ALiEM

DECEMBER 9, 2024

A 25-year-old female with no pertinent past medical history presented to an emergency department in Massachusetts with four days of generalized malaise, myalgias, congestion, low-grade fever, and a rash behind her left knee. The patient denied cough, shortness of breath, chest pain, abdominal pain, nausea, vomiting, and diarrhea. She lives with three roommates, none of whom were sick, and she denied any other known sick contacts.

Emergency Department 152

Emergency Department ACS EMS OR 152

American Ambulance Association

DECEMBER 13, 2024

This content is for AAA members only. Please either Log In or Join! The post OSHA | Public Comment Period is Reopened for the Proposed Emergency Response Rule appeared first on American Ambulance Association.

Emergency Response 130

Emergency Response Ambulance OR 130

EMergucate

DECEMBER 10, 2024

A 23yr presents following a syncope, he denies chest pain. The following ECG is taken: What does this ECG demonstrate?

EMS 130

EMS 130

The Bottom Line

DECEMBER 11, 2024

Whats new in the Critical Care literature monthly updates

Critical Care 107

Critical Care 107

ALiEM

DECEMBER 13, 2024

An 87-year-old female with a history of hypertension, hyperlipidemia, chronic kidney disease stage IIIB, type 2 diabetes mellitus, and schizophrenia presented for evaluation due to sudden visual loss in her right eye, which began 12 hours before she arrived at the emergency department. She has experienced a sudden loss of vision in her right eye for more than six hours.

Emergency Department 130

Emergency Department OR ED 130

American Ambulance Association

DECEMBER 10, 2024

WEBINAR Post-Crash Care – Innovations in Managing Patient Entrapment and Extrication Hosted by NHTSAs Office of EMS on Thursday, December 19, at 1pm ET / 10am PT EMS clinicians respond […] The post Register Now: EMS Focus Webinar appeared first on American Ambulance Association.

EMS 130

EMS Ambulance 130

EMergucate

DECEMBER 10, 2024

PH = 6.782, that is severe acidaemia. HCO3 = 2.5 mmol/L, that is extremely low. So we have metabolic acidosis.

130

130

Core Ultrasound

DECEMBER 12, 2024

Expand your expertise in ultrasound-guided nerve blocks with Part 2 of this comprehensive tutorial series. In this video, we delve into advanced techniques, exploring brachial plexus blocks, fascia iliaca compartment blocks, and the erector spinae plane block (both in the thoracic and lumbar regions). Nerve Blocks, Pt 1 Courses The post Mastering Ultrasound-Guided Nerve Blocks Basics, Part 2 first appeared on Core Ultrasound.

100

100

St. Emlyn's

DECEMBER 13, 2024

St.Emlyn's - Emergency Medicine #FOAMed In October, I had the opportunity to give a talk on the ethics of Artificial Intelligence at the EUSEM Congress in Copenhagen. My focus was on the ethical implications of […] The post The Promise and Perils of Artificial Intelligence in Emergency Care: Reflections from EUSEM 2024 appeared first on St.Emlyn's.

68

68

EMergucate

DECEMBER 10, 2024

2-year-old boy brought to ED by ambulance as category 1 for severe croup. His blood gases showed the following.

Ambulance 130

Ambulance ED 130

Dr. Smith's ECG Blog

DECEMBER 13, 2024

Written by Magnus Nossen and Ken Grauer ( with Comment by Smith ) The ECG in Figure-1 was electronically transmitted by the ambulance service for evaluation. The patient is a young adult male with acute onset of palpitations. He was hemodynamically stable at the time ECG #1 was recorded. QUESTIONS: How would you interpret this ECG? What entities to consider in your differential diagnosis?

ALS 65

ALS Emergency Department Ambulance OR 65

EMCrit Project

DECEMBER 13, 2024

I think ICU docs may have developed a bit of an RCT problem; not an addiction, but perhaps a dependency. It all started off fine at first. RCTs are the apex trial design, the only trial capable of proving causality. But we've taken it too far. Currently, a cluster-randomized trial is underway to study whether […] EMCrit Project by Josh Farkas.

ICU 64

ICU 64

St. Emlyn's

DECEMBER 9, 2024

St.Emlyn's - Emergency Medicine #FOAMed Explore key takeaways from the DAS 2024 meeting, including airway management in obstetrics, ethics of training, challenges in critical care, and international practices. Insights tailored for emergency and anaesthesia professionals. The post Difficult Airway Society Meeting 2024 appeared first on St.Emlyn's.

Critical Care 108

Critical Care 108

EMDocs

DECEMBER 11, 2024

Heres another case from Medical Malpractice Insights Learning from Lawsuits , a monthly email newsletter for ED physicians. The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. To opt in to the free subscriber list, click here. Stories of med mal lawsuits can save lives.

