The Skeptics' Guide to EM

JANUARY 6, 2024

Reference: Remick KE, et al. National Assessment of Pediatric Readiness of US Emergency Departments during the Covid-19 Pandemic. JAMA Netw Open. July 2023 Date: Dec 11, 2023 Guest Skeptic: Dr. Rachel Hatcliffe is a pediatric emergency medicine attending at Children’s National Hospital in Washington, DC. Her research focuses on prehospital care of children with anaphylaxis. […] The post SGEM #425: Are You Ready for This?

Emergency Department 261

Emergency Department Emergency Medical Services ALS ED 261

ALiEM

JANUARY 8, 2024

A 49-year-old female with a past medical history of recurrent diverticulitis initially presented with one month of shortness of breath and a minor nonproductive cough for which she was started on doxycycline by her primary care provider. She then developed a rash on her chest, upper back, and face. Antibiotics were switched to amoxicillin and azithromycin.

ED 152

ED OR 152

American Ambulance Association

JANUARY 12, 2024

This content is for AAA members only. Please either Log In or Join! The post Final Rule Governing the Classification of Independent Contractors appeared first on American Ambulance Association.

Ambulance 130

Ambulance OR 130

EMergucate

JANUARY 10, 2024

61-year-old non-English speaking lady from India. Presented with chest pain for few hours. What is the spot diagnosis?

130

130

Critical Care Scenarios

JANUARY 10, 2024

In general, medical decisions that avoid error are better than those that optimize care. In general, medical decisions that avoid error are better than those that optimize care.

100

100

ALiEM

JANUARY 12, 2024

A 42-year old Bengali man with a history of hyperlipidemia presented to the Emergency Department with facial swelling, diffuse rash, renal insufficiency and proteinuria after receiving his COVID-19 vaccine (Moderna) booster dose. There were no adverse events with the first two doses of the vaccine except for mild transient sore throat and cough after the 2nd dose.

Emergency Department 130

Emergency Department EMS ED 130

American Ambulance Association

JANUARY 10, 2024

Dear ground ambulance providers and suppliers, Starting January 1, 2024, selected ground ambulance organizations in Year 3 and Year 4 are required to report cost, utilization, revenue, and other information to CMS. Organizations that […] The post Medicare Ground Ambulance Data Collection System Overview Webinar – January 18 appeared first on American Ambulance Association.

Ambulance 130

Ambulance 130

Don't Forget the Bubbles

JANUARY 8, 2024

For paediatric ED doctors who come from a paediatric training background, dealing with agitated adolescents can be stressful. There is so much more to managing the agitated adolescent than just drugs, but sometimes sedation is necessary. As we are not used to sedating children in this way, choosing drugs and doses can be difficult. In paediatric emergency care, addressing the challenge of adolescent agitation is a complex and evolving task.

Emergency Department 105

Emergency Department OR ED 105

First 10 EM

JANUARY 8, 2024

This is a guest post by Dr Casey Parker MBBS DCH FRACGP DDU DipRGA. I am a rural generalist with postgraduate training in primary care, paediatrics, anaesthesia and diagnostic sonology. My practice includes emergency and inpatient care in Broome Hospital in the remote Kimberley region of Western Australia. I also work in a large tertiary […] The post On the Ethical Detention of Patients in the Emergency Department appeared first on First10EM.

Emergency Department 104

Emergency Department 104

Life in the Fastlane

JANUARY 10, 2024

John Mackenzie and Amanda Beech Procedure: Speculum examination Emergency Procedure: Speculum examination, how (and when) to find the cervix in the emergency department.

Emergency Department 105

Emergency Department 105

EMergucate

JANUARY 9, 2024

20 year old epileptic woman presented to the emergency department after polypharmacy overdose.

Overdose 130

Overdose Emergency Department 130

Paramedics World

JANUARY 12, 2024

Come 2030, about one in six people will have hit the 60+ threshold. That means an increase from 1 billion people in 2020 to about 1.4 billion. That number will… The post The Impact of Family Communication on Elderly Patient Care appeared first on Paramedics World.

Paramedic 97

Paramedic 97

EMCrit Project

JANUARY 11, 2024

Should DSI become the new standard? EMCrit Project by Scott Weingart, MD FCCM.

Critical Care 131

Critical Care 131

Life in the Fastlane

JANUARY 11, 2024

Mark Corden and Neil Long Funtabulously Frivolous Friday Five 355 Funtabulously Frivolous Friday Five 355 - Just when you thought your brain could unwind, enter the medical trivia of FFFF.

