Sat.May 11, 2024 - Fri.May 17, 2024

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Transcutaneous Pacing: Part 2

EMS 12-Lead

TCP in the ROSC Patient: False Electrical Capture at 75mA Josh Kimbrell, NRP @joshkimbre Judah Kreinbrook, EMT-P @JMedic2JDoc This is the second installment of a blog series showing how transcutaneous pacing (TCP) can be difficult and how you can improve your skills. We will be using redacted information from different cases where paramedics attempted TCP in the field.

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Ep 194 Subarachnoid Hemorrhage – Recognition, Workup and Diagnosis Deep Dive

Emergency Medicine Cases

Anton is joined by the world's leading EM researcher in subarachnoid hemorrhage diagnosis Dr. Jeff Perry and EM-Stroke team clinician Dr. Katie Lin for a deep dive into why we still miss this life-threatening diagnosis, the key clinical clues, proper use of decision tools, indications for CT, indications for CTA, indications for LP and CSF interpretation for the sometimes elusive diagnosis of subarachnoid hemorrhage.

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EMS.gov | EMS Day at the Museum and National Mall Event

American Ambulance Association

Join Us for “EMS Day at the Museum” and National Mall Event to Commemorate EMS Week It’s the 50th anniversary of EMS Week and to celebrate this momentous occasion, the Smithsonian National […] The post EMS.gov | EMS Day at the Museum and National Mall Event appeared first on American Ambulance Association.

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PEM POCUS Series: Soft Tissue Ultrasound

ALiEM

Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric soft tissue ultrasonography. Then test your skills on the ALiEMU course page to receive your PEM POCUS badge worth 2 hours of ALiEMU course credit. Take the ALiEMU PEM POCUS: Soft Tissue Quiz Case Goals List the indications of performing a pediatric soft tissue point-of-care ultrasound (POCUS).

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SGEM #439: Go Ninja Go Ninja Go…Home without Replacing the Fingernail

The Skeptics' Guide to EM

Reference: Jain A, et al. Effectiveness of nail bed repair in children with or without replacing the fingernail: NINJA multicentre randomized clinical trial. Br J Surg. March 2023 Date: May 7, 2024 Guest Skeptic: Dr. Brian Lee is a pediatric emergency medicine attending at the Children’s Hospital of Philadelphia and Assistant Professor of Pediatrics at the Perelman School of Medicine at the University of Pennsylvania.

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ECG of the Week – 15th May 2024

EMergucate

The following ECG is from a 30-year-old female who presents with acute severe chest pain and collapse. She is 5 days post-partum.

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ACE Cost Data Collection Newsletter | May 2024

American Ambulance Association

Submit Your GACDS Data By May 31, 2024 Ground Ambulance Organizations with an NPI identified in the Year 3 and Year 4 CMS GADCS selection lists are expected to submit their data to CMS […] The post ACE Cost Data Collection Newsletter | May 2024 appeared first on American Ambulance Association.

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Early repol or anterior OMI?

Dr. Smith's ECG Blog

Chest Pain – Benign Early Repol or OMI? Written by Destiny Folk, MD, Adam Engberg, MD, and Vitaliy Belyshev MD A man in his early 60s with a past medical history of hypertension, type 2 diabetes, obesity, and hyperlipidemia presented to the emergency department for evaluation of chest pain. He reported substernal chest pressure with radiation to his left arm that started at work several hours prior to arrival and had somewhat improved since onset.

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PulmCrit: Why the new study associating piptazo with increased mortality is wrong

EMCrit Project

Piperacillin-tazobactam is an antibiotic that a lot of people love to hate. Combine this with the conservatism that often (rightfully) surrounds drug safety, and it creates a lot of volatility. Before going further, we should review some recent history regarding piptazo. In the early 2010's, a series of retrospective correlational studies found that patients treated […] EMCrit Project by Josh Farkas.

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Life-Assist Unlocks Grant Opportunities for First Responders

American Ambulance Association

The Life-Assist Grant Assistance Program helps First Responders navigate the over 1400 grants available nationwide to pinpoint those tailored to meet their specific needs. Life-Assist offers unlimited and customized grants […] The post Life-Assist Unlocks Grant Opportunities for First Responders appeared first on American Ambulance Association.

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Effect of Bougie Use on First-Attempt Success in Tracheal Intubations: A Systematic Review and Meta-Analysis

EMOttawa

Methodology: 4/5 Usefulness: 3/5 von Hellmann R, et al. Ann Emerg Med. 2024 Feb;83(2):132-144. Question and Methods: Systematic review of 18 studies (12 RCT) of adult patients comparing bougie use vs standard of care in tracheal intubations to evaluate first-attempt success. Findings: Bougie was associated with increased first-attempt intubation success overall (RR 1.11 95%CI 1.06 […] The post Effect of Bougie Use on First-Attempt Success in Tracheal Intubations: A Systematic Review and M

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Why Is Emergency Preparedness Important?

