Emergency Medicine Cases

AUGUST 19, 2024

We over-admit low risk acute heart failure patients and under-admit high risk heart failure patients. In this podcast we discuss the diagnostic accuracy of various clinical features, lab tests and imaging modalities for acute heart failure, the 3 validated risk stratification tools and a simple approach to PoCUS for the diagnosis and prognostication of acute heart failure in the ED to improve our diagnostic accuracy and disposition decisions for patients with acute heart failure.

ED 290

ED EMS 290

Pediatric EM Morsels

AUGUST 23, 2024

Concussions are commonly encountered in the Emergency Department. We have previously discussed an approach to the question of when a patient “ can return to sport.” That recommendation has been revised ( calling for us to Rebake this Morsel ) and now also pays specific attention to the important aspect of scholastic activities. Let’s take a quick minute to digest a morsel on the current concussion in sport recommendations with respect to Return to Learn and Return to Sport : Re

Emergency Department 270

Emergency Department OR ED EMS 270

The Skeptics' Guide to EM

AUGUST 17, 2024

Date: August 13, 2024 Guest Skeptics: We have two guest skeptics for this SGEM Xtra episode. Dr. Palma Dr. Francisco Campillo Palma is an Emergency Medicine doctor. He works in prehospital (EMS and HEMS), and at Morales Meseguer Hospital in public medical service in Murcia, Spain. Franciso has postgraduate Master's degrees in emergencies and urgent care, clinical ultrasound, and emergency and disaster management, from the University of Elche, the University of Madrid, and the University of Ovied

EMS 225

EMS OR 225

Critical Care Scenarios

AUGUST 21, 2024

We talk the nitty-gritty of assessing the right heart using echocardiography, with our friend Matt Siuba (@msiuba), intensivist at the Cleveland Clinic and master of zentensivism. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! Takeaway lessons We talk the nitty-gritty of assessing the right heart using echocardiography, with our friend Matt Siuba ( @msiuba ), intensivist at the Cleveland Clinic and master of zentensivism.

OR 169

OR 169

Emergency Medicine Cases

AUGUST 19, 2024

ECG artifact and lead reversal can mimic tachy-arrhythmia, infarct or Brugada. Learn how to identify these errors to prevent misdiagnosis on this month's ECG Cases with Dr. Jesse McLaren. The post ECG Cases 51 – Artifact and Lead Misplacement appeared first on Emergency Medicine Cases.

OR 244

OR EMS 244

ALiEM

AUGUST 19, 2024

Dr. Sara Krzyzaniak, EM Match Advice Podcast Host and Stanford University PD, discusses key changes in the 2024 MyERAS (Electronic Residency Application Service) application that all EM applicants should know about. Take a listen to this short 14-minute, high-yield episode before submitting your application. Podcast 45: Key 2024 MyERAS updates Highlights Hometown preferences are now limited to 3 (no longer 5).

EMS 152

EMS OR 152

EMS 12-Lead

AUGUST 20, 2024

A 50 y/o Male presented to the ED with new-onset chest discomfort. He reported no pertinent history (eg, HTN, HLD, DM, Smoking, etc). The initial Trop I returned <0.012 ng/mL. Here is the time-zero ECG. The critical features that immediately caught my attention were both the hyperacute T-wave in aVL, and the reciprocal down-up T-wave in III.

ED 147

ED 147

EMergucate

AUGUST 21, 2024

Limping Child This presentation covers the various differentials for a limping child, the investigations required and what (if any) urgent … Continue reading →

130

130

FirstNet Authority

AUGUST 21, 2024

FirstNet Authority Advances Network Coverage Investment with Focus on Territories, Tribal Nations, Rural Areas Press Releases michelle.fordi… Wed, 08/21/2024 - 10:08 The First Responder Network Authority (FirstNet Authority) is an independent authority within the U.S. Department of Commerce. Created in 2012, its mission is to ensure the building, deployment, and operation of the nationwide broadband network that equips first responders to save lives and protect U.S. communities.

First Responder 139

First Responder 139

EMS 12-Lead

AUGUST 18, 2024

David Didlake EMT-P, RN, ACNP @DidlakeDW An adult male self-presented to the ED with palpitations and the following ECG. The patient was very uncomfortable, dyspneic, and displayed an SpO2 90% on RA. He denied any known history of CAD, but did report ASCVD risk factors to include HTN, HLD, and DM. Of interest, he specified that he awoke earlier that morning in his usual state of health, then developed chest discomfort, then developed palpitations.

