ALiEM
APRIL 12, 2023
Ever finally step away from a busy resuscitation and someone stops you for peripheral IV access? You set up everything, have the patient positioned, and then notice there is no sterile ultrasound gel. No gel? No problem. The trick is to eliminate anything of poor acoustic impedance between the ultrasound probe and the patient’s skin. Trick of the Trade 1.
Emergency Medicine Cases
APRIL 11, 2023
How can we use the awareness of complications to identify false positive STEMI and Occlusion MI that doesn’t meet classic STEMI criteria, and consider specific treatment? Dr. Jesse McLaren reviews the complications of MI through 10 ECG cases and how they alter management. The post ECG Cases 41 – STEMI, Occlusion MI Complications appeared first on Emergency Medicine Cases.
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The Skeptics' Guide to EM
APRIL 8, 2023
Date: April 4th, 2023 Reference: Vaughan and Browne. Reconfiguring emergency and acute services: time to pause and reflect. BMJ Qual Saf. 2023 Apr Guest Skeptics: Dr. Louella Vaugh is an internist practising as a hospitalist physician at an academic centre in London, UK with a special interest in smaller, rural and remote healthcare. Her main job […] The post SGEM Xtra: This is My Life – Centralization of Rural Emergency Healthcare first appeared on The Skeptics Guide to Emergency Medicine.
EMergucate
APRIL 11, 2023
Answers: Ph = 7.56, that is alkalaemia Both HCO3 and pCO2 are low. So, most likely we have combined metabolic and respiratory alkalosis.
ALiEM
APRIL 14, 2023
Welcome to the AIR Procedures Module! After carefully reviewing all relevant posts in the past 12 months from the top 50 sites of the Social Media Index, the ALiEM AIR Team is proud to present the highest quality online content related to related to procedures in the Emergency Department. 6 blog posts met our standard of online excellence and were approved for residency training by the AIR Series Board.
Emergency Medicine Cases
APRIL 11, 2023
In this episode, Dr. Roy Baskind and Dr. Ahmit Shah answer such questions as: when is an opening pressure on LP required? When should we pull the trigger on ordering a CT venogram in the patient with unexplained headache? Which older patients who present with headache require an ESR/CRP? How do the presentations of cerebral venous thrombosis (CVT) and idiopathic intracranial hypertension (IIH) compare and contrast?
Medgadget
APRIL 10, 2023
Researchers at Rice University have developed a new type of microparticle for drug delivery, made from a polymer called PLGA that has already been extensively explored as a component in drug delivery systems. However, what makes these new particles different is the method of loading and sealing them, which appears to give them highly tunable release characteristics and may even allow the researchers to create particles that provide multiple doses of a drug, or continuous dosing, over the space o
Paramedicine Now brings together the best content for paramedicine professionals from the widest variety of thought leaders.
ALiEM
APRIL 10, 2023
The patient is a 3-month-old, full-term male who presents with a rash on his head. The rash started one day prior to presentation on his forehead and spread to the rest of his head. Today, it developed a central clearing with surrounding redness. He has a history of sensitive skin since birth with patches of eczema and cradle cap. He treats these with Aquaphor and Honest Co.
EMCrit Project
APRIL 9, 2023
How to teach and learn intubation and laryngoscopy EMCrit Project by Scott Weingart, MD FCCM.
NAEMSP
APRIL 14, 2023
Article Summary by Robert Skinner, MD Knapp, J., Haeske, D., Boettiger, B. W., Limacher, A., Stalder, O., Schmid, A., … & Bernhard, M. (2019). Influence of prehospital physician presence on survival after severe trauma: systematic review and meta-analysis. Journal of Trauma and Acute Care Surgery , 87 (4), 978-989. Background: The leading cause of death in the United States for individuals under the age of 40 is trauma, according to the CDC, with an estimated death toll of greater than
Dr. Smith's ECG Blog
APRIL 14, 2023
Sent by Anonymous, written by Pendell Meyers A man in his 60s with history of CAD and 2 prior stents presented to the ED complaining of acute heavy substernal chest pain that began while eating breakfast about an hour ago, and had been persistent since then, despite EMS administering aspirin and nitroglycerin. There was associated diaphoresis, but no dyspnea, nausea, or vomiting.
The Overrun Podcast
APRIL 12, 2023
Kate Bergen is a paramedic and artist that appeared on the show in 2020 to discuss how art therapy helped her get through Covid-19. Since then, her art has been featured in national news pieces and she has been featured in national magazines raising awareness of art therapy in our modern world. Her work earned her the EMS10 award in 2020. Now with a new book in the works, she returns to show to discuss how art therapy has helped her manage her mental health since Covid, and how it has helped oth
First Responder Wellness
APRIL 12, 2023
Re-experiencing past trauma as physical symptoms that manifest in the body can be alarming. When someone experiences physical symptoms of post-traumatic stress (PTS), the body does not remember the event as something in the past. These symptoms can intrude visual, auditory, and other bodily functions causing the body and mind to feel as though they are re-living the threatening experience as if it were still occurring.