SSCOR

Emergency preparedness is a critical aspect of the job for every medical professional, especially first responders. You’ll be working with people at some of the most difficult times of their lives, often in the wake of immense tragedy or a sudden disaster. Emergency preparedness should guide your work.

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ESO’s Safety Week: Key Insights and Learnings

ESO

ESO kicked off the month of May with its inaugural Safety Week, held from May 6th to May 10th, 2024. The week-long celebration and educational initiative united our organization, emphasizing our collective dedication to improving community health and safety through the power of data. Throughout the week, EMS, hospital, and fire professionals were recognized for their vital roles in keeping our communities safe (and just in time for National Nurses Week, National Hospital Week , and National EMS

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NHTSA | What Are the Potential Applications for AI in EMS?

American Ambulance Association

What Are the Potential Applications for AI in EMS and Transportation? DOT’s Advanced Research Projects Agency – Infrastructure Requests Information What are the potential applications, opportunities and challenges of artificial […] The post NHTSA | What Are the Potential Applications for AI in EMS? appeared first on American Ambulance Association.

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JC – Chat GPT and AI vs Humans in medical assessment – is there a difference?

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed Can ChatGPT write clinical cases and MCQs unrecognisable from those written by humans? The post JC – Chat GPT and AI vs Humans in medical assessment – is there a difference? appeared first on St.Emlyn's.

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MCS Series: ECMO Basics

FOAMfrat

ECMO is rapidly becoming a popular therapy, with more and more hospitals and institutions establishing ECMO programs. With this growth will inevitably come a higher rate of ECMO transfers. EMS providers in the future may even encounter this technology in the field, although in my personal opinion, we are still quite a few years away from this becoming a regular occurrence outside of the hospital environment.

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Tasty Morsels of Critical Care 080 | Pulmonary Hypertension Overview

Emergency Medicine Ireland

Welcome back to the tasty morsels of critical care podcast. This time we’re looking at pulmonary hypertension. Mainly cause I recently had to give a talk on it so it’s fresh in my rapidly diminishing brain cells and thought I should get it all written down before I forget it. We’re going to try it as a 2 parter. Part 1 will cover a broad overview of pulmonary hypertension and part 2 will focus on management strategies for a PH patient in the ICU.

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2024 Medicare Reference Manual E-Book Released

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post 2024 Medicare Reference Manual E-Book Released appeared first on American Ambulance Association.

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EM@3AM: Brainstem Strokes

EMDocs

Authors: Ernesto Hernandez, MD (EM Resident Physician, Advocate Christ Medical Center, Oak Lawn, IL); Jennifer Woodruff, MD (EM Attending Physician, Advocate Christ Medical Center, Oak Lawn, IL) // Reviewed by: Sophia Görgens, MD (EM Physician, Northwell, NY); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Brit Long, MD (@long_brit) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providing an expedited review of clini

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EBM bibliography updates – May 2024

First 10 EM

If you haven’t seen it yet, I have a collection of important evidence based medicine articles that will really help you understand the science behind your medical practice. I constantly update it with new papers I read, and occasionally publish summaries of those updates. This update contains a lot about non-inferiority trials, which is probably […] The post EBM bibliography updates – May 2024 appeared first on First10EM.

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Inside Disaster Day: Pulsara's Perspectives from Texas A&M's Student-Led MCI Drill

Pulsara

While no one wants to think about the probability of an impending disaster, emergency managers and healthcare professionals know that mass casualty incidents are an eventuality. It’s not if they’ll happen, but when. In order to prepare future healthcare professionals for that day, Texas A&M annually hosts the largest student-led disaster exercise in the world: Disaster Day.

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Dermatology in Skin of Colour: Pigment, Perception, and Rash Decisions

EMOttawa

Skin conditions affect approximately one-third of the world’s population and are the 4th most common cause of disease.1,2. As the largest organ in the human body, the skin frequently manifests early signs of various diseases, serving as a pivotal clue in the diagnostic process. Think of Lyme disease as an example: when we recognize the […] The post Dermatology in Skin of Colour: Pigment, Perception, and Rash Decisions appeared first on EMOttawa Blog.

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emDOCs Podcast – Episode 100: Acute Chest Syndrome Part 1

EMDocs

Today on the emDOCs cast with Brit Long, MD ( @long_brit) , we cover acute chest syndrome part 1. Episode 100: Acute Chest Syndrome Part 1 Background SCD is an autosomal recessive condition that results in the formation of hemoglobin S (HbS). HbS has reduced solubility in the setting of hypoxia, leading to sickling of the RBCs. Other causes of sickling: acidosis, dehydration, inflammation, infection, fever, and blood stasis Sickling leads to vascular occlusion, end-organ ischemia, and decreased

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EMCrit 375 – Vasopressors for Early Hemorrhage?

