ALiEM
OCTOBER 28, 2024
A 2-year, 11-month-old female with a history of constipation was brought to the ED by her mother for abdominal pain. The mother noticed that the patient’s abdomen had been enlarging for months. When they visited the pediatrician several months ago, the pediatrician also noticed a mildly enlarged abdomen but the patient was asymptomatic at that time.
EMergucate
OCTOBER 29, 2024
The following chest x-ray is from an elderly patient with cough & dyspnoea.
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Life in the Fastlane
OCTOBER 30, 2024
Casey Parker and James Rippey Ultrasound Case 112 A 30 year old woman who is currently 30 weeks gestation presents to the ED with abrupt, severe right loin pain.
St. Emlyn's
OCTOBER 26, 2024
St.Emlyn's - Emergency Medicine #FOAMed This article reviews a recent study on the use of Tranexamic Acid (TXA) in traumatic brain injury (TBI) patients with intracranial hemorrhage (ICH), focusing on prehospital care. The study, a subgroup analysis from the Prehospital TXA for TBI Trial, compared different TXA dosing regimens and found that a 2-g TXA bolus significantly reduced 28-day mortality compared to placebo.
The Bottom Line
OCTOBER 26, 2024
Restrictive vs Liberal Transfusion Strategy in Patients With Acute Brain Injury @fabio_taccone. JAMA. 2024. PMID: 39382241 Clinical Question In patients with acute brain injury, does a liberal, compared to a restrictive strategy of blood transfusion, improve neurological outcomes at 180 days?
EMergucate
OCTOBER 29, 2024
17-year-old boy with wrist fracture. This patient became blue during manipulation of the fracture under bier’s block anaesthetic effect.
First 10 EM
OCTOBER 28, 2024
As with everything that comes out of the PECARN group, this is a huge study, and is therefore one that everyone needs to know about. That being said, despite working in two very busy community hospitals with a high percentage of pediatrics visits, c-spine injuries are just not an issue I struggle with. I have […] The post The PECARN c-spine rule could cause a lot of harm appeared first on First10EM.
Paramedicine Now brings together the best content for paramedicine professionals from the widest variety of thought leaders.
ACEP Now
OCTOBER 29, 2024
On a busy day shift in the emergency department, our seasoned triage nurse comes to me after I finish caring for a hallway patient, “Hey, can you come see this guy in the triage room? His vitals are fine…”. Seemingly unsure, she pauses, “I’m getting an interpreter, and I think he has belly pain, but something just doesn’t seem right.” Coming into triage, I see a young man—Georgian-speaking—bracing himself with a hand against the wall and holding his lower abdomen.
EMergucate
OCTOBER 28, 2024
This VBG was from a young girl with sever gastroenteritis (Vomiting and diarrhoea) for 3 days. PH = 7.52, that is moderate alkalaemia. pCO2 = 21 mmHg. So, we have respiratory alkalosis.
FOAMfrat
OCTOBER 28, 2024
In this episode of FOAMfrat, Tyler speaks with paramedic Kyle Rice to discuss a deeply personal and eye-opening experience—rolling his ambulance after running a red light. Kyle shares the lessons he learned about complacency, crew resource management, and the often-overlooked dangers of driving with lights and sirens. Together, they explore how EMS providers can stay vigilant behind the wheel, adopt safer driving practices, and shift their mindset when responding to emergencies.
EMOttawa
OCTOBER 31, 2024
Delirium is a medical emergency. It is characterized by acute disturbance of consciousness, with changes in perceptual disturbances and fluctuation of symptoms. Delirium is often the initial manifestation of an underlying acute illness and can be present before fever, tachypnea, tachycardia, or hypoxia. There is an ED prevalence ranging from 7-24%, with increased mortality rates […] The post Delirium revisited appeared first on EMOttawa Blog.
SSCOR
OCTOBER 31, 2024
Chronic obstructive pulmonary disease (COPD) affects almost 12 million people in the United States. Though people of widely varying health profiles can develop this disorder, it is more common among people who smoke. Suctioning these patients demands skill and compassion. Here’s what you need to know about suctioning a patient with COPD.
