EMergucate

MARCH 7, 2023

Chest x-ray from an adult female with dry retching. What can be seen? Answer will be posted later.

EMS 130

EMS 130

Critical Care Scenarios

MARCH 8, 2023

When the lessons of memory, clinical experience, and time may be more deceptive than instructive. Find us on Patreon here! Buy your merch here! When the lessons of memory, clinical experience, and time may be more deceptive than instructive. Find us on Patreon here! Buy your merch here!

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100

The Skeptics' Guide to EM

MARCH 4, 2023

Date: March 3, 2023 Reference: Hosseinialhashemi et al. Intranasal Topical Application of Tranexamic Acid in Atraumatic Anterior Epistaxis: A Double-Blind Randomized Clinical Trial. Ann Emerg Med. 2022 Guest Skeptic: Dr. Dominique Trudel is a CCFP-EM resident in Ottawa, Ontario. Her interest is serving French minority communities delivering care at the Montfort Hospital in Ottawa.

Emergency Department 100

Emergency Department ALS EMS 100

Medgadget

MARCH 9, 2023

Researchers at University College London and at the University of Ghana have developed a smartphone-based system that can detect anemia through simple photos taken using the phone’s camera. The technology is intended for use in low- and middle-income countries where access to routine medical diagnostics may be unreliable. The process involves obtaining images of areas of the body which are least pigmented, including the white of the eye, the lower eyelid, and the lip.

OR 107

OR 107

EMT Training Station

MARCH 10, 2023

A good watch is often overlooked. I have seen plenty of EMTs simply use their phones. This works for recording accurate vital signs on a stable patient. But what if your patient is not stable? In this article, we want to educate you on how to pick the best EMT watch for you so that you can provide the best patient care possible. As an EMT, paramedic, or medical first responder your main purpose is to provide emergency care to your patients.

EMT 52

EMT EMT Paramedic EMS 52

Firefighters and EMS Fund

MARCH 9, 2023

According to local news broadcaster 9News, the Colorado Division of Fire Prevention and Control (DFPC) was recently terrified by the conditions Colorado’s firefighters currently work with. During a tour of fire training facilities around the state, they found many rural jurisdictions must make do with 30-year-old, outdated PPE. This is a clear example of money […] The post Colorado Fire Gear in Terrifying Condition, Says State Review appeared first on Firefighters and EMS Fund.

Firefighter 52

Firefighter EMS 52

Dr. Smith's ECG Blog

MARCH 9, 2023

Sent by anonymous, written by Pendell Meyers A man in his 50s with no prior known medical history presented to the Emergency Department with severe intermittent chest pain. He had episodes of chest pain off and on all night, until about 1 hour prior to arrival when the pain became constant, crushing, 10/10 chest pain that radiated to both arms. He denied any lightheadedness, shortness of breath, vomiting, or abdominal pain.

E-9-1-1 52

E-9-1-1 STEMI Coronary ALS 52

REBEL EM

MARCH 9, 2023

Background: Acute alcohol intoxication is often identified early in a patient’s visit by behavioral changes accompanied by slurred speech, ataxia, nystagmus, or the smell of alcohol. However, evaluating and managing patients with acute alcohol intoxication in the emergency department can be challenging. Patients may be agitated or altered, hindering their initial evaluation and diagnostic workup.

Emergency Department 52

Emergency Department OR EMS 52

Stem EMS

MARCH 6, 2023

Electric vehicles' arrival in medical transport is ongoing in many countries, even if end-users still have doubts about it. In terms of regulations, European organizations are not yet aligned and there are no certainties about special vehicles, as regulation EN1789 shows. The text does not refer to electric ambulances, even if they are already in the field in some European countries.

Medical Transportation 52

Medical Transportation Ambulance EMS 52

Dr. Smith's ECG Blog

MARCH 6, 2023

If you saw this ECG only knowing that it is an acute chest pain patient, what would be your interpretation? This is a trick question, as you will see below. But you can make a diagnosis here, and Pendell and I do this all the time when reading ECGs from databases. I sent this to Pendell without any information at all, and he replied "Postero-lateral Reperfusion.

OR 52

OR STEMI ED Critical Care 52

Clinical Correlations

MARCH 6, 2023

By Raymond Barry Peer Reviewed A 2020 report published by the American Heart Association (AHA) in conjunction with the National Institutes of Health (NIH) found that an estimated 6.2 million American adults had heart failure between.

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REBEL EM

MARCH 8, 2023

Take Home Points: Assess patients with floaters or flashers for retinal or vitreous detachment. Rapid diagnosis and emergency referral improves outcomes of ophthalmologic interventions. CRAO is a stroke of the eye; patients should be considered for a complete stroke work up. REBEL Core Cast 97.0 – Acute Vision Loss II Click here for Direct Download of the Podcast Definition: Decrease of visual acuity due to a non-traumatic cause.

Emergency Department 52

Emergency Department ALS ED OR 52

EMCrit Project

MARCH 10, 2023

CLOVERS Trial Primer and Fluids in Septic Shock EMCrit Project by Scott Weingart, MD FCCM.

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Dr. Smith's ECG Blog

MARCH 4, 2023

A 30-something with h/o DM and HTN presents with CP and SOB and cough. The ECG is rather classic for pulmonary embolism, and indeed this was a large acute PE. This is a classic S1Q3T3. Most S1Q3T3 is not due to PE. This one is far more specific, as it is combined with sinus tachycardia and some T-wave inversion in V1-V3. So this entire ECG is very high probability for PE in a patient with acute dyspnea.

ACS 52

ACS ALS OR 52

ECG & Echo Learning

MARCH 8, 2023

All patients with NSTE-ACS ( NSTEMI or unstable angina) are treated similarly with respect to anti-ischemic and anti-thrombotic drugs. Management must, however, be individualized with respect to the delay to coronary angiography (PCI). The majority of patients should undergo angiography within 24 hours, but high-risk patients should be evaluated with angiography earlier.

STEMI 40

STEMI E-9-1-1 ACS Coronary 40

Emergency Medicine Education

MARCH 6, 2023

This is a good controversial review in favor or against Intravenous haloperidol. It is important to know that IV haloperidol is not FDA approved. QT Prolongation, Torsades de pointes, and alternative agents for sedation always should be considered.

Emergency Department 40

Emergency Department OR 40

University of Maryland Department of Emergency Med

MARCH 4, 2023

Applying a cervical collar to all patients involved in motor vehicle collisions and mechanical falls has been shown to add to patient disco.

Paramedic 40

Paramedic 40

University of Maryland Department of Emergency Med

MARCH 6, 2023

Title: Electrocardiographic Changes at the Early Stage of Status Epilepticus: First Insights From the ICTAL Registry. As the s.

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40

ECG & Echo Learning

MARCH 7, 2023

Indications for vernakalant Vernakalant (Brinavess) is indicated in adults for chemical conversion of recent onset atrial fibrillation to sinus rhythm. Vernakalant is used in the following settings: Non-surgery patients: atrial fibrillation ≤7 days duration. Post-cardiac surgery: atrial fibrillation ≤3 days duration. Vernakalant does not convert atrial flutter to sinus rhythm.

Defibrillator 40

Defibrillator Coronary OR 40