Ingenious
APRIL 12, 2023
Seven EU-funded projects ( INGENIOUS , FASTER , ASSISTANCE , CURSOR , INTREPID , PathoCERT and RESPOND-A ) have joined forces and established the Safety F.I.R.S.T. (First Responder Support Technologies) cluster with the valuable support of the Horizon Results Booster to enhance projects’ dissemination activities and promote good practice in research through collaboration and knowledge-sharing activities.
Dr. Smith's ECG Blog
APRIL 12, 2023
A 49 year old woman with h/o COPD only presented with sudden dyspnea. She had acute pulmonary edema on exam. Prehospital Conventional algorithm interpretation: ANTERIOR INFARCT, STEMI Transformed ECG by PM Cardio: PM Cardio AI Bot interpretation: OMI with High Confidence What do you think? There is STE and hyperacute T-waves in V2 and V3, with significant STE in I and aVL, and inferior reciprocal STD.
First 10 EM
APRIL 10, 2023
Before jumping into this edition, I need to address the maternal kisses study discussed last time. Obviously the study was satire, and did an excellent job in making us laugh, but most satire studies (like those in the Christmas edition of the BMJ) are real studies. Apparently this paper was entirely fictional (or perhaps the […] The post Research Roundup (April 2023) appeared first on First10EM.
The EMS Show
APRIL 12, 2023
Clever name huh? Well, this crossover is a little light on the paramedic and heavy on the medical directors.but you know.its all good (Dr. Jarvis) Man, did we have fun recording this one. I found myself in a hotel room in Ashland, Oregon with Drs. Ed Racht, Maia Dorsett, and Ritu Sahni talking about Sepsis. We decided this would make for a great crossover episode with The EMS Show, minus our buddy Mikey V.
Ingenious
APRIL 12, 2023
The Responder Technology Cluster (RTC) of the DRS02-related projects INGENIOUS , NIGHTINGALE , RESCUER , MED1stMR , TeamAware , PathoCERT , INTREPID , Search & Rescue and RESPOND-A has been established with the support of the Crisis Management Innovation Network Europe (CMINE). All projects are working on related research areas under the Disaster Resilient Societies (DRS) framework and focus on developing and testing technologies to enhance first responders’ safety and improve their ef
Dr. Smith's ECG Blog
APRIL 9, 2023
Submitted by Ali Khan MD and James Mantas MD, MS, written by Pendell Meyers A man in his 50s with history of diabetes, hypertension, and tobacco use presented to the ED with 24 hours of worsening left sided chest pain radiating to the back, characterized as squeezing and pinching, associated with shortness of breath. His pain was initially mild, then became severely worse several hours prior to presentation, but then eased off again and was minimal on arrival.
EMS 20/20
APRIL 12, 2023
Is this episode's patient faking a seizure? Does it even matter? Or at least, does it matter more than the anger of a salty medic who terrorizes their trainee? Does THAT matter more than the ensuing medication error? Is this episode's patient faking a seizure? Does it even matter? Or at least, does it matter more than the anger of a salty medic who terrorizes their trainee?
The EMS Show
APRIL 12, 2023
Clever name huh? Well, this crossover is a little light on the paramedic and heavy on the medical directors.but you know.its all good (Dr. Jarvis) Man, did we have fun recording this one. I found myself in a hotel room in Ashland, Oregon with Drs. Ed Racht, Maia Dorsett, and Ritu Sahni talking about Sepsis. We decided this would make for a great crossover episode with The EMS Show, minus our buddy Mikey V.
Emergency Medicine Education
APRIL 12, 2023
There is always a debate in the ED that should we send a patient status post ROSC to cath lab or not. JAMA in July 2022 published a French national multicenter study regarding OHCA patient who had a ROSC to assess cerebral performance category. They enrolled 279 patients and they measured 180 days survival rates. As a conclusion they did not find emergent cath lab activation to be better than delayed cath lab intervention.
EMT City
APRIL 8, 2023
I got my fire card in June of 1989, and my EMT-A in June of 1990. I got my medic card in June of 1996. I did 911 in various places until 2016, and then had to switch to the privates because I couldn't find a 911 position anymore. I was too old for the FD's, or the privates that did 911 paid squat. I'll turn 60 in June. My back has finally decided that it only has a certain number of lifts into the back of the squad left.
University of Maryland Department of Emergency Med
APRIL 10, 2023
Glucagon therapy in beta blocker and calcium channel blocker overdose is controversial and no high level evidence is available to support or.
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