Parvathy Suresh Kochath and Georgina Beech CT Case 096 30-year-old male presents following a work place injury. A 20cm metal rod has fallen on his face, resulting in a penetrating orbital injury.
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?
-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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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.
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.
-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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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.
St.Emlyn's - Emergency Medicine #FOAMed This feasibility study described the delivery of ECMO CPR (ECPR) for the first time in the UK The post Pre Hospital Extracorporeal CPR (ECPR) in the UK: The Sub30 study appeared first on St.Emlyn's.
-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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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.
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.
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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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!
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.
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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