EMS 12-Lead

APRIL 9, 2024

David Didlake @DidlakeDW EMS personnel responded to the residence of an 81 y/o Male with syncope. His spouse had called 911 after she heard a loud “thud” in the adjacent room. He was found altered, hypotensive, and with a large hematoma to the left periorbital region. No 12 Lead ECG was captured, but telemetry did reveal the following: The spouse offers a pertinent medical history to include HTN and HLD, and furthermore states that he hasn’t previously complained of any chest discomfort, or shor

Coronary 290

Coronary ACS CAD ED 290

ALiEM

APRIL 12, 2024

Traditionally large-bore tube thoracostomy has been the standard of care for treating many acute intrathoracic pathologies [1]. However, the advent of less invasive small-bore chest tubes, also known as pigtail catheters, has gradually led to a paradigm shift. Pigtails provide a less invasive and often better tolerated alternative to traditional chest tubes and allow for adequate treatment of pneumothoraces and uncomplicated pleural effusions [1-5].

E-9-1-1 183

E-9-1-1 ALS Critical Care Emergency Department 183

American Ambulance Association

APRIL 9, 2024

The next CMS Ambulance Open Door Forum scheduled for: Date: Thursday, April 11, 2024 Start Time: 2:00pm-3:00pm PM Eastern Time (ET); Please dial-in at least 15 minutes before call start […] The post 4/11 CMS Ambulance Open Door Forum appeared first on American Ambulance Association.

Ambulance 130

Ambulance 130

Critical Care Scenarios

APRIL 10, 2024

We explore critical care transport medicine from both a clinical and career perspective, including helicopters (HEMS), fixed wing jet, and ground ambulance transports, with Jace Mullen, flight paramedic and airway educator out of Denver. Find us on Patreon here! Buy your merch here! We explore critical care transport medicine from both a clinical and career perspective, including helicopters (HEMS), fixed wing jet, and ground ambulance transports, with Jace Mullen, flight paramedic and airway ed

Critical Care 130

Critical Care Ambulance Paramedic 130

EMergucate

APRIL 10, 2024

Simulation report 4/4/24, In situ sim ED JHC Hi everyone, Thank you so much for participating and helping … Continue reading →

ED 130

ED 130

EMOttawa

APRIL 11, 2024

Patients living with functional neurologic disorders (FND) have been deeply stigmatized by the medical system. In a patient survey by FND Hope (an international organization for the research and advocacy around FND) 82% of patient respondents felt they had been treated poorly due to stigma relating to their FND diagnosis, primarily by emergency physicians [1] […] The post Functional Neurologic Disorders appeared first on EMOttawa Blog.

128

128

NVFC

APRIL 9, 2024

On February 5, the Occupational Safety and Health Administration (OSHA) published a Notice of Proposed Rulemaking (NPRM) to modernize the agency’s “Fire Brigades” standard with a proposed new “Emergency Response Standard.” This NPRM’s publication triggered the beginning of a public comment period that was initially scheduled to conclude on May 6. Thanks to feedback from the emergency services community, OSHA has extended this public comment period to June 21, 2024.

Emergency Response 126

Emergency Response OR 126

EMergucate

APRIL 9, 2024

The following ECG is from a 23-year-old male who presents following a syncopal episode with diaphoresis and hypotension.

130

130

Core Ultrasound

APRIL 9, 2024

I’m so excited to share with you my unboxing of the new Butterfly iQ3. Watch to see my first impressions! I’ve had the pleasure of working with many ultrasound companies over the past 10 years, both as a consumer and as an ultrasound director of a large academic hospital. I’ve enjoyed all of the iterations of the Butterfly ultra-portable ultrasound transducer, but I love their third version (the iQ3), the best!

130

130

The Overrun

APRIL 12, 2024

Saying Goodbye to Rookieworld: Thoughts after Recertification Recertification cycles where I’m from occur every three years. To some, three years may seem like a long time, but to an EMT like me, those three years flew by. When I first got my certification, the US was between waves of a pandemic. My first patients went into cardiac arrest after EMS arrival.

