Sat.May 04, 2024 - Fri.May 10, 2024

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Chest Pain in Children: ReBaked Morsel

Pediatric EM Morsels

Children like to pretend to be grown-ups. Unfortunately, sometimes they develop grown-up problems ( Cholelithiasis , Kidney Stones , and Hypertension ). Additionally, often kids will complain of symptoms that warrant great concern in adults, but often engender apathy when considered in children. Chest Pain in Children is a great example of one of these complaints.

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Hot off the press: Bridge to EM curriculum (2nd edition) released

ALiEM

It has been 3 years since the 8-week, self-guided Bridge to Emergency Medicine (EM) curriculum was launched to help graduating medical students prepare for EM residency. The curriculum has been viewed over 43,000 times and we have awarded over 5,000 ALiEMU course certificates. It is now a part of many residency programs’ intern boot camp. Launching the 2nd edition of Bridge to EM (2024) We are thrilled to announce that we launching the second edition of the curriculum.

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Lightning rounds 40: Critical care medicine fellowships with Nicholas Ghionni

Critical Care Scenarios

We chat about pulmonary/critical care medicine fellowship with recent graduate Nicholas Ghionni (@pulmtoilet), a first-year attending at the MedStar Baltimore Hospital system. He completed PCCM fellowship at MedStar Washington Hospital Center where he also served as chief fellow. Find us on Patreon here! Buy your merch here! We chat about pulmonary/critical care medicine fellowship with recent graduate Nicholas Ghionni ( @pulmtoilet ), a first-year attending at the MedStar Baltimore Hospital sys

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EEOC Updated Enforcement Guidance on Harassment in the Workplace

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post EEOC Updated Enforcement Guidance on Harassment in the Workplace appeared first on American Ambulance Association.

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ECG of the Week – 6th May 2024

EMergucate

The following ECG is from a 46-year-old male with an hour of chest pain. He has a background of hypertension, morbid obesity and is a heavy smoker. Interpret the ECG.

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A young man with palpitations.

Dr. Smith's ECG Blog

A 30-something presented with chest pain, palpitations, and SOB. He has had similar symptoms for 4 years, but has never been evaluated. Here is his presenting ECG, which was sent to me real time, along with the 2nd ECG below: Regular Narrow Fast without P-waves. PSVT. It is very difficult to tell if this is: 1) AVNRT or 2) orthodromic AVRT (Orthodromic AVRT = WPW with orthograde conduction down the AV node and retrograde up an accessory pathway) See Ken Grauer's discussion below in differentiati

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Episode 74: Obstructive shock, with Sarah Lorenzini (Nurses’ Podcrawl 2024)

Critical Care Scenarios

Our collaboration with Sarah Lorenzini of the Rapid Response RN podcast, discussing a case and general principles for diagnosing and managing obstructive shock. Check out the other episodes on shock in the Nurses’ Podcrawl 2024! Find us on Patreon here! Buy your merch here! Our collaboration with Sarah Lorenzini of the Rapid Response RN podcast, discussing a case and general principles for diagnosing and managing obstructive shock.

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insitu sim, a big problem

EMergucate

Simulation report 1/2/24 In situ sim ED JHC Hi everyone, Thank you so much for participating and helping … Continue reading →

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Do you need to be a trained health care professional to diagnose subtle OMI on the ECG?

Dr. Smith's ECG Blog

An undergraduate (not yet in medical school) who works as an ED technician (records all EKGs, helps with procedures, takes vital signs) and who reads this blog regularly arrived at work and happened to glance down and see this previously recorded ECG on a table in the ED. It was recorded at 0530: What do you think? The young ED tech immediately suspected LAD OMI.

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What Are the Best AI Detectors?

Life in the Fastlane

Sheralyn Guilleminot and Mike Cadogan What Are the Best AI Detectors? We investigated to see which tools are the best detectors of artificial intelligence in medical writing. One tool was the clear winner, while others clearly struggled with accuracy!

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NPRM Cyber Incident Reporting for Critical Infrastructure Act Requirements

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post NPRM Cyber Incident Reporting for Critical Infrastructure Act Requirements appeared first on American Ambulance Association.

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Comprehensive Assessment of Pediatric Prehospital Care Now Available

NVFC

While the majority of EMS and fire-rescue agencies provide emergency care to children, pediatric calls are rare. Since many agencies see fewer than eight pediatric patients per month, EMS clinicians often don’t feel comfortable or confident when caring for children. Pediatric readiness can reduce anxiety and increase confidence, and research suggests it may also improve outcomes.

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The 5 Types of Airway Management Equipment

SSCOR

Airway management is a critical component of every first responder’s job. The right equipment is key, from clearing the airway of secretions to managing complex aspiration cases and assessing causes of respiratory distress.

