ALiEM

NOVEMBER 22, 2023

The toxin from the golden poison dart frog most resembles which of the following in its mechanism of action? Botulinum toxin Bufotoxin Grayanotoxin Palytoxin Tetrodotoxin Photo adapted from Wilfried Berns (Wikimedia Commons) Reveal the Answer 3. Grayanotoxin – a sodium channel opener Background The golden poison dart frog ( Phyllobates terribilis ), often considered one of the most poisonous animals on the planet, secretes onto its skin the lipophilic alkaloid batrachotoxin , which irreversibly

ALS 284

ALS ED OR 284

American Ambulance Association

NOVEMBER 22, 2023

This content is for AAA members only. Please either Log In or Join! The post California Human Resources | Changes to CA Paid Sick Leave Law appeared first on American Ambulance Association.

Ambulance 130

Ambulance OR 130

EMergucate

NOVEMBER 21, 2023

28 days old boy brought by his parents for multiple vomiting episodes. His venous gases showed the following: PH = 7.

130

130

Don't Forget the Bubbles

NOVEMBER 22, 2023

One-liner… Although commonly used, Propofol can have severe adverse effects. Propofol Infusion Syndrome (PRIS) can lead to significant morbidity and mortality in children. What is Propofol? Commonly referred to as “the milk of amnesia”, propofol is a drug used for induction and maintenance of general anaesthesia and for procedural sedation. Propofol is prepared in a lipid emulsion, giving it a characteristic milky white appearance, and due to its ability to dissolve in fats, it is rapidly redist

E-9-1-1 126

E-9-1-1 Critical Care Operating Room ALS 126

Critical Care Scenarios

NOVEMBER 22, 2023

When should you… When should you… * Update family on clinical changes * Call a consult * Notify a nurse about new orders * Communicate with an attending

100

100

American Ambulance Association

NOVEMBER 22, 2023

Hot off the press! The Department of Veteran’s Affairs has announced a one year delay of the VA Final Rule. This delay pushes implementation of the final rule to February […] The post VA Final Rule Delayed One Year appeared first on American Ambulance Association.

Ambulance 130

Ambulance 130

EMergucate

NOVEMBER 20, 2023

Question 1 answer PH = 7.236, that is moderate acidaemia HCO3 = 12.5 mmol/L. So we have metabolic acidosis. Next we need to calculate the compensation and the the anion gap.

100

100

First 10 EM

NOVEMBER 20, 2023

When caring for pregnant women, I frequently find myself searching for information on radiation risks from diagnostic imaging, to help guide our shared decision making process, so I decided to create a summary in a spot I would always know where to find it. I have ranted in the past about the many problems with […] The post Diagnostic imaging during pregnancy and lactation appeared first on First10EM.

119

119

American Ambulance Association

NOVEMBER 21, 2023

Federal Interagency Committee on EMS to Hold Virtual Meeting on December 6 Advanced public comment period open until Wednesday, November 29 The Federal Interagency Committee on EMS (FICEMS) was established […] The post Register Now: FICEMS Meeting on December 6 appeared first on American Ambulance Association.

Ambulance 130

Ambulance EMS 130

EMergucate

NOVEMBER 21, 2023

Adult patient with sepsis. What can be seen? Answer will be posted later.

EMS 130

EMS 130

Dr. Smith's ECG Blog

NOVEMBER 22, 2023

To learn more about Occlusion MI, join us in this Free Webinar on November 27 12 noon US Central Time: Sign up at this link: [link] Infection and DKA, then sudden dyspnea while in the ED A 63 year old male with a PMH of CAD and peripheral vascular disease from type 1 DM presented to clinic and was found to have a very high blood sugar and so was sent to the emergency department.

ED 103

ED Coronary CAD STEMI 103

REBEL EM

NOVEMBER 20, 2023

Background: Hemmorhage is a major cause of preventable death in trauma patients. Early expeditious definitive hemorrhage control is a major focus in trauma resuscitation. Patients with torso hemorrhage present a clinical conundrum often requiring interventional radiology or surgery, both of which take time to mobilize. Theoretically, the use of REBOA with aortic occlusion should help limit hemorrhage, maintain cerebral/myocardial perfusion, and allow more time for interventional and surgical pro

OR 91

OR Emergency Medical Technician CPR Emergency Medical Services 91

American Ambulance Association

NOVEMBER 22, 2023

This content is for AAA members only. Please either Log In or Join! The post Illinois & Chicago Employment Law Updates appeared first on American Ambulance Association.

Ambulance 130

Ambulance OR 130

EMDocs

NOVEMBER 20, 2023

Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American College of Gastroenterology recently released updated guidelines for managing patients with lower GI bleeding (LGIB). This post will provide the major takeaways for emergency clinicians. Background Acute LGIB results in over 100,000 admissions in the U.S. annually, and the incidence appears to be increasing based on current literature.

Frozen Plasma 79

Frozen Plasma FFP Plasma OR 79

University of Maryland Department of Emergency Med

NOVEMBER 19, 2023

Acute bronchiolitis (AB) is a common cause of respiratory tract infections in infants. A recent study looked at the application of Point-of-Car.