EMT 105

EMT EMT EMS Ambulance 105

Dr. Smith's ECG Blog

APRIL 6, 2024

This case came from a friend whose sister was the patient. She knew I was interested in ECGs, so she took a photo of this one. A young woman presented with acute chest pain. This was her presenting ECG: What do you think? This is clearly Brugada phenotype. There is downsloping ST Elevation in V1 and V2. To an experienced interpreter, it is clearly not due to OMI.

STEMI 105

STEMI 105

SSCOR

APRIL 6, 2024

Routine suctioning at birth has been the standard of care for newborns for decades. However, evidence calls this practice into question , and many hospitals are moving away from it. But this doesn’t mean that suctioning is obsolete. Newborns in respiratory distress, those with low Apgar scores, and those struggling with the transition from fetus to newborn may still need bulb suctioning, or occasionally, suctioning with a machine.

OR 105

OR 105

Pulsara

APRIL 10, 2024

EDITOR'S NOTE: This article originally appeared on EMS1.com. Special thanks to our guest author, John Erich, for EMS1 BrandFocus Staff. __ No matter the incident’s size, scanning patient wristbands keeps all responders and clinicians united Managing patients in the middle of a mass-casualty incident can feel like playing the game of telephone. Essential information is often passed from person to person, misheard, misunderstood, changed, lost, or even forgotten in the chaos.

Public Safety 96

Public Safety Emergency Management Emergency Manager EMS 96

EMDocs

APRIL 10, 2024

Authors: Alex Rogers, MD (EM Resident Physician, Christus Spohn/Texas A&M University School of Medicine, Corpus Christi, TX); J.D. Cambron, DO (EM Attending Physician, Christus Spohn/Texas A&M University School of Medicine, Corpus Christi, TX)// 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)

E-9-1-1 93

E-9-1-1 Plasma Epinephrine Life Support 93

Dr. Smith's ECG Blog

APRIL 9, 2024

By Magnus Nossen This ECG is from a young man with no risk factors for CAD, he presented with chest pain. How would you assess this ECG? How confident are you in your assessment? What is your next step? Note: lead format is Cabrera I was sent this ECG in real time. The patient is a young adult male with chest pain. The chest pain was described as pressure like and radiation to both arms and the jaw.

Coronary 91

Coronary CAD ACS OR 91

SSCOR

APRIL 11, 2024

Respiratory failure and respiratory distress are both medical emergencies that demand prompt treatment and present special dangers to vulnerable groups such as children, elders, and people with chronic illnesses. Respiratory distress, for example, affects about 1% of newborns and is the leading cause of death in neonates born prematurely.

91

91

EM Literature of Note

APRIL 11, 2024

This is a bit of a fascinating article with a great deal to unpack – and rightly published in a prominent journal. The brief summary – this is a “pragmatic”, open-label, cluster-randomized trial in which a set of interventions designed to increase guideline-concordant care were rolled out via electronic health record tools. These interventions were further supported by “facilitators”, persons assigned to each practice in the intervention cohort to support uptake of the EH

OR 90

OR 90

EMDocs

APRIL 6, 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: Phoenix Criteria – New Pediatric Sepsis Score Spoon Feed The Phoenix Sepsis Score, which is a novel clinical criterion for pediatric sepsis and septic shock developed using measures of organ dysfunction, outperforms

OR 76

OR 76

First 10 EM

APRIL 8, 2024

Time for another edition of the ‘old article dump’. One of the downsides of subscribing to more than 50 journal feeds is the huge number of interesting papers that I flag for later, but never find time to fully appraise. I have been clearing some of these old PDFs out of my computer, but I […] The post Research Roundup: Another old article dump appeared first on First10EM.

