ALiEM

SEPTEMBER 20, 2024

A 50-year-old male with insulin-dependent Type 2 Diabetes presented to the emergency department with three days of pain and swelling on the right side of his neck. He endorsed progression of his symptoms, reporting that he was now having fevers, myalgias, and intermittent difficulty swallowing solid foods. Additional Images Physical Exam Vitals : BP 153/96; HR 110; T 100.0°F; RR 16; O2 sat 97% General : Appears uncomfortable HEENT : Mild right-sided facial swelling.

Emergency Department 177

Emergency Department OR 177

Pediatric EM Morsels

SEPTEMBER 20, 2024

Diarrhea is one of the most common complaints in the pediatric emergency department, especially in the summer and early fall. Bloody diarrhea makes up approximately 15% of these enteritis presentations and though many causes are benign, some may be harboring something more insidious… Shiga Toxin-producing E.coli ( STEC ) and this may be associated with a terrible problem – Hemolytic Uremic Syndrome (HUS) !

Emergency Department 161

Emergency Department ACS ALS EMS 161

Critical Care Scenarios

SEPTEMBER 18, 2024

We discuss transfusion reactions, risks, and management, including infection, consent, TRALI, TACO, and hemolytic reactions—with Dr. Joe Chaffin (@bloodbankguy), the “Blood Bank Guy” and transfusion medicine specialist. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! Takeaway lessons We discuss transfusion reactions, risks, and management, including infection, consent, TRALI, TACO, and hemolytic reactions—with Dr.

OR 152

OR 152

Core EM

SEPTEMBER 16, 2024

The Case A 96-year-old female with a history of coronary artery disease, hypertension, and complete heart block status post dual-chamber pacemaker (remote) presents to the ED by EMS with generalized weakness and lethargy. EKG Show Details EKG Characteristics Rate 130 Rhythm Wide Complex Tachycardia, Paced Intervals QRS 180, QT/QTc 406/596 Axis Left axis deviation ST Segments Non-specific Additional Features Paced Rhythm with LBBB morphology Diagnosis Pacemaker-Mediated Tachycardia Questions What

Coronary 130

Coronary ED EMS OR 130

ALiEM

SEPTEMBER 16, 2024

A 94-year-old female with a past medical history of hypertension, coronary artery disease, chronic venous stasis, and permanent pacemaker placement initially presented to triage complaining of left hip pain in the setting of a fall shortly prior to arrival. Upon further evaluation, she endorsed developing sudden bilateral lower extremity weakness causing her to fall to the floor.

ACS 152

ACS Coronary OR 152

American Ambulance Association

SEPTEMBER 18, 2024

This content is for AAA members only. Please either Log In or Join! The post OSHA Statement on Volunteer Agency Impact appeared first on American Ambulance Association.

Ambulance 130

Ambulance OR 130

The Skeptics' Guide to EM

SEPTEMBER 14, 2024

Date: September 12, 2024 Reference: Anderson et al. Full dose challenge of moderate, severe and unknown beta-lactam allergies in the emergency department. AEM August 2024. Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Case: It’s another day, another dollar in the emergency department (ED). The next patient is a 63-year-old woman with a cough and fever.

ICU 136

ICU Emergency Department ALS ED 136

St. Emlyn's

SEPTEMBER 18, 2024

St.Emlyn's - Emergency Medicine #FOAMed Case series of dirty epi drips in Australia. A potentially useful tool in austere/remote settings, but lots of caveats and cautions before we all start doing this! Be careful, but do learn about this potential therapy. #FOAMed @stemlyns The post The Dirty Adrenaline (Epi) drip. appeared first on St.Emlyn's.

Critical Care 124

Critical Care 124

NVFC

SEPTEMBER 18, 2024

Proposals due October 20 The National Volunteer Fire Council (NVFC) is pleased to announce that it will host its signature annual conference, the NVFC Training Summit, on June 20-21, 2025, in Salt Lake City, UT. The NVFC is now accepting proposals from qualified instructors and speakers for presentations to educate first responders about critical issues in the fire and emergency services.

