The Skeptics' Guide to EM

DECEMBER 21, 2024

Date: December 15, 2024 Guest Skeptics: Dr. Chris Carpenter, Vice Chair of Emergency Medicine at Mayo Clinic. Today, were sleighing through the holiday season with a special episode filled with statistical cheer, a dash of skepticism, and a hint of eggnog-flavoured nerdiness. This is an SGEM Xtra like the one we did on What I Learned from Top Gun. Its fun to mix it up and not do a structured critical appraisal of a recent publication and have a more philosophical chat.

OR 239

OR 239

FOAMfrat

DECEMBER 26, 2024

TRIGGER WARNING: TOPICS OF SUICIDE MAY BE HARD FOR SOME PEOPLE TO READ ABOUT. THIS ARTICLE IS COVERING THE MEDICAL ASPECTS OF CHEMICAL SUICIDES. IF YOU OR A LOVED ONE NEEDS HELP, CALL 988 OR SEEK CARE AT A LOCAL EMERGENCY DEPARTMENT. REMEMBER, IF YOU ARE TREATING A SUICIDE ATTEMPT SURVIVOR, DO NOT PASS JUDGMENT. WE, AS EMS PROFESSIONALS, SHALL PROVIDE COMPASSIONATE, APPROPRIATE CARE TO ALL PATIENTS.

Epinephrine 112

Epinephrine First Responder OR Emergency Management 112

American Ambulance Association

DECEMBER 23, 2024

On Saturday, December 21, the American Relief Act of 2025 (H.R. 10545) became law and thereby averted a partial federal government shutdown. Of critical importance to ground ambulance service organizations, […] The post Congress Extends Medicare Ambulance Add-On Payments appeared first on American Ambulance Association.

Ambulance 130

Ambulance 130

EMergucate

DECEMBER 22, 2024

The following knee x-rays are from an adult who has knee pain & swelling after a twisting injury to the … Continue reading →

EMS 130

EMS 130

SSCOR

DECEMBER 26, 2024

Hypercapnia, also known as hypercarbia or carbon dioxide toxicity, causes dangerous levels of CO2 in the blood. In most cases, it signals a respiratory problem such as poor lung function, but it can also happen among deep divers, particularly when they do not breathe adequately, or have contaminated oxygen supplies.

OR 105

OR 105

St. Emlyn's

DECEMBER 23, 2024

St.Emlyn's - Emergency Medicine #FOAMed David Purkarthofer reviews the highlights from the fantastic EuSEM conference held in Copenhagen earlier this year. #FOAMed @stemlyns The post EuSEM 2024 in review appeared first on St.Emlyn's.

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ESO

DECEMBER 26, 2024

At ESO, we are a mission-centric company, which is why it is vital that each step that we take ties back to our commitment to transform community health and safety through the power of data, whether thats through product innovation or our research. The EMS, fire services, and hospital organizations that use our platform arent just our customers, but our partners in working towards that mission through their own achievements.

First Responder 106

First Responder Emergency Medical Services EMS Critical Care 106

SSCOR

DECEMBER 21, 2024

While the mortality rate of aspiration pneumonia depends on complications of the disease, the 30-day mortality rate hovers around 21%, with a higher rate of 29.7% in hospital-associated aspiration pneumonia. For uncomplicated pneumonia, the mortality rate is still high around 5%.

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St. Emlyn's

DECEMBER 27, 2024

St.Emlyn's - Emergency Medicine #FOAMed Intraosseous (IO) access is essential in prehospital emergency care when intravenous access is challenging. A Danish retrospective cohort study of over 5,000 patients found fewer than five cases of osteomyelitis, no osteonecrosis or compartment syndrome, and no complications in children. Despite a high mortality rate (60% at 180 days) potentially underestimating long-term risks, the study's robust design supports IO access as a generally safe and effe

Critical Care 82

Critical Care OR 82

EMDocs

DECEMBER 23, 2024

Authors: Molly Rinkevich, PharmD, PGY2 EM Pharm Resident (Geisinger Wyoming Valley, Wilkes Barre, PA); Howard Rainey, DO (Geisinger Medical Center, Danville, PA); Drew Schmucker, PharmD (Geisinger Wyoming Valley, Wilkes Barre, PA); Lloyd Tannenbaum, MD (APD, Geisinger Wyoming Valley, Wilkes Barre, PA) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case: Its 3 am on a busy shift and EMS rolls in with a 67-year-old male coming in from home with a history of ischemic card

ALS 64

ALS OR STEMI EMS 64

EMCrit Project

DECEMBER 27, 2024

All things stabilizing tamponade and performing pericardiocentesis EMCrit Project by Scott Weingart, MD FCCM.