EMS 73

EMS 73

EMOttawa

APRIL 9, 2024

Methodology: 3/5 Usefulness: 2/5 Ashburn NP, et al. JAMA Cardiol. 2023 Apr 1;8(4):347-356. Editorial: Critical Appraisal of the Negative Predictive Performance of the European Society of Cardiology 0/1-Hour Algorithm for Evaluating Patients With Chest Pain in the US. Question and Methods: The authors completed preplanned subgroup analyses to determine if a 0-1 hour ultra-sensitive troponin […] The post Sensitivity Cardiac Troponin T Among Patients With Known Coronary Artery Disease appear

Coronary 60

Coronary ALS 60

NVFC

APRIL 9, 2024

Pipelines run through thousands of U.S. communities, carrying hazardous materials that could pose a threat to the public and responders should an incident occur. April is National Safe Digging Month, and now is a great time to enhance your department’s readiness for a pipeline incident. The NVFC and PHMSA have partnered to offer the following resources through the Fire Department Pipeline Response, Emergency Planning, and Preparedness (FD PREPP) initiative.

Emergency Response 59

Emergency Response First Responder First Response OR 59

REBEL EM

APRIL 9, 2024

Podcast Direct Download: Link Release Date: April 16th, 2024 Show Notes The Visible Voices Podcast Dr. Glaucomflecken: Power of Ultrasound with Emergency Medicine Dr. Resa Lewiss Adaira I Landry MD Resa E Lewiss MD is a Professor of Emergency Medicine at the University of Alabama at Birmingham. A TEDMED speaker and TimesUp Healthcare founder, she’s an internationally renowned point-of-care ultrasound educator and champion for diverse, equitable, and inclusive workplaces.

EMS 59

EMS ICU 59

Unitek EMT

APRIL 12, 2024

This guide highlights the importance of Neonatal EMTs, their unique responsibilities, and the specific challenges they encounter in neonatal care. The role of a Neonatal Emergency Medical Technician (EMT) is pivotal in emergency medical care, requiring unmatched precision, compassion, and expertise to provide lifesaving interventions for newborns and infants.

EMT 64

EMT EMT Emergency Medical Technician EMS 64

GEDC

APRIL 12, 2024

On April 10, 2024, the Centers for Medicare & Medicaid Services (CMS) issued the fiscal year (FY) 2025 Medicare hospital inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) proposed rule. Thanks to the American College of Surgeons and the Institute for Healthcare Improvement, who, along with the American College of Emergency Physicians (ACEP), spearheaded the rule development, the new measure will encourage hospital systems to change

Operating Room 52

Operating Room Emergency Department ED OR 52

American Burn Association

APRIL 9, 2024

Categories Advocacy Burn News MAC Spotlight Media Member Services Organization News Prevention Quality Care Research Return to News & Activities Chicago, IL – The American Burn Association, in partnership with the Phoenix Society for Burn Survivors and Empathy Museum, announced the grand opening and ribbon-cutting ceremony for its newest exhibit, A Mile in My Shoes: Compassion for Burn Survivors and Care Givers, at the 2024 ABA Annual Meeting.

52

52

NVFC

APRIL 9, 2024

Taking place April 21-27, National Volunteer Week is a time for departments to thank their volunteer members for all that they do. It is also a time to let your community know they can step up to serve as a volunteer with your department. The NVFC’s Make Me A Firefighter campaign has tools to help. Add your volunteer opportunities to the searchable database, create customized recruitment materials, access ready-to-use PSAs, and much more.

Firefighter 52

Firefighter OR 52

Clinical Correlations

APRIL 9, 2024

By Olivia Descorbeth Peer Reviewed As individuals advance in age, they tend to accumulate medical conditions that require a bevy of pharmaceutical treatments to manage. As a result, polypharmacy, generally defined as the use of five.

52

52

Paramedics World

APRIL 8, 2024

In the digital age, where convenience is paramount and technology is king, seeking medical guidance has undergone a transformative evolution. Gone are the days of long waits in crowded waiting… The post Advantages of Online Testosterone Injections appeared first on Paramedics World.

