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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.
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.
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.
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.
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.
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
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.
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.
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.
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.
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.
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.
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.
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
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.
Take Home Points Anticipate anatomically challenging airways and consider early intubation prior to loss of airway anatomy. Skip the zones of the neck and focus on hard signs of vascular ( Shock w/o another source, Pulsatile bleeding, Expanding hematoma, Audible bruit, Signs of stroke) or aerodigestive (Airway compromise, Bubbling wound, Extensive SubQ air, Stridor, Significant hemoptysis/hematemesis).
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.
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.
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.
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
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.
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.
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.
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.
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.
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.
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.
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.
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!!
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) !
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.
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.
Electronic health records, data warehouses, and data “lakes” are treasured resources in this modern era of model training. Various applications of precision medicine, “digital twins”, and other predictive mimicries depend on having the cleanest, most-accurate data feasible. One of these data sets is “ All of Us “, maintained by the National Institute of Health.
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.
Background and Epidemiology In the United States, roughly 9,000 snake bites are reported annually, with approximately 3,000 being attributed to venomous species and less than 10 resulting in death. Young adult males between the ages of 25-34 incur the largest number of snake bites, and a significant percentage of snake bites occur while a snake (captive or wild) is being intentionally handled.
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