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As you approach your patient, you hear him snoring and notice the familiar sound of gurgling coming from his mouth. You immediately know you will be working to manage his airwayall within seconds of looking at, listening to, speaking with, and touching the patient. Remember: The first few seconds when you approach your patient will likely give you the most clinical information about your patients condition, bombarding you with information rapidly, sometimes instantaneously.
The Senate Committee on Health, Education, Labor, and Pensions will hold a confirmation hearing for Secretary of Labor nominee Lori Chavez-DeRemer on February 19 starting at 10am ET. If confirmed by the Senate, Chavez-DeRemer would oversee the Occupational Safety and Health Administration (OSHA) and the ongoing development of their proposed Emergency Response Standard.
A guide for EMTs and Paramedics in identifying and managing stroke cases in the field. According to guidelines published by the American Heart Association and American Stroke Association, before 2008, public education campaigns used the “5 Suddens” (sudden weakness, speech difficulty, vision loss, dizziness, severe headache) to help identify a stroke.
We always work hard, but we may not have time to read through a bunch of journals. Its 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: New Meta-analysis Metoprolol vs Diltiazem for A-Fib with RVR Spoon Feed This systematic review of 13 studies found slightly higher rates of adverse events after administration of diltiazem versus metoprolol, when t
This content is for AAA members only. Please either Log In or Join! The post The Douglas K. York Endowed Scholarship: Application Deadline is March 1 appeared first on American Ambulance Association.
By Walter Campbell Recruiting in the volunteer fire and EMS world is no small task. While youre asking your prospective recruits about their motivations, time commitments, and whether they can tell the difference between a Halligan bar and a crowbar, theyre interviewing you just as much. Potential volunteers want to know if your departments culture, opportunities, and leadership align with their passions and priorities.
Emergency medical services (EMS) were called to the home of a 22-year-old woman after a syncopal episode and seizure-like activity. The patient reported consuming plant needles obtained online in a suicide attempt several hours prior. On EMS arrival, the patient was alert, pulse was fluctuating between 40 and 130 beats/min, and manual systolic blood pressure was 60 mmHg.
Workplace fatigue is a common complaint among shift workers. Emergency Medical Services (EMS) personnel work shifts and deliver emergent health care to the acutely ill and injured on the roadside, in patients homes, and other environments. They must deliver this care while under significant time pressure and stress. Fatigue is a threat that is often overlooked by EMS leadership and personnel as just part of the job.
Workplace fatigue is a common complaint among shift workers. Emergency Medical Services (EMS) personnel work shifts and deliver emergent health care to the acutely ill and injured on the roadside, in patients homes, and other environments. They must deliver this care while under significant time pressure and stress. Fatigue is a threat that is often overlooked by EMS leadership and personnel as just part of the job.
This content is for AAA members only. Please either Log In or Join! The post The Commission on Accreditation of Ambulance Services Launches ANSI-Approved CAAS Standards Version 4.0 appeared first on American Ambulance Association.
A pre-post study conducted in North Carolina compared multi-dose epinephrine with single-dose epinephrine in adult non-traumatic out-of-hospital cardiac arrest (OHCA) patients. The authors concluded that patients with bystander CPR and a shockable rhythm who received only a single dose of epinephrine had a higher survival rate to hospital discharge compared to those who did not receive bystander CPR and had multiple doses of epinephrine.
In a perfect world, a patient will be sedated before intubation, but as emergency care providers know, conditions are not often optimal and other approaches are necessary.
World Caf-Mediated Contribution of Prehospital Practitioners in Ireland to the First Official National Guidance Regarding Continuous Professional Competence Author: Shane Knox, PhD, MSc HDip, Advanced Para, MCPara, Assoc. CIPD Associate Authors: Suzanne Dunne, PhD, Colum P. Dunne, PhD IntroductionThere was no regulatory requirement for prehospital practitioners in Ireland to provide evidence of competence, or any link between competence and registration to practice.
Michael Gibbs MD Neuroimaging Cases 008 Intraventricular rupture of brain abscess (IVROBA). Second in our Neuroimaging case study series with Teresa Crow, Troy Carnwath, Scott DiMeo, L.