First Responder 116

First Responder EMS OR 116

ESO

SEPTEMBER 18, 2024

For the past several months, the ESO Data Cafe webinar series has given us an inside look at the metrics of the 2023 ESO Trauma Index. Pulling data from the world’s largest de-identified medical database from January through December 2022, The Trauma Index was created to establish industry-wide benchmarks surrounding important topics. This month, we’re focusing on the Injury Severity Score (ISS) and what it tells us about trauma patient outcomes.

105

105

EMergucate

SEPTEMBER 15, 2024

Our ECG site precedes the birth of Emergucate and has been left in it’s comfy blogspot home.

130

130

First 10 EM

SEPTEMBER 16, 2024

Readers of First10EM will know that I spend way too much time on PubMed searching the medical literature. I use the website daily. It is probably the most used link on my computer. Despite that, I am more than willing to admit that PubMed – and specifically the search function – sort of sucks. It […] The post Using AI to improve scientific literature search results appeared first on First10EM.

102

102

St. Emlyn's

SEPTEMBER 19, 2024

St.Emlyn's - Emergency Medicine #FOAMed A reminder of a great lecture from Cliff Reid on why emergency medicine is a great (but really challenging) job. This talk is 11 years old but is arguably still true today. #FOAMed @stemlyns The post EM is a great job. After 11 years is Cliff Reid still right? appeared first on St.Emlyn's.

EMS 95

EMS 95

EMCrit Project

SEPTEMBER 16, 2024

There is more than one form of differential gas exchange on VA ECMO--remember differential ventilation! EMCrit Project by Katrina Augustin.

94

94

EMergucate

SEPTEMBER 17, 2024

The chest x-ray is from a toddler taken post choking episode at home. What can be seen?

EMS 130

EMS 130

Pulsara

SEPTEMBER 19, 2024

Mass casualty incidents are among the most complex challenges faced by healthcare and emergency response systems. The stakes are high, and the processes can be overwhelming—from coordinating care across multiple agencies to triaging, keeping track of patients, and managing reunification. Among the many challenges, one of the critical issues that has long plagued responders is tracking patient movement for the purpose of reuniting them with their families in the chaotic aftermath of an emergency.

Emergency Management 79

Emergency Management Emergency Manager Emergency Response Emergency Department 79

Don't Forget the Bubbles

SEPTEMBER 18, 2024

Topic Immunodeficiencies Author Ravi Mistry Expert Reviewer Sanjay Patel Facilitator Level ST4+ Learner level Case 1: Foundation doctors, paediatric trainees, paediatric nurses, GPs; Cases 2+3: Paediatric trainees. Equipment Required None Outline Pre-reading for learners Background Case 1 Case 1: Discussion Case 2 Case 2: Discussion Case 3 Discussion Quiz Take home tips References (Bibliography) ● Background – setting the scene and objectives for this module ● Main session – 3 x 10-15 minute cas

Emergency Department 78

Emergency Department OR ALS 78

Unitek EMT

SEPTEMBER 19, 2024

Gain insights and practical tips to help you feel confident from day one. Becoming an Emergency Medical Technician (EMT) is a unique and rewarding profession that places you on the front lines of healthcare. EMTs are trained to respond to emergency situations, providing critical care and assistance to those in need. Whether it’s performing CPR, […] The post What to Expect on Your First Day as an EMT appeared first on Unitek EMT.

EMT 72

EMT EMT Emergency Medical Technician CPR 72

EMDocs

SEPTEMBER 14, 2024

We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: Sedation, Aspiration, and the Risk of GLP-1 Agonists Spoon Feed Patients on GLP-1 agonists might be at risk of delayed gastric emptying, which has significant implications for procedural sedation and endotracheal in

Defibrillator 71

Defibrillator STEMI Emergency Department OR 71

Dr. Smith's ECG Blog

SEPTEMBER 16, 2024

Written by Magnus Nossen — with edits by Grauer The tracings in today’s case is from a patient in his 80s being admitted due to dyspnea. Below is the presentation ECG. What do you think? The above ECG shows sinus rhythm. There is one premature atrial contraction which is blocked and this causes a short pause. The following sinus P wave conducts with a slightly shorter PR interval.

