The Skeptics' Guide to EM
OCTOBER 12, 2024
Reference: Ma K et al. A national survey of children’s experiences and needs when attending Canadian pediatric emergency departments. PLoS One. June 2024 Date: Oct 1, 2024 Guest Skeptic: Dr. Andrew (Andy) Tagg is an Emergency Physician with a special interest in education and lifelong learning. He is the co-founder of website lead of Don’t Forget the Bubbles (DFTB).
Critical Care Scenarios
OCTOBER 16, 2024
We discuss the practical barriers to implementing the A-F ICU liberation bundle, with Kali Dayton, ACNP-BC (@HomeIcu), host of the Walking Home from the ICU podcast, and consultant to ICUs working on these issues. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! We discuss the practical barriers to implementing the A-F ICU liberation bundle, with Kali Dayton, ACNP-BC ( @HomeIcu ), host of the Walking Home from the ICU podcast, and consultant to ICUs working
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American Ambulance Association
OCTOBER 17, 2024
This content is for AAA members only. Please either Log In or Join! The post CMS Announces CY 2025 Ambulance Inflation Factor appeared first on American Ambulance Association.
Core EM
OCTOBER 16, 2024
Author: Natalie Bertrand, MD Editor: Naillid Felipe, MD Background: Definition: adverse reaction to blood product administration Incidence: more common in children than adults, except for delayed hemolytic transfusion reactions Allergic (non-anaphylaxis) – Platelets 1-3%; RBCs 0.1-0.3% Febrile Non-hemolytic (FNHTR) – 1% Transfusion-associated circulatory overload (TACO) – 1% Transfusion-related acute lung injury (TRALI) – <0.01% Anaphylaxis/ABO incompatibility –
EMergucate
OCTOBER 15, 2024
An 80yr male presents with 2 weeks increasing shortness of breath, he has a history of CABG. What can be seen on the ECG: If these were new findings what might you be concerned about?
High Performance EMS
OCTOBER 18, 2024
Great OpEd published by AIMHI about how our industry is changing and leading to “EMS On Life Support: The Alarming Gap Between Expectations and Reality.” [link] I have been writing a lot this year that “ a stopwatch is not a valid instrument for summarizing the measure of care that a patient receives. ” What any administrator, or politician, should be concerned with is the quality care they are buying before the simplistic statistics they are generating.
American Ambulance Association
OCTOBER 15, 2024
CDC | Emergency Medical Services (EMS): A Look at Disparities in Funding and Outcomes “Limited EMS funding may affect nationwide EMS quality. The scarcity of nationwide EMS data makes studying […] The post CDC | Emergency Medical Services (EMS): A Look at Disparities in Funding and Outcomes appeared first on American Ambulance Association.
Paramedicine Now brings together the best content for paramedicine professionals from the widest variety of thought leaders.
EMergucate
OCTOBER 15, 2024
The chest x-ray shows streaky lucency outlining the great vessels of the neck (tubular artery sign) & air in the … Continue reading →
Dr. Smith's ECG Blog
OCTOBER 15, 2024
This was sent to me by an undergraduate name Hans Helseth, who is an EKG tech, but who is an expert OMI ECG reader. He wrote most of it and I (Smith) edited. A prehospital “STEMI” activation was called on a 75 year old male ( Patient 1 ) with a history of hyperlipidemia and LAD and Cx OMI with stent placement. He arrived to the ED by helicopter at 1507, about three hours after the start of his chest pain while chopping wood around noon.
REBEL EM
OCTOBER 16, 2024
Take Home Points Orogastric lavage may still play an important role in treatment of the overdose patient. Do not perform lavage if the ingestion has limited toxicity at any dose or the ingested dose is unlikely to cause significant toxicity. Strongly consider orogastric lavage in a patient who has taken an overdose of drugs that are particularly toxic, suspected extreme doses associated with high morbidity/mortality and do not have easily available and effective antidotes.
Core EM
OCTOBER 16, 2024
Author : Allison Tu About me: I’m a second-year medical student at NYU planning to pursue a career in emergency medicine. I graduated from Harvard in 2023 with a degree in psychology and global health, and during medical school, I’ve co-directed NYU’s asylum clinic and volunteered for the suicide prevention lifeline. I am also interested in teaching, and I hope to pursue a medical education fellowship in the future.
EMergucate
OCTOBER 15, 2024
The following axial CT is from a 60-year-old lady who has had a witnessed collapse. Provide your interpretation and diagnosis.
Dr. Smith's ECG Blog
OCTOBER 12, 2024
Written by Bobby Nicholson What do you think of this “STEMI”? A man in his 90s with a history of HTN, CKD, COPD, and OSA presented to the emergency department after being found unresponsive at home. With EMS, patient had a GCS of 3 and was saturating 60% on room air. He improved to 100% with the addition of non-rebreather, however remained altered and was intubated by EMS with ketamine and succinylcholine.
Don't Forget the Bubbles
OCTOBER 18, 2024
What are midline catheters? There are three types of peripheral venous catheters: 1. Midline Catheter 2. PICC line 3. Long peripheral catheters. Midline catheters (MCs) are peripheral intravenous lines that are longer (usually 6-20 cm) than routine peripheral IV cannulas. However, the tip of the catheter does not extend into a central vein. The final position of the tip should be in the axillary vein, ideally in the infraclavicular segment.