Spencer puts Chris in the hotseat with an. anxiety call? Does Chris wind up being a big rockstar or will he never make it as a wise man? Check out @ems2020show on Instagram and VOTE! Spencer puts Chris in the hotseat with an. anxiety call? Does Chris wind up being a big rockstar or will he never make it as a wise man? Check out @ems2020show on Instagram and VOTE!
Eating disorders have the highest mortality rate of any psychiatric illness, yet they are frequently missed in the Emergency Department as they can be elusive. Only one in 246 patients who screen positive for an eating disorder at triage have a chief complaint suggesting it. These patients dont always fit the stereotypemany appear healthy, have normal BMI, or present with vague GI, cardiac, or neurological symptoms.
An accurate assessment maximizes CPAP's effectiveness By Kenny Navarro Arguably, airway management is one of the most important interventions provided by emergency medical service personnel. Despite the allegiance to endotracheal intubation as a gold standard of airway control, endotracheal tube placement during acute exacerbation of various respiratory conditions comes with a significant increase in complications and mortality (Keenan, Sinuff, Cook, & Hill, 2004).
We learn about the Vortex approach to airway management, as well as airway algorithms and mental models in general, with Vortex creator and anesthesiologist Dr. Nicholas Chrimes, anaesthetist and cofounder of the Safe Airway Society. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! References We learn about the Vortex approach to airway management, as well as airway algorithms and mental models in general, with Vortex creator and anesthesiologist Dr.
On this month's ECG Cases, Dr. Jesse McLaren explains how STEMI criteria can be false positive with large scale QRS and proportional ST elevation, or false negative with low/normal scale QRS and disproportionate ST elevation and hyperacute T waves, and that rules for subtle occlusion using proportionality can help differentiate LBBB with or without Occlusion MI, or LV aneurysm vs anterior STEMI with Q waves.
by Chris Colwell, MD; Paul Murphy, MA, MSHA; & Tamara Bryan, BS, EMT-P On Mar 1, 2004 A variety of anatomic and physiologic changes occur during pregnancy. In most cases, there is minimal impact on the mother's health. However, there is the possibility that EMS providers will be called to assist a pregnant female.1 Managing the pregnant patient can present unique challenges.
Date: February 11, 2025 Dr. Ross Prager Guest Skeptic: Dr. Ross Prager is an Intensivist at the London Health Sciences Centre and an adjunct professor at Western University. His expertise in critical care medicine is complemented by his research interests in critical care ultrasound and evidence-based knowledge translation. This is another SGEM Xtra.
St.Emlyn's - Emergency Medicine #FOAMed Background Resuscitative hysterotomy, also known as perimortem caesarean section, is a high-stakes, time-critical intervention performed in pregnant women who experience cardiac arrest. It’s also one of the most daunting HALO […] The post Maternal and Neonatal Outcomes Following Resuscitative Hysterotomy for OHCA.
Whether your program is primarily 9-1-1, interfacility transport (IFT), or a combination of both, the likelihood of being responsible for the safe and expeditious transport of a STEMI patient is high for anyone in the out-of-hospital care setting. Minutes matter with critical interventions such as percutaneous intervention (PCI), and when time is of the essence for these patients, there are a few things that are probably not in your protocol that you can do to save time during handoff to the Cat
Two Dublin paramedics, running in Rays Half Million half marathon recently, didnt expect to be faced with a cardiac arrest at the finish line. But thats just what happened when father of three Peter Carolan collapsed and almost died after completing the Ray DArcy Half Million Half Marathon on Good Friday. This morning, Peters wife Alice joined Ray DArcy in studio to thank the two men who saved her husbands life.
January marked the start of the 119th Congress, and with that the expiration of all bills not signed into law during the last Congress. Many bills have already been re-introduced in the new Congress, including three bills that impact the emergency services and are supported by the National Volunteer Fire Council (NVFC): Honoring Our Fallen Heroes Act (H.R. 1269/S. 237), Setting Consumer Standards for Lithium-Ion Batteries Act (H.R. 973/ S. 389), and High-Rise Fire Sprinkler Incentive Act (H.R. 1
St.Emlyn's - Emergency Medicine #FOAMed The St Emlyns podcast delves into moral injury in healthcare with Dr. Caroline Leech. Learn how repeated exposure to ethical dilemmas leads to distress and explore strategies to mitigate its impact on clinicians. The post Podcast – Moral Injury with Caroline Leech at Tactical Trauma 24 appeared first on St.Emlyn's.