Defibrillator 70

Defibrillator Coronary OR ALS 70

SSCOR

SEPTEMBER 14, 2024

Respiratory emergencies among the elderly are common. As an emergency responder, especially if you work in warmer climes – such as Florida and Arizona – where many people go to retire, you will frequently be called upon to administer life-saving treatments for those in respiratory distress.

70

70

EMOttawa

SEPTEMBER 19, 2024

In the past year, there’s been a growing concern about the rising number of measles cases globally, including in Canada. This resurgence of measles cases in major centers has sparked worry. But is it something we should truly be alarmed about? How concerned should we be? We’re going to do a deep dive refresher so […] The post Measles… its backkkk (again) appeared first on EMOttawa Blog.

59

59

EMDocs

SEPTEMBER 16, 2024

Author: Joshua Lowe, MD (EM Attending Physician, San Antonio, TX) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Manpreet Singh, MD (@MPrizzleER); Brit Long, MD (@long_brit) The fluorescent lights above cast a clinical pallor over the bustling ED. A cacophony of sounds envelops you. The relentless beeping and chirping of monitors created a dissonant symphony.

Heart Attack 68

Heart Attack ED OR Emergency Department 68

Dr. Smith's ECG Blog

SEPTEMBER 18, 2024

A 60-something ow healthy male had syncope while on treadmill. 911 was called and the patient was found by medics to be diaphoretic and hypotensive. This strip was obtained: Apparent Wide Complex Tachycardia at a rate of 280 What do you think? What do you want to do? Appropriately, the medics electrically cardioverted immediately. They did not feel they had time to sedate.

E-9-1-1 66

E-9-1-1 ALS OR ED 66

SSCOR

SEPTEMBER 19, 2024

Suctioning a patient’s airway is not a “one size fits all” procedure. Whether to clear secretions that the patient cannot mobilize, remove vomitus or foreign materials from the pharynx or trachea, or maintain the patency of an artificial airway, some suction strategies will work better than others for a particular situation.

OR 64

OR 64

Firefighters and EMS Fund

SEPTEMBER 19, 2024

The heroism of firefighters is deeply ingrained in the public’s collective consciousness. Films and newsreels show brave individuals rushing into burning structures and putting themselves in harm’s way for the greater good. In such acute emergencies, firefighters can typically count on swift medical assistance, should anything happen to them. But the hazards they face are […] The post Legislative Update: What Happened to Presumptive Coverage in New Hampshire appeared first on Firefighters

Firefighter 52

Firefighter EMS 52

Paramedic Chiefs of Canada

SEPTEMBER 19, 2024

The nomination period for the 2024 Champions of Mental Health Awards is now open! Across public safety organizations nationwide, dedicated individuals are working tirelessly to improve mental health, break down stigma, and promote overall well-being. These champions play a vital role in supporting their peers and strengthening communities. If you know someone who has made a positive impact on mental health in public safety, don’t miss the chance to nominate them!

Public Safety 52

Public Safety 52

Peter Canning

SEPTEMBER 19, 2024

U.S. overdose deaths plummet, saving thousands of lives, blared the headline from NPR yesterday. For the 12-month period April 2023 to April 2024, deaths fell nationally for the first time, declining by 10%. Here in Connecticut, we witnessed a decline beginning in November 2021. Deaths are down by 20% in our state when comparing the 12-month period ending November 2021 with the 12-month period ending April 2024, and I have every indication that that trend is continuing through the summer.

Naloxone 52

Naloxone Overdose First Responder OR 52

NHCPS Save a Life

SEPTEMBER 19, 2024

As a health care professional, you know that every second counts when your patient is in cardiac arrest. The faster you can restore a regular heart rhythm, the better chance your patient has to survive to discharge. Maintaining a high chest compression fraction (CCF) is a critical factor in improving their chances. But how can […] The post Maximizing Chest Compression Fraction for Better Outcomes appeared first on SaveaLife.com.

