Emergency Medicine Cases
NOVEMBER 7, 2023
You diagnose uncomplicated appendicitis in the ED. The on call General Surgery team wants to wait until the next morning to perform an appendectomy. Is your patient at risk for appendiceal perforation with a delay to surgery? Dr. Rohit Mohindra and Dr. Shelley McLeod analyze the latest RCT that attempts to answer this question, the PERFECT study, on this EM Cases Journal Club.
ALiEM
NOVEMBER 6, 2023
A 55-year-old female with a history of hyperlipidemia presents after a syncopal episode. She had mild nausea and diarrhea on the morning of presentation but otherwise had no prodromal symptoms before suddenly losing consciousness in a grocery store. Of note, she recalls a similar syncopal episode in the remote past, also preceded by gastrointestinal symptoms at that time.
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American Ambulance Association
NOVEMBER 10, 2023
Take Part in Crash Responder Safety Week, November 13–17, 2023 Crash Responder Safety Week (CRSW) takes place November 13 –17, 2023. Emergency medical services (EMS) and other emergency responders provide care […] The post Crash Responder Safety Week, November 13–17, 2023 appeared first on American Ambulance Association.
Critical Care Scenarios
NOVEMBER 8, 2023
We learn about pancreaticoduodenectomy (the Whipple) with Michael Cavnar (@DrMikeCavnar), surgical oncologist at University of Kentucky, with a fellowship in Complex General Surgical Oncology from Sloan Kettering. He specializes in GI surgical oncology (liver, pancreas, stomach, etc), with ongoing research in GI stromal tumors and hepatic artery infusion pump chemotherapy.
Emergency Medicine Cases
NOVEMBER 7, 2023
Key principles and approach to management of both non-massive and massive hemoptysis with Dr. Scott Weingart and Dr. Bourke Tillmann, who answer questions such as: What are the factors to consider in the decision to intubate patients with massive hemoptysis? How can one reliably distinguish hemoptysis from pseudohemoptysis? What is the evidence for tranexamic acid in patients with hemoptysis?
ALiEM
NOVEMBER 10, 2023
A 33-year-old male presented to the emergency department with a diffuse pruritic rash that appeared several days after starting Trimethoprim/Sulfamethoxazole (TMP-SMX) for a dental infection. Initially beginning on the torso and low back, the rash spread to the palms, soles, and genitalia. Progression stopped after discontinuing TMP-SMX. He conveyed a remote history of a similar rash following use of an unknown medication, and noted that several of the current lesions arose at the same location
Chicago EMT Training
NOVEMBER 7, 2023
The class usually starts out optimistic and hopeful with how the rest of the semester will play out. Not unlike when I applied to Malcolm X College years ago, we try to forewarn the amount of time it takes to truly understand the material in this class. It's not inherently difficult but rather the volume of content that is overwhelming. We all have something going in outside of the EMT class.
Paramedicine Now brings together the best content for paramedicine professionals from the widest variety of thought leaders.
Emergency Medicine Cases
NOVEMBER 7, 2023
Dr. Navpreet Sahsi outlines 5 core ethical principles in choosing and participating a global health project on EM Cases' Global EM blog. The post Global EM 5 Is it Ethical? 5 Core Principles When Choosing a Global Health Project appeared first on Emergency Medicine Cases.
The Skeptics' Guide to EM
NOVEMBER 4, 2023
Reference: Roland D, Munro A. Time for paediatrics to screen out sepsis “screening.” BMJ. June 2023 Date: Sept 12, 2023 Guest Skeptic: Dr. Damian Roland is a Consultant at the University of Leicester NHS Trust and Honorary Professor for the University of Leicester’s SAPPHIRE group. He specializes in Paediatric Emergency Medicine and is a passionate […] The post SGEM Xtra: Say What You Need to Say…but Don’t Say “Sepsis Screening” first appeared on The Skeptics Guide to Emergency Medicine.
Chicago EMT Training
NOVEMBER 8, 2023
We occasionally get an inquiry asking to become a paramedic. It's encouraging to hear that there is still interest in becoming first responders! A quick breakdown on the differences between an EMT-B(asic) and an EMT-P(aramedic) Basic Life Support (BLS) vs Advanced Life Support (ALS) So there it is. The two main levels of care you would probably see in the prehospital setting.
EMergucate
NOVEMBER 7, 2023
The following knee x-ray is from an adult with knee swelling post twisting injury. What can be seen?
American Ambulance Association
NOVEMBER 10, 2023
This content is for AAA members only. Please either Log In or Join! The post Welch, Sanders, & Balint Introduce Treatment in Place Bill appeared first on American Ambulance Association.