This is what the providers in the ED understood on patient arrival: Patient called 911 for syncope, then had witnessed PEA arrest after medics arrived. Not a shockable rhythm. Resuscitated with chest compressions, epinephrine. Here is the written paramedic report available after all the events were over: Patient was seen by witnesses to become unresponsive.
BY WILLIAM E. "GENE" GANDY, JD, LP AND STEVEN "KELLY" GRAYSON, NREMT-P, CCEMT-P ON APR 5, 2011 It has been said the eyes are the windows to the soul. In emergency medicine, much can be learned from a routine eye examination. This article will review both techniques and evaluation of findings. Scenario You arrive at a local nursing home to care for a patient who has become unresponsive.
Heres another case from Medical Malpractice Insights Learning from Lawsuits , a monthly email newsletter for ED physicians. The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. To opt in to the free subscriber list, click here. Stories of med mal lawsuits can save lives.
St.Emlyn's - Emergency Medicine #FOAMed This week I read a great article in the EMJ by Dan Horner and Rich Carden on new resuscitation targets. notably the use of diastolic blood pressure. DBP is the […] The post Is Diastolic Blood Pressure the New Resuscitation Target appeared first on St.Emlyn's.
A 29-year-old Hispanic American man with no significant medical history presented to the emergency department (ED) with a progressively worsening respiratory and systemic illness. His symptoms had begun two weeks prior, initially as a mild cough, congestion, and shortness of breath. About one week later, he started experiencing generalized body aches, nausea, and vomiting.
Bruce Evans, MPA, NREMT-P | From the August 2008 Issue | Sunday, August 17, 2008 JEMS Couse Objectives >>Review the anatomy and physiology of the eye. >> Describe the prehospital assessment and management of eye injuries. >> Discuss injury prevention as it relates to the eye. Engine 94 and Rescue 94 respond to a popular sports complex known for housing large softball tournaments.
Two-liner A look at the evolving concept of venous congestion and the haemodynamic assessment in critically ill children and adults. The literature exploring its nuances continues to grow in adults but remains poorly understood in paediatric populations.[1] Fred is a 3-year-old boy who presents to the emergency department. He was previously healthy and presented with a 3-day history of cough, fevers, low appetite, and decreased energy.
The answer is at the bottom, and illustrated by this case. Written by Willy Frick A man in his mid 30s with type 1 diabetes presented with two days of midsternal and epigastric pain, described as both "sharp" and squeezing." There was associated nausea, vomiting, and dyspnea. He said the pain was worse with supination and improved with upright posture.
Authors: Lloyd Tannenbaum, MD (EM Attending Physician, Geisinger Wyoming Valley, PA) // Reviewer: Brit Long, MD (@long_brit) Hello and welcome back to ECG Pointers, a series designed to make you more confident in your ECG interpretations. This week, we feature a post from Dr. Tannenbaums ECG Teaching Cases , a free ECG resource. Please check it out.
[one_half] Why join ICoP? We welcome all Practitioners to use the ICoP as a platform for the development of paramedicine and the pre-hospital emergency care profession. ICoP is for all registered practitioners and those allied professionals with an interest in pre-hospital care.
What does your program offer that residents cant get anywhere else? The University of Utah Emergency Medicine program offers exceptional training due to our large catchment area and rotations at both rural/underserved sites and two Level 1 trauma centers. We support our residents individual journeys and know no two residents are the same. We offer elective time in both PGY2 and PGY3 years to allow residents to further customize their training experience.
Written by Willy Frick A man in his 50s with COPD presented with dizziness and hypotension. He had worked overnight the night before and presented to the hospital after his shift. His first recorded blood pressure was 88/53 mm Hg. Here is his presenting ECG: What do you think? The ECG shows sinus rhythm. The T waves are suspiciously symmetric, but not hyperacute looking.
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