Sat.Jul 27, 2024 - Fri.Aug 02, 2024

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EM Quick Hits 58 – HIV PEP and PrEP, PREOXI Trial, Blast Crisis, Nitrous Oxide Poisoning, Vasopressors in Trauma

Emergency Medicine Cases

In this month's EM Quick Hits podcast: Andrew Petrosoniak on the role of vasopressors in the hemorrhaging trauma patient, Megan Landes on providing HIV PEP and PrEP in the ED, Justin Morgenstern & George Kovacs on the PREOXI trial and evidence for pre-oxygenation with NIPPV before intubation in RSI, Brit Long on recognition and management of blast crisis in the ED, and Leah Flanagan & Liam Loughrey on the rise of nitrous oxide toxicity.

EMS 223
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IV Access in Resuscitation

Core EM

- Importance of Catheter Selection: - The catheter’s diameter and length are critical factors affecting the flow rate. - Shorter, wider catheters provide a higher flow rate, making them preferable for rapid resuscitation. - Diameter and Flow Rate: - A larger diameter increases flow rate, and this relationship is proportional to the fourth power. For instance, doubling the diameter results in a 16-fold increase in maximum flow rate. - Peripheral 16-gauge IVs can sometimes outtransfuse larger cent

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SGEM#448: More than A Feeling – Gestalt vs CDT for Predicting Sepsis

The Skeptics' Guide to EM

Reference: Knack et al. Early Physician Gestalt Versus Usual Screening Tools for the Prediction of Sepsis in Critically Ill Emergency Patients. Ann Emerg Med 2024 Date: July 25, 2024 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called www.First10EM.com Case: Your hospital is running Morbidity and Mortality (M&M) rounds after a few recent cases in which the diagnosis of sepsis was identified late, and antibiotics were delayed.

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Pediatric Balanitis and Balanoposthitis

Pediatric EM Morsels

It’s never comfortable and is often very distressing to have skin problems and infections, such as intertrigo , folliculitis , panniculitis , omphalitis , or even preseptal or periorbital cellulitis. It’s even more distressing when the skin problem affects the penis. While summer is starting to wind down, and Summer Penile Syndrome is less likely to occur, we must still be vigilant for penile problems that can occur all year long.

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EMS.gov | Responding to Behavioral Health Emergencies

American Ambulance Association

Responding to Behavioral Health Emergencies Don’t Miss this Virtual Symposium, August 2, 2024 The EMS community is increasingly tasked with responding to behavioral health emergencies. The 988 suicide and crisis […] The post EMS.gov | Responding to Behavioral Health Emergencies appeared first on American Ambulance Association.

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Episode 199: Ataxia in Children

Core EM

We discuss a case of ataxia in children and how to approach the evaluation of these pts. Hosts: Ellen Duncan, MD, PhD Brian Gilberti, MD [link] Download Leave a Comment Tags: Neurology , Pediatrics Show Notes Introduction The episode focuses on ataxia in children, which can range from self-limiting to life-threatening conditions. Pediatric emergency medicine specialist shares insights on the topic.

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ECG of the Week 31st July

EMergucate

The following ECG is from a 67-year-old man who presents with dizziness and fatigue. He has a past history of ischaemic heart disease, hypertension and hypercholesterolaemia.

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Joint Position Statement on EMS Performance Measures Beyond Response Times

American Ambulance Association

Read Statement Authors: Douglas F. Kupas*, Matt Zavadsky, Brooke Burton, Chip Decker, Robert Dunne, Peter Dworsky, Richard Ferron, DanielGerard, Joseph Grover, Joseph House, Jeffrey Jarvis, Sheree Murphy, Jerry Overton, Michael […] The post Joint Position Statement on EMS Performance Measures Beyond Response Times appeared first on American Ambulance Association.

EMS 130
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Special episode: The Intensive Care Academy

Critical Care Scenarios

We share our grand new project, the Intensive Care Academy, an online, video-based, subscriber-only educational platform. Check it out at icu101.com! We share our grand new project, the Intensive Care Academy, an online, video-based, subscriber-only educational platform. Check it out at icu101.com !

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Paediatric Quick Hits

EMergucate

Welcome to Paediatric Quick Hits, your go-to source for the latest and most important updates in paediatric emergency medicine. Dr.

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Optimal Timing for Life-Saving Procedures in Critical Care: Finding the Goldilocks Moment

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed "Time Critical: Information Light" decision-making is vital in emergency medicine, requiring swift actions with minimal data. However, uncertainty decreases over time as more information becomes available. This model highlights the importance of making high-stakes decisions promptly, avoiding premature or delayed interventions.

