Clinical Correlations
FEBRUARY 14, 2025
By Daniel Martinez-Krams Peer Reviewed You are rounding on your patients, and your team is discussing a 52-year-old man with HIV who came in with shortness of breath and fever and was found to have pneumonia.
American Ambulance Association
FEBRUARY 11, 2025
National Rural Health Association December 2024 Policy Paper Bridging the gap: A policy framework for sustainable community paramedicine in rural America Authors: Katie Gorndt, Kimberly Haverly, Tom Syverson The post NRHA | Community Paramedicine Framework appeared first on American Ambulance Association.
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This Podcast Will Kill You
FEBRUARY 11, 2025
Okay everyone, think about your tongue. Maybe move it around a bit, check in with it, consider what it means to you. Now imagine that your tongue suddenly shriveled up and fell off and that in its place is a tongue-sized isopod aka rollie pollie aka pillbug. Just there, hanging out, forever. How are you feeling? Horrified? Disgusted? Hey, we get it.
St. Emlyn's
FEBRUARY 11, 2025
St.Emlyn's - Emergency Medicine #FOAMed This months St Emlyns podcast wraps up Season 11 with a review of key emergency medicine topics. We cover new evidence on chest trauma management, intraosseous access safety, pediatric imaging updates, AI in medicine, toxic alcohol poisoning, and airway management. Plus, insights from major conferences like EUSEM 2024.
ESO
FEBRUARY 11, 2025
For the first time, the 2024 ESO Trauma Index took a deep dive into Time to Transfer data a critical, patient-centered metric that directly impacts survival rates and care outcomes. Defined by the National Trauma Data Bank (NTDB) as the time between when a transfer order is written and when the patient physically leaves the facility, this metric sheds light on how well trauma systems move patients to the right place for the right care.
American Ambulance Association
FEBRUARY 13, 2025
FOR IMMEDIATE RELEASE Contact: Samantha Hilker Sr. Director of Strategic Initiatives shilker@ambulance.org American Ambulance Association Announces 2025 EMSNext Winners Washington, D.C. The American Ambulance Association (AAA) is proud to […] The post 2025 EMSNext Recipients Announced appeared first on American Ambulance Association.
SSCOR
FEBRUARY 8, 2025
Modern, fully equipped ambulances with well-trained paramedics are marvels, providing services that save lives and maintain seriously injured or ailing patients status before they reach an appropriate medical facility. But that goal is only achieved when technicians aboard the ambulance practice safe procedures.
Paramedicine Now brings together the best content for paramedicine professionals from the widest variety of thought leaders.
EM Board Bombs
FEBRUARY 9, 2025
-Case- A 28-year-old bartender walks into your ED with a deep laceration on her forearm after an unfortunate run-in with broken glass while working. The wound is actively bleeding, but the edges are clean. She’s concerned about scarring and whether she’ll be able to use her arm without issues in the future.
Life in the Fastlane
FEBRUARY 9, 2025
Chris Nickson Clonidine Critical Care Compendium entry for Clonidine (pharmacology)
Core EM
FEBRUARY 14, 2025
Author: Jonathan Kobles, MD Warning, this article contains graphic images. Introduction: An 85-year-old male with a history of chronic lymphocytic leukemia (CLL) and atrial fibrillation on Eliquis presents to the emergency department (ED) after a trip and fall in the bathroom. On examination, the following wound is observed: Background: Skin tears are a common injury in the elderly population and are associated with significant morbidity due to impaired wound healing.
Stem EMS
FEBRUARY 10, 2025
Discover ambulance history from medieval times to modern services. Explore key milestones in British and American ambulance evolution L'articolo Ambulance History: A Journey Between England and America proviene da Stem Ems.
Dr. Smith's ECG Blog
FEBRUARY 10, 2025
Written by Jesse McLaren An 80 year old patient with diabetes/hypertension/ cirrhosis had a recent increase in candesartan for their hypertension, and was also on spirolactone and nadolol. They presented to a hospital clinic for routine paracentesis, after which they developed nausea and syncope attributed to a vasovagal episode from the procedure. Labs showed a non-hemolyzed potassium of 6.2, normal glucose, and mild acute on chronic renal failure (Creatinine from 140 to 170 umol/L), and the fo
High Performance EMS
FEBRUARY 12, 2025
Download the collaborative document created by several national professional organizations on “ Rethinking Emergency Medical Services.” There are several very quotable sections including, “The EMS staffing crisis highlights the need for reasonable, evidence-based and data driven system design and response changes to sustain these vital services while addressing the root causes of workforce shortages and economic challenges.
Core EM
FEBRUARY 14, 2025
This procedure video provides a step-by-step guide to performing an ultrasound-guided fascia iliaca nerve block, a crucial technique for managing pain in patients with hip and proximal femur fractures. Dr. Mitchell Foster explains the procedure in detail, covering patient positioning, ultrasound anatomy, needle insertion, hydrodissection confirmation, and anesthetic administration.
ACEP Now
FEBRUARY 11, 2025
A 33-year-old male with a history of drug use presented to the emergency department (ED) for extreme agitation after receiving two doses of 2 mg naloxone by EMS for respiratory depression. Upon arrival, his vitals were as follows: heart rate of 132 bpm, respiratory rate of 27, blood pressure of 134/75 mm Hg, and a SpO 2 of 100 percent. He was notably diaphoretic, tachycardic, and severely agitated, requiring physical restraint by multiple security and medical team members for patient and staff s
Dr. Smith's ECG Blog
FEBRUARY 12, 2025
Written by Willy Frick I was reviewing our institutional PMcardio account which we are using to improve early identification of patients with electrocardiographically subtle OMI. I came across this ECG: What do you think? Even before we have clinical context, this ECG simply does not appear concerning for OMI, notwithstanding the machine's interpretation ** ** ACUTE MI / STEMI ** **.
FirstWatch
FEBRUARY 10, 2025
How this busy agency supports its neighbors and keeps up with demand with FirstWatch The real advantage of FirstWatch, Says Michele Godina Machado, Administrative Analyst II at Stockton (Calif.) Fire Department , is that I know the numbers are right. We say in this business that if its garbage in, then its garbage out. FirstWatch allows us to verify the accuracy of our data.
Don't Forget the Bubbles
FEBRUARY 10, 2025
A new path to explore What is the problem? Survival rates for babies born very pretermbefore 32 weeks of gestationhave improved significantly in recent decades. However, this progress also means that more babies are surviving with serious complications related to preterm birth. In the United Kingdom, neonatal care is routinely funded until babies reach 44 weeks corrected gestational age (CGA).
ACEP Now
FEBRUARY 11, 2025
Medicare was initially developed to provide health insurance to address the health care needs of Americans aged 65 and older, many of whom lacked adequate insurance coverage and the capacity to keep up with general workforce requirements. Medicare has long been the cornerstone of health care for millions of Americans and, therefore, often sets the benchmark for health care reimbursement.
EMOttawa
FEBRUARY 13, 2025
Procedural sedation (PS) is a cornerstone of Emergency Medicine, frequently employed in the Emergency Department (ED) to facilitate painful or anxiety-provoking procedures while ensuring patient comfort. The goal is to achieve optimal sedation while allowing for rapid recovery and minimizing complications. Despite its routine use, PS requires meticulous preparation, risk stratification, and vigilance for potential […] The post Snooze Control: Procedural Sedation 101 appeared first on EMOtt
EMDocs
FEBRUARY 10, 2025
Today on the emDOCs cast Brit Long interviews Zachary Aust on a mental model for the airway and intubation. Episode 114: Airway/Intubation Mental Model Model: Airway Meds have been pushed… 60 second timer Breathe: 4 count in, 4 count hold, 4 count out, 4 count hold To control our adrenaline surge Light Gripthe laryngoscope (2 finger grip) To avoid over aggressive tongue control Scissorthe mouth open EVLI Epiglottoscopy Light grip following the curvature of the blade looking for landmarks a
Pulsara
FEBRUARY 12, 2025
A new study published by the AHA shows the use of AI and communication tools decreases treatment times between 43% and 53% for door-to-CT, door-to-needle, and door-to-puncture times A group of clinicians in Washington State implemented both Pulsara and Viz.ai , tracking treatment times for door-to-CT, door-to-needle, door-to-puncture, and length of stay.
ACEP Now
FEBRUARY 11, 2025
Around the world, acute pain is the most common reason for patients to present to the emergency department (ED). 1 Regional anesthesia services are typically provided by anesthesiologists; however, there are various reasons why not all hospital models can support a dedicated service line run by anesthesiologists including physician shortage. 2 As the ACEP considers ultrasound guided regional anesthesia a core skill, this leaves a unique opportunity for hospital systems to leverage emergency phys
Peter Canning
FEBRUARY 13, 2025
A pharmaceutical company is apparently targeting police departments to get them to carry OPVEE (nalfemene), a long-acting opioid antagonist that the two top toxicology organizations in the country say has significant risks and has not been studied in actual settings. In an article by New England Public Media, Health experts alarmed at new overdose drug marketed to WMass police departments , a police chief in Dalton Mass stunningly poo-poos the experts warnings about the drug, actually saying, Th
EMDocs
FEBRUARY 8, 2025
Authors: Rahul Ramraj, MD (Emergency Medicine Resident Physician, Zucker School of Medicine/Northwell); Daniel Jafari, MD MPH (Assistant Professor of Emergency Medicine and Surgery, Zucker School of Medicine, Hofstra Northwell) // Reviewed by: Sophia Grgens, MD (EM Physician, BIDMC, MA); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Alex Koyfman, MD (@EMHighAK) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providin
Dr. Smith's ECG Blog
FEBRUARY 8, 2025
Written by Jesse McLaren An 80 year old with a history of CHF, ESRD on dialysis, and multiple prior cardiac stents presented to the emergency department with 3 days of intermittent chest pain and shortness of breath that resolved after nitro, which felt like prior episodes of angina. The patient was pain free on arrival, and below are the prior and new ECG.
SSCOR
FEBRUARY 13, 2025
Neurological emergencies come in many forms, many of them life-threatening. Any pathological process or traumatic injury that impacts the patient's neurological system can have devastating consequences: paralysis, brain damage, or even death. As an emergency provider, you must be prepared to support your patient's vital functions. This includes ensuring adequate circulationby maintaining blood pressure and pulsealong with oxygenation, through oxygen therapy, intubation, and, most importantly, su
EM Board Bombs
FEBRUARY 12, 2025
–Case– It’s a hot summer afternoon when EMS rushes in with an 8-year-old boy who was pulled from a community pool after being underwater for an unknown amount of time. Bystanders report he was initially unresponsive but had spontaneous respirations after CPR was started. Now in the ED, he’s tachypneic, mildly cyanotic, and lethargic.
EMDocs
FEBRUARY 12, 2025
Authors: Ahmed Mashal (Emergency Medicine Resident, Atrium Healths Carolinas Medical Center); Ann-Jeannette Geib, MD (Emergency Medicine Attending, Medical Toxicologist, Atrium Healths Carolinas Medical Center) // Reviewed by: Christopher Counts, MD (Medical Toxicology Fellow, Rutgers New Jersey Medical School, Newark, NJ); Cynthia Santos, MD (Emergency Medicine Attending, Medical Toxicologist, Rutgers New Jersey Medical School); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case: A
Dr. Smith's ECG Blog
FEBRUARY 14, 2025
Written by Pendell Meyers A man in his 30s presented with acute upper midline abdominal pain and nausea. He described it as radiating into his chest, like "pressure", and "burning". Vitals were within normal limits except bradycardia. Here is his triage ECG: What do you think? Sinus bradycardia, normal QRS. There is STE in several leads including I, aVL, and V2, with STD in II and aVF.
ACEP Now
FEBRUARY 11, 2025
Journal Research Looks at Physician Coverage in the ED A new study published in JACEP Open , one of ACEPs peer-reviewed publications, asked the question, Is at least one attending physician (not resident) on duty in the ED 24 h/d? The research found that approximately 1 in 13 EDs in the U.S. lack 24 hour, seven-day-per-week physician coverage. The absence of 24/7 attending physician coverage was more common in low-volume EDs and CAHs.
FirstWatch
FEBRUARY 10, 2025
Serving the People Behind the Data How do we add value to our community? That has been stuck in my head as a huge and fundamental question, says Mary E. Meeks, the 2024 Jack Stout EMS Fellow. As district chief at Chatham Emergency Services (CES), headquartered in Savannah, Ga., she saw the relevance of this question daily in her work. What do we as an EMS agency do to add value to the community of Savannah?
NVFC
FEBRUARY 10, 2025
Three STEPR PRO+ stair climbers will be awarded to volunteer fire departments Responding to emergencies is a physically demanding job, and fitness and health are essential for volunteer firefighters, EMS providers, and rescue personnel to perform at their best. To support these dedicated first responders, STEPR has partnered with the National Volunteer Fire Council (NVFC) to give away three STEPR PRO+ stair climbers in 2025 through the STEPR Health & Safety Giveaway.
EM Board Bombs
FEBRUARY 9, 2025
-Case- A 28-year-old bartender walks into your ED with a deep laceration on her forearm after an unfortunate run-in with broken glass while working. The wound is actively bleeding, but the edges are clean. She’s concerned about scarring and whether she’ll be able to use her arm without issues in the future.
EMT First Aid
FEBRUARY 8, 2025
Pancake Day (Shrove Tuesday 4th March ) is all about flipping, topping, and indulging in delicious pancakes. But while the day is full of fun, the kitchen can also be a hotspot for accidentsburns, cuts, and even pancake-flipping disasters! Heres how to enjoy the daysafelyand what to do if a mishap occurs.Common Pancake Day Injuries (And How to Prevent Them!
EMS 20/20
FEBRUARY 12, 2025
Oh no. apathy strikes again in this week's episode as two cars attempt to occupy the same space in traffic. An ALS fly car responds to sort out the chaos. do they achieve this goal? Listen and find out! Oh no. apathy strikes again in this week's episode as two cars attempt to occupy the same space in traffic. An ALS fly car responds to sort out the chaos. do they achieve this goal?
ACEP Now
FEBRUARY 11, 2025
At ACEP 2024 in Las Vegas, the Emergency Medicine Innovation Collaborative (EMIC) joined forces at HackED!, an event bringing together innovators, entrepreneurs, and emergency physicians committed to shape the future of emergency medicine for three days of ideation to develop hardware or software solutions to a pressing acute care problem. More than simply a hackathon, HackED!
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