CAD 147

CAD EMT EMT ACS 147

Core Ultrasound

AUGUST 19, 2024

In this video, we demonstrate how to use bedside ultrasound to diagnose papilledema (caused by increased ICP) as well as pseudopapilledema (caused by other things besides an increased ICP). CRAO RD/VD Courses The post 5 Minute Sono – Papilledema first appeared on Core Ultrasound.

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130

EMergucate

AUGUST 20, 2024

The following ECG is from a 50-year-old man with no past medical history. He has a history of acute onset of palpitations 20 minutes ago with associated chest tightness.

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130

SSCOR

AUGUST 22, 2024

In the popular Showtime series “The Affair,” a lead character is haunted by the dry drowning death of her young son. Interest in so-called dry drowning has accelerated in recent years, thanks in part to a handful of high-profile cases and fictionalized accounts. While the phenomenon of dry drowning is real, the term is a colloquialism--not a medical diagnosis.

104

104

Don't Forget the Bubbles

AUGUST 19, 2024

Sione, a young Pacific Islander boy, is brought to the emergency department with a 3-day history of acute onset, progressively worsening central chest pain. He points to his sternum when you ask him where the pain is. and tells you that it is made worse by deep breathing and movement. His sternum is warm to touch and exquisitely tender, inferior to the manubrium.

Emergency Department 104

Emergency Department OR 104

Paramedics World

AUGUST 22, 2024

Sore throat got you feeling down? Wondering if that scratchy, uncomfortable feeling in your throat is more than just a passing annoyance? Look no further! In this comprehensive guide, we’ll… The post Pharyngitis – Overview, Causes, Symptoms, Treatment & More appeared first on Paramedics World.

Paramedic 98

Paramedic OR 98

EMergucate

AUGUST 21, 2024

Pulled elbow This presentation above covers why a pulled elbow occurs, what investigations are required and tips for when reducing … Continue reading →

130

130

St. Emlyn's

AUGUST 21, 2024

St.Emlyn's - Emergency Medicine #FOAMed Listen to the podcast recorded live at the Premier Conference 2024 about neuroprotection in the prehospital phase of care. The post Podcast – Prehospital Neuroprotection appeared first on St.Emlyn's.

106

106

Pulsara

AUGUST 22, 2024

Within a few months of implementing Pulsara, Baptist Health Medical Center - North Little Rock reduced their average door-in-door-out time for stroke transfers by 42%. Download the Case Study Baptist Health Medical Center - North Little Rock in Little Rock, Arkansas, is a 225-bed medical center that sees a large stroke volume every month. Baptist Health North Little Rock is a certified primary stroke center (PSC), meeting the requirements for necessary staffing, infrastructure, and capability to

EMS 97

EMS OR 97

Paramedics World

AUGUST 22, 2024

Are your eyes feeling red, itchy, and irritated? You might be dealing with conjunctivitis, commonly known as pink eye. This common eye condition can be a real nuisance, but fear… The post Understanding Conjunctivitis: Causes, Symptoms, and Treatment appeared first on Paramedics World.

Paramedic 98

Paramedic 98

EMergucate

AUGUST 21, 2024

Urticaria This quick hits shows lots of examples of different forms of urticaria, what can cause it and how to … Continue reading →

130

130

Peter Canning

AUGUST 19, 2024

People ask me if I still work the road, and many are surprised when I say I still do, qualifying it with “just one day a week.” They shake their heads and smile and say, “good for you!” While I do generally work one day a week, I didn’t work at all in July due to a combination of family emergencies, sports trips with my daughter, and a nagging knee issue that forced me to see a doctor who told me at my age 66, she saw no need for surgery.

Ambulance 92

Ambulance Paramedic EMT EMT 92

Dr. Smith's ECG Blog

AUGUST 18, 2024

Written by Pendell Meyers A man in his 70s presented with history of pacemaker presented with shortness of breath with exertion and presyncope. Here is his triage ECG with minimal symptoms: What do you think? The ECG shows pacemaker failure with inability to capture or sense, with either underlying atrial fibrillation or junctional escape rhythm. The QRS shows LVH and there are diffuse ST-T abnormalities likely in part appropriate for the LVH, though memory T waves are also a consideration.

OR 90

OR 90

Paramedics World

AUGUST 20, 2024

Feeling like the world is spinning around you when it’s perfectly still? You might be experiencing vertigo. Don’t let this dizzying sensation throw you off balance! In this blog post,… The post Understanding Vertigo: Causes, Symptoms, and Treatment appeared first on Paramedics World.

Paramedic 98

Paramedic 98

EMergucate

AUGUST 21, 2024

Gastroenteritis One of the most common paediatric presentations. But do you feel confident assessing levels of dehydration?