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It’s Happening: The Latest NERIS Development Updates

ESO

The National Emergency Response Information System (NERIS) remains on track to be active by Q1 of 2025. On Ma y 2 , 202 4 , the U.S. Department of Homeland Security, the Fire Safety Research Institute, and USFA hosted an informational webinar , Modernizing the U.S. Fire Data System: NERIS Data Framework and Development Update , to inform departments on the progress being made on NERIS and the timeline to expect.

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Diagnosing Lower Urinary Tract Infections

ACEP Now

Few shifts go by without ordering at least one urinalysis. While they are ubiquitously used, urine testing is often unneeded and frequently misleading. How often do you feel frustrated about a urine sample that takes too long to obtain? You may not need the sample in the first place. To understand why, we need to go back to the basics and think carefully about the indications for obtaining a urinalysis.

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A Mother’s Journey: Navigating Volunteer Firefighting and Motherhood

NVFC

By Rick Markley Like many over the age of 45, Sandra Sokol’s introduction to the fire service came from the 1970s TV show Emergency! Like many women, she juggled a career, motherhood, and a divorce. Unlike many women, she also threw herself headlong into the volunteer fire service while taking on all those other responsibilities. “I remember being very little, kindergarten or first grade, and having the fire department come to the school and me telling a firefighter that I was going to be a fire

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The Importance of Suction in Pulmonary Aspiration Emergencies

SSCOR

Pulmonary aspiration is a common medical emergency, especially in patients with endotracheal tubes or other aspiration risk factors. In fact, one study found aspiration has been reported in about 25% of intubated patients. Aspiration is a life-threatening medical emergency. Seconds count, so proper suction in a pulmonary aspiration emergency is critical.

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The Fire Grants and Safety Act: A Lifeline for AFG and SAFER Grants

Firefighters and EMS Fund

If Congress fails to act, these fire grants may be gone forever, and firefighters nationwide will be affected. As the Senate greenlights the Fire Grants and Safety Act (S.870), a crucial piece of legislation aimed at bolstering firefighting capabilities and enhancing fire safety measures nationwide, it’s important to recognize the critical juncture reached by the […] The post The Fire Grants and Safety Act: A Lifeline for AFG and SAFER Grants appeared first on Firefighters and EMS Fu

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RCEM CPD conference 2024 review. St Emlyn’s

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed Our rapid round up of the RCEM CPD conference in Newport 2024. Talks on trauma, paediatrics, policy, education and more @rcollem @stemlyns #FOAMEd The post RCEM CPD conference 2024 review. St Emlyn’s first appeared on St.Emlyn's. The post RCEM CPD conference 2024 review. St Emlyn’s appeared first on St.Emlyn's.

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Share the Load: Resources Available to Support Mental Wellbeing

NVFC

Being a volunteer firefighter or EMS provider is tough. Responders are routinely exposed to traumatic incidents and difficult calls, deal with the stress of juggling work-life-volunteer responsibilities, have interrupted sleep, and other factors that can impact mental wellbeing. May is Mental Health Awareness Month, and now is a great time to focus on what you and your department can do to support mental wellbeing, build resilience, and learn what resources are available for those who need help.

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NYGH Emergency Medicine Update 2024

First 10 EM

I gave 2 talks at the North York General Emergency Medicine Update this year. These are the resources for these talks. Usually, these resources are only for conference attendees, but this year I recorded versions of both talks, so you can watch them even if you didn’t make it to Canada’s premier emergency medicine conference […] The post NYGH Emergency Medicine Update 2024 appeared first on First10EM.

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The Ultrasound-Guided Genicular Nerve Block

ACEP Now

Chronic knee pain is common and debilitating. Patients often seek care in the emergency department (ED) setting when flares of pain affect their ability to ambulate, climb stairs, or even stand up from sitting. 1 In many cases, these patients have been dealing with pain for years and have already exhausted the standard analgesic cocktail of acetaminophen, NSAIDs, and/or topical agents.

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Feb/March Podcast 2024. St Emlyn’s

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed Our regular round up of the best of the blog with @docib and @emmanchester. Decompensated liver disease, mechanical CPR, frailty, global health and more. #FOAMed @stemlyns The post Feb/March Podcast 2024. St Emlyn’s appeared first on St.Emlyn's.

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Access NVFC Resources for Commenting on the OSHA Emergency Response Standard

NVFC

On February 5, the Occupational Safety and Health Administration (OSHA) published a Notice of Proposed Rulemaking (NPRM) to modernize the agency’s “Fire Brigades” standard with a proposed new “Emergency Response Standard.” This NPRM’s publication triggered the beginning of a public comment period that is scheduled to conclude on June 21, 2024. While several of the proposed provisions would be helpful and improve the safety of emergency responders, the proposed rule contains multiple new requirem

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Celebrating National Nurses Week: Nurses Make the Difference

Pulsara

Nurses play a pivotal role in healthcare, guiding both patients and their families through some of the most challenging times with unwavering compassion and dedication. Nurses advocate for their patients, coordinate care among different healthcare professionals, and ensure that each patient’s journey is as smooth and comfortable as possible. From bedside care to large-scale health operations, nurses don't just perform tasks; they provide comfort, enact change, and save lives.