Don't Forget the Bubbles
NOVEMBER 8, 2023
7-year-old Tilly is brought to your emergency department at 11 p.m. by her father. She has had abdominal pain for two days, and it has now moved to the right side. She is obviously uncomfortable. Abdominal pain in children is common, accounting for over 1 in 20 attendances to paediatric emergency departments [1]. Differentiating between self-limiting and surgical conditions can be particularly challenging in younger patients who often present with non-specific symptoms and signs.
Dr. Smith's ECG Blog
NOVEMBER 5, 2023
By Magnus Nossen, edits by Grauer and Smith The patient is a 70-something female with DMII, HTN and an extensive prior history of coronary artery disease and myocardial infarctions. She's had multiple PCI procedures. She also has sick sinus syndrome (SSS) and intermittent high grade AV block for which she had a dual chamber pacemaker implanted. On the day of presentation she complained of typical chest pain, and stated it feels like prior MI.
EMergucate
NOVEMBER 7, 2023
Comparison of Intracranial Pressure Measurements Before and After Hypertonic Saline or Mannitol Treatment in Children With Severe Traumatic Brain Injury Patrick M.
ACEP Now
NOVEMBER 7, 2023
ACEP Calls Out Insurer Abuses During Surprise Billing Congressional Hearing ACEP member Seth Bleier, MD, FACEP, testified in front of the influential House Ways and Means Committee during a public hearing in October to call out insurers and advocate for fixes to the severely flawed implementation of the No Surprises Act. Dr. Bleier raised concerns that the Independent Dispute Resolution process has been virtually inaccessible for smaller practices and called out cases where physician groups were
EMDocs
NOVEMBER 6, 2023
Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American Heart Association 2023 Guideline for managing cardiac arrest or life-threatening toxicity due to poisoning was recently released. This post will focus on the key parts of the guideline that affect ED evaluation and management. Top 10 Take Home Pearls 1. Treatment of cardiac arrest and life-threatening toxicity due to poisoning often requires specialized treatments that most clinicians do not use frequentl
Broome Docs
NOVEMBER 8, 2023
Controversial title… courtesy of Dr Justin Morgenstern. In this podcast Justin tells me about the evidentiary basis for our modern obsession with clinical decision rules and tools. We discuss the reasons that these tools may seem like a great idea, the reality of practice and how we may be able to do better in the future. So if you have ever used a decision tool in the ED – Wells, Ottawa, PECARN, San Francisco, HEART… or any other acronym you need to stop and have a listen to u
EMergucate
NOVEMBER 5, 2023
60-year-old women presented to the emergency department compla ining of headache and fatigue.
Don't Forget the Bubbles
NOVEMBER 6, 2023
Starting conversations with stories There’s something about a bookshop – a calm and comforting sense that I am surrounded by stories. The knowledge that within each beautiful book are words, illustrations, and photographs from which I can learn so much. I gently run my fingers over the front cover of a book that I know my daughter will like. Turning it over, I scan the back.
EMDocs
NOVEMBER 7, 2023
Today on the emDOCs cast with Brit Long, MD ( @long_brit) , we discuss the controversy of antibiotics for patients with uncomplicated diverticulitis. For more on the ED evaluation of diverticulitis, please see Part 1. Episode 89: Antibiotics for Uncomplicated Diverticulitis Background: Previously antibiotics were utilized for all patients with diverticulitis.
EMCrit Project
NOVEMBER 4, 2023
AHA Guidelines on Critical Care Toxicology EMCrit Project by Scott Weingart, MD FCCM.
Dr. Smith's ECG Blog
NOVEMBER 9, 2023
A 60-something yo female presented w/ exertional chest pain for 3 days. She had a recent positive stress test about one week ago. Pain was 8/10 and constant. She has been experiencing progressively worsening exertional dyspnea and chest tightness mostly when climbing up flights of stairs since early September. She underwent exercise echocardiogram in mid October where she exercised for nearly 7 minutes on the standard Bruce protocol and had typical anginal pain and shortness of breath.
REBEL EM
NOVEMBER 6, 2023
Background Information: Vasoplegic shock is defined as hypotension with normal or increased cardiac output and can commonly occur in post-cardiac surgery patients having received cardiopulmonary bypass. This dysregulation of vasodilation is associated with a mortality of close to 25%. After catecholamine vasopressors, treatment options include angiotensin II, corticosteroids, methylene blue and hydroxocobalamin.
EMDocs
NOVEMBER 4, 2023
Authors: Jacob Kirkland, MD (EM Resident Physician, UTSW – Dallas, TX); Steve Field, DO (Assistant Professor of EM/Attending Physician, UTSW – Dallas, TX) // Reviewed by: Sophia Görgens, MD (EM Fellow 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 rev
First 10 EM
NOVEMBER 6, 2023
One of the downsides of subscribing to more than 50 journal feeds is the huge number of interesting papers that I flag for later, but never find time to return to. I have started clearing out old PDFs for papers I never found time to fully appraise, but I figured that if the titles caught […] The post Research Roundup: Old article dump appeared first on First10EM.
