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Approximately 10% of geriatric patients (adults over the age of 65) transported via ambulance will have a mental status altered from baseline, otherwise known as delirium. Many of these patients will be agitated, posing a management challenge for EMS practitioners. Existing protocols for delirium in the pre-hospital setting were designed for younger adults, who have different etiologies and different levels of tolerance for medications than most older adults.
A 55-year-old female presented with the complaint of my right eye popped out. Symptoms started approximately seven hours prior to arrival and progressive, severe pain eventually prompted her visit to the ED. This happened once 10 years ago, requiring reduction in the ED. The patient denied preceding trauma, rubbing her eyes/eye-lids, or any history of thyroid disease.
Categories Advocacy Burn News MAC Spotlight Media Member Services Member Spotlight Organization News Prevention Quality Care Research Return to News & Activities CHICAGO [Jan. 14, 2025] In the aftermath of the devastating New Years Eve fireworks explosion in Honolulus Salt Lake neighborhood, which overwhelmed Hawaiis burn care capacity, and the ongoing challenges posed by the recent California wildfires, the American Burn Association (ABA) recognizes the extraordinary efforts of burn care
Author: Christopher Blanton, MD, MBA (EM Resident, UTSW / Dallas, TX); Joslin Gilley-Avramis, MD (EM Attending Physician, UTSW / Parkland Memorial Hospital) // Reviewed by: Sophia Grgens, MD (EM Physician, BIDMC, MA); 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 clinical basics.
Understanding this vital tool for EMTs in diagnosing and monitoring heart conditions An Electrocardiogram, commonly known as an EKG or ECG, is a medical test that measures the electrical activity of the heart. For Emergency Medical Technicians (EMTs), understanding EKGs is a critical skill. In the fast-paced environment of emergency medical services (EMS), EMTs are […] The post What is an EKG?
St.Emlyn's - Emergency Medicine #FOAMed Explore the variability in maintaining prehospital anaesthesia for trauma patients in this comprehensive summary of a multinational survey. With insights into drug protocols, administration methods, and governance, the article highlights challenges and opportunities for standardisation in prehospital care.
This content is for AAA members only. Please either Log In or Join! The post Notice of Proposed Rule Making HIPAA Security Rule To Strengthen the Cybersecurity of Electronic Protected Health Information appeared first on American Ambulance Association.
The following ECG is from a 60-year-old male who has presented with 5 days of central chest pain and epigastric pain which radiates between his shoulder blades.
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The following ECG is from a 60-year-old male who has presented with 5 days of central chest pain and epigastric pain which radiates between his shoulder blades.
Foreseeable disasters can come in all shapes and sizes, from a power failure that affects only your facility to an earthquake that sends hundreds of casualties to your emergency department.
The 9 Line Company (www.the9linecompany.com) has launched a campaign to support EMS professionals who have lost their homes and are facing significant hardships due to the recent fires. As […] The post Fundraising Efforts for EMSers appeared first on American Ambulance Association.
The best… and worst… boss I ever had. I’m gonna miss her. I had been an EMT perhaps two weeks when I met her. The big EMS agency in my town wouldnt have anything to do with me; I showed up at their headquarters and asked the receptionist for an application, and then cooled my.
This content is for AAA members only. Please either Log In or Join! The post What’s New at Savvik This Week? appeared first on American Ambulance Association.
A growing group of people are passionate about airway management and minimizing the risks of aspiration and its subsequent effects. Dr. James DuCanto identified an improved technique called suction-assisted laryngoscopy and airway decontamination (SALAD).
Jennifer Davidson, Parvathy Suresh Kochath, Georgina Beech and Leon Lam CT Case 097 An 85-year-old woman presents with anterior pelvic pain following a mechanical fall.
In the busy world of trauma care, how do you measure how well you’re doing? The ESO Trauma Index helps provide answers. Using de-identified data from 975,433 trauma patient records collected between January 1 and December 31, 2023, and focusing on nine key metrics, the new 2024 ESO Trauma Index offers an in-depth look at national trends in trauma care.
This content is for AAA members only. Please either Log In or Join! The post State Snap Shots to Support EMS Advocacy appeared first on American Ambulance Association.
-Case- A 55-year-old female who is an every-day smoker arrives at the emergency department clutching her left lower abdomen. She describes two days of progressively worsening pain along with nausea, a low-grade fever, and constipation. While she denies actively having blood in her stool, she mentions having these same symptoms a long time ago.
Haven’t updated this in a while… but the weight has steadily been coming down. Weighed in at 272.6 today, down 3.4 pounds since Wednesday. Not bad, considering I ate whatever I wanted during the holidays and haven’t been in the pool in two months. For those keeping score at home, that’s 127.4 pounds less than.
By Ella Feiner Peer Reviewed In a world abundant with food and sedentary lifestyles, the global prevalence of cardiometabolic disease has reached alarming levels.