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130

REBEL EM

AUGUST 22, 2024

Background: Retinal artery occlusion (RAO) is a time-sensitive ophthalmic emergency that demands rapid diagnosis and intervention. Administration of intravenous tissue plasminogen activator (IV tPA) within 4.5 hours of symptom onset appears to be the most promising approach for improving visual outcomes, supported by multiple studies and meta-analyses. 1,2 Intra-arterial (IA) tPA has also shown benefit but is less well studied. 3,4 It’s important to note that the available studies have severa

ALS 85

ALS ED OR EMS 85

Unitek EMT

AUGUST 22, 2024

Tracing the Evolution of Modern EMS: From Early Beginnings to Today’s Life-Saving Careers. Emergency medical services (EMS) are a critical component of healthcare, and they are dedicated to providing urgent medical care and transportation for individuals in need. EMS plays a vital role in emergency care, responding to accidents, medical emergencies, and disasters with trained […] The post A Look at the History of Modern EMS appeared first on Unitek EMT.

EMS 85

EMS Emergency Medical Services EMT EMT 85

Paramedics World

AUGUST 19, 2024

Are you finding yourself squinting more often, struggling with blurry vision, or experiencing difficulty driving at night? If so, you may be one of the millions affected by cataracts. But… The post Understanding Cataracts: Causes, Symptoms, and Treatment appeared first on Paramedics World.

Paramedic 98

Paramedic OR 98

EMergucate

AUGUST 21, 2024

Febrile convulsions This quick hits covers febrile seizures, what to do about them and what their prognosis is.

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130

EMDocs

AUGUST 22, 2024

Authors: Natalie Hernandez, MD, MPH, (Harbor-UCLA Medical Center Department of Emergency Medicine); IV Mirus, MD (Assistant Professor of Emergency Medicine, UT Southwestern Medical Center); Manpreet Singh, MD, MBE (Director, Undergraduate Medical Education, Harbor-UCLA Medical Center Department of Emergency Medicine) // Reviewed by: Brit Long, MD (@long_brit You walk into a patient room to find the patient has brought a family member to interpret for them.

Emergency Department 81

Emergency Department ALS E-9-1-1 ED 81

SSCOR

AUGUST 17, 2024

You are about to head out on a call for a 65-year-old man who is reported to be suffering from sudden respiratory distress. Few details are known about this man’s medical history, so you aren’t entirely sure what you are about to encounter. You grab your First In bag, knowing that your airway management tools mean you’re well–prepared for any airway emergency.

EMS 77

EMS 77

Paramedics World

AUGUST 17, 2024

Introduction to Pocket Microscopes Welcome to a world of hidden wonders waiting to be explored! Pocket microscopes are your passport to unveiling the mysteries that lie beyond the naked eye.… The post The Benefits of Owning a Pocket Microscope: Discovering the Unseen Wonders appeared first on Paramedics World.

Paramedic 98

Paramedic 98

EMergucate

AUGUST 21, 2024

Question 1: PH = 7.23, that is moderate acidaemia.

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EMDocs

AUGUST 17, 2024

We always work hard, but we may not have time to read through a bunch of journals. It’s 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: TNK Up to 24 Hours for Stroke? Spoon Feed In patients with large vessel occlusions(LVO) presenting 4.5-24 hours after onset, without access to endovascular thrombectomy (ET), tenecteplase(TNK) administration bested

ICU 69

ICU OR 69

EMOttawa

AUGUST 22, 2024

Assessing patients with pleural effusions in the emergency department (ED) can be challenging and nuanced. This is largely due to the lack of guidelines around pleural effusions in the ED. In part one we focused on imaging, diagnosis, and management of parapneumonic effusions. In this second part, we will look at malignant and CHF-related effusions, […] The post By the Hammer of Thora: Pleural Effusions in the ED (Part 2) appeared first on EMOttawa Blog.

ED 60

ED Emergency Department Critical Care EMS 60

EMCrit Project

AUGUST 23, 2024

A deep dive into vasopressin EMCrit Project by Scott Weingart, MD FCCM.

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97

Paramedics World

AUGUST 23, 2024

Are sinus issues leaving you feeling stuffed up and miserable? If so, you’re not alone. Sinusitis is a common condition that can wreak havoc on your daily life. From the… The post Understanding Sinusitis: Causes, Symptoms, and Treatment appeared first on Paramedics World.

Paramedic 52

Paramedic 52

The Vocal CORD

AUGUST 22, 2024

We are excited to introduce the dedicated individuals who form the backbone of our organization. Each month, we will spotlight a different board member, offering insights into their backgrounds, interests, and unique perspectives. Through these introductions, we hope you will appreciate the expertise and vision driving CORD’s mission forward. Stay tuned to get to know the leaders shaping our future!

EMT 52

EMT EMT EMS 52