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Research Roundup and BroomeDocs Podcast (May 2024)

First 10 EM

Years ago, this started as the “articles of the month” and was truly a monthly undertaking. In order to become more regular with the BroomeDocs podcast, I am going to try once again to make this a monthly endeavor, although that might mean fewer articles in each edition. For the people who skip right to […] The post Research Roundup and BroomeDocs Podcast (May 2024) appeared first on First10EM.

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Medical Malpractice Insights: Brain Abscess

EMDocs

Here’s 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.

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Update on AFG and SAFER Funding and Reauthorization

NVFC

There has been big progress in the fight to reauthorize the Assistance to Firefighters Grants (AFG), Staffing for Adequate Fire and Emergency Response (SAFER) grants, and the U.S. Fire Administration (USFA). This week, the House of Representatives will vote on S. 870, The Fire Grants and Safety Act , which would reauthorize these programs through FY 2028.

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The 80th Bubble wrap x DFTB MSc in PEM

Don't Forget the Bubbles

With millions of journal articles published yearly, it is impossible to keep up. Our team has scoured the literature, so you don’t have to—or it might spark an interest in reading the full article. This time, the PEM MSc team from QMUL, in association with DFTB, are taking over…. If you or your team are interested in an individual or joint review, please contact Dr.

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Hypothermia & Non-Freezing Cold Injury

EMOttawa

Please refer to Dr. Mark McKinney’s Grand Round Summary from March 2020 (Parts 1 and 2) for a comprehensive literature review on the topic of resuscitating hypothermic patients. In this blog post, I’ll go into a more in-depth review of the staging of hypothermia and how to manage this problem in the field. Furthermore, I’ll […] The post Hypothermia & Non-Freezing Cold Injury appeared first on EMOttawa Blog.

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Journal Feed Weekly Wrap-Up

EMDocs

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: Emergent Cath Lab Activations with “Normal” Computer ECG Interpretations Spoon Feed A significant minority of code STEMI patients have an initial normal computer ECG interpretation.

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COVID – Voices From the Front Lines

Peter Canning

I was honored to be asked to write an essay that was included in the new anthology – Voices from the Front Line: The Pandemic and the Humanities edited by by Katherine Ratzan Peeler and Richard M. Ratzan and published the University of California Health Humanities Press. Here is the description of the book from Amazon: What are the limits of one’s duty as a healthcare provider to render care during a peacetime pandemic when that care is often life-saving for the patient yet conc

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Bubble Wrap PLUS – May 2024

Don't Forget the Bubbles

Can’t get enough of Bubble Wrap? The Bubble Wrap Plus is a monthly paediatric Journal Club reading list from Professor Jaan Toelen (University Hospitals Leuven) and Dr Anke Raaijmakers (Sydney Children’s Hospital). This comprehensive list is developed from 34 journals, including major and subspecialty paediatric journals. We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research.

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Tirofiban for Stroke without Large or Medium-Sized Vessel Occlusion

EMOttawa

Methodology: 4/5 Usefulness: 3/5 Zi W, et al. N Engl J Med. 2023 Jun 1;388(22):2025-2036. Editorial: Expanding Treatment for Acute Ischemic Stroke beyond Revascularization. Question and Methods: This multi-centre, triple-blind, double dummy RCT in China aimed to evaluate the functional outcomes and safety of intravenous tirofiban as compared to aspirin in moderate to severe strokes […] The post Tirofiban for Stroke without Large or Medium-Sized Vessel Occlusion appeared first on EMOttawa

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RETTMobil 2024: STEM at the Forefront of the Leading European Emergency Medical Services Trade Fair

Stem EMS

From May 15 to 17, STEM will participate in RETTmobil 2024 in Fulda, Germany, the premier European event for emergency medical services and safety. The Italian company will showcase the […] L'articolo RETTMobil 2024: STEM at the Forefront of the Leading European Emergency Medical Services Trade Fair proviene da Stem Ems.

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Handtevy is Revolutionizing Pediatric EMS Care: The Power of Precision in Medication Dosing

Handtevy

In the fast-paced world of emergency medical services (EMS), precision in pediatric medication dosing can mean the difference between life and death. The Monroe-Livingston Regional EMS (MLREMS) has spearheaded a transformative approach that ensures the safest and most effective treatment for our youngest patients during emergency situations. Key Insights from the 2024 Pediatric Medication Safety Report: EMS introduced the Handtevy system to help accurately dose medications for children, reducing

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Extracting External Auditory Canal Foreign Bodies

ACEP Now

The best questions often stem from the inquisitive learner. As educators, we love—and are always humbled—by those moments when we get to say “I don’t know.” For some of these questions, you may already know the answers. For others, you may never have thought to ask the question. For all, questions, comments, concerns, and critiques are encouraged. Welcome to the Kids Korner.