American Ambulance Association
FEBRUARY 8, 2024
This content is for AAA members only. Please either Log In or Join! The post OHSA Notice of Proposed Rule Making (NPRM) Emergency Response Standard appeared first on American Ambulance Association.
ALiEM
FEBRUARY 5, 2024
Welcome to the AIR Toxicology Module! After carefully reviewing all relevant posts in the past 12 months from the top 50 sites of the Digital Impact Factor [1], the ALiEM AIR Team is proud to present the highest quality online content related to related to toxicology in the Emergency Department. 8 blog posts met our standard of online excellence and were approved for residency training by the AIR Series Board.
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The Skeptics' Guide to EM
FEBRUARY 3, 2024
Reference: Curry SD, et al. Systematic Review of CT Angiography in Guiding Management in Pediatric Oropharyngeal Trauma. Laryngoscope. March 2023 Date: January 30, 2024 Guest Skeptic: Dr. Alexandra (Ali) Espinel is an Associate professor of pediatrics and otolaryngology at Children’s National Hospital and George Washington University. She is also the director of the Pediatric Otolaryngology […] The post SGEM #429: It’s CT Angio, Hi.
EMergucate
FEBRUARY 4, 2024
A police recruit doing a 20 km pack hike. Collapsed. GCS on arrival was 7. His temperature was 39.2 on arrival. His venous blood gases showed the following: PH = 7.
American Ambulance Association
FEBRUARY 7, 2024
Dear Ground Ambulance Providers and Suppliers, Starting January 1, 2024, selected ground ambulance organizations in Year 3 and Year 4 are required to report cost, utilization, revenue, and other information to CMS. Organizations that […] The post CMS Updates GADCS User Guide | Feb 29 Office Hours appeared first on American Ambulance Association.
Critical Care Scenarios
FEBRUARY 7, 2024
How to document your ultrasound findings. Find us on Patreon here! Buy your merch here! How to document your ultrasound findings. Find us on Patreon here! Buy your merch here!
St. Emlyn's
FEBRUARY 6, 2024
St.Emlyn's - Emergency Medicine #FOAMed This week I am in Zermatt, Switzerland for ‘The Big Sick’ conference. This is something I have been looking forward to years, but major heart surgery (valves not pipes) and […] The post Top resus papers for TBS. St Emlyn’s appeared first on St.Emlyn's.
Paramedicine Now brings together the best content for paramedicine professionals from the widest variety of thought leaders.
American Ambulance Association
FEBRUARY 7, 2024
From the Journal of Emergency Medical Services on February 1, 2024 Why are females and individuals who identify as Black, indigenous and/or People of Color underrepresented in EMS? Knolan Rawlins, […] The post JEMS | Adapting to Survive EMS Workplace Shortages, Part I appeared first on American Ambulance Association.
EMergucate
FEBRUARY 6, 2024
The following chest x-ray is from an adult with cough and fever. What can be seen?
Life in the Fastlane
FEBRUARY 8, 2024
Sheralyn Guilleminot and Mike Cadogan AI-Assisted Learning and Teaching AI-assisted learning and teaching is an often-overlooked use of artificial intelligence in medicine! Here are 4 ways to do it.
First 10 EM
FEBRUARY 5, 2024
In the Rapid Review series, I briefly review the key points of a clinical review paper (which often extends to multiple papers because I can’t help myself). The topic this time: Propofol Related Infusion Syndrome (PRIS). Like many rapid review topics, this was chosen for my own education because I have next to no experience […] The post Propofol Related Infusion Syndrome (PRIS) appeared first on First10EM.
American Ambulance Association
FEBRUARY 7, 2024
The U.S. Department of Health and Human Services Office of the Administration for Strategic Preparedness and Response (ASPR) and Project ECHO have launched this program designed to create peer-to-peer learning […] The post HHS/ASPR Project ECHO Clinical Readiness Rounds are Returning appeared first on American Ambulance Association.
EMergucate
FEBRUARY 4, 2024
Answers: PH = 7.391, that is within the normal range, slightly to the acidic side. pCO2 = 57 mmHg, that is high. So we have respiratory acidosis.
