Pediatric EM Morsels

JULY 5, 2024

It seems like just yesterday ( or maybe ~ a month ago ) when we served up a tasty morsel on the PECARN decision rule for intra-abdominal traumatic injuries in children. Our friends at the PECARN injury group have remained busy this spring with generating more externally validated clinical decision rules. In addition to the recently published low risk intra-abdominal injury validation, we have another new tool to use this summer as school breaks, underdeveloped frontal lobes, and high speeds leav

ALS 161

ALS OR ED Emergency Department 161

The Skeptics' Guide to EM

JUNE 29, 2024

Date: June 29, 2024 Reference: Herbert L. Fred M.D. (1998) Old-Fashioned Doctors, Hospital Practice. This is an SGEM Xtra episode. I was honoured to be invited by Dr. Fernada Bellolio to the Mayo Clinic and present to the Department of Emergency Medicine. They were kind enough to allow me to speak about any topic. I decided to talk about an article Dr.

176

176

EMergucate

JULY 1, 2024

Question 1: • Hb = 76 (between 7 and 9.9) = moderate anaemia. Normal MCH and MCV so we have normochromic anaemia. • WBC = 1.5 (N = 0.9) = mild leukopenia with moderate neutropenia.

130

130

American Ambulance Association

JULY 5, 2024

Government Affairs Update View this email in your browser 2024 Ambulance Ride-Along Toolkit Educating your members of Congress about ambulance industry issues makes them much more likely to support your efforts. […] The post 2024 Ambulance Ride-Along Toolkit appeared first on American Ambulance Association.

Ambulance 130

Ambulance 130

REBEL EM

JULY 1, 2024

Background: Non-invasive positive pressure ventilation (NIPPV) is an effective treatment modality for patients with both hypoxemic or hypercapnic respiratory failure and has been shown to decrease the need for intubation [2]. Continuous positive airway pressure (CPAP) provides a constant positive pressure support throughout the breathing cycle, while bilevel positive airway pressure (BPAP) provides different levels of positive airway pressure during inspiration and expiration.

ED 133

ED Emergency Department ALS OR 133

NVFC

JULY 2, 2024

The National Volunteer Fire Council (NVFC) has received $100,000 from Tractor Supply Company, the largest rural lifestyle retailer in the United States, and the Tractor Supply Company Foundation. The donation comes as part of the retailer’s launch of its Hometown Heroes program and its $1 million donation to charity organizations supporting our nation’s military service members, veterans, and first responders.

Firefighter 116

Firefighter First Responder EMS 116

EMergucate

JULY 2, 2024

The forearm x-ray is from a child with pain & swelling in the elbow & forearm following a FOOSH injury. Only 1 view could be obtained due to patient being in distress. What can be seen?

EMS 130

EMS 130

FOAMfrat

JULY 2, 2024

Tyler and Dr. Cynthia Griffin discuss the finger thoracostomy procedure in this conversation. They cover topics such as when to choose finger thoracostomy over needle decompression, the equipment needed for the procedure, the technique for performing the procedure, and potential complications and tips for success. They also touch on the use of chest tubes and the management of tension physiology.

111

111

NVFC

JULY 2, 2024

The National Volunteer Fire Council (NVFC) marked the 10th anniversary of its signature conference, the NVFC Training Summit, on June 21-22 in Buffalo, NY. The sold-out event had the highest attendance yet, with over 200 attendees from 40 states and the District of Columbia. Attendees were able to choose from 18 sessions delivered by nationally-recognized subject matter experts in three tracks focusing on health and safety, recruitment and retention, and leadership.

Firefighter 105

Firefighter Emergency Response Emergency Management Emergency Manager 105

SSCOR

JUNE 29, 2024

In 2021, fires killed 4,316 Americans , and over the past 10 years, fire deaths have increased by almost 18%. Most die not from burns but from oxygen deprivation caused by smoke inhalation. Immediate survivors of the blaze are not out of the woods. The consequences of smoke inhalation can show up hours or even days later. Healthy people can die even when they seem able to breathe.

OR 101

OR 101

American Ambulance Association

JULY 2, 2024

From the National Registry of Emergency Medical Technicians National Registry of Emergency Medical Technicians Launches New Certification Examinations for Paramedics and AEMTs The examinations align the National Registry with other […] The post NREMT Launches New Certification Examinations for Paramedics and AEMTs appeared first on American Ambulance Association.

AEMT 130

AEMT Emergency Medical Technician Paramedic Ambulance 130

FOAMfrat

JULY 3, 2024

It’s 1700 on a Saturday evening, and you’re alerted to a garden-style apartment complex for a “terrible odor” coming from apartment 3C.” It’s a cool spring afternoon with a light breeze, and as many people are doing, it’s “spring cleaning time.” While enroute to the call, you get an update via 911 that the caller thinks the apartment occupant may have been mixing some household chemicals to make a “stronger” cleaner after watching some TikTok videos.