Paramedic 52

Paramedic 52

EMS 20/20

APRIL 10, 2024

So what do you do when the nearest "appropriate" hospital is actually the lair of the Shredder? Do you pass it up or go by the book? Listen to this week's episode and see if the Turtles go rogue or following the teachings of Master Splinter. So what do you do when the nearest "appropriate" hospital is actually the lair of the Shredder? Do you pass it up or go by the book?

OR 40

OR 40

NVFC

APRIL 9, 2024

The NVFC and PHMSA have partnered to offer free hazmat training at locations across the country through the Partners In Training (PIT) Crew program. These courses are provided in a train-the-trainer format so attendees can take the information back to their departments and communities. Courses are free and cover a wide range of topics relating to hazmat safety and response.

52

52

The Skeptics' Guide to EM

APRIL 6, 2024

Reference: Drysdale SB et al. Nirsevimab for Prevention of Hospitalizations due to RSV in Infants. N Engl J Med. 2023 Date: March 29, 2024 Guest Skeptic: Dr. Michael Cosimini is a pediatrician in Portland Oregon. He is the designer of Empiric Game, a medical editor and contributor to Pediatrics Reviews and Perspectives (PedsRAP) and the […] The post SGEM #435: Don’t Stop Believing…A Vaccine can Work for RSV first appeared on The Skeptics Guide to Emergency Medicine.

ALS 129

ALS Emergency Department ED 129

NVFC

APRIL 9, 2024

The 5th EMS Leadership Summit is taking place this week (April 9-13) and this virtual event is free to attend. Hear from over 30 speakers including the NVFC’s deputy director Candice McDonald, who will present a featured session on April 12 on Igniting Volunteer EMS Recruitment and Retention. Get your free pass here. You can also download the EMS Leadership Summit Playbook here.

EMS 52

EMS 52

NVFC

APRIL 9, 2024

NVFC members who are volunteer firefighters will have four chances to win an MSA Cairns® 1836 Fire Helmet in 2024. One recipient will be selected after each entry period. The helmet showcases the iconic traditional design with innovative features that address today’s fire service needs. The first entry period is open through April 30. Learn more and enter.

Firefighter 52

Firefighter 52

NVFC

APRIL 9, 2024

A significant percentage of line-of-duty deaths and injuries occur when responding to, or returning from, incidents. This NVFC course reviews 11 best practices volunteer first responders can adopt to reduce the number of emergency vehicle collisions. Take it free for a limited time in the NVFC Virtual Classroom. The post Emergency Vehicle Safe Operations appeared first on National Volunteer Fire Council.

First Responder 52

First Responder OR 52

NVFC

APRIL 9, 2024

Did you know that April is Physical Wellness Month? As an emergency responder, taking care of your health is especially important as it increases your ability to serve safely and effectively. Learn about six steps you can take to improve your health and prevent chronic disease in this article from CRACKYL magazine. Find additional resources to focus on your health through the NVFC’s Heart-Healthy Firefighter Program.

Firefighter 52

Firefighter 52

NVFC

APRIL 9, 2024

If you need assistance, the NVFC First Responder Helpline is here for you! NVFC members and their household family can call the Helpline for moments of crises and for help with work-life stresses. The Helpline provides confidential counseling, resources, and referrals for a range of issues including stress management, anxiety, family conflict, financial or legal concerns, substance misuse, grief or loss, child or elder care, and more.

First Responder 52

First Responder OR 52

NVFC

APRIL 9, 2024

On March 23, President Biden signed into law the Further Consolidated Appropriations Act (P.L. 118-47). This law provides funding to portions of the federal government for the remainder of fiscal year 2024, including fire related programs and agencies. Below is a summary of how much this law provides each of the National Volunteer Fire Council’s (NVFC) funding priorities.

Emergency Medical Services 105

Emergency Medical Services Firefighter Emergency Response OR 105