Emergency Medicine Cases

JULY 30, 2024

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 231

EMS ED 231

Core EM

AUGUST 1, 2024

- 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

OR 196

OR Critical Care 196

The Skeptics' Guide to EM

JULY 27, 2024

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.

ICU 187

ICU ALS Ambulance OR 187

Pediatric EM Morsels

AUGUST 2, 2024

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.

Allergic Reaction 152

Allergic Reaction OR EMS 152

American Ambulance Association

JULY 31, 2024

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.

Ambulance 130

Ambulance EMS 130

Core EM

AUGUST 1, 2024

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.

Emergency Department 130

Emergency Department ED OR 130

Emergency Medicine Cases

JULY 30, 2024

As a profession, we suck at compassion as it is trained out of us through medical school and beyond. Compassion in not simply innate; like any behaviour, it can be learned through deliberate practice. There is evidence that compassion may improve morbidity and/or mortality in patients after trauma, cardiac events, cancer, diabetes, back pain, migraine headache and other conditions, prevent physician burnout and reduces rates of medical error, reduce the rates of patient complaints and litigation

OR 130

OR EMS 130

American Ambulance Association

JULY 31, 2024

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

EMS Ambulance Emergency Medical Technician 130

Critical Care Scenarios

JULY 31, 2024

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 !

100

100

St. Emlyn's

AUGUST 1, 2024

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.

Critical Care 118

Critical Care OR 118

EMergucate

JULY 29, 2024

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

130

130

NVFC

JULY 30, 2024

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.

Firefighter 111

Firefighter Heart Attack First Responder EMS 111

Dr. Smith's ECG Blog

AUGUST 2, 2024

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?

STEMI 109

STEMI ALS OR 109

First 10 EM

JULY 29, 2024

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.

OR 107

OR 107

EMergucate

AUGUST 2, 2024

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

EMS 130

EMS 130

NVFC

JULY 30, 2024

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

Firefighter 111

Firefighter Emergency Response 111

Paramedics World

AUGUST 2, 2024

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.

Paramedic 98

Paramedic 98

St. Emlyn's

JULY 30, 2024

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.

104

104

EMergucate

JULY 30, 2024

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

EMS 130

EMS 130

NVFC

AUGUST 1, 2024

$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.

Firefighter 98

Firefighter First Responder OR EMS 98

Paramedics World

AUGUST 2, 2024

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.

Paramedic 98

Paramedic 98

Pulsara

AUGUST 1, 2024

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.

ED 92

ED 92

EMergucate

AUGUST 2, 2024

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

EMS 130

EMS 130

NVFC

JULY 30, 2024

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.

Emergency Response 98

Emergency Response OR 98

Paramedics World

AUGUST 1, 2024

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.

Paramedic 98

Paramedic 98

SSCOR

JULY 27, 2024

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.

90

90

EMergucate

AUGUST 2, 2024

Monteggia fracture-dislocation.

EMS 130

EMS 130

Unitek EMT

JULY 31, 2024

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).

EMT 78

EMT EMT EMS 78

Paramedics World

AUGUST 1, 2024

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.

Paramedic 98

Paramedic OR 98

EMOttawa

AUGUST 1, 2024

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?

EMS 77

EMS 77

FirstNet Authority

AUGUST 1, 2024

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.

Public Safety 72

Public Safety First Responder OR 72

SSCOR

AUGUST 1, 2024

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

105

105

Paramedics World

JULY 30, 2024

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.

Paramedic 98

Paramedic 98

FOAMfrat

JULY 28, 2024

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.

OR 65

OR 65

St. Emlyn's

AUGUST 1, 2024

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.

Critical Care 65

Critical Care 65

EMCrit Project

JULY 29, 2024

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

72

72

Paramedics World

JULY 29, 2024

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.

Paramedic 98

Paramedic 98