Life Support 106

Life Support ALS Emergency Response OR 106

Dr. Smith's ECG Blog

JULY 5, 2024

An older patient with no previous medical history arrived at triage complaining of SOB. Her heart rate was very fast, so we obtained an ECG immediately: ECG: What do you think? There is a regular wide complex tachycardia. The QRS morphology is RBBB with LAFB (tiny r-waves in inferior leads followed by deep S-waves; tiny q-wave in aVL followed by large R-wave; Left axis deviation).

Critical Care 96

Critical Care OR ALS 96

SSCOR

JULY 4, 2024

Compared to some complicated or invasive patient procedures that you perform, nasotracheal suctioning may not seem like a big deal. However, there are risks involved, and proper technique and patient monitoring are crucial.

OR 99

OR 99

American Ambulance Association

JUNE 30, 2024

While the majority of EMS and fire-rescue agencies provide emergency care to children, pediatric calls are rare. In fact, because most agencies see fewer than eight pediatric patients per month, […] The post PPRP | Make Sure You’re Ready for Children – Complete the Assessment! appeared first on American Ambulance Association.

Ambulance 130

Ambulance EMS 130

Pulsara

JULY 2, 2024

Imagine: In the midst of a pandemic, you're managing patient load across a state that covers over 261,000 square miles and is home to over 30 million people. Some of your hospitals have beds, but not enough nurses; some hospitals have enough nurses but are running out of beds. You need to disperse patients to hospitals with resources across the state, and fast.

First Responder 94

First Responder 94

St. Emlyn's

JULY 2, 2024

St.Emlyn's - Emergency Medicine #FOAMed Learn about how to look after patients with eating disorders in the Emergency Department. Listen to this podcast recorded live at the Premier Conference 2024. The post Podcast – Eating Disorders in the Emergency Department appeared first on St.Emlyn's.

Emergency Department 93

Emergency Department 93

Unitek EMT

JULY 5, 2024

Exploring the critical role of EMTs in the opioid crisis The opioid crisis continues to escalate, devastating communities across the nation and straining public health resources. According to the FCC’s Connect2Health publication, Synthetic opioids, such as fentanyl, have worsened the situation, accounting for over 82 percent of all opioid-related fatalities in 2020.

EMT 71

EMT EMT Overdose EMS 71

American Ambulance Association

JULY 5, 2024

The post Speak at Annual 2025 in Lexington! appeared first on American Ambulance Association.

Ambulance 130

Ambulance 130

EMDocs

JUNE 29, 2024

We always work hard, but we may not have time to read through a bunch of journals. It’s 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: Re-DOSE VF… DSED for Shock-Refractory VF? Spoon Feed This secondary analysis of the DOSE VF trial found that DSED (dual sequence external defibrillation) was the superior strategy for obtaining ROSC and functional n

Defibrillator 69

Defibrillator Emergency Department ED OR 69

St. Emlyn's

JULY 3, 2024

St.Emlyn's - Emergency Medicine #FOAMed Journal Club on the impact of the MACS score in emergency medicine (systematic review). Learn how this tool improves diagnosis and patient outcomes while optimising hospital resources."FOAMed The post JC: Systematic review of the Manchester Acute Coronary Scores. appeared first on St.Emlyn's.

Coronary 74

Coronary 74

EMOttawa

JULY 4, 2024

We all know medications can help us feel better and stay healthy but as we are all familiar, sometimes drug interactions can be overlooked and cause significant adverse health outcomes. Drug interactions are common clinical problems that can occur in several different ways and in various settings. The estimated rate of drug interactions occurring in […] The post Drugs: the problem, the solution, the interactions!

Emergency Department 64

Emergency Department EMS 64

First 10 EM

JULY 1, 2024

The First10EM monthly wrap up is a place for me to share updates about the website, about my academic life, and also interesting content, such as books, podcasts, and other FOAMed, that I have encountered in the prior month. Obviously the format means the focus is mostly on content I have found, but I hope […] The post The First10EM monthly wrap-up for June 2024 appeared first on First10EM.

59

59

Life in the Fastlane

JUNE 30, 2024

Andy Steval and Chris Moseley Thoracostomy Tube Insertion In this episode of our emergency and critical care procedures series we take a look at how to insert a tube thoracostomy.

Critical Care 52

Critical Care 52

The EMS Educator

JULY 5, 2024

Creating and managing realistic patient simulations is not an easy task. EMS educators have a lot on their plate -- from designing the scenario to training facilitators to choosing the equipment to avoiding training scars. What are best practices? We asked simulation gurus Brittany Prater, Director of Alabama EMS Region One and Robby May, ALS Education Specialist at Howard County Department of Fire and Rescue.

Organ Donor 52

Organ Donor EMS ALS 52

Paramedics World

JULY 3, 2024

Laser hair removal has gained popularity as a highly effective method for long-term hair reduction. Despite its growing acceptance, numerous myths and misconceptions surround this cosmetic procedure. To help you… The post 5 Common Myths About Laser Hair Removal Debunked appeared first on Paramedics World.