ED 70

ED OR EMS 70

ACEP Now

DECEMBER 7, 2024

Approximately 60,000 to 100,000 patients die from pulmonary embolism (PE) each year in the United States, and PE is the third leading cause of cardiovascular mortality. 1 A wide spectrum of severity exists in PE presentations, ranging from mild shortness of breath to cardiac arrest. A PE is classified into one of three categories: low risk, submassive, and massive.

E-9-1-1 52

E-9-1-1 ALS Critical Care OR 52

Unitek EMT

DECEMBER 10, 2024

Explore the Path to Becoming an EMT: Timeline, Training Requirements, and What to Expect Along the Way. Emergency Medical Technicians (EMTs) are vital members of the healthcare and emergency response system. They are often the first healthcare providers on the scene of accidents, medical emergencies, and disasters, delivering life-saving care and ensuring patients are transported […] The post How Long Does It Take to Become an EMT?

EMT 76

EMT EMT Emergency Medical Technician Emergency Response 76

SSCOR

DECEMBER 12, 2024

Assessing for a gag reflex is a basic skill that can become important in a variety of medical settings. It is also a way to measure brain death. Medical experts, however, now caution against using the gag reflex as a primary determinant of whether to intubate or as a measure of airway health. So first responders must balance competing information and studies to make informed decisions in each individual case.

First Responder 74

First Responder OR 74

The FllightBridge ED

DECEMBER 10, 2024

In the winter of 1777 through the spring of 1778, the Continental Army was dying.

52

52

ACEP Now

DECEMBER 7, 2024

A 28-year-old female is brought to the emergency department (ED) by police after a sexual assault. She is visibly anxious and tearful. The police officer is waiting for the sexual assault evidence kit. What is the trauma-informed approach to care for this patient? Introduction The Substance Abuse and Mental Health Services Administration (SAMHSA) defines trauma as an event, series of events, or set of circumstances that is experienced by an individual as physically or emotionally harmful or life

Mental Health Services 52

Mental Health Services Emergency Department ED OR 52

This Podcast Will Kill You

DECEMBER 10, 2024

For decades, it seemed like the appendix would go the way of 8-track players, pagers, and the phonograph. Outdated, obsolete, not worth keeping around. Surgeons performed appendectomies like it was spring cleaning – when in doubt, cut it out. But then the tides began to turn as medicine started to question the long-held belief that the appendix is a defunct organ (on a good day) or a ticking time bomb (on a very bad one).

E-9-1-1 52

E-9-1-1 ALS Emergency Department OR 52

Stem EMS

DECEMBER 8, 2024

Discover mountain safety essentials: prevention, rescue tips, first aid anche tech for a safer adventure in the Alps L'articolo Mountain Safety: prevention, injuries and Alpine Rescue proviene da Stem Ems.

First Aid 52

First Aid EMS 52

St. Emlyn's

DECEMBER 10, 2024

St.Emlyn's - Emergency Medicine #FOAMed A podcast with some of the highlights from the London Trauma Conference 2024 The post Podcast – Reflections from the London Trauma Conference 2024: Insights and Inspiration appeared first on St.Emlyn's.

Critical Care 73

Critical Care 73

ACEP Now

DECEMBER 7, 2024

As emergency departments (EDs) have become the focus of bottlenecks in the entire health care systemfrom insufficient inpatient beds leading to hospital boarding to dwindling access to primary carea siege atmosphere has developed. Although EDs offer around-the-clock access to highly trained physicians and a full suite of imaging and laboratory services, their very success has led to tremendous overcrowding and enormous strains on staff.

Ambulance 52

Ambulance EMT EMT ED 52

EMOttawa

DECEMBER 12, 2024

A 59-year-old man presented to a community Emergency Department with a one-month history of subjective fevers and dyspnea. Due to COVID-19 restrictions, he had only consulted a physician via telephone, during which he was prescribed two courses of antibiotics for presumed pneumonia. Despite treatment, his symptoms persisted. He denied any recent travel, intravenous drug use, […] The post Curious case of the HoCUS PoCUS appeared first on EMOttawa Blog.

Emergency Department 58

Emergency Department 58

Critical Care Scenarios

DECEMBER 11, 2024

Our approach to common problems and troubleshooting: Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! Our approach to common problems and troubleshooting: * Difficulty feeding guidewires * No flash on arterial lines * Pneumothorax during subclavian lines * Difficulty inserting ET tubes during hyperangulated laryngoscopy * No response to vasopressors * High gastric residuals during tube feeds Learn more at the Intensive Care Academy!

117

117

First 10 EM

DECEMBER 9, 2024

When managing hyponatremia, the primary concern (at least as far as I have always been taught) is osmotic demyelination syndrome. We are warned not to correct the sodium too quickly, because the neurologic outcome can be awful. However, demyelination is very rare, and apparently there is a lot of data that suggests correcting sodium too […] The post Big practice change coming?

