The Skeptics' Guide to EM

NOVEMBER 25, 2023

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?

Heart Attack 278

Heart Attack STEMI Emergency Medical Services Coronary 278

Emergency Medicine Cases

NOVEMBER 28, 2023

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

EMS 276

EMS ED 276

ALiEM

NOVEMBER 29, 2023

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].

Naloxone 169

Naloxone Overdose ALS Epinephrine 169

EMergucate

NOVEMBER 27, 2023

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.

130

130

Core EM

DECEMBER 1, 2023

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.

CAD 130

CAD OR 130

American Ambulance Association

NOVEMBER 27, 2023

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.

EMS 130

EMS Ambulance 130

ALiEM

NOVEMBER 27, 2023

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.

OR 161

OR 161

EMergucate

NOVEMBER 28, 2023

70 year old man presented with reduced level of consciousness. His venous blood gas showed the following: PH = 7.

130

130

American Ambulance Association

NOVEMBER 27, 2023

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.

Emergency Medical Services 130

Emergency Medical Services Ambulance 130

Critical Care Scenarios

NOVEMBER 29, 2023

Explaining the ultimate expression of prognosis: Morbidity = (Severity x Duration)/Reversibility Explaining the ultimate expression of prognosis: Morbidity = (Severity x Duration)/Reversibility

100

100

Don't Forget the Bubbles

NOVEMBER 29, 2023

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.

E-9-1-1 135

E-9-1-1 Emergency Department ED CPR 135

First 10 EM

NOVEMBER 27, 2023

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?

EMS 125

EMS 125

American Ambulance Association

NOVEMBER 27, 2023

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.

Ambulance 130

Ambulance 130

REBEL EM

NOVEMBER 30, 2023

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.

E-9-1-1 122

E-9-1-1 ALS ACS ICU 122

EMergucate

NOVEMBER 28, 2023

The facial x-rays are from an adult with right cheek swelling, bruising & cough.

EMS 130

EMS 130

Core Ultrasound

NOVEMBER 30, 2023

Fetal Heart Rate Basic OB/GYN Scanning Technique Ectopic Pregnancy The post 5 Minute Sono – Intrauterine Pregnancy Assessment first appeared on Core Ultrasound.

130

130

American Ambulance Association

NOVEMBER 29, 2023

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.

Ambulance 130

Ambulance OR 130

Dr. Smith's ECG Blog

NOVEMBER 29, 2023

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.

OR 116

OR STEMI EMS ED 116

EMDocs

NOVEMBER 29, 2023

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.

ICU 80

ICU CAD ALS OR 80

Core Ultrasound

NOVEMBER 27, 2023

Fetal Heart Rate Estimating Gestational Age Ectopic Pregnancy The post 5 Minute Sono – Basic OB/GYN Scanning Technique first appeared on Core Ultrasound.

130

130

University of Maryland Department of Emergency Med

NOVEMBER 30, 2023

Since Christmas is coming up, let's talk about Hemophilia A (factor VIII deficiency) and Hemophilia B (factor IX deficiency, also known as.

71

71

Dr. Smith's ECG Blog

NOVEMBER 27, 2023

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.

STEMI 88

STEMI Coronary OR ED 88

EMDocs

NOVEMBER 27, 2023

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.

EMS 71

EMS Critical Care OR Emergency Department 71

Prehospital Emergency Care Podcast

NOVEMBER 30, 2023

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

Paramedic 52

Paramedic EMT EMT EMS 52

University of Maryland Department of Emergency Med

DECEMBER 1, 2023

The Bottom Line: Investigators studying the use of a pre-intubation checklist versus "usual care" found no differences in important outcomes su.

68

68

NHCPS Save a Life

NOVEMBER 30, 2023

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.

Advanced Life Support 52

Advanced Life Support Life Support Emergency Medical Services Emergency Response 52

EMDocs

NOVEMBER 29, 2023

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.

E-9-1-1 66

E-9-1-1 ICU ALS OR 66

Unitek EMT

NOVEMBER 30, 2023

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.

EMS 52

EMS Emergency Medical Services EMT EMT 52

Pulsara

NOVEMBER 29, 2023

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

Emergency Management 52

Emergency Management Emergency Manager 52

This Podcast Will Kill You

NOVEMBER 27, 2023

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.

E-9-1-1 52

E-9-1-1 ALS ED 52

ACEP Now

NOVEMBER 27, 2023

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.

STEMI 52

STEMI ED 52

EMCrit Project

NOVEMBER 25, 2023

These 3 words are the path to burnout EMCrit Project by Scott Weingart, MD FCCM.

80

80

University of Maryland Department of Emergency Med

NOVEMBER 26, 2023

Hot off the NEJM press, published November 11, 2023: Restrictive or Liberal Transfusion Strategy in Myocardial Infarction and Anemia (Carso.

OR 65

OR 65

The FllightBridge ED

NOVEMBER 27, 2023

In the dynamic landscape of cardiac care, Left Ventricular Assist Devices (LVADs) stand out as a beacon of hope and innovation.

52

52

Dr. Smith's ECG Blog

DECEMBER 1, 2023

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.

52

52

Paramedic Chiefs of Canada

NOVEMBER 29, 2023

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.

OR 40

OR 40

University of Maryland Department of Emergency Med

NOVEMBER 25, 2023

A chart review of 1300 patients over age 65 admitted to the trauma service, arrived as a trauma activation, or had an injury severity score ov.

OR 63

OR 63