Paramedic 52

Paramedic 52

St. Emlyn's

JULY 3, 2024

St.Emlyn's - Emergency Medicine #FOAMed Journal Club on the impact of the MACS score in emergency medicine (systematic review). Learn how this tool improves diagnosis and patient outcomes while optimising hospital resources."FOAMed The post Systematic review of the Manchester Acute Coronary Scores. appeared first on St.Emlyn's.

Coronary 52

Coronary 52

Handtevy

JULY 3, 2024

Monroe-Livingston Regional EMS (MLREMS) in New York found a 30% medication error rate for pediatric patients between 2020-2022, including 37% for Midazolam and 49% for fentanyl. How did they know this? They deliberately undertook a regional quality improvement project to reduce pediatric medication errors and enhance safety for pediatric patients. Error rates like these are not out of the norm; in fact, they are consistent with published papers and highlighted in the NAEMSP’s recent position pap

EMS 52

EMS Emergency Department OR 52

FOAMfrat

JULY 2, 2024

Tyler and Dr. Cynthia Griffin discuss the finger thoracostomy procedure in this conversation. They cover topics such as when to choose finger thoracostomy over needle decompression, the equipment needed for the procedure, the technique for performing the procedure, and potential complications and tips for success. They also touch on the use of chest tubes and the management of tension physiology.

52

52

Paramedics World

JULY 3, 2024

Laser hair removal has gained popularity as a highly effective method for long-term hair reduction. Despite its growing acceptance, numerous myths and misconceptions surround this cosmetic procedure. To help you… The post 5 Common Myths About Laser Hair Removal Debunked appeared first on Paramedics World.

Paramedic 52

Paramedic 52

FirstNet Authority

JULY 2, 2024

FirstNet Authority offers workshop to determine your operational capabilities Blog joseph.rey@fir… Tue, 07/02/2024 - 10:00 By Bruce Fitzgerald, Senior Public Safety Advisor, First Responder Network Authority To learn more about how FirstNet is helping public safety and the emergency management community to leverage innovative public safety communications, sign up for the Emergency Management Take with Bruce Fitzgerald.

Public Safety 52

Public Safety First Responder Emergency Management Emergency Manager 52

NVFC

JULY 2, 2024

First Alert has signed on as a Silver Supporter of the NVFC First Responder Helpline. Provided through Provident by Business Health Services, the NVFC First Responder Helpline offers assistance to NVFC members and their families for a variety of behavioral health issues and work-life stresses. Learn more about the services offered by the Helpline here.

First Responder 52

First Responder 52

GEDC

JULY 1, 2024

GEDC’s System Spotlight Series shares the great work that member organizations are doing in the field of geriatric emergency medicine. Through the pursuit of GEDA accreditation, implementation of meaningful QI initiatives, and provision of educational resources for clinicians, health systems that take advantage of GEDC membership are setting the standard for outstanding geriatric emergency medicine.

Emergency Department 52

Emergency Department EMS OR 52

First Responders Foundation

JULY 1, 2024

In the quiet aftermath of tragedy, communities are often left to reflect on the profound sacrifices made by those who dedicate their lives to protecting others. Among these are the fallen first responders—police officers, firefighters, EMTs, and paramedics—who have paid the ultimate price in their duty to serve. Honoring the sacrifices of fallen first responders is more than a gesture of respect; it’s a crucial part of the healing process for families, agencies, and communities, and a vita

First Responder 52

First Responder Firefighter Public Safety EMT 52

FirstWatch

JULY 1, 2024

PLATTE CITY, MO — Mary E. Meeks, EMS District Chief for Chatham Emergency Services (CES), headquartered in Savannah, Ga., has been named the 2024 – 25 recipient of the Jack Stout EMS Fellowship. Endowed by FirstWatch , the Fellowship was created in collaboration with the Fitch EMS Foundation. The Fellowship is named in honor of the late Jack Stout, widely regarded as the father of high-performance EMS systems.

EMS 52

EMS Public Safety Emergency Medical Services EMT 52

NVFC

JULY 2, 2024

Thank you to all the departments who participated in the 2024 Safety Stand Down, focusing on Fire Department Training: Back to Basics. While the event may be over, you can still utilize the resources, tools, and activity ideas on the Safety Stand Down web site to enhance the readiness and wellbeing of your department. You can also inspire others to focus on the safety, health, and wellbeing of their membership by submitting your Safety Stand Down success story here.

52

52

NHCPS Save a Life

JUNE 29, 2024

Most of the time, breathing is automatic. You give it little thought. But when you do, have you ever noticed your chest and abdomen contracting and expanding in the opposite way it seems they should? This unusual breathing pattern can happen to anyone from time to time. But for some, it becomes the “automatic breathing” […] The post Breathing Backwards: Paradoxical Breathing Guide for Nurses appeared first on SaveaLife.com.

Life Support 52

Life Support BLS 52