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Emergency Medicine Cases

DECEMBER 23, 2024

In this Global EM post we provide examples of Global EM partnerships and tools for developing these partnerships to foster global solidarity in improving emergency medicine as a specialty and help EM societies not only strengthen their systems but also enhance global health outcomes. The post Global EM 7 Global Emergency Medicine Partnerships appeared first on Emergency Medicine Cases.

EMS 130

EMS 130

St. Emlyn's

DECEMBER 23, 2024

St.Emlyn's - Emergency Medicine #FOAMed Day 1 review from the London Conference 2024 with Zaf Qasim. Also check out our podcasts from the same conference on our podcast channel. #FOAMed The post Talking trauma – London Trauma Conference Day 1 appeared first on St.Emlyn's.

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Peter Canning

DECEMBER 21, 2024

Last night, I watched Asphalt City , a movie about paramedics in New York City starring Sean Penn as a burnt out medic with a failed family life and Tye Sheriden as the young rookie medic studying at night for his medical school entrance exams. The movie is based on the novel Black Flies by Shannon Burke, which like the movie Apocalypse Now , is a loose retelling of Joseph Conrads Heart of Darkness , the story of an outpost trader whose methods in the wilds of Africa, become unsound.

Paramedic 52

Paramedic EMS Ambulance OR 52

EMCrit Project

DECEMBER 23, 2024

All the literature goodness for December 2024 EMCrit Project by Scott Weingart, MD FCCM.

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Handtevy

DECEMBER 23, 2024

On November 14, 2024, ILCOR released their latest recommendations for adult and pediatric basic and advanced life support. Theres a lot to unpack, and Ill be highlighting the key changes during our upcoming webinar. If you havent registered yet, follow the CLICK HERE and join us for an in-depth review. What consistently intrigues me about these guidelines is how the recommendations are determined: which studies make the cut, which are set aside, and which never see the light of day.

Advanced Life Support 52

Advanced Life Support Epinephrine Life Support EMS 52

St. Emlyn's

DECEMBER 26, 2024

St.Emlyn's - Emergency Medicine #FOAMed Does early exercise after blunt chest trauma make a difference? Find out when we review the ELECT trial. #FOAMed @stemlyns The post EarLy Exercise in blunt Chest wall Trauma: A multi-centre, parallel randomised controlled trial (ELECT2 Trial) appeared first on St.Emlyn's.

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105

Broome Docs

DECEMBER 22, 2024

Welcome back to the pre-Xmas edition of the Broomedocs & First10EM Journal club. This month we cover a few out-of-hospital arrest trials. More PECARN goodness and we answer the question: are ants better doctors than human doctors? There is a bunch more – so have a listen or watch us on Youtube feed below. You can read all the papers on the links in the show notes right here.

E-9-1-1 52

E-9-1-1 ACS Paramedic Emergency Department 52

The FllightBridge ED

DECEMBER 27, 2024

The Japanese word shokunin is defined by both Japanese and Japanese-English dictionaries as craftsman or artisan, but such a literal description does not fully express…

OR 40

OR 40

Handtevy

DECEMBER 23, 2024

Empowering fire and EMS professionals to save lives requires access to the latest innovations in prehospital care. Whole blood transfusion programs have revolutionized trauma care, providing critical resources to stabilize patients in the field and improve survival outcomes. This page is designed to be your comprehensive guide to developing and implementing a whole blood program in your department.

NFPA 52

NFPA Plasma Emergency Response EMS 52

not-on-my-shift

DECEMBER 26, 2024

not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-

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40

Critical Care Scenarios

DECEMBER 25, 2024

We talk about the phenomenon of airway closure during mechanical ventilation, with Thomas Piraino, RRT, FCSRT, FAARC, adjunct lecturer for the Department of Anesthesia at McMaster University, editor ofThe Centre of Excellence in Mechanical Ventilation Blog, and a member of the editorial board ofRespiratory Care. Learn more at the Intensive Care Academy!

OR 167

OR 167

Emergency Medicine Cases

DECEMBER 23, 2024

Which elements of your current pre-shift preparation contribute most to your mental clarity and performance, and what new practices might further optimize your readiness? With interruptions shown to increase task errors and decision fatigue, how can you strike a balance between being approachable to colleagues and safeguarding your focus for patient care?