EMergucate
OCTOBER 27, 2024
Today’s ECG is a 45yr male who presents to ED with a 12hr history of epigastric pain and diaphoresis. He is an ex smoker, no other cardiac risk factors.
Clinical Correlations
NOVEMBER 1, 2024
By Chloe Fong Peer Reviewed The correlation between vitamin deficiency and alcohol use disorder (AUD) has been well documented in the literature, with a study from 1963 finding that 70% of patients admitted to the hospital.
The FllightBridge ED
OCTOBER 31, 2024
A Story: A colleague of mine jogged up to me before a course once, rather excitedly, he grabbed my arm and jogged me into the…
SSCOR
OCTOBER 26, 2024
With the advent of minimally invasive in-office procedures, patients are increasingly choosing sedation instead of general anesthesia. Sedation exists on a continuum, ranging from very mild sedation to deep sedation, but it is generally safer than anesthesia and requires a shorter recovery time. Patients also may require sedation in some emergency medicine scenarios.
FirstNet Authority
OCTOBER 30, 2024
CEO, NetAesthetics Rasheid Scarlett brings over 25 years of telecommunications and network infrastructure expertise to the FirstNet Authority Board. His extensive experience in mission-critical communications and proven track record of implementing innovative technology solutions make him uniquely qualified to help shape the future of public safety communications.
EMCrit Project
NOVEMBER 1, 2024
Chart to protect yourself and your patients! EMCrit Project by Scott Weingart, MD FCCM.
The FllightBridge ED
OCTOBER 26, 2024
Instructors must be well read and prepared before they begin teaching something as dangerous (and litigious) as airway management skills. Intubation is a singular skill within the larger system of airway management. The focus should be on teaching approaches that reduce the likelihood of multiple attempts, desaturation, and peri/post intubation hypotension.
First Responders Wellness Center
OCTOBER 27, 2024
Too often I see first responders who are not checked for a concussion at an emergency after a OIS, traffic crash or fall. Please start demanding to have all first responders checked for this when at the hospital. Here is a new easy way to be checked. New testing options could change the way concussions are assessed, and that could have big implications for the future.
Emergency Medicine Education
OCTOBER 31, 2024
Epinephrine and cardiac arrest: what’s the question? How much epinephrine is enough? Garcia et al. published a retrospective study in AJEM discussing cumulative epinephrine dosage in cardiac arrest. Although the study includes a variety of patient settings, such as CT surgery and cath lab patients, which may not be directly applicable to ED patients, it’s certainly worth a read.
EMS 20/20
OCTOBER 30, 2024
We're back for another Master Your Medics Special Edition! Spencer tosses Chris a hot hot potato and Chris. well Chris tries. Does he need a thermometer or a calculator? Find out! We're back for another Master Your Medics Special Edition! Spencer tosses Chris a hot hot potato and Chris. well Chris tries. Does he need a thermometer or a calculator? Find out!
St. Emlyn's
OCTOBER 30, 2024
St.Emlyn's - Emergency Medicine #FOAMed All the best from the blog from August 2024, in our easy to digest podcast. The post August 2024 Round-Up – Goldilocks Moments, Nasal Analgesia, and Public Health in the ED appeared first on St.Emlyn's.
FirstNet Authority
OCTOBER 30, 2024
Medical Director, Mississippi Department of Public Safety | CEO, Paladin Emergency Services Consulting
EMOttawa
OCTOBER 28, 2024
Methodology: 4/5 Usefulness: 4/5 Geraghty LE, et al. N Engl J Med. 2024 May 30;390(20):1885-1894. doi: 10.1056/NEJMoa2402785. Question and Methods: Study aimed to determine if video laryngoscopy improves first-attempt intubation success in neonates compared to direct laryngoscopy through a randomized controlled trial. Findings: 74% first pass success with video laryngoscopy and 45% with direct laryngoscopy […] The post Video versus Direct Laryngoscopy for Urgent Intubation of Newborn Infa
ACEP Now
OCTOBER 30, 2024
ACEP Now : Boarding What obstacles exist in Congress to address hospital boarding? What would be your recommendations on how to address them? ACEP MEMBER TIMOTHY C. PECK, MD (D-IN-9) is running against incumbent Erin Houchin (R-IN-9) and Libertarian Russell Brooksbank (L-IN-9) in southeastern Indiana, a district that includes Bloomington and Indiana’s Louisville suburbs.