EMCrit Project

Today we talk about the debate over whether to give vasopressors as part of a balanced resuscitation in early exsanguination. EMCrit Project by Scott Weingart, MD FCCM.

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5 FAQs About Nasotracheal Suctioning

SSCOR

Review some frequently asked questions regarding nasotracheal suctioning.

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Dental Emergencies in Children: A Parent’s Guide to Quick Thinking

Paramedics World

When your child faces a dental emergency, it can be as nerve-wracking for you as it is for them. The playgrounds, sports fields, and even the dinner table can become… The post Dental Emergencies in Children: A Parent’s Guide to Quick Thinking appeared first on Paramedics World.

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Southern Region Burn Conference – October 10-13 in Winston-Salem

American Burn Association

Categories Advocacy Burn News MAC Spotlight Media Member Services Organization News Prevention Quality Care Research Return to News & Activities Southern Region Burn Conference History In 1985, the American Burn Association (ABA) established 10 regions in the United States. These regions were patterned after the same regions the American College of Surgeons Committee on Trauma have for their regional organization.

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Data Café Insights: Surgical Repair of Hip Fractures

ESO

Aggregating data from the nation’s largest de-identified medical database, the 2023 ESO Trauma Index reflects insights from over 968,538 hospital records from 596 hospital systems between January 1st and December 31st, 2022. Its goal is to establish best practices to help improve patient care in these essential areas. Join industry experts and Trauma Index authors this and every third Thursday of the month for the ESO Data Café webinar series.

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Special Episode: Dr. Sara Manning Peskin & A Molecule Away from Madness

This Podcast Will Kill You

We live on the edge. Whether we fail to acknowledge it or try not to think of it, that fact remains true for most of us. A chemical shift, a rogue protein, a marauding molecule – our brains are vulnerable to an array of attacks that could dramatically alter our connection with the world and ourselves. In this episode of the TPWKY book club, Dr.

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Fact: Women Experience Addiction Differently Than Men

Paramedics World

For decades, the larger portion of addiction research has been conducted only on men. Only in the 1990s did the government mandate that women be included in addiction research as… The post Fact: Women Experience Addiction Differently Than Men appeared first on Paramedics World.

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Police Encounters and EMS Sedation

Peter Canning

The AP recently published a story about EMS sedation of patients during police encounters — Dozens of deaths reveal risks of injecting sedatives into people restrained by police. I was interviewed for it back in February of 2023, and the final story includes a small quote from me. “I don’t believe he was a candidate for ketamine,” said Connecticut paramedic Peter Canning, who said he supports sedating truly violent patients because they stop fighting and are sleeping by the time they get t

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EMCrit Wee – Intraosseous Device Burr Holes (Craniotomy) with Marc Grossman

EMCrit Project

How to do a scary procedure that must get done. EMCrit Project by Scott Weingart, MD FCCM.

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Adult Ortho Cases 003

Life in the Fastlane

Michael Gibbs MD Adult Ortho Cases 003 Sternal.

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The Gut-Healing Power of Probiotics: A Natural Solution for Bubble Gut

Paramedics World

In the realm of health and wellness, the gut has emerged as a focal point for understanding overall well-being. It’s not just a mere organ responsible for digestion; it’s a… The post The Gut-Healing Power of Probiotics: A Natural Solution for Bubble Gut appeared first on Paramedics World.

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POTUS | A Proclamation on National EMS Week 2024

American Ambulance Association

Whitehouse.gov Post | Share on Facebook | Retweet on X MAY 17, 2024 A Proclamation on National Emergency Medical Services Week, 2024 During National Emergency Medical Services (EMS) […] The post POTUS | A Proclamation on National EMS Week 2024 appeared first on American Ambulance Association.

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REBEL Core Cast 122.0 – Neutropenic Fever

REBEL EM

Take Home Points: There are many causes of neutropenia, chemotherapy being by far the most dangerous. Febrile neutropenia is a condition conveying high mortality. Early administration of antibiotics is the only factor known to reduce this mortality. For a patient with neutropenic fever, remember that the body’s own flora is the greatest danger. Isolate, but do not wait to initiate treatment.

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2024 Safety Stand Down Quiz: Test Your Knowledge of Fire Training Fundamentals

NVFC

In support of this year’s Safety Stand Down campaign, June 16-22, the Safety Stand Down Sweepstakes Quiz is now live, featuring questions that reinforce key messages and practices behind this year’s theme, “Fire Training: Back to Basics.” Each year, the Safety Stand Down campaign and sweepstakes quiz are organized by the International Association of Fire Chiefs’ Safety, Health & Survival Section; the National Volunteer Fire Council; the National Fire Protection Association; the Fire De

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