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

Core EM

JANUARY 8, 2024

Diagnostic Accuracy of Unenhanced Computed Tomography for Evaluation of Acute Abdominal Pain in the Emergency Department. JAMA Network, 2023 Background Computed tomography of the abdomen and pelvis (CT AP) is the most common diagnostic imaging test to evaluate abdominal pain in the ED. Intravenous (IV) and oral contrast improve diagnostic accuracy of CT AP.

Emergency Department 100

Emergency Department EMS ED ALS 100

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

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

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 106

Emergency Department 106

Dr. Smith's ECG Blog

JANUARY 9, 2024

The patient is female in her 80s with a medical hx of previous MI with PCI and stent placement. She also has a hx of paroxysmal atrial fibrillation and is on oral anticoagulant treatment. She had a single chamber ICD/Pacemaker implanted several years prior due to ventricular tachycardia. The last echocardiography 12 months ago showed HFmrEF. She presented to the emergency department after a couple of days of chest discomfort.

Coronary 98

Coronary ACS ED OR 98

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.

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98

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

REBEL EM

JANUARY 9, 2024

Bottom Line Up Top: In patients with infectious processes that are stable for discharge home, there is no role for giving a first dose of antibiotics IV in the ED. Clinical Scenario: A 45-year-old woman with hypertension presents with a productive cough and fever. Her vitals are: HR 115, BP 120/80, Temp 102.8, O2 Sat 99% on RA, RR 18. A CXR demonstrates a right middle lobe opacity.

ALS 100

ALS ICU ED OR 100

Dr. Smith's ECG Blog

JANUARY 6, 2024

Written by Willy Frick I was reading ECGs in the queue, and the following tracing appeared. I frequently check the chart if I want to know more clinical context (which is crucial for accurate interpretation). But in the reading software, all I am told is that it is a 77 year old man, and that the indication is "NSTEMI." What do you think? Although not necessarily intentional, the first processing that I do when I see an ECG is to categorize as OMI or not.

ALS 90

ALS STEMI Coronary OR 90

EMCrit Project

JANUARY 11, 2024

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

Critical Care 129

Critical Care 129

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

EMergucate

JANUARY 10, 2024

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

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100

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 Critical Care OR 78

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

Dr. Smith's ECG Blog

JANUARY 8, 2024

I was reviewing ECGs for a study, and came across this one, and was able to get all the clinical information: What do you think? The Queen diagnosed "OMI with high confidence" due to the ST Elevation in V1-V3. Smith interpretation: This is highly likely to be due to extreme right heart strain and is nearly diagnostic of pulmonary embolism. Let me tell you about her hospitalization, discharged 1 day prior, but it was at another hospital (I wish I had the ECG from that hospitalization): The patien

Coronary 71

Coronary STEMI EMS OR 71

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

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 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

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.

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52

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

EMT Training Station

JANUARY 12, 2024

Updated for 2024 A good pair of pants is essential in order for EMTs and Paramedics to perform at their best while on the job. First responders will spend a lot of time in a single pair of pants and in a variety of environments. During the course of their career, an EMT will go through a pair of pants about every year. Most companies will buy their employed medical responders a new pair as needed.

EMT 52

EMT EMT Paramedic EMS 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

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

ESO

JANUARY 11, 2024

Happy New Year! As 2024 begins, there are many things we are looking forward to in the new year , including a quickly approaching Wave 2024 featuring ESO Training Academy , as well as a variety of new ESO features and product enhancements. As always , we take your feedback into account every step of the way, which is why we like to keep you in the loop for the exciting things to come.

EMS 52

EMS Firefighter Critical Care OR 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.

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52