FirstWatch
NOVEMBER 9, 2023
FirstWatch customer-partner, Joshua Parish, Assistant Chief, Milwaukee Fire Dept, takeaway from Collaborate Live 2023 – Discovering more of what FirstWatch does. The post Collaborate Live 2023 – Joshua Parish – Learning appeared first on FirstWatch.
ESO
NOVEMBER 9, 2023
In listening to feedback from our users and customers, we’ve recognized that many of you want to stay in the loop on ESO product improvements. Our intent is to provide updates quarterly, so that you don’t have to wait for Wave 2024 featuring ESO Training Academy and regional user groups to know what’s on our product roadmap. Here are a few highlights from Q3, what we’re looking forward to in Q4, and some insight into how we think about product management at ESO.
Unitek EMT
NOVEMBER 9, 2023
The importance of a well-stocked and organized medical kit. Emergency Medical Technicians (EMTs) are critical first responders in the field of emergency healthcare. They play a pivotal role in providing immediate medical care to individuals in crisis situations, whether it’s responding to accidents, medical emergencies, or natural disasters. EMTs are often the first point of […] The post 15 Things Every EMT Should Carry appeared first on Unitek EMT.
The Curious Clinicians
NOVEMBER 7, 2023
Why do we use ACE inhibitors to treat scleroderma renal crisis? In a day of seeing adult patients in any type of clinic, it’d be hard to not hear the words “ACE inhibitor” at least once. Since the introduction of captopril in the mid-1970s and subsequent family members like lisinopril, ACE inhibitors have been game changers in controlling blood pressure, preventing cardiac remodeling, and protecting renal function.
FirstWatch
NOVEMBER 9, 2023
FirstWatch customer-partner, Joshua Parish, Assistant Chief, Milwaukee Fire Dept, takeaway from Collaborate Live 2023 – Training with the FirstWatch team and networking with other agencies. The post Collaborate Live 2023 – Joshua Parish – Networking appeared first on FirstWatch.
This Podcast Will Kill You
NOVEMBER 7, 2023
For every article about the risks of sun exposure or a guide to sunscreens, you don’t have to look far to find one about the health benefits of sunshine or a how-to for achieving the best tan. Messaging around sun exposure is mixed, to say the least, and it’s no wonder that despite having more sun protection tools than ever before, rates of skin cancer have never been higher.
ACEP Now
NOVEMBER 7, 2023
More than 60 resolutions were considered during the ACEP23 Council Meeting in Philadelphia in October, with many of them drawing considerable debate before 44 were ultimately adopted. The ACEP Council, the College’s representative governing body, meets annually to discuss and consider resolutions on issues impacting emergency physicians. The Council consists of members representing ACEP’s 53 chapters, 39 sections of membership, the Association of Academic Chairs of Emergency Medicine, the Counci
CanadiEM
NOVEMBER 7, 2023
For the October 2023 issue of CJEM, we collaborated with their team to present “Machine learning for the diagnosis of acute coronary syndrome using a 12-lead ECG: a systematic review”1 in a visually simplified format. Many of us see the interpretation that is included on the top or side of each ECG, with common practice being to approach these diagnoses with caution.
FirstWatch
NOVEMBER 9, 2023
FirstWatch customer-partner, Santo Pasqua, Deputy Chief, Hamilton Paramedic Service, takeaway from Collaborate Live 2023 – Offload delays and the FirstWatch Hospital Transport Status Dashboard. The post Collaborate Live 2023 – Santo Pasqua – HTSD appeared first on FirstWatch.
The Overrun Podcast
NOVEMBER 5, 2023
Dan Gerard is the president of the International Association of EMS Chiefs, who authored a position statement in August of 2023 supporting the use of whole blood as the standard of care for hemorrhagic injury. IAEMSC joins a growing list of national and international organizations that support this change. In this interview, Ed and Dan talk to Dan Gerard who explains the rationale behind the position statement and the change they hope to make with the position statement.
ACEP Now
NOVEMBER 7, 2023
Background As Electronic Health Information (EHI) has increased in prominence, the U.S. federal government has set the standard for increasing transparency and transmission of such data. The 2015 Edition Cures Act sought to promote “transparency, modern standards, and enhanced health IT capabilities by fostering innovation in the health care technology ecosystem to deliver better information to patients, clinicians, and other users.” 1 In 2016, the 21st Century Cures Act (Cures Act) took additio
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