First 10 EM
OCTOBER 14, 2024
Another month, another set of articles. Some clinically relevant. Some just thought provoking. One is more than 100 years old. Yes, I look everywhere for these papers. The BroomeDocs podcast version can be found here: [link] Clinically but not statistically significant: what do you do? Turgeon AF, Fergusson DA, Clayton L,et al. Liberal or Restrictive […] The post The October 2024 Research Roundup appeared first on First10EM.
EMergucate
OCTOBER 15, 2024
The chest x-ray shows hyperexpanded & lucent right lung field. There is no radio-opaque foreign body seen.
St. Emlyn's
OCTOBER 18, 2024
St.Emlyn's - Emergency Medicine #FOAMed Kevin Cyr, the commander of a SWAT-like unit within the Royal Canadian Mounted Police, shared his insights at the Tactical Trauma 24 conference in Sundsvall, Sweden, in conversation with Iain Beardsell and Liz Crowe and offers essential takeaways for anyone working in high-pressure environments, including healthcare professionals.
Don't Forget the Bubbles
OCTOBER 12, 2024
Hibberd O, Chylinska AA, Finn K , et al. Use of corticosteroids for croup in children. Archives of Disease in Childhood – Education and Practice. 2024. Published Online First: 15 April 2024. doi: 10.1136/archdischild-2023-326773 Two-year-old Moyo is brought to the emergency department because her parents were concerned about noisy breathing. You notice a barking cough, subcostal recessions, and stridor when she cries.
SSCOR
OCTOBER 12, 2024
Every paramedic knows their equipment is only as good as its upkeep. Drugs go out of date, oxygen tanks become depleted, and batteries lose their charge. Unless you remain vigilant, your equipment will fail you when you need it the most. This is especially true of one of your most basic, yet essential tools: your portable suction unit.
EMergucate
OCTOBER 15, 2024
The abdominal x-ray shows Gall stone ileus. There are prominent central bowel loops with pneumobilia.
St. Emlyn's
OCTOBER 12, 2024
St.Emlyn's - Emergency Medicine #FOAMed The final day of the RCEM Annual Scientific Conference with papers on chest pain, trauma, psychosocial, diagnostics and more. #rcemasc #FOAMed @stemlyns The post RCEM Annual Scientific Conference. Day 3. appeared first on St.Emlyn's.
EMDocs
OCTOBER 12, 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: LR or NS for Sickle Cell Pain Crisis? Spoon Feed For sickle cell patients (particularly Hgb SS) with a vaso-occlusive episode (VOE), large volume resuscitation (>2L) with lactated ringers (LR) has been shown to
Dr. Smith's ECG Blog
OCTOBER 17, 2024
Written by Jesse McLaren Two patients in their 70s presented to the ED with chest pain and RBBB. Do either, both, or neither have occlusion MI? Patient 1 : a 75 year old called paramedics with one day of left shoulder pain which migrated to the central chest, which was worse with deep breaths. Past medical history included RBBB without other cardiac history, but old ECG was not available.
EMergucate
OCTOBER 15, 2024
The following ECG is from a 19-year-old female who has presented following a syncopal episode.
The Bottom Line
OCTOBER 13, 2024
Potassium Supplementation and Prevention of Atrial Fibrillation After Cardiac Surgery: The TIGHT K Randomized Clinical Trial O’Brien. JAMA 2024; 332:979 – 988. doi:10.1001/jama.2024.17888 Clinical Question In adult patients undergoing coronary artery bypass surgery (CABG) is supplementing potassium when serum concentration is ≤ 3.5 mEq/L non-inferior to supplementation when serum concentration is ≤ 4.
EMDocs
OCTOBER 14, 2024
Authors: Lloyd Tannenbaum, MD (EM Attending Physician, Geisinger Wyoming Valley, PA); Mai Saber, DO (EM Attending Physician, Hackensack University Medical Center, NJ); Rachel Bridwell, MD (EM Attending Physician, Charlotte, NC) // 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.
EMOttawa
OCTOBER 15, 2024
Methodology: 3/5 Usefulness: 4/5 Essat M, et al. Ann Emerg Med. 2024 Jun 18:S0196-0644(24)00260-9 Question and Methods: Using systematic review methodology, the authors aimed to determine sensitivity and specificity in the use of D-Dimer in the work-up for Acute Aortic Syndrome. Findings: A total of 25 studies were included in the primary meta-analysis; summary sensitivity […] The post Diagnostic Accuracy of D-Dimer for Acute Aortic Syndromes: Systematic Review and Meta-Analysis appeared
EMergucate
OCTOBER 15, 2024
The left thigh x-ray shows fracture of proximal femur with massive callus formation.
SSCOR
OCTOBER 17, 2024
Endotracheal intubation offers life-saving relief when an airway obstruction endangers a patient’s life. Yet many first responders have little experience with endotracheal intubation, and some actively avoid training opportunities because they feel overwhelmed and intimidated by the process. Endotracheal intubation is a basic skill that every first responder must master.
Don't Forget the Bubbles
OCTOBER 14, 2024
Some definitions Asylum seeker: A person who has fled their country and applied to another country to be recognised as a refugee but has not yet been granted this status. Refugee: Someone whose asylum application has been successful. The government recognizes they cannot return to their country of origin owing to a well-founded fear of being persecuted for the reasons provided for in the United Nations Refugee Convention or European Convention on Human Rights (such as persecution due to race, se
FirstNet Authority
OCTOBER 18, 2024
How a Georgia police department switched their communications to broadband joseph.rey@fir… Fri, 10/18/2024 - 13:40 Chief Joe Duvall led the Dallas Police Department to becoