Emergency Medicine Cases

APRIL 2, 2024

In this part 2 of our 2-part podcast on asthma with Dr. Sameer Mal and Dr. Leeor Sommer, we dig into the recognition and management of life-threatening asthma. We answer such questions as: what are the key elements in recognition of threatening asthma? What are the most time-sensitive interventions required to break the vicious cycle of asthma? What are the best options for dosing and administering magnesium sulphate, epinephrine, fentanyl and ketamine in the management of the crashing asthmatic

Epinephrine 344

Epinephrine EMS 344

EMS 12-Lead

MARCH 30, 2024

TCP In Transit: A case reviewing transcutaneous pacing, false electrical capture, and re-arrest. Josh Kimbrell, NRP @joshkimbre Judah Kreinbrook, EMT-P @JMedic2JDoc This is the first installment of a blog series showing how transcutaneous pacing (TCP) can be difficult, and how you can improve your skills. We will be using redacted information from different cases where paramedics attempted TCP in the field.

CPR 312

CPR Paramedic Ambulance Defibrillator 312

ALiEM

APRIL 1, 2024

A 23-year-old female with no known past medical history presented with a rash concentrated on her legs, with a few areas on her arms and chest. The rash began the day before presentation when she became overheated while wearing sweatpants in 104°F weather. The rash was mildly pruritic but not painful. She denied any prior reaction to her sweatpants that she has had for several months.

OR 189

OR 189

Pediatric EM Morsels

APRIL 5, 2024

Traveling Ticks are more than just ticking off a checklist before you get ready to travel! Climate change and changes in land usage have contributed to an expanded range of ticks (Beard 2016). There are species of ticks found on every continent and carrying a variety of vectors capable of infecting humans. Globally, ticks are the second most common vector to transmit illnesses after mosquitos (Parola 2018).

E-9-1-1 161

E-9-1-1 ALS OR EMS 161

Emergency Medicine Cases

APRIL 2, 2024

In this ECG Cases blog, Jesse McLaren and Rajiv Thavanathan explore how ECG and POCUS complement each other for patients presenting to the emergency department with shortness of breath or chest pain. They explain complementary diagnostic insights into pericardial effusion and cardiac tamponade, occlusion MI and RV strain. The post ECG Cases 49 – ECG and POCUS for Dyspnea and Chest Pain appeared first on Emergency Medicine Cases.

Emergency Department 307

Emergency Department OR STEMI EMS 307

Core EM

APRIL 1, 2024

We review Acute Respiratory Distress Syndrome Hosts: Sadakat Chowdhury, MD Brian Gilberti, MD [link] Download Leave a Comment Tags: Critical Care , Pulmonary Show Notes Definition of ARDS: Non-cardiogenic pulmonary edema characterized by acute respiratory failure. Berlin criteria for diagnosis include acute onset within 7 days, bilateral pulmonary infiltrates on imaging, not fully explained by cardiac failure or fluid overload, and impaired oxygenation with PaO2/FiO2 ratio <300 mmHg, even wi

Critical Care 130

Critical Care OR 130

First 10 EM

APRIL 2, 2024

Give your patients a break. Nobody is a perfect diagnostician. Not even the best trained physician can determine, with 100% accuracy, which patients have serious pathology. Even with advanced testing, we aren’t close to perfect. However, if you listen to the subtext of breakroom complaints, it seems like we expect patients to be better diagnosticians […] The post Are you a perfect diagnostician?

140

140

Dr. Smith's ECG Blog

APRIL 2, 2024

An elderly man collapsed. There was no bystander CPR. Medics found him in ventricular fibrillation. He was defibrillated, but they also noticed that he was being internally defibrillated and then found that he had an implantable ICD. He was unidentified and there were no records available After 7 shocks, he was successfully defibrillated and brought to the ED.

Defibrillator 128

Defibrillator Coronary Epinephrine CPR 128

Core Ultrasound

APRIL 1, 2024

Pericardial effusion Old 5MS vid (2016) Pericardial Tamponade Courses The post 5 Min Sono – Pericardiocentesis (2024) first appeared on Core Ultrasound.

130

130

SSCOR

MARCH 30, 2024

Although many first responders express reservations about airway suctioning, it is a potentially life-saving procedure that when performed correctly has a low risk of complications. With both cold and flu season and allergies causing year-round respiratory issues, it is always a great time for first responders to brush up on their airway management skills.

First Responder 111

First Responder 111

St. Emlyn's

APRIL 4, 2024

St.Emlyn's - Emergency Medicine #FOAMed This week Cliff Reid highlighted a recent meta-analysis of the use of bougies in tracheal intubation. This is something that has been routine practice in Virchester ED for many years, […] The post JC: Bougie use in tracheal intubation. St Emlyn’s appeared first on St.Emlyn's.

ED 103

ED Critical Care 103

FOAMfrat

APRIL 2, 2024

I read a comment the other day on Facebook that said, “To error is human, but to blame someone else… that shows management potential.” I have heard this expression before and laugh every time. Humans have made mistakes throughout our existence on earth, and how we synthesize the information surrounding that mistake can be the “make or break” when it comes to reducing the odds of it repeating.

OR 75

OR 75

Pulsara

APRIL 2, 2024

March Recap Our teams exhibited at 5 trade shows in March, including the South Carolina EMS Conference and the Texas EMS Medical Director Conference. As we prepare for a busy April, let's take a moment to review the exciting announcements we made this month. Welcoming a New Health System Carolina Pines Regional Medical Center is the first in South Carolina to implement Pulsara, greatly improving collaboration between EMS partners and the emergency department, ultimately leading to better patient

Emergency Department 97

Emergency Department EMS 97

SSCOR

APRIL 4, 2024

For many, there is nothing more beautiful than watching Mother Nature in action. Witnessing the power of 30-foot waves crashing against the beach or taking a boat down a winding river while it cuts its way through a valley can be an amazing experience. Unfortunately, sometimes that power manifests itself as a natural disaster. The following is an overview of four types of natural disasters and the specific injuries usually encountered by a hospital.

OR 96

OR 96

Critical Care Scenarios

APRIL 3, 2024

When do patients deaths bother us? When do patients deaths bother us?

124

124

EMergucate

APRIL 2, 2024

The lumbar spine x-rays are from an adult with back pain following high speed MVA. What can be noticed?

EMS 100

EMS 100

Dr. Smith's ECG Blog

MARCH 31, 2024

Sent by anonymous, written by Pendell Meyers I received a text with this image and no other information: What do you think? I simply texted back: "Definite posterior OMI." The person I was texting knows implicitly based on our experience together that I mean "Definite posterior OMI, assuming the patient's clinical presentation is consistent with ACS.

STEMI 92

STEMI ACS ED 92

EMDocs

APRIL 2, 2024

Today on the emDOCs cast Brit Long interviews Zachary Aust on the use of a mental model in post ROSC patients. Episode 98: Post ROSC Mental Model What’s the problem? The Code Whatever caused the initial arrest Iatrogenic injuries from CPR Patients are in a pathophysiologic state that is being called “post-cardiac arrest syndrome” Hypoxic brain injury Myocardial dysfunction Systemic ischemia/reperfusion injury SIRS Response Very fragile state Hard to diagnose what is going on Small Things

CPR 92

CPR STEMI Epinephrine ICU 92

Pulsara

APRIL 1, 2024

FOR IMMEDIATE RELEASE With a Strategy as Sticky as Their Product, Pulsara Aims to Fax Its Way into Healthcare History BOZEMAN, Mont., April 1st, 2024 — In an audacious pivot that industry insiders are calling "a stroke of mad genius," Pulsara, the titan of digital healthcare communication, has announced its intention to acquire a leading sticky note manufacturer StickIt Solutions and fax machine giant RetroComm Innovations.

87

87

International Journal of Paramedicine

APRIL 3, 2024

Introduction: Tension pneumothorax related to chest trauma is a rapidly lethal condition that requires immediate treatment, often prior to arrival at definitive care. Recent concerns regarding the safety and efficacy of needle thoracostomy (NT) have led to alternatives. Finger thoracostomy (FT) is a potential life-saving treatment performed by prehospital providers as an alternative to NT.

Emergency Medical Services 90

Emergency Medical Services 90

First 10 EM

MARCH 31, 2024

The First10EM monthly wrap up is a place for me to share updates about the website, about my academic life, and also interesting content, such as books, podcasts, and other FOAMed, that I have encountered in the prior month. Obviously the format means the focus is mostly on content I have found, but I hope […] The post The First10EM monthly wrap-up for March 2024 appeared first on First10EM.

84

84

EMDocs

MARCH 30, 2024

Authors: Luke Bailey (Medical Student, Texas A&M SOM, Bryan, TX) and Scott Wieters, MD (Associate Dean Temple Campus, Texas A&M SOM, Temple, TX) // Reviewed by: Sophia Görgens, MD (EM Physician, Northwell, 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 review of clinical basics.

EMS 89

EMS E-9-1-1 Emergency Department Ambulance 89

St. Emlyn's

APRIL 2, 2024

St.Emlyn's - Emergency Medicine #FOAMed The ARC-H principle: re-defining global health & shifting the balance. Anisa Jafar @EMergeMedGlobal takes us through why definitions really matter. The post The ARC-H principle: re-defining global health & shifting the balance. appeared first on St.Emlyn's.

90

90

International Journal of Paramedicine

APRIL 3, 2024

Objective: The objectives of this systematic review were to evaluate the incidence, patient demographics and associated outcomes of adult syncope presentations to emergency medical services (EMS) within current literature. Methods: Inclusion criteria were contact with an EMS, a provisional diagnosis of syncope and epidemiological data regarding EMS contact with these patients.