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119

ACEP Now

DECEMBER 8, 2024

The Centers for Disease Control and Prevention (CDC) estimates of emergency department (ED) visits for 2022 were recently released. 1 It was the highest volume ever reported by the CDC, at 155.4 million visits, with an all-time high utilization rate of 473 visits per 1,000 populations. This visit rate puts American EDs back on the data line it has followed since World War II.

ED 52

ED Emergency Department Ambulance 52

Dr. Smith's ECG Blog

DECEMBER 10, 2024

Written by Pendell Meyers An elderly female called EMS with acute chest pain. Her vitals were within normal limits, and here is her EMS ECG: What do you think? Sinus rhythm, and QRS shows likely subtle RBBB, plus LAFB. While some STE could be expected by the large wide S wave in inferior leads, there is is STE and possibly HATW in II, III, and AVF, with reciprocal findings in aVL.

OR 82

OR EMS ED 82

EMDocs

DECEMBER 7, 2024

We always work hard, but we may not have time to read through a bunch of journals. Its 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: What Happened to Plain Albuterol? Meet the New Combo Inhalers Spoon Feed According to a large number of RCTs, both pediatric and adult patients seem to have better asthma control with combined asthma therapy: inhaled

OR 68

OR 68

Life in the Fastlane

DECEMBER 12, 2024

Mike Cadogan The Best Online Echocardiography Courses Looking for online echocardiography courses?

Critical Care 52

Critical Care 52

ACEP Now

DECEMBER 7, 2024

The use of thrombolytics for acute ischemic stroke may be one of the most controversial topics in emergency medicine during the last several decades. This debate recurs in multiple forums including many previous pieces in ACEP Now. 1 The reason is understandablethrombolytics in stroke is a high-risk, higher-reward treatment. If the potential for harm were absent, or if the benefit of thrombolytics was only marginal, there would be no controversy.

E-9-1-1 52

E-9-1-1 ED Emergency Department OR 52

The Curious Clinicians

DECEMBER 11, 2024

Why do we make antibodies to ABO blood groups even without exposure? There’s a reason many patients admitted to the hospital get a Type and Screen (T&S) to determine their ABO blood group. If that patient needed a transfusion and got an incompatible blood type, they could become severely ill or even die from an acute hemolytic transfusion reaction (AHTR), in which the immune system reacts violently to antigens (usually A or B) on the transfused red blood cells.

ACS 52

ACS OR 52

EMDocs

DECEMBER 9, 2024

Authors: Noah Kronk, MS-4 (University of Missouri-Columbia); Jessica Pelletier, DO, MHPE (APD, EM Attending Physician, University of Missouri-Columbia, USA) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case A 30-year-old female presents to the emergency department (ED) with fever, fatigue, and an extensive rash. Five days prior, she began experiencing fever, headache, and myalgias, followed by swollen lymph nodes and a rapidly progressing rash.

ED 59

ED ALS OR Emergency Department 59

Peter Canning

DECEMBER 11, 2024

Fatal Overdoses continue to plummet nationwide. The latest CDC 12-month rolling fatal overdose averages through July 20024 are out today and they show the fatal overdoses in the USA are down 19.4% from their August 2023 rolling 12-month high. Here in Connecticut, fatal overdoses are down 26.8% from our November 2021 high. The USA overdose number is comparable to what was last reported in October and November of 2020.

Overdose 52

Overdose 52

Paramedic Chiefs of Canada

DECEMBER 10, 2024

What will we be discussing? The negative consequences of burnout in EMS stretch well-beyond the individual and can affect entire organizations as well as the patients served. Nevertheless, most traditional interventions aimed to reduce burnout focus on the individual and fail to address the underlying systematic causes. In this session, Dr. Remle Crowe will review the latest research and present organizational-level strategies to meaningfully reduce and prevent burnout at your EMS agency.

Paramedicine 52

Paramedicine Paramedicine EMT EMT 52

Don't Forget the Bubbles

DECEMBER 9, 2024

It is time to take a look at withdrawal syndrome and delirium and how to reduce them in children requiring intravenous sedation and analgesia within the Paediatric Intensive Care Unit (PICU). Isla is a 2-month-old infant in the PICU. She has been ventilated since birth as she was found to have an antenatal defect, which required surgical repair on day three of life.

ALS 59

ALS Critical Care OR ICU 59

Peter Canning

DECEMBER 7, 2024

Connecticut reached its 12-month rolling fatal overdose peak in November 2021. As of June 2024, overdoses are down 24.2%. This data comes from the CDC Vital Statistics web page that tracks overdoses in all 50 states and the District of Columbia. At the end of this post is the CDC’s list of those states and the date they hit peak overdose. (Note only three states (Alaska, Nevada and Utah) continue to show a rise.

Overdose 52

Overdose OR 52