Life Support 52

Life Support Emergency Response CPR Defibrillator 52

FirstNet Authority

SEPTEMBER 19, 2024

National Preparedness Month 2024 joseph.rey@fir… Thu, 09/19/2024 - 09:00 September is National Preparedness Month, an opportunity for communities to strengthen emergency response plans and recognize emergency managers. Hear from Bruce Fitzgerald, FirstNet Authority emergency management expert, as he honors the men and women who help prepare our communities for the unexpected.

Emergency Response 52

Emergency Response Emergency Management Emergency Manager EMS 52

First Responder Wellness

SEPTEMBER 17, 2024

Many people are not sure what to do if they think someone they know might be thinking about suicide. Be direct. Ask the question. Let them know you care. In addition to this article, you can also watch a short video about suicide intervention. Go online: [link]. First Responders are more likely to die by suicide than in the line of duty. 1 It is quickly becoming another life threatening danger to public safety professionals – in addition to the daily risks they face.

Public Safety 52

Public Safety First Responder OR 52

This Podcast Will Kill You

SEPTEMBER 17, 2024

Phosphorus is an element that wears many faces. Its overuse as a fertilizer has polluted freshwater ecosystems, transforming rivers and lakes from thriving communities to lethal zones devoid of life. Its role as an explosive has brought fiery death and suffering to many during times of war. And its dwindling global supply poses an existential threat to humanity.

52

52

FOAMfrat

SEPTEMBER 16, 2024

In this podcast, we discuss the nuances and strategy of the T1 ventilator with RRT, Joe Hylton. Whether you're a paramedic or a healthcare professional involved in critical care transport, understanding the nuances of this advanced ventilator is essential to safe and effective patient transport. We break down the pressure-controlled ventilation with volume adaptive options and offer practical guidance on managing obstructive lung conditions like asthma during transport.

Critical Care 52

Critical Care Paramedic OR 52

EMOttawa

SEPTEMBER 18, 2024

Ottawa POCUS Symposium – Mastering the Pulse FEB 14, 2025 7:30AM-5PM University of Ottawa Skills and Simulation Centre, 725 Parkdale Ave, Ottawa, Ontario Who should attend: Staff and resident physicians and other practitioners who take care of acutely unwell patients. Choose 4 of 6 selectives: Optimizing Heart Views: Tips for Subxiphoid, Parasternal, and […] The post Ottawa POCUS Symposium – 2025 appeared first on EMOttawa Blog.

40

40

EMS 20/20

SEPTEMBER 18, 2024

CHECK OUT OUR INSTA AND VOTE! Spencer is dealt a HARD airway call by a cruel Chris! Listen and see how he does and vote to let us know how you feel!! CHECK OUT OUR INSTA AND VOTE! Spencer is dealt a HARD airway call by a cruel Chris! Listen and see how he does and vote to let us know how you feel!!

40

40

Dr. Smith's ECG Blog

SEPTEMBER 18, 2024

By Smith, peer-reviewed by Interventional Cardiologist Emre Aslanger Submitted by anonymous A 53 y.o. male presents to the ED at 6:45 AM with left sided chest dull pressure that woke him up from sleep at 3am. The pain radiated to both shoulders. He arrived to the ED at around 6:45am, and stated the pain has persisted. He has had similar pain in recent weeks that has occurred at rest, but it typically goes away after about an hour.

Coronary 110

Coronary ACS OR EMR 110

FOAMfrat

SEPTEMBER 16, 2024

In this podcast, we discuss the nuances and strategy of the T1 ventilator with RRT, Joe Hylton. Whether you're a paramedic or a healthcare professional involved in critical care transport, understanding the nuances of this advanced ventilator is essential to safe and effective patient transport. We break down the pressure-controlled ventilation with volume adaptive options and offer practical guidance on managing obstructive lung conditions like asthma during transport.

Critical Care 52

Critical Care Paramedic OR 52