-Case- A 55-year-old female who is an every-day smoker arrives at the emergency department clutching her left lower abdomen. She describes two days of progressively worsening pain along with nausea, a low-grade fever, and constipation. While she denies actively having blood in her stool, she mentions having this a long time ago.
Date: December 2o, 2024 Reference: Kotani et al. Positive single-center randomized trials and subsequent multicenter randomized trials in critically ill patients: a systematic review. Crit Care. 2023 Guest Skeptic: Dr. Scott Weingart is an ED Intensivist from New York. He did fellowships in Trauma, Surgical Critical Care, and ECMO. He is a physician coach concentrating on the promotion of eudaimonia and optimal performance.
An otherwise healthy 11-year-old female presented to the Emergency Department (ED) with one week of scalp pain and discharge. Her symptoms began as a dry and itchy rash in the scalp area that was unresponsive to triamcinolone 0.1% ointment. She was initially seen in clinic and was diagnosed with an abscess of the scalp and treated with Trimethoprim/ Sulfamethoxazole (TMP-SMX) for seven days.
Written by Pendell Meyers An adult man presented with acute chest pain. He appeared critically ill. He had undergone stenting of the LAD several weeks ago (unclear whether elective for stable symptoms, or in response to acute coronary syndrome). Here is his triage ECG: Here is the digitized version with higher image quality: He was rushed to the resuscitation area for "unstable VTach.
A stable and functional fingertip is essential for sensation, fine motor skills, grip strength, and the overall durability and cosmetic appearance of the hand. Fingertips, often the first point of contact during daily activities, are particularly susceptible to trauma. Its no surprise that workplace injuries involving the hand account for nearly 500,000 cases annually in […] The post Nailed it!
On January 15, 2009, U.S. Airways Flight 1549 departed from LaGuardia International Airport. In New York City, with non-stop service to Charlotte, North Carolina. At 15:25:39 hours, Flight 1549 stowed its landing gear and began its ascent to cruising altitude. Less than two minutes after stowing its landing gear, Flight 1549 struck birds less than 5,000 feet off New York City.
Today on the emDOCs cast with Brit Long, MD ( @long_brit) , we cover the management of Guillain-Barr syndrome. For the presentation and ED evaluation of GBS, please see Part 1. Episode 112: Guillain-Barr Syndrome Part 2 ED treatment: IVIG and plasma exchange are the main treatment modalities. Both seem equally effective, but combining them does not improve outcomes.
St.Emlyn's - Emergency Medicine #FOAMed The monthly update podcast from November 2024, including learning culture, chest drains in haemothorax, arterial lines in cardiac arrest and bad behaviour. The post Podcast – Monthly Round Up November 2024 – Learning culture, chest drains, arterial lines and more appeared first on St.Emlyn's.
Methodology: 4/5 Usefulness: 4/5 Vallentin MF, et al. N Engl J Med. 2024 Oct 31. doi: 10.1056/NEJMoa2407616. Editorial: The Way to a Patient’s Heart – Vascular Access in Cardiac Arrest Question and Methods: This RCT compared IO vs. IV vascular access in adults with OHCA, using ROSC as a primary outcome. Findings: No significant difference […] The post Intraosseous or Intravenous Vascular Access for Out-of-Hospital Cardiac Arrest appeared first on EMOttawa Blog.
This little article has made the rounds, primarily by those who critique it for its many flaws. However, the underlying themes can still be valid, even if an article has limitations. This is a “there is variation in emergency physician admitting practices” article. Literally every practicing physician working in a hospital environment knows there is a broad spectrum of skill, approach to acute illness, and level of risk-tolerance.
Authors: Kyle Smiley (EM Resident, BAMC, San Antonio, TX) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Welcome to Critical Kids, an emDOCs series focused on pediatric emergency medicine. Pediatric emergencies are challenging. Well provide summaries of the evidence to support your decisions at the bedside. Today we cover the Phoenix Sepsis Criteria.
Urban Emergency Medical Services benefit from an increased number of higher-level personnel (Advanced Emergency Medical Technicians and Paramedics) responding to all calls that are trained to obtain intravenous access. Current Advanced Trauma Life Support guidelines require all trauma patients to receive intravenous access, and as such it is essential for EMS clinicians to be conversant with situations which may require fluid resuscitation.
A 50-something male presented to triage with chest pain for one day. An ECG was recorded quickly before any further history or physical exam: What do you think? When I saw this (presented at a conference), I immediately thought it looked like Thype 1 Brugada phenocopy (in other words, Type 1 Brugada ECG pattern ). There is an rSR' in lead V1 without any spike of the R'-wave.
Continued enteral nutrition until extubation compared with fasting before extubation in patients in the intensive care unit: an open-label, cluster-randomised, parallel-group, non-inferiority trial Landais et al. The Lancet Respiratory Medicine 2023. 11:319-28. doi://10.
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