Dr. Smith's ECG Blog
FEBRUARY 9, 2024
Written by Jesse McLaren A 65 year old with a history of atrial flutter, CABG and end-stage renal disease on dialysis presented with 3 days of fluctuating chest pain, which was ongoing at triage. What do you think? Do you need posterior leads? There’s atrial flutter with controlled ventricular response, a non-specific intra-ventricular conduction delay, borderline right axis, normal R wave progression and normal voltages.
The EMS Educator
FEBRUARY 9, 2024
Could your next work partner be… Australian? If some folks in California have their way, the answer is yes. Working to solve the ongoing staffing shortage, a group of innovative EMS leaders in California and Australia are thinking differently: bringing well-trained EMS clinicians from Australia to join the U.S. ranks. How do they do it? Hosts Rob Lawrence and Hilary Gates interview the impressive cast of characters.
FOAMfrat
FEBRUARY 3, 2024
[link] Most transport programs & hospitals have a "max dose" for pressors. When we think of a maximum dose for medications, typically, one of two things will happen when you approach that dose. No further benefit Negative effect There is another reason max doses are put in place, and it may have nothing to do with ceiling effects or harmful doses.
Paramedics World
FEBRUARY 7, 2024
Few things in the world can get you down like losing your teeth does. You lose your smile, become self-conscious, and might even lose your confidence in the process. Not… The post Comparing Dentures, Bridges, And Implants For Replacing Missing Teeth appeared first on Paramedics World.
Dr. Smith's ECG Blog
FEBRUARY 6, 2024
Written by Pendell Meyers A teenager was involved in a motor vehicle collision and presented to the Emergency Department via EMS altered and potentially critically ill. He was intubated for altered mental status. Chest trauma was suspected on initial exam. Here is his initial ECG around 1330: What do you think? The ECG shows sinus tachycardia with RBBB and LAFB, without clear additional superimposed signs of ischemia.
Life in the Fastlane
FEBRUARY 4, 2024
Oliver Flower EVACUATE: ICH Management Amal Abou-Hamden discusses intracerebral haemorrhage (ICH), and the history of management of surgical management of ICH including the STICH1, STICH2 and EVACUATE trial
SSCOR
FEBRUARY 3, 2024
Here are a few questions for all you paramedics out there: When was the last time you decompressed a tension pneumothorax? How many surgical airways have you performed? Have you ever delivered a baby in the prehospital setting? And how many times have you performed a rapid sequence intubation?
REBEL EM
FEBRUARY 7, 2024
Take Home Points Infections are a leading cause of maternal mortality worldwide. Prompt recognition is critical in management. Most infectious processes will require admission and close observation for improvement or decompensation. REBEL Core Cast 117.0 – Infections of Pregnancy Click here for Direct Download of the Podcast Urinary Tract Infection/Pyelonephritis Epidemiology: Occurs in as many as 15% of pregnant women and between 20-40% of pregnant women with asymptomatic bacteriuria will
EMDocs
FEBRUARY 7, 2024
Author: Ryan Leone, MSc, Medical Student at Columbia University // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) What’s the issue? Across several sectors, labor strikes and unionization were prominent throughout the last year. Despite a plateau in overall union membership of around 10% in 2023 1 , major labor actions shook the U.S. and gained national attention, including high-profile strikes by the United Auto Workers (UAW), the Screen Actors Guild – American F
EMCrit Project
FEBRUARY 9, 2024
The acute crit care med rec EMCrit Project by Scott Weingart, MD FCCM.
EMOttawa
FEBRUARY 8, 2024
Abortion history in Canada is Complex. Countless hardships were overcome on the long journey to the legalization of medical induced abortion (IA). This blog post will focus on what you need to know as an acute care provider. Context: Unsafe abortions are the leading preventable causes of maternal death and morbidity (4.7-13.2% of maternal deaths). […] The post Abortion Care in the Emergency Department appeared first on EMOttawa Blog.