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Volunteer Fire Departments Receive Critical Hydration Resource Through DripDrop and NVFC Partnership

NVFC

Once again partnering to provide fast hydration to volunteer firefighters, DripDrop Hydration PBC and the National Volunteer Fire Council (NVFC) have donated 200,000 sticks of DripDrop electrolyte drink mix to volunteer fire departments. A total of 1,000 departments were selected at random from a pool of over 1,700 entries to receive two cases (200 16-oz sticks) each of the hydrating drink mix.

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Anterior OMI. What does the angiogram show?

Dr. Smith's ECG Blog

Written by Willy Frick A 50 year old man with no medical history presented with acute onset substernal chest pain. His ECG is shown below. Pretty obvious anterior current of injury. This was a machine read STEMI positive OMI. Readers of this blog can easily appreciate the hyperacute T waves in the precordium, clearest in V1-V4. What would you guess is the culprit artery?

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Imaging Case of the Week 599 Answer

EMergucate

Round pneumonia. The chest x-ray shows a rounded air space opacification in the right lower zone. This is round pneumonia.

EMS 130
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Gestalt is better than decision tools for identifying sepsis

First 10 EM

Gestalt for sepsis? This paper hits two of my biggest pet peeves in medicine. 1) The endless emphasis on rushing to hit treatment targets in sepsis or otherwise and 2) the assumption that decision instruments must be better than basic clinical judgment. I am aware, therefore, that my interpretation is more likely to be biased, […] The post Gestalt is better than decision tools for identifying sepsis appeared first on First10EM.

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NVFC Testifies Before House Committee on Education and the Workforce Regarding OSHA

NVFC

The House of Representative’s Education and the Workforce Committee’s Subcommittee on Workforce Protections held a hearing on July 24 titled “Safeguarding Workers and Employers from OSHA Overreach and Skewed Priorities.” Chief Tim Bradley, a National Volunteer Fire Council (NVFC) director from North Carolina, testified on the NVFC’s behalf. In his testimony, Bradley stated that the NVFC appreciates the Occupational Safety and Health Administration’s (OSHA) efforts to promote our mutual goal of e

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Understanding Hepatitis: Comprehensive Guide

Paramedics World

Are you Hepatitis-savvy? Understanding this liver inflammation is vital for your health! Let’s dive into the world of Hepatitis, unraveling its types, causes, symptoms, and much more. Get ready to… The post Understanding Hepatitis: Comprehensive Guide appeared first on Paramedics World.

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Imaging Case of the Week 599

EMergucate

The following chest x-ray is from a 13-year-old with chest pain & dyspnoea. What can be seen?

EMS 130
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Podcast – Button Battery Ingestion

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed Listen to the podcast recorded live at the Premier Conference 2024. The post Podcast – Button Battery Ingestion appeared first on St.Emlyn's.

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Volunteer Fire Departments Can Apply for a $10,000 Grant Through the State Farm® Good Neighbor Firefighter Safety Program

NVFC

$500,000 in grants will be awarded by State Farm ® in collaboration with the NVFC The application period is now open for the inaugural State Farm ® Good Neighbor Firefighter Safety Program. State Farm has teamed up with the National Volunteer Fire Council (NVFC) to award $500,000 in grants to local volunteer fire departments. A total of 50 departments will each receive a $10,000 grant to obtain critical equipment to enhance the safety and effectiveness of their responders.

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The Complete Guide to Cancer: Facts and Resources

Paramedics World

Welcome to our comprehensive guide on everything you need to know about cancer. From understanding its symptoms and diagnosis to exploring treatment options and lifestyle changes, this blog post aims… The post The Complete Guide to Cancer: Facts and Resources appeared first on Paramedics World.

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Imaging Case of the Week 598 Answer

EMergucate

The chest x-ray shows classic features of pneumonia in this child.

EMS 130
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Pulsara Around the World - August 2024

Pulsara

June & July Recap After exhibiting at four trade shows in June, our event schedule dropped off in July. Things will kick back into high gear again as we near the end of summer and the beginning of fall, so you'll have plenty of opportunities to catch Team Pulsara out on the road. Before we get too far ahead of ourselves, let's take a look at the past few months.

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NVFC Comments on OSHA’s Proposed Emergency Response Standard; Public Hearing Announced

NVFC

On July 16, the National Volunteer Fire Council (NVFC) submitted its public comments regarding the Occupational Safety and Health Administration’s (OSHA) proposed Emergency Response Standard. View the NVFC’s comments here. The public comment period on the proposed standard concluded on July 22. OSHA will hold a virtual public hearing on the proposed standard in November and is now accepting written requests to testify.