EMR 163

EMR EMS OR 163

Chicago EMT Training

DECEMBER 23, 2024

We're in the last two weeks of our spring course!! All we have left are a couple lectures, a final practical, and a final exam. We implemented two big additions to this class: office hours and a competency protocol. They go hand in hand. We required our students to both score at least a 70% on every exam as well as demonstrate and adequate understanding of the patient assessment for each practical.

OR 130

OR 130

not-on-my-shift

DECEMBER 26, 2024

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Dr. Smith's ECG Blog

DECEMBER 27, 2024

Submitted anonymously, written by Willy Frick A man in his 70s with a history of remote MI (details unavailable) and prior stent placement presented to cardiology clinic for routine follow up. He complained of days to weeks of palpitations and dyspnea. His clinic ECG is shown. What do you think? In an elderly patient complaining of palpitations, we have an ECG with heart rate 140 bpm.

Coronary 121

Coronary Defibrillator ACS ED 121

First 10 EM

DECEMBER 23, 2024

Another month, another set of articles. Perhaps some are useful. Perhaps some will guide your practice. At least one should completely blow your mind. More research was needed Taccone FS, Rynkowski Bittencourt C, Mller K, Lormans P, Quintana-Daz M, Caricato A, Cardoso Ferreira MA, Badenes R, Kurtz P, Sndergaard CB, Colpaert K, Petterson L, Quintard […] The post The December 2024 Research Roundup appeared first on First10EM.

EMS 103

EMS 103

EMDocs

DECEMBER 21, 2024

We always work hard, but we may not have time to read through a bunch of journals. Its 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: Early Shock Better VF Outcomes in OHCA Spoon Feed For every minute of delay to shock in ventricular fibrillation (VF) arrest, the proportion of successful first shocks decreases by 6%.

OR 79

OR 79

not-on-my-shift

DECEMBER 26, 2024

not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-

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Dr. Smith's ECG Blog

DECEMBER 23, 2024

Written by Willy Frick A woman in her 70s is hospitalized with undifferentiated shock after being found down at home. Her family had not heard from her and called EMS. Paramedics found her bradycardic, hypotensive, and tachypneic. She was resuscitated and admitted to ICU for presumed sepsis. Several days into hospitalization, she continued to have occasional episodes of sinus rhythm and sinus bradycardia with periods of Mobitz I AV block and 2:1 block.

OR 111

OR ICU Paramedic EMS 111

Peter Canning

DECEMBER 27, 2024

In a recent post I wrote about the movie Asphalt City and how many of the calls were reminiscent of my own. The only exception being when there was an asthmatic trapped in a burning house, I never went into the house to intubate the patient, I waited for fire (in full gear with respirators) to bring the patient out to me where I intubated her on the lawn.

Overdose 52

Overdose Ambulance Paramedic EMS 52

The Curious Clinicians

DECEMBER 26, 2024

Why do lobsters age more slowly than we do? We want to tell you a story about George … the lobster. George was caught off the coast of Newfoundland in 2009, weighing a whopping 20lbs (for comparison, most of the lobsters you’d eat in a restaurant weight between 1-5lbs). He ended up in the tank of a seafood restaurant in New York City, where a patron noticed his size and called PETA.

ACS 52

ACS OR 52

not-on-my-shift

DECEMBER 26, 2024

not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-

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Dr. Smith's ECG Blog

DECEMBER 22, 2024

Written by Willy Frick A man in his early 40s with BMI 36, hypertension, and a 30 pack-year smoking history presented with three days of chest pain. It started while he was at rest after finishing a workout. He described it as a mild intensity, nagging pain on the right side of his chest with nausea and dyspnea. It woke him the next day and radiated into his back.

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71

EM Board Bombs

DECEMBER 24, 2024

-Case- A 47-year-old man with a history of alcohol use disorder presents to the ED the day after Thanksgiving with 12-hours of intractable nausea/vomiting, and epigastric abdominal pain radiating to his back. He mentions his symptoms started after his Thanksgiving feast where he drank a full case of beer by himself.

ED 52

ED 52

NHCPS Save a Life

DECEMBER 21, 2024

Advanced Cardiac Life Support (ACLS) is the gold standard of clinical guidelines when it comes to managing and treating life-threatening cardiac emergencies. ACLS expands on basic life support (BLS) and mastering it is essential for frontline healthcare providers. The significance of knowing your ACLS guidelines can make all the difference in those critical life-threatening moments […] The post How to Master ACLS with 10 Essential Tips appeared first on SaveaLife.com.

Life Support 52

Life Support BLS 52

not-on-my-shift

DECEMBER 26, 2024

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