Emergency Medical Services 75

Emergency Medical Services Life Support EMS OR 75

ACEP Now

APRIL 5, 2024

A 68-year-old man presents to the emergency department (ED) with altered mental status and fever. Vital signs on arrival are: Temperature: 38.8 degrees Celsius Heart rate:128 Blood pressure: 74 over 48 Respiratory rate: 10 Oxygen saturation: 77 percent Physical examination was notable for lethargy and confusion. He has an absent gag reflex. He has a Class I Mallampati view and lung sounds were diminished in all fields.

OR 73

OR ALS Emergency Department Critical Care 73

EMOttawa

APRIL 4, 2024

Point-of-care ultrasound (PoCUS) is becoming a cornerstone tool in our assessment of patient presentations and is helping us guide our clinical management. This is also represented in the amount of literature that has been published on the use of PoCUS in 2023. In this post, Dr. Murray reviews 5 articles (with case examples and videos), […] The post Probing 2023: PoCUS Articles to Change Your Practice appeared first on EMOttawa Blog.

71

71

EMCrit Project

APRIL 5, 2024

The 2nd FoundStab SOP is on standard intubation. EMCrit Project by Scott Weingart, MD FCCM.

97

97

Paramedics World

APRIL 4, 2024

When alcohol or drug use affects someone, we love, we may ask “How did it happen?” or “How can we help?” Feelings of blame and guilt may lead us to… The post The Dos and Don’ts About Confronting a Drug User About Their Behavior appeared first on Paramedics World.

Paramedic 52

Paramedic OR 52

International Journal of Paramedicine

APRIL 3, 2024

Objectives: Almost one third of pediatric 9-1-1 calls result in non-transport by Emergency Medical Services (EMS). It is unknown to what extent these decisions are driven by caregivers’ decisions to decline transport versus EMS advice that transport is unnecessary. Further, it is unknown whether demographic, encounter, or agency factors are associated with caregivers declining transport.

Emergency Medical Services 52

Emergency Medical Services EMS OR 52

Stem EMS

APRIL 3, 2024

STEM France and the Spark stretcher : Innovation at the Service of Emergency Professionals at INFOPOL XPO112 In an era where technological innovation can mean the difference between life and […] L'articolo Innovation and Safety: STEM France at INFOPOL XPO112 proviene da Stem Ems.

EMS 52

EMS 52

Clinical Correlations

APRIL 2, 2024

By Sarah M. Jackson Peer Reviewed During the COVID-19 pandemic, opioid overdose deaths increased from 50,000 in 2019 to 80,000 in 2021, largely driven by synthetic opioids such as fentanyl.1 Despite the escalating use of synthetic.

Overdose 52

Overdose 52

Paramedics World

APRIL 3, 2024

The farm-to-table movement has become a cornerstone of modern culinary culture, emphasizing the importance of fresh, locally sourced ingredients in our diets. While this trend has gained popularity across all… The post Farm-to-Table for Seniors: Exploring the Impact of Local Food Movements on Aging Communities appeared first on Paramedics World.

Paramedic 52

Paramedic 52

International Journal of Paramedicine

APRIL 3, 2024

Objective Ambulance staff are at increased risk of negative wellbeing outcomes, though there is a lack of research into their wellbeing. This study aims to explore the relationship between emotional intelligence and self-compassion, two factors related to positive wellbeing in other populations, and the professional quality of life and psychological wellbeing of ambulance staff.

Ambulance 52

Ambulance 52

NVFC

APRIL 1, 2024

To help improve the safety of volunteer firefighters, the National Volunteer Fire Council (NVFC) has partnered with MSA Safety to award four NVFC members a personalized MSA Cairns® 1836 Fire Helmet in 2024. The MSA Cairns 1836 Fire Helmet showcases the iconic traditional design with innovative features that address today’s fire service needs. The helmet features a low ride height and newly designed Defender Visor that adjusts in and out to fit a range of face sizes and shapes or over eyewear.

Firefighter 52

Firefighter First Responder EMS OR 52

Life in the Fastlane

APRIL 4, 2024

James Miers and Amanda Beech Emergency Procedure: Postpartum haemorrhage Emergency Procedure: Today we tackle postpartum haemorrhage (PPH).

52

52

Paramedics World

APRIL 3, 2024

Understanding your rights and the relevant legal framework can be instrumental in securing the compensation you deserve after an accident or injury. Personal injury laws govern a wide range of… The post Navigating Personal Injury Claims: How Familiarity with Local Laws Can Strengthen Your Case appeared first on Paramedics World.

Paramedic 52

Paramedic OR 52

International Journal of Paramedicine

APRIL 3, 2024

Background and purpose: A valid 12-lead electrocardiogram (ECG) depends on correct acquisition technique, particularly on the accurate location of precordial (chest) electrodes. The emergency medical services (EMS) segment of the care continuum is under-represented in previous clinically oriented studies of electrode placement. This study sought to assess the accuracy of chest electrode placement by EMS and clinical personnel in one geographic area, to identify patterns of misplacement to inform

EMS 52

EMS Emergency Medical Services CPR 52