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St.Emlyn's - Emergency Medicine #FOAMed In this episode of the St Emlyns Podcast, Iain and Simon reflect on IncrEMentuM 2025, skills fade in rare procedures, arterial line placement, and emerging evidence in cardiac arrest and resuscitative hysterotomy. Essential listening for emergency clinicians. The post Podcast – Monthly Round Up February 2025 – Skills Fade, Resusciation Targets and more appeared first on St.Emlyn's.
This content is for AAA members only. Please either Log In or Join! The post Amber Ground Ambulance Dataset Reflects Complexity and Challenges of the Industry, Highlights the Need to Improve and Continue Cost Data Collection appeared first on American Ambulance Association.
This weeks ECG is from a 50yr old patient who has taken a large polypharmacy OD. Your team is working on gaining collateral to establish what has been taken.
Did you know that by merely being an ACEP member, you are automatically a member of the International Federation of Emergency Medicine (IFEM)? IFEM is a federation of 70 emergency medicine organizations from around the world. The member organizations (i.e., ACEP) pays the membership fee, so you dont have to. IFEMs vision is a world where all people, in all countries, have access to high-quality emergency medical care.
This content is for AAA members only. Please either Log In or Join! The post One Strategy for Addressing the EMS Workforce Shortage appeared first on American Ambulance Association.
Honoring first responders and public safety professionals Blog joseph.rey@fir Tue, 04/08/2025 - 09:56 By First Responder Network Authority Learn more about how FirstNet is transforming public safety communications contact your local FirstNet Authority Public Safety Advisor and sign up for our discipline newsletters. Follow us on Twitter , Facebook , Instagram , and LinkedIn for the latest FirstNet Authority updates.
Invented in 1907 by Dr. Sidney Yankauer, the Yankauer suction tip has withstood the test of time. The Yankauer suction tip was originally designed to remove blood and secretions from a patients oral airway during tonsillectomy procedures. Many practitioners call the Yankauer a tonsil tip suction device for this reason.
Answer : The correct answer is d) large bowel obstruction. Large bowel obstructions may be partial or complete. Patients present with severe abdominal distension and inability to pass stool or flatus. Patients presenting secondary to colorectal malignancy often have a history of alternating diarrhea and constipation over the preceding weeks to months and may have had bleeding per rectum.
Ready for the latest insights in prehospital care? Improving health and safety in our communities starts with a commitment to equity. We explore how systemic disparities in Emergency Medical Services (EMS) affect patient care, outcomes, and trust. Join our guests - Remle Crowe, Andra Farcas, and Ameera Haamid -as we unpack the National Association of EMS Physicians recommendations for making equity a strategic priority, published in Prehospital Emergency Care Journal , Volume 28, Number 6.
St.Emlyn's - Emergency Medicine #FOAMed RCEM 2025 Day 3 explored mental health, autism, palliative care, high-intensity users, and modern transfusion and diabetes management in the ED. The post RCEM Conference 2025: Reflections from Day 3 appeared first on St.Emlyn's.
Still Time for LAC, Registration Open for ACEP25 Registration is open for ACEP25 in Salt Lake City. Get $100 off when you register by April 30. Join your emergency medicine friends in Salt Lake City from September 7-11 for ACEP25, the worlds largest emergency medicine conference. The Section Hall Crawl is back. The ACEP25 Block Party is set for 5 p.m. on September 9, and Olympic gold medalist Scott Hamilton will share his inspiring journey of resilience – from childhood illness to canc
The ABCs of patient care begin with the airway. Does your patient have airway patency? Can your patient maintain their airway? Are there any obstructions or contaminants obstructing the airway? Questions like these are likely second nature to you, and you probably dont even realize you are asking them when caring for your patients.
I gave this Grand Rounds to UC Riverside a couple weeks ago. It is my most up to date lecture on OMI NOMI and Use of AI, especially the Queen of Hearts, in the Diagnosis of Occlusion MI.
Endless waiting lists, hospitals under stress: the doctor shortage in Europe is an urgent crisis requiring immediate action L'articolo Doctor shortage: a Europe-wide problem proviene da Stem Ems.
Question : A 76 year old man presents with abdominal pain, nausea and vomiting. The abdominal radiograph is shown. What is the diagnosis? a. Cecal volvulus b. Large bowel obstruction c. Small bowel obstruction d. Sigmoid volvulus See the answer here. The post Visual Dx Question: What’s Causing Abdominal Pain, Nausea and Vomiting? appeared first on ACEP Now.
A discharge home for a patient is difficult for all the wrong reasons. Chris. defends the bad guy? Nuance is key as Chris and Spence discuss the wrong time and place in this week's episode. A discharge home for a patient is difficult for all the wrong reasons. Chris. defends the bad guy? Nuance is key as Chris and Spence discuss the wrong time and place in this week's episode.