98

98

EMergucate

JANUARY 10, 2024

The main finding is prolonged QT interval. Use Bazett formula to calculate QTc.

100

100

Paramedics World

JANUARY 10, 2024

Do you constantly feel exhausted even after a good night’s sleep? Or, maybe, you have trouble protecting yourself from the common cold? In these situations, supplements may give you the… The post Integrating Supplements into Your Daily Nutrition Plan appeared first on Paramedics World.

Paramedic 96

Paramedic OR 96

EMDocs

JANUARY 9, 2024

Today on the emDOCs cast, we have a special guest, Alexis Koda, core faculty at the Nazareth Emergency Medicine Residency program in Philadelphia, PA. Alexis takes us through marine ingested poisons and infections. Episode 92: Marine Ingested Poisons and Infections Scombroid Pathophysiology: Fish from family Scombroidae Tuna , mackerel, skipjack, bonito Dark-meat fish Herring, bluefish , anchovy, sardine, amberjack, black marlin, and mahi mahi Histidine decarboxylase produces histamine and hista

ED 82

ED OR 82

Don't Forget the Bubbles

JANUARY 10, 2024

Transfusion Decisions in Severe Anaemia Reducing child mortality remains high on the global health agenda. It’s important we think about ways and means to do this with both population-based and targeted approaches. Let’s take the humble blood transfusion – used in emergency departments across the globe and playing a key role in critical care. Severe anaemia is a common and life-threatening cause of hospital admission in children in sub-Saharan Africa. 8% die in hospital, with a further 12% dying

E-9-1-1 78

E-9-1-1 ALS OR Critical Care 78

The Bottom Line

JANUARY 10, 2024

In acutely ill adults (ED / ICU) does the administration of cefipime or piperacillin-tazobactam (pip-taz) result in an increased incidence of AKI or death by day 14?

ICU 62

ICU ED OR 62

Paramedics World

JANUARY 7, 2024

With its intricate and remarkable design, the human body possesses an inherent ability for self-repair and resilience. Nevertheless, when faced with an injury or the aftermath of a surgical procedure,… The post 5 Benefits of Cold Compression for Quick Recovery appeared first on Paramedics World.

Paramedic 83

Paramedic OR 83

EMDocs

JANUARY 8, 2024

Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American Heart Association 2023 Guideline Updates for 2023 were just published. This post will focus on the key parts of the guideline that affect ED evaluation and management. Major Updates Avoid routine use of calcium in patients with cardiac arrest. Calcium is associated with harm but is still necessary in certain situations (hyperkalemia, calcium channel blocker overdose) (Level 3 recommendation: no benefit).

Epinephrine 82

Epinephrine Defibrillator Coronary CPR 82

AAAM

JANUARY 12, 2024

AAAM is excited to announce our first webinar of 2024, which will feature a panel of automotive safety experts revisiting and expanding on their Global Child & Youth Road Safety SIG panel discussion from this year’s annual conference. Join moderator Julie Mansfield, Ph.D. from Ohio State University, as she leads an insightful conversation with Emily Thomas, Ph.D.

52

52

ACEP Now

JANUARY 12, 2024

Case A 74-year-old man presents with five days of fever and urinary incontinence. He has a history of diabetes mellitus type 2. Vital signs are: blood pressure, 117/68; heart rate, 89; resting heart rate, 16; temperature, 37.7 degrees C (99.9 degrees F). On physical examination, he is confused and incoherent. What is the best management of this condition?

E-9-1-1 52

E-9-1-1 ALS OR ED 52

Paramedics World

JANUARY 12, 2024

In the pursuit of finding the ideal type of aged care home in the vibrant city of Melbourne, your quest is not just about securing a place for a loved… The post Top Tips That Can Use When Searching for an Aged Care Home in the City of Melbourne appeared first on Paramedics World.

Paramedic 78

Paramedic 78

EMDocs

JANUARY 11, 2024

Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American Heart Association (AHA) and Neurocritical Care Society (NCS) released their 2023 Scientific Statement on the critical care management of post ROSC patients. This post covers the key components, with each section starting with the key takeaway followed by the scientific statements.

Critical Care 75

Critical Care E-9-1-1 OR ICU 75

AAAM

JANUARY 12, 2024

Meet Samantha J. Baker, AS, CAISS. Samantha is a Trauma Quality Analytics Manager for the Trauma Institute at the University of Louisville Hospital in Louisville, Kentucky. How long have you been using AIS? I have been using AIS since 2016, when I joined the trauma world. What inspired you to obtain CAISS credentials? My mentor, colleague, and friend, Wanda Bowen, encouraged me to seek the CAISS certification early on in my position at the Trauma Institute at my organization.