The Bottom Line
FEBRUARY 7, 2024
What’s new in the Critical Care literature – monthly updates
EMDocs
FEBRUARY 7, 2024
Today on the emDOCs cast with Jess Pelletier and Brit Long, we discuss the GLP-1 agonist craze, complications, and medication compounding. Episode 94: GLP-1 Agonist Complications Background: GLP-1 agonists are used for weight loss and diabetes; include the following: Semaglutide (Wegovy) GLP-1 agonist FDA approved for weight loss by SQ injection Liraglutide (Saxenda) GLP-1 agonist FDA approved for weight loss by SQ injection Semaglutide (Ozempic) GLP-1 agonist FDA approved for type 2 diabetes by
FirstNet Authority
FEBRUARY 9, 2024
Super-sizing safety communications for the Big Game Blog michelle.fordi… Fri, 02/09/2024 - 17:51 By Margaret Harding McGill, NTIA Senior Advisor for Public Affairs, Michael Varney, FirstNet Authority Director of Stakeholder Collaboration 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.
SSCOR
FEBRUARY 8, 2024
It’s important to regularly reevaluate your team’s knowledge of common bleeding disorders, their symptoms, and the unique challenges they present for EMS personnel during airway suctioning and treatment.
NVFC
FEBRUARY 8, 2024
The National Volunteer Fire Council (NVFC) is asking all first responders to participate in a survey to measure the influence of our health and safety programming. The survey should take no more than 10 minutes to complete and will be used to help increase the effectiveness of the NVFC’s health and safety initiatives and better serve volunteers across the country.
CanadiEM
FEBRUARY 6, 2024
Venus is a 29-year-old female who presents to the ED with tremor and diaphoresis. You learn that she has presented to the ED with similar symptoms before, and has a 5yr history OUD, using about 5 points (0.5 g) a day. She has no other medical conditions and blood work is within normal limits. Venus is tachycardic at 105 bpm, with dilated pupils, piloerection, slight tremors, and flushed face.
FirstNet Authority
FEBRUARY 6, 2024
Kansas uses cutting-edge technology to enhance 911 services Blog joseph.rey@fir… Tue, 02/06/2024 - 11:39 By John Hunt, 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.
NAEMSP
FEBRUARY 6, 2024
Article by Karlee De Monnin CASE During my first ambulance ride-along as a fourth-year medical student on an EMS elective, my unit responded to a call for abdominal pain. On arrival to the apartment building, we stepped inside to find a tearful, but otherwise well-appearing young woman lying on the floor of her living room. She was an otherwise healthy 23-year-old who called us for abdominal pain and vomiting.
ACEP Now
FEBRUARY 6, 2024
Point: A Less Than Glowing Interpretation of Urine Fluorescence by Jessica Shenoi, MD; Michael E. Mullins, MD; and Ari B. Filip, MD We disagree with Dr. Hack’s recommendation for examining urine under ultraviolet (UV) light for suspected ethylene glycol ingestions. 1 This test is inherently unreliable with poor sensitivity, specificity, and accuracy (49 percent, 75 percent, and 59 percent, respectively). 2 Parsa, et al. found 100 percent of pediatric urine specimens fluoresced even in the absenc
CanadiEM
FEBRUARY 6, 2024
Venus is a 29-year-old female who presents to the ED with tremor and diaphoresis. You learn that she has presented to the ED with similar symptoms before, and has a 5yr history OUD, using about 5 points (0.5 g) a day. She has no other medical conditions and blood work is within normal limits. Venus is tachycardic at 105 bpm, with dilated pupils, piloerection, slight tremors, and flushed face.
Don't Forget the Bubbles
FEBRUARY 5, 2024
Can’t get enough of Bubble Wrap? The Bubble Wrap Plus is a monthly paediatric Journal Club reading list from Professor Jaan Toelen (University Hospitals Leuven) and Dr Anke Raaijmakers (Sydney Children’s Hospital). This comprehensive list is developed from 34 journals, including major and subspecialty paediatric journals. We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research.
The Bottom Line
FEBRUARY 7, 2024
What’s new in the Critical Care literature – monthly updates
The EMS Show
FEBRUARY 4, 2024
Join Mike and Ritu for the 7th annual Protocol Update. Come learn what has changed for Ritu and the agencies under his watch and learn why they made the changes they did! Oh, and Dr. Ben Abo crashes the show! Wanna watch instead?
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