Reference: Sax DR, et al. Emergency Severity Index Version 4 and Triage of Pediatric Emergency Department Patients. JAMA Pediatrics, October 2024 Date: February 12, 2025 Dr. Brandon Ho Guest Skeptic: Dr. Brandon Ho is a graduating pediatric emergency medicine fellow at Childrens National Hospital in Washington DC and soon to be attending physician at Seattle Children's.
While at ACC, I received this text message from a former resident: Good morning Steve! Hope youre doing well. Just curious what you think of this? He writes: "To me, the downsloping ST in V2/V3 is always OMI until proven otherwise. Also looks hyperacute inferior." "I activated cath lab, cardiologist is not impressed. Trop pending." Smith : "It is diagnostic of OMI!
While I have spent decades in the corporate world, some of my most valuable leadership lessons have come from my experience as a volunteer EMS first responder.
Author: Abdo Zeinoun MD, Clinical Ultrasound Fellow, Department of Emergency Medicine, Rutgers New Jersey Medical School // Reviewed by: Stephen Alerhand, MD ( @SAlerhand) ; Steve Fields, MD Patient Case A 60 year-old male with a history of hypertension presents with worsening right knee pain over the last 3 days. He reports chronic knee pain for years, now intensified to the point of making walking painful, along with swelling.
Emergency physicians across the United States are facing increasing financial and operational pressures threatening their ability to provide lifesaving care, according to a new report authored by RAND and supported by the Emergency Medicine Policy Institute (EMPI). An ACEP press release underscores the urgent need for policy and payment reforms to preserve the essential role of emergency departments in the U.S. health care system.
This was written by one of our really fine 3rd year residents, Katie Buerk. This case was a 69 year old male, brought in by ambulance, after being found unresponsive in bed by family earlier that day. He had last been seen 3-7 days ago. For the medics, he was bradycardic in the 20-30s. They were unable to obtain a blood pressure. On arrival to the ED, he was breathing spontaneously, had faint pulses, and was cool to the touch.
The Case:Good morning, Chelsea! Frank greeted her with a bright smile as she unceremoniously tossedher backpack onto the floor, the fabric hitting the ground with a soft thud. Chelsea, however,felt anything but cheerful. She glanced at Frank, feeling as though the only good thing aboutthis morning was that her hair, at least, was not on fire. Morning, she muttered begrudgingly,her thoughts swirling in a cloud of self-loathing.
Case It is the scenario of nightmares: a young child with an airway obstruction. They came in with stridor, and although you were initially thinking severe croup, the story doesnt quite fit, there is no response to medical therapy, and this patient is incredibly sick. There is significant hypoxemia despite a nonrebreather. You cant wait […] The post Pediatric front of neck access (the surgical tracheotomy) appeared first on First10EM.
A middle-age woman with no previous cardiac history called 911 for chest pain. This was her prehospital ECG: What do you think? There is sinus rhythm with RBBB and obvious LAD OMI (proximal LAD occlusion): hyperacute T-waves in I, aVL and minimal STE in V1, V2. This is diagnostic of Acute LAD OMI In case you are wondering what the Queen thought, here she is: Notice that she also diagnoses Low Ejection Fraction.
You are dispatched for an overdose. You find a 48-year-old homeless man sitting on a park bench, eyes closed, nodding forward. You give him a little shake and he opens his eyes and looks up at you. You ask him if he is okay and he says he is all right. He says he took a pill a friend gave him earlier and it made him drowsy. Next to him you see a cat, eating from a small tin of cat food.
What is a FirstNet Deployable? joseph.rey@fir Wed, 04/09/2025 - 14:07 FirstNet deployables boost coverage in the aftermath of disasters, during large planned events or incidents, or in remote areas and are available to subscribers 24/7 at no extra cost. These mobile cell sites link to FirstNet via satellite, do not rely on commercial power availability, and provide similar capabilities and connectivity as a cell tower.
Founded in 2006 by philanthropists Gary and Mary West, West Health comprises the Gary and Mary West Foundation, the West Health Institute and the West Health Policy Center. West Health exists with a mission to lower healthcare costs to enable seniors to successfully age in place with access to high-quality, affordable health and support services that preserve and support their dignity, quality of life, and independence.
Methodology: 2.5/5 Usefulness: 2/5 Bannelier H, et al. Acad Emerg Med. 2025 Feb;32(2):116-122. doi: 10.1111/acem.15032. Editorial: D-dimer in high-risk pulmonary embolism workup. Question and Methods: The authors performed a post-hoc analysis of three European studies to determine if D-dimer can be used to safely exclude PE in high-risk patients. Findings: In patients deemed high risk […] The post Failure rate of D-dimer testing in patients with high clinical probability of pulmonary embol
Content Warning: This episode includes mentions of miscarriage, pregnancy loss, pregnancy complications, traumatic birth experiences, and other potentially disturbing topics related to childbirth, pregnancy, and the postpartum period. We close out our pregnancy series with a big picture view of how the childbirth experience has changed over the past century – both for the better and for the worse.
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