EMR 52

EMR ACS OR 52

Prehospital Emergency Care Podcast

JANUARY 11, 2024

A Tribute to Brooke Lerner PhD With the dawn of a new year, we all know that the 2024 NAEMSP Conference is approaching. While we are excited to see friends and colleagues from afar, we must acknowledge the void of someone who contributed so much to prehospital medicine, Dr. Brooke Lerner. Dr. Lerner was a prolific researcher, passionate paramedic, and dedicated wife and mother.

Paramedic 52

Paramedic 52

SSCOR

JANUARY 11, 2024

The COVID-19 pandemic made acute respiratory distress one of the most common emergencies faced by first responders. Without prompt intervention, the virus led to respiratory failure and life-threatening complications.

First Responder 52

First Responder 52

ACEP Now

JANUARY 11, 2024

Inclusion of diverse perspectives is an important part of the ACEP mission—we recognize the need for both the voices of members and those of patients. The current Board leadership continues to move closer to being reflective of the evolving diversity of the ACEP membership. Board leaders have been intentional in finding strategic ways to get closer to being representative of the membership, including ways to promote interest in a leadership track and entering a pipeline to help diversify the fut

EMS 52

EMS OR 52

Life in the Fastlane

JANUARY 9, 2024

Chris Nickson Jack Barnes and the Irukandji Enigma In 1961, Jack Handyside Barnes, his nine year-old son, and a local surf lifesaver were rushed to Cairns Base Hospital after developing Irukandji syndrome.

52

52

Paramedics World

JANUARY 10, 2024

Within the ever-evolving realm of healthcare, progress in technology is guiding the trajectory toward a novel phase in patient care. From pioneering medical breakthroughs to state-of-the-art devices, the healthcare sector… The post Revolutionizing Patient Care: The Latest Innovations in Healthcare appeared first on Paramedics World.

Paramedic 52

Paramedic 52

CanadiEM

JANUARY 9, 2024

Editor’s Note: This is part 1 of a 2 part series on patients with homelessness. Stay tuned for Part 2 which will deal with the intersection of homelessness and opiate drug use. A 29-year-old male named Billy presents to your emergency department with a 4-day history of progressive leg tenderness. On exam, you note a poorly demarcated area of erythema on the leg which is warm and tender to the touch, suggestive of.

Emergency Department 52

Emergency Department 52

ACEP Now

JANUARY 11, 2024

The wave of increasing hospital closures and service line cutbacks continues to sweep the United States. A recent article documents 56 additional U.S. hospitals that are closing clinical departments or ending or reducing services. Cited are issues of “shoring up finances,” “staffing shortages,” or “focusing on more in-demand services” as driving forces. 1 This adds to the more than 640 (mostly rural) hospitals that recently failed financial stress tests and are adjudged to be at imminent risk of

OR 52

OR ALS 52

First Responders Foundation

JANUARY 8, 2024

Did you know that first responders face significantly higher risks for mental health issues compared to the general population? The brave individuals who serve as firefighters, police officers, emergency medical technicians (EMTs), and paramedics are often the first to encounter challenging and traumatic situations. While they play a crucial role in safeguarding our communities, their mental well-being is an area that urgently needs attention.

First Responder 52

First Responder Emergency Medical Technician Firefighter EMT 52

SSCOR

JANUARY 6, 2024

As deep winter approaches, it’s time to think about temperature-related emergencies. Regions across the country will experience freezing temperatures, along with sleet and snow. As a prehospital professional, you will be called to treat patients suffering from a range of weather-related issues. To prepare for the onslaught of winter, let’s review some of the dangers of hypothermia.

52

52

Paramedics World

JANUARY 6, 2024

Back pain is a widespread health problem that affects millions of people worldwide, significantly impacting their quality of life and productivity. In New Jersey, where a diverse population of approximately… The post 5 Treatment Options You Can Expect from Back Pain Specialists appeared first on Paramedics World.

Paramedic 52

Paramedic 52

ACEP Now

JANUARY 9, 2024

A 3-year-old male was brought to the emergency department (ED) by his mother, who reported the sudden onset of a rash (hives) covering his entire body, with no rash on his palms and soles. No other complaints were noted. The child’s skin appeared warm and dry. A review of systems revealed no abnormal findings. Vitals were within normal limits, with a pulse of 129, respiratory rate of 25, and oxygen saturation of 98 percent.

E-9-1-1 52

E-9-1-1 ALS Emergency Department ED 52