74

74

Stem EMS

NOVEMBER 23, 2023

estimated reading time: 4 minutes In the constantly evolving world of medical devices, attention to maintenance has become crucial, not only to ensure patient safety but also to provide post-sales […] L'articolo Periodic and Predictive Maintenance of Medical Products: What is it, and how is it managed in Europe? proviene da Stem Ems.

EMS 52

EMS 52

American Ambulance Association

NOVEMBER 21, 2023

Preventing Workplace Violence: Security Awareness Considerations Infographic Publish Date November 16, 2023 RELATED TOPICS: PHYSICAL SECURITY, INSIDER THREAT MITIGATION, NON-CONFRONTATIONAL TECHNIQUES The Preventing Workplace Violence: Security Awareness Considerations Infographic is a new […] The post CISA | Preventing Workplace Violence Infographic appeared first on American Ambulance Association.

Ambulance 100

Ambulance 100

EMDocs

NOVEMBER 18, 2023

Author: Jacob Kirkland, MD (EM Resident Physician, UTSW – Dallas, TX); Stephen Field, DO (Assistant Professor of EM/Attending Physician, UTSW – Dallas, TX) // Reviewed by: Sophia Görgens, MD (EM Resident Physician, Zucker-Northwell NS/LIJ, NY); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providing an expedited

EMS 69

EMS E-9-1-1 ALS Emergency Department 69

University of Maryland Department of Emergency Med

NOVEMBER 22, 2023

This retrospective study looked at trauma patients over age 65 and divided them into age ranges 65-80 (geriatric) and 80 plus (super-geriatric). Th.

71

71

FOAMfrat

NOVEMBER 21, 2023

Thanks for joining me in part 2 of the Mechanical Circulatory Support Series! Today we're discussing flow in MCS devices, so stick with me; it’s a bit of a rollercoaster. As I mentioned in the first blog, one of my primary interests in writing these blogs is to discuss the unique considerations of MCS in transport. So, I've added some bullet points specific to the transport environment.

Life Support 52

Life Support OR 52

Unitek EMT

NOVEMBER 21, 2023

The challenges and rewards that define the life of an EMT pursuing a college education In the heart-pounding realm of emergency medical services, there exists a unique intersection of challenges and rewards that define the life of an Emergency Medical Technician (EMT) pursuing a college education. As an EMT, one navigates the high-stakes world of […] The post Balancing Education and Saving Lives: Your Guide to Working as an EMT During College appeared first on Unitek EMT.

EMT 52

EMT EMT Emergency Medical Technician Emergency Medical Services 52

EMDocs

NOVEMBER 21, 2023

Today on the emDOCs cast with Jess Pelletier and Brit Long, we discuss a case of hypokalemic periodic paralysis. Episode 90: Hypokalemic Periodic Paralysis Case: 20-year-old Caucasian male presents with severe pain and weakness in both of his thighs with inability to walk independently that started when he woke up that morning. Normal state of health prior to this.

E-9-1-1 68

E-9-1-1 ALS ED OR 68

University of Maryland Department of Emergency Med

NOVEMBER 21, 2023

A recently published study of ED APPs, residents, attendings, and nurses attempted to assess clinician's perspectives on how ED boarding im.

ED 69

ED 69

Pulsara

NOVEMBER 20, 2023

EDITOR'S NOTE: This article originally appeared on FireRescue1.com. Special thanks to our guest author, Courtney Levin , for FireRescue1 BrandFocus Staff. This platform helps ensure consistent and reliable communication when it matters most Think about the last 10 conversations you had with someone who wasn’t standing right next to you. There’s a pretty good chance you communicated through text, FaceTime, social media messaging or even a good old-fashioned phone call.

Firefighter 52

Firefighter First Responder Paramedic OR 52

REBEL EM

NOVEMBER 20, 2023

A 35-year-old woman presents with 4 days of headache, nasal congestion, ear pain, and mild sore throat. She has been taking an over-the-counter medication for her symptoms, but it doesn’t do anything for her. According to recent FDA news, which medication has she likely been taking? Diphenhydramine Oxymetazoline Phenylephrine Pseudoephedrine FOR THE RIGHT ANSWER CLICK ON THE ROSH REVIEW LOGO BELOW References De Sutter AI, Eriksson L, van Driel ML.

E-9-1-1 52

E-9-1-1 EMS 52

EMCrit Project

NOVEMBER 23, 2023

A pulm-crit shadowboxing case EMCrit Project by Scott Weingart, MD FCCM.

70

70

University of Maryland Department of Emergency Med

NOVEMBER 24, 2023

[link] ANSWER: The fleck sign of the foot is a small bony fragment seen in the Lisfranc joint space. &nb.

63

63

EMS 20/20

NOVEMBER 22, 2023

The guys review a nutty situation where a responder is sandwiched between a DNR and a very serious diagnosis. and also their partner. The guys review a nutty situation where a responder is sandwiched between a DNR and a very serious diagnosis. and also their partner.

STEMI 40

STEMI 40

University of Maryland Department of Emergency Med

NOVEMBER 22, 2023

Building on Dr. Winter's pearl from a couple of weeks ago, this is more evidence that a one-size-fits-all approach to fluid volume for.

53

53