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Date: November 22, 2023 Reference: Stopyra et al. Delayed First Medical Contact to Reperfusion Time Increases Mortality in Rural EMS Patients with STEMI. AEM November 2023. Guest Skeptic: Dr. Lauren Westafer an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School – Baystate. She is the cofounder of FOAMcast and a […] The post SGEM#421: I Think I’d Have a Heart Attack – Maybe Not in a Rural Area?
On this month's EM Quick Hits podcast: Anand Swaminathan on update to ED management of postpartum hemorrhage, Nour Khatib on serotonin syndrome and its mimics, Katie Lin on an approach to recognition and management of severe TBI and brain herniation syndromes, Hans Rosenberg on the ED management of ulcerative colitis, Heather Cary on pediatric c-spine immobilization controversies and techniques, Navpreet Sahsi on the difference between humanitarian and development work The post EM Quick Hits 53
Which of the following agents, when injected along with heroin, is associated with the skin changes pictured? Cocaine Fentanyl Methamphetamine Xylazine Photo by Dr. Matthew Salzman Reveal the Answer 4. Xylazine Background Xylazine is a synthetic substance approved by the U.S. Food and Drug Administration for veterinary use, specifically for its muscle relaxant, sedative, and analgesic effects [1].
Four-year-old Ed is being resuscitated for presumed Invasive Group A Streptococcal Sepsis from tonsilitis. He presented tachycardic and hypotensive with a capillary refill time of 5 seconds. After 40ml/kg of IV 0.9% NaCl, his HR came down a little, but the effect was short-lived. He has an HR of 190/min, and his BP is 85/35 mmHg. The CRT is unchanged.
We go over the treatment of rapid atrial fibrillation (afib with RVR). Hosts: Brian Gilberti, MD Jonathan Kobles, MD [link] Download Leave a Comment Tags: Cardiology Show Notes Understanding AF with RVR Categories General AF with RVR: Definition and basic understanding. Rapid AF with Pre-excitation: Characteristics and complications. Chronic AF in Critical Illness: Identification and special considerations.
This content is for AAA members only. Please either Log In or Join! The post CMS Announces 2024 Ambulance Inflation Factor appeared first on American Ambulance Association.
A 24-year-old G1P0010 female with a PMHx of ovarian cyst (unknown laterality) and emergency contraceptive use 3 months prior presented with sudden onset abdominal pain (upper > lower) that awoke her from sleep four hours prior to presentation with associated nausea and mild lower back pain. The pain is 10/10, sharp, stabbing, and diffuse. Additionally, she reported trace white vaginal discharge at baseline.
You are the Paediatric doctor on call and receive a call for an incoming patient to the emergency department. A 12-year-old male is being transported by ambulance after a road traffic accident. His name is Ben. Ben has a possible skull fracture and has been intubated, but his oxygen requirement is minimal. While waiting, another call comes in. Ben suddenly woke up and accidentally self-extubated.
You are the Paediatric doctor on call and receive a call for an incoming patient to the emergency department. A 12-year-old male is being transported by ambulance after a road traffic accident. His name is Ben. Ben has a possible skull fracture and has been intubated, but his oxygen requirement is minimal. While waiting, another call comes in. Ben suddenly woke up and accidentally self-extubated.
Input Requested: EMS Education Agenda 2050 NHTSA plans community-lead revision of 1996 Education Agenda, tackling education to clinicians The National Highway Traffic Safety Administration (NHTSA) is seeking public comment regarding the upcoming revision […] The post EMS.gov | Input Requested: EMS Education Agenda 2050 appeared first on American Ambulance Association.
Written by Pendell Meyers Two adult patients in their 50s called EMS for acute chest pain that started within the last hour. Both were awake and alert with normal vital signs. Both cases had an EMS ECG that was transmitted to the ED physician asking "should we activate the cath lab?" What do you think? Here they are: Patient 1, ECG1: Zoll computer algorithm stated: " STEMI , Anterior Infarct" Patient 2, ECG1: Zoll computer algorithm stated: "ST elevation, probably benign early repolarization.
Evidentiary amnesia is a term I use to describe the phenomenon I frequently encounter in which evidence seems to be forgotten over time. When I hear people lecture about the management of intracranial hemorrhage, and even when I invite incredibly smart people to write about neurologic emergencies, blood pressure management is always recommended. But why?
Emergency Medicine in Rural America | OAS Episode 198 NOVEMBER 19TH, 2023 | 36:56 | E198 SHARE EMBED RECAST SUBSCRIBE DOWNLOAD MP3 EPISODE SUMMARY Two experts in emergency medical services joined the podcast […] The post NCSL Podcast | Emergency Medicine in Rural America appeared first on American Ambulance Association.
Background: In medicine, guidelines are valuable tools that help guide care. However, they are not rigid rules that must be strictly followed. Clinicians often find themselves grappling with the challenge of balancing the demands of meeting Center for Medicaid & Medicare (CMS) requirements while also addressing the unique needs of each individual patient.
Written by Jesse McLaren A 45 year old presented with two weeks of recurring non-exertional chest pain, now constant for an hour. Below is old and then new ECG (old on top; new below). What do you think? Both ECGs have normal sinus rhythm, normal conduction and normal voltages. There’s a change in axis that may interfere with direct lead-to-lead comparison, but there appear to be larger T waves in I/aVL and new TWI in III/aVF.
