Sat.Aug 20, 2022 - Fri.Aug 26, 2022

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What Lies Beneath

EMS 12-Lead

David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Expert commentary and peer review by Dr. Jesse McLaren @ECGcases [link] [link] This case was kindly submitted by Dr. Paco Dardon (@PacoDardon), and it’s a privilege to present it as a formal review due to the many pathophysiological, and electrophysiological, phenomenon at play.

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SGEM Xtra: Are tPA Stroke Trials Really Fragile?

The Skeptics' Guide to EM

Date: August 18th, 2022 Reference: Munn et al. Fragility Index Meta-Analysis of Randomized Controlled Trials Shows Highly Robust Evidential Strength for Benefit of The post SGEM Xtra: Are tPA Stroke Trials Really Fragile? first appeared on The Skeptics Guide to Emergency Medicine. Date: August 18th, 2022 Reference: Munn et al. Fragility Index Meta-Analysis of Randomized Controlled Trials Shows Highly Robust Evidential Strength for Benefit of <3 Hour Intravenous Alteplase.

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Magnetic Microrobots Assist with Root Canal Treatment

Medgadget

Researchers at the University of Pennsylvania have developed a microrobot system that can help with biofilm disruption, drug delivery, and sample retrieval, all within the restrictive space of the root canal. It can be difficult for dentists to know if they have removed all the infectious material when performing a root canal, and failure to do so will typically result in an infection reoccurring.

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TIRBO #16: Are PAs as good as doctors?

Critical Care Scenarios

How do PAs and other APPs compare with physicians in the clinical context? How do PAs and other APPs compare with physicians in the clinical context?

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Lab case 377

EMergucate

54-year-old asthmatic patient presented with multiple episodes of vomiting. Her pulse-rate was 110 and blood pressure was 96/54.

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EMCrit 331 – Awareness after Resus RSI and ICU Paralysis – It is Unacceptable!!!

EMCrit Project

It is unacceptable to have the rates of Awareness during Paralysis seen in a recent ED sedation study--We are better than this. EMCrit Project by Scott Weingart, MD FCCM.

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Smart Socks Help Prevent Falls Among At-Risk Patients

Medgadget

Researchers at the Ohio State University Wexner Medical Center have tested the PUP (Patient is Up) Smart Socks, developed by a medtech company called Palarum , in their ability to reduce falls among at-risk patients. The socks contain pressure sensors that alert caregivers when a patient is attempting to stand up. This can include situations such as a patient getting out of bed to go to the toilet.

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Lab case 376 interpretation

EMergucate

Answers: Question 1: Colour is clear and colourless, that is usually normal or viral meningitis.

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PEC podcast: Episode 117 Deep Dive of Prehospital perspectives on End of Life OMD

Prehospital Emergency Care Podcast

PEC podcast Deep Dive In this episode our PEC Podcast team talks in detail about the manuscript: Prehospital Providers’ Perspectives about Online Medical Direction in Emergency End-of-Life Decision with the authors: Michael Waldrop MD Clinical Instructor of Emergency Medicine Albany Medical College & Brian Clemency DO Professor of Emergency Medicine State University of New York at Buffalo Click here to download it today!

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EEG Caps for Brain Organoids

Medgadget

Researchers at Johns Hopkins University have created tiny EEG caps for brain organoids. The team was inspired by full size EEG caps that are used to measure brain activity in human patients. Previously, the Hopkins researchers were forced to use flat electrode arrays that were originally designed to take recordings from cell monolayers, but applying a flat surface to a round organoid only results in measurements from a handful of cells that make full contact.

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Prehospital Ketamine Use in Pediatrics

Handtevy

The primary focus of the study was to understand the characteristics of pediatric patients who received ketamine during EMS transports and to assess the effectiveness, dosing deviations, and potential adverse outcomes. Background: Ketamine, developed in 1962, has been widely used for pediatric sedation in emergency departments before painful procedures.

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Risk of vibrations in the ambulance. How to reduce secondary damage for transport

Stem EMS

One of the most complex and at the same time least treated topics during the training courses for rescuers is undoubtedly the secondary damage for transport, i.e. all the alterations […] L'articolo Risk of vibrations in the ambulance. How to reduce secondary damage for transport proviene da Stem Ems.

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Chicago Office NOW OPEN!

First Responders Wellness Center

FRWC now has a Chicago office location at 1412 W. Washington 2nd floor Chicago IL. The location is at the Chicago FOP building on the second floor. We maintain confidentiality. We hope to provide more services for Chicago Police officers due to the amount of stressors, lack of time off, and feelings of a lack of support from others. Contact us at 630-909-9094.

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Episode 89: A Thriving Wage with Greg Friese

The Overrun Podcast

Greg Friese is the Editorial Director of EMS1.com among other things. He brings a very interesting view of how EMS providers should be compensated for the work they do. In January of 2022, he wrote a piece discussing the importance of EMS providers not just receiving a living wage, but rather for EMS workers to make much greater than a living wage. He recently wrote about the dismal raise that Austin EMS providers received to provide a voice to workers who felt voiceless.

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5 Days with Hazzard

Medic Mindset

Kevin Hazzard reflects on a TV show which is based on a book called “ 5 Days at Memorial ” by Sheri Fink. In this story, the characters are faced with impossible challenges inside a hospital in the days after Hurricane Katrina. There are many parallels between what they experienced and what out-of-hospital paramedics are presented every day.

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NeuroEMCrit – 31 #NeuroPostItPearls

EMCrit Project

A multiplicity of neuro tips. EMCrit Project by Casey Albin.

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EMT Certification Course Requirements & Applications: Staten Island, NY

TIMER

The New York Bureau of EMS is in charge of overseeing New York’s EMS personnel (BEMS). New York has had its own educational and testing system that is based primarily on federal standards. Students in New York take a very different qualifying examination than trainees in the majority of this country. In many situations, reciprocity may be awarded.

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Small Health Improvements

A Paramedic's Notebook

At some point in one’s thirties, you become aware that you cannot rely on your body to bounce back as it once did after your poor decisions. It becomes harder to ignore the signals from your body telling you that not sleeping enough, not maintaining healthy maintenance habits, and indulgences cause harm to the body. It’s as if your body used to quietly repair the damage but now it makes sure you know what you are doing is stupid and bad for you in the long run.

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Mining Ultrasound Data to Improve Liver Diagnostics: Interview with Beth Rogozinski, CEO at Oncoustics

Medgadget

Oncoustics , a medtech company based in Ontario, Canada, developed the OnX Liver Assessment Solution, an AI-powered ultrasound-based diagnostic system for liver disease. At present, detecting liver disease is a challenge, potentially involving high-end imaging systems, specialists, and invasive biopsies. These challenges, and the related expense, can limit patient access to such testing for those with strong indications of liver disease.

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