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HIV Made Simple: Facts and Awareness

Paramedics World

Welcome to our comprehensive guide on Human Immunodeficiency Virus (HIV), a topic that is crucial for understanding and raising awareness about this important health issue. Whether you’re looking to educate… The post HIV Made Simple: Facts and Awareness appeared first on Paramedics World.

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Imaging Case of the Week 596 Answer

EMergucate

Monteggia fracture-dislocation.

EMS 130
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Is Shift Work Shortening your Life?

EMOttawa

Social media headlines and evolving literature have highlighted the abysmal life expectancy of emergency room doctors. For example, Dr. Ken Milne, the creator behind The Skeptics Guide to Emergency Medicine, recently shared this post on sobering life-expectancy data for ER physicians. In this post, we delve into the contributing factors to the increased mortality […] The post Is Shift Work Shortening your Life?

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Homelessness and Health: EMTs on the Streets

Unitek EMT

How EMTs are bridging gaps in healthcare for the homeless. In cities across the United States, over 580,000 people experience homelessness on any given night, with many facing severe healthcare challenges that go largely unmet, according to the U.S. Department of Housing and Urban Development’s (HUD) Annual Homeless Assessment Report (AHAR) to Congress (2020).

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Inside ADHD: Insights and Strategies for Success

Paramedics World

Welcome to our comprehensive guide on Attention-Deficit/Hyperactivity Disorder (ADHD)! If you’ve ever wondered what exactly ADHD is, how it’s diagnosed, or what treatment options are available, you’re in the right… The post Inside ADHD: Insights and Strategies for Success appeared first on Paramedics World.

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Don’t miss events at APCO 2024

FirstNet Authority

Don’t miss events at APCO 2024 Blog joseph.rey@fir… Thu, 08/01/2024 - 09:48 By Jennifer McIntyre, Senior Public Safety Advisor, First Responder Network Authority Learn more about how FirstNet is transforming public safety communications — contact your local FirstNet Authority Public Safety Advisor and sign up for our discipline newsletters. Follow us on Twitter , Facebook , Instagram , and LinkedIn for the latest FirstNet Authority updates.

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Respiratory Emergencies: Abnormal Respiratory Patterns and What They Indicate

SSCOR

You can tell a lot in the first few seconds of patient contact. Your initial survey begins the moment you step on scene. For example, there’s that “difficulty breathing” call that comes in the wee hours of the morning to an assisted-living residence you’ve responded to on countless occasions.

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Optimal Timing for Life-Saving Procedures in Critical Care: Finding the Goldilocks Moment

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed "Time Critical: Information Light" decision-making is vital in emergency medicine, requiring swift actions with minimal data. However, uncertainty decreases over time as more information becomes available. The post Optimal Timing for Life-Saving Procedures in Critical Care: Finding the Goldilocks Moment appeared first on St.Emlyn's.

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Meningitis Decoded: Condition, Symptoms, Causes, and Treatment Explained

Paramedics World

Picture this: you wake up feeling a bit under the weather, only to realize that something more serious might be at play. Meningitis – a word that sounds daunting but… The post Meningitis Decoded: Condition, Symptoms, Causes, and Treatment Explained appeared first on Paramedics World.

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Can you really use a Slishman traction splint on a patient with both a femur fracture and a pelvic fracture?

FOAMfrat

I recently saw some inquiries on social media asking for more information on the claims that the Slishman traction splint can be used on a patient who has both a femur and pelvic fracture. This conversation also came up on shift a few days ago, so I reached out to the inventor, Dr. Sam Slishman, and asked if he could write a short article on the thought process and physics behind this claim.

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EMCrit 380 – Acid Base Part VIII – Tris-Hydroxymethyl Aminomethane (THAM) for Acidosis

EMCrit Project

Is THAM the better bicarb? Find out in this jam-packed episode in the acid base series. EMCrit Project by Scott Weingart, MD FCCM.

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Tracheotomy Suctioning Procedure: What You Need to Know

SSCOR

Here’s what you need to know about the tracheotomy suctioning procedure.

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Cracking the Code: The Complete Guide to Migraines

Paramedics World

Are you tired of the pounding pain, sensitivity to light, and nausea that come with migraines? You’re not alone. Migraines affect millions of people worldwide, impacting their quality of life… The post Cracking the Code: The Complete Guide to Migraines appeared first on Paramedics World.