Answers: PH = 7.479, that is mild acidaemia. HCO3 = 30 mmol/L (that is high). So, we have metabolic alkalosis. Next we check the respiratory compensation for metabolic alkalosis.
The next public meeting of the National Biodefense Science Board (NBSB) will be held virtually on Thursday, November 30, 2023, from 12:30 to 4:00 p.m. ET. Advanced registration is required. To register […] The post National Biodefense Science Board (NBSB) Public Meeting on November 30, 2023 appeared first on American Ambulance Association.
Fetal Heart Rate Basic OB/GYN Scanning Technique Ectopic Pregnancy The post 5 Minute Sono – Intrauterine Pregnancy Assessment first appeared on Core Ultrasound.
Explaining the ultimate expression of prognosis: Morbidity = (Severity x Duration)/Reversibility Explaining the ultimate expression of prognosis: Morbidity = (Severity x Duration)/Reversibility
Authors: Katey DG Osborne, MD (EM Attending Physician; Tacoma, WA), Rachel Bridwell, MD (EM Attending Physician; Tacoma, WA) // Reviewed by: Alex Koyfman, MD (@EMHighAK, EM Attending Physician, UTSW / Parkland Memorial Hospital) and Brit Long, MD (@long_brit, EM Attending Physician, San Antonio, TX) Welcome to emDOCs revamp! This series provides evidence-based updates to previous posts so you can stay current with what you need to know.
Fetal Heart Rate Estimating Gestational Age Ectopic Pregnancy The post 5 Minute Sono – Basic OB/GYN Scanning Technique first appeared on Core Ultrasound.
Welcome to the emDOCs Videocast – please subscribe to our YouTube channel. These videos will cover post summaries, take homes on clinical condition, and EBM/guideline literature updates. Our first video provides EBM updates on steroids in severe community-acquired pneumonia and CT in post ROSC OHCA. EBM Update: Steroids in Severe CAP and CT in Post ROSC OHCA #1: Dequin PF, Meziani F, Quenot JP, et al; CRICS-TriGGERSep Network.
Our EMS clinicians are a key link in the chain of survival of cardiac arrest patients. A critical part of prehospital medicine is recognizing cardiac arrest and then enacting appropriate treatment. In this podcast, we interview Susie Burnett MS, EMT-P, PhD candidate in Health Communication and Qualitative Methods & Dr. Johanna Innes MD, NRP, FAEMS on their manuscript: A Qualitative Analysis of the Experiences of EMS Clinicians in Recognizing and Treating Witnessed Cardiac Arrests Click h
In the dynamic realm of emergency medical services, time is of the essence, especially when it comes to saving young lives in pediatric emergencies. Rapid and effective responses are essential for emergency response teams, particularly when dealing with critical situations involving children. Pediatric Advanced Life Support (PALS) training emerges as a cornerstone in equipping healthcare […] The post Common Pediatric Cardiac Emergencies: A PALS Approach appeared first on SaveaLife.com.
Welcome to the emDOCs Videocast – please subscribe to our YouTube channel. These videos will cover post summaries, take homes on clinical condition, and EBM/guideline literature updates. Today we focus on pancreatitis. EBM Update: Fluids in Pancreatitis, Hypertriglyceridemic Pancreatitis #1: de-Madaria E, Buxbaum JL, Maisonneuve P, et al; ERICA Consortium.
Honoring and recognizing the extraordinary efforts of EMS professionals globally. Emergency medical services personnel are the heartbeat of our emergency response systems, the guardians who rush towards chaos when others instinctively step back. These valiant men and women in ambulances and emergency rooms across the globe, play a pivotal role in preserving life under the […] The post 10 Inspiring Stories of EMS Heroes Around the World appeared first on Unitek EMT.
EDITOR'S NOTE: This artic le originally appeared on EMS1.com. Sp ecial thanks to our guest author, John Erich, for EMS1 BrandFocus Staff. __ Assistance is available from the U.S. government, but local systems have important responsibilities When a major disaster strikes, Americans are used to seeing FEMA rush in. The Federal Emergency Management Agency is typically among the first nonlocal entities to get boots on the affected ground, with a mission of evaluating damages and needs, and then acti
With a history extending back millennia, with a biology that leads to permanent disability for tens of millions of people globally, and with a bacterial endosymbiont that may prove to be its Achilles heel, the filarial parasites that cause lymphatic filariasis are quite the complex creatures. In this episode, we explore the intricacies of this neglected tropical disease – also known as elephantiasis.
The third annual Stanford Emergency Medicine Innovation Symposium (STEMI X) was held on June 22nd, 2023.This year’s Symposium featured a keynote presentation on digital transformation in emergency medicine from Dr. Jared Conley, multiple expert panels and round table discussions, and innovation workshops. Topics covered included doctor-driven disruption, innovation through entrepreneurship, and the revolutionary power of AI in the ED.
Pendell and I have taught the queen on over 40,000 EKGs so far. Version 1 was bases on ~20,000. Version 2 will be coming out soon, also taught on an additional 20,000 EKGs. For version 3, we have started teaching her on yet more EKGs. These ones are EKG that the Queen's users uploaded, and on the comments and outcomes that they give. These EKGs are displayed on a platform with a pick list of diagnoses.
Thank you to all our members who attended the PCCs Strategic Plan Call to Action Webinar on Monday. For those members who were unable to attend, the session was recorded and can be accessed here. A quick re-cap of the session; The PCC Board of Directors has finalized the strategic plan based on the principles and enabling factors of our visioning document.
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