ALiEM
OCTOBER 30, 2024
‘Dope’ is no longer heroin in an increasing number of our communities. The biggest change has been the gradual replacement of diacetylmorphine (heroin) by fentanyl and other synthetic opioids. Due in large part to the proliferation of anonymous chemical factories able to produce industrial volumes of inexpensive synthetic opioids without opium or other controlled precursors, fentanyl spilled into the United States, Canada, and Europe, heroin soon fell to market forces [1, 2].
FirstNet Authority
OCTOBER 30, 2024
Emergency Manager, First Responder, Technology Consultant
Don't Forget the Bubbles
OCTOBER 28, 2024
Karageorgos S, Ren D, Ranaweera M, et al. Fifteen-minute consultation: a guide to paediatric major haemorrhage Archives of Disease in Childhood – Education and Practice. Published Online First: 24 June 2024. doi: 10.1136/archdischild-2024-327224 Six-year-old Rhaenyra is brought into the emergency department after being hit by a car. On primary survey, she is found to be tachycardic and hypotensive, with bruising over her abdomen.
ACEP Now
OCTOBER 31, 2024
ACEP Now: What obstacles exist in Congress to address hospital boarding? What would be your recommendations on how to address them? U.S. SENATE CANDIDATE RAUL GARCIA, DO, FACEP (R-WA) is challenging incumbent Maria Cantwell (D-WA) in Washington State. Dr. Garcia has been a successful small business owner of his own medical practice, one of the founding Deans of two medical schools, and the Medical Director of two hospitals.
Critical Care Scenarios
OCTOBER 30, 2024
We chat with Nick Ghionni, pulm/crit attending at MedStar Baltimore Hospital, about identifying and combating cognitive biases in our clinical decision-making. Check out the Intensive Care Academy here! Find us on Patreon here! Buy your merch here! We chat with Nick Ghionni, pulm/crit attending at MedStar Baltimore Hospital, about identifying and combating cognitive biases in our clinical decision-making.
ALiEM
NOVEMBER 1, 2024
A 67-year-old male with a past medical history of CHF, MI, hypertension, and diabetes presented to the ED with complaints of headache, chest pain, and dyspnea for the past four days. He stated that he has been without his medications for the past few months due to cost. He denied any past surgical history. He stated that he primarily presented because he felt like “my blood pressure is high” Additional Images Physical Exam Cardiovascular : Tachycardic, 2+ pedal edema bilaterally Re
ACEP Now
OCTOBER 28, 2024
Holy Foley A Rare Case of Iatrogenic Obstruction by Adam Heilmann, MD; Jessica Pelletier, DO; Jennifer Reyes Lin, MD, MPH Our patient is a 33-year-old male with spastic quadriparesis due to cerebral palsy with chronic indwelling suprapubic catheter (SPC) who presented to the emergency department (ED) due to concern for Foley catheter obstruction. The patients’ mother has attempted to flush the SPC multiple times unsuccessfully at home.
Core EM
NOVEMBER 1, 2024
We review Sexually Transmitted Infections and pertinent updates in diagnosis and management. Hosts: Avir Mitra, MD Brian Gilberti, MD [link] Download Leave a Comment Tags: gynecology , Infectious Diseases , Urology Show Notes Table of Contents (1:49) Chlamydia (3:31) Gonorrhea (4:50) PID (6:14) Syphilis (8:08) Neurosyphilis (9:13) Tertiary Syphilis (10:06) Trichomoniasis (11:13) Herpes (12:49) HIV (14:10) PEP (15:13) Mycoplasma Genitalium (18:00) Take Home Points Chlamydia: Prevalence: M
FirstNet Authority
OCTOBER 30, 2024
Chief, Milwaukee Police Department Chief Jeffrey B. Norman was appointed to the Milwaukee Police Department in 1996.
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