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Reference: McLatchie et al and DAShED investigators. Diagnosis of Acute Aortic Syndrome in the Emergency Department (DAShED) study: an observational cohort study of people attending the emergency department with symptoms consistent with acute aortic syndrome. EMJ Nov 2023. Date: February 11, 2024 Guest Skeptic: Nirdosh Ashok Kumar, Emergency Medicine Specialist – Aga Khan University Hospital, Karachi, Pakistan. […] The post SGEM#430: De Do Do Do, De Dash, Dash DAShED – Diagnosing Acute Aortic Sy
In this month's ECG Cases blog Dr. Jesse McLaren reviews interpretation of the pre-arrest ECG: identifying high risk ECGs requiring empiric treatment like calcium for hyperkalemia, magnesium for long QT, or reperfusion for Occlusion MI; the intra-arrest ECG: identifying pseudo-PEA; and post-arrest ECG: the importance of serial ECGs to reduce false positive STEMI, role of POCUS to help with the differential of diffuse ST depression with reciprocal ST elevation in aVR, and identifying signs of Occ
An 86-year-old man with a past medical history of coronary artery disease, hypertension, hyperlipidemia, chronic kidney disease, COPD, choledocholithiasis requiring ERCP and sphincterotomy 2 years ago presented with five days of feeling unwell. History was limited due to cognitive impairment. His daughter had reported to staff he had been feeling unwell for five days, intermittently having nausea and generalized abdominal pain, subjective fevers, chest pain, and shortness of breath.
Background: Patients with decreased level of consciousness due to alcohol, drugs, or medications commonly present to the ED. These patients can be at risk of vomiting and aspiration and often prompts clinicians to pursue definitive airway management to avoid pneumonia and other complications. It is unclear, though, if the risks of intubation (including ventilator associated pneumonia) outweighs the benefits.
Written by Pendell Meyers A teenager was playing basketball when he suddenly developed palpitations and lightheadedness. He presented soon afterward at the Emergency Department with ongoing symptoms. Mentation and blood pressure were normal. He had no chest pain or shortness of breath. Heart rates on the monitor fluctuated from 180-250 bpm. Here is his triage ECG: What do you think?
In order fix EM, each of us needs to understand systems issues and systems thinking, and advocate for a better system based on sound systems principles and specific solutions. In this main episode EM Cases podcast Anton is joined by Dr. Alecs Chochinov and Dr. Davie Petrie, two systems thinkers and leaders in EM. They discuss solutions for how to fix EM in 5 spheres: having a coordinated mission, optimizing access points, accountability, disaster preparedness and adaptation/evolution.
A roundup of opinions from attendees at SCCM’s 2024 Critical Care Congress in Phoenix on strategies for rescuing the patient stuck in a loop of deep sedation and agitation. Thanks to Pat Posa, Martha Roberts, Juliana Barr, Kelly Drumright, and Ben Lassow for their input. Resources A roundup of opinions from attendees at SCCM’s 2024 Critical Care Congress in Phoenix on strategies for rescuing the patient stuck in a loop of deep sedation and agitation.
On December 21, the Occupational Safety and Health Administration (OSHA) announced that it will issue a Notice of Proposed Rulemaking (NPRM) to modernize the agency’s “Fire Brigades” standard. This standard was first published and last updated in 1980. This proposed updated standard would issue several new requirements that would be very burdensome, and in many cases impossible, for volunteer fire departments to comply with.
On December 21, the Occupational Safety and Health Administration (OSHA) announced that it will issue a Notice of Proposed Rulemaking (NPRM) to modernize the agency’s “Fire Brigades” standard. This standard was first published and last updated in 1980. This proposed updated standard would issue several new requirements that would be very burdensome, and in many cases impossible, for volunteer fire departments to comply with.
FOR IMMEDIATE RELEASE In the ever-evolving landscape of workforce management, Ninth Brain emerges as a pioneering force, dedicated to delivering innovative solutions that prioritize cutting-edge technology, user-friendly features, and steadfast […] The post Ninth Brain: Unleashing Power-Packed Features with Open API, Single Sign-On, and Advanced Tools!
We’re increasingly cognizant of the physiological importance of maintaining specific hemodynamics during resuscitation. Practice patterns vary broadly, so we’ve done a deep dive into the various evidence around the use of ketamine and etomidate in specific clinical scenarios. Physiology of the rapid sequence intubation Rapid sequence intubation (RSI) is the nearly simultaneous administration […] The post Ketamine and Etimodate: Into the Void appeared first on EMOttawa Blog.
Authors: Angela Pikus, MD Emergency Medicine Resident, Atrium Health’s Carolinas Medical Center); Christine Murphy, MD (Emergency Medicine Attending, Medical Toxicologist, Atrium Health’s Carolinas Medical Center) // Reviewed by: Anthony Spadaro, MD (@TSpadaro91, Medical Toxicology Fellow, Rutgers New Jersey Medical School, Newark, NJ); James Dazhe Cao, MD (@JamesCaoMD, Associate Professor of EM, Medical Toxicology, UT Southwestern Medical Center, Dallas, TX); Alex Koyfman, MD (@EMHighAK); Brit
The application period for the FY 2023 Assistance to Firefighters Grant (AFG) is now open. These grants provide funding to fire departments for needed resources such as equipment, gear, vehicles, and training. The Notice of Funding Opportunity, guidance documents, and other materials are available on the AFG web site. In addition, FEMA is hosting a series of Q&A sessions over the next month to provide applicants an opportunity to interact with AFG staff and ask questions about the program, t
AAA President Randy Strozyk will testify tomorrow, February 14, at 10:00 am (eastern) before the Health Subcommittee of the Energy and Commerce Committee of the U.S. House of Representatives. The […] The post AAA President Strozyk to Testify Before Congressional Committee appeared first on American Ambulance Association.
Airway obstructions are common and potentially lethal emergencies, especially among vulnerable populations such as children and geriatrics. Obstruction from a foreign body is the most common airway obstruction in young children. Among geriatrics, obstructive airway diseases, dysphagia, and aspiration are more prevalent. The odds of airway obstruction increase with age.
FirstNet Authority, AT&T Announce 10-Year Investment to Transform America’s Public Safety Broadband Network Press Releases michelle.fordi… Tue, 02/13/2024 - 06:51 About the First Responder Network Authority 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 p
Has your department received much-needed funding for equipment or recruitment from the Assistance to Firefighters Grants (AFG) and Staffing for Adequate Fire and Emergency Response (SAFER) grants? These critical fire service grants are in danger – if Congress does not act, AFG and SAFER grants will cease to exist on September 30. We need your help. Rep.
Tuesday, Feb. 13, 2024 | 10:30 a.m. ET The First Responder Network Authority will be launching the next phase of the FirstNet network in partnership with its network contractor, AT&T. […] The post Webcast | Evolving FirstNet for America’s First Responders appeared first on American Ambulance Association.
For our season 6 finale, we’re spending some time with menopause. How many nicknames can you think of for menstruation? Quite a few, I’m sure. “That time of the month”, “Aunt Flo”, “the red wave”, “period”, the list goes on. But what about euphemisms for menopause? We’ve got “the change” or “change of life”, “climacteric”, and… that’s it? There may be more out there, but the comparison is revealing.
Imagine being the person who answers the call in the darkest hours – that’s what Emergency Medical Technicians (EMTs) do every day. They’re not just employees in the healthcare system; they’re life-savers, comfort-givers, and community heroes. We are going to look at 15 reasons why you should consider a career as an EMT. You might be surprised at where this exciting career path can take you. 1.
Today on the emDOCs cast we have back Rob Orman, MD ( @emergencypdx ). Emergency Physician and founder of Orman Physician Coaching Host of the Stimulus Podcast Learn more at roborman.com Rob and several other amazing clinicians and educators are putting on Awake and Aware , a 3 day conference May 1-3 in Bend Oregon. A 3-day interactive workshop focusing on skills to thrive in your incredibly demanding job (and life).
Usually, I reserve stand alone blog posts for high quality papers. Usually, garbage science is either ignored, or reserved for brief mentions in the Research Roundups. However, the conclusion of this paper, which states “it is becoming increasingly difficult to justify not making MRI a mandatory part of the clinical assessment of [first episode psychosis]”, […] The post No, you don’t need to order an MRI in first episode psychosis appeared first on First10EM.
Tactical Emergency Medical Support (TEMS) providers play a pivotal role in ensuring the well-being of individuals engaged in high-risk and tactical environments where law enforcement and military operations take place. TEMS providers shoulder a range of unique responsibilities and confront distinct challenges in their demanding roles. Frequently, they are the initial medical responders on the […] The post How to Become a Tactical EMT (TEMS) appeared first on Unitek EMT.
In the realm of emergency healthcare, the terms EMS (Emergency Medical Services) and EMT (Emergency Medical Technician) are often used interchangeably, yet they represent distinct aspects of medical response and care. This article aims to demystify these acronyms, shedding light on their unique roles within the healthcare system. Understanding the difference between EMS and EMT is not just a matter of semantics; it’s crucial for appreciating the depth and breadth of emergency medical servi
On any given day, healthcare providers interact with many forms of technology. Communication apps, EHRs, ePCRs, patient portals, and digital health trackers are just a few of the types of technology designed to make life easier for clinicians. From fostering better communication to digitizing patient information, mobile technology platforms are intended to help medical professionals in a number of areas.
Apple Podcasts , Spotify , Listen Here In this episode, we review a new consensus guideline from the American College of Emergency Physicians (initially developed with the American Academy of Ophthalmology) on the use of topical anesthetics in corneal abrasions.
Bottom Line Up Top: In selective patients presenting with flank pain, we can diagnose renal colic without a CT scan. There is also a subset of patients that would benefit from IV contrast enhanced CT scanning. Clinical Scenario: A 35-year-old man with no PMH presents with left flank pain, hematuria and history of kidney stones. His vitals are: HR 90, BP 150/90, Temp 98, O2 Sat 99% on RA, RR 18.
In the world of emergency medical services, encountering victims of electrical burns presents a unique set of challenges. As a veteran emergency medical technician (EMT), I’ve seen firsthand the critical importance of prompt and effective prehospital care in these situations. Electrical burns, often invisible yet dangerously profound, require a nuanced approach combining swift action with a deep understanding of their complex nature.
In the event of a pandemic or other health emergency, hospital emergency departments and intensive care units can become overwhelmed. Doctors, nurses, and medical personnel are being asked to go above and beyond to protect patients — and to do it quickly.
It’s a classic presentation. Your patient is a toddler with a sticky red eye that – despite their parent’s best efforts to pull their hands away from their face – they cannot help but rub. Their parent is asking you if it’s contagious and if they need antibiotics. Conjunctivitis: An overview Conjunctivitis, inflammation of the conjunctiva, is characterised by infection or inflammation of the conjunctiva.
FirstNet and the Future of Public Safety Broadband joseph.rey@fir… Fri, 02/16/2024 - 09:40 FirstNet now operates in every state and territory, and the FirstNet Authority is continuing to evolve, enhance, and expand the network — meeting public safety’s needs every day and for every emergency. Learn more at FirstNet.gov/history.
In the midst of an acute and pressing emergency, the German health emergency system faces a critical juncture. With staff and ambulance shortages pressing on the entire system, the country […] L'articolo The German Health Emergency: Staff Shortage and Increased Calls Jeopardize Patient Safety proviene da Stem Ems.
In the journey of healing and remembrance, planting a memorial tree stands out as a profound and touching gesture. This tradition, rooted in various cultures worldwide, uniquely honors the memory… The post Planting Peace: How Memorial Trees Help Process Loss appeared first on Paramedics World.
It’s a classic presentation. Your patient is a toddler with a sticky red eye that – despite their parent’s best efforts to pull their hands away from their face – they cannot help but rub. Their parent is asking you if it’s contagious and if they need antibiotics. Conjunctivitis: An overview Conjunctivitis, inflammation of the conjunctiva, is characterised by infection or inflammation of the conjunctiva.
Answer: The correct answer is necrotizing fasciitis (b). Necrotizing fasciitis is a deep and often devastating bacterial infection that tracks along fascial planes and expands well beyond any outward cutaneous signs of infection. Necrotizing fasciitis can occur without a clear portal of entry, although predisposing risk factors include major penetrating trauma (e.g., crush injury, deep penetrating wound), minor non-penetrating trauma (e.g., muscle strain, sprain, or contusion), and breaches in t
Junior firefighter programs allow youth to learn about local fire/EMS organizations while providing departments with nonoperational support and a powerful recruitment mechanism. Learn how your department can engage with local youth, schools, and other organizations to promote youth fire service programs at this Roundtable Talk on 2/21 at 2pm ET. Watch live on Facebook or register on Zoom.
In Omaha, Nebraska, where the weather can swiftly shift from peaceful to perilous, the importance of emergency preparedness cannot be overstated. From the tornadoes that sweep through the plains to the icy storms of winter, Omaha’s diverse climate presents unique challenges that necessitate a tailored approach to emergency planning and response. In this guide, we provide tips on how Omaha and its surrounding communities can enhance their readiness for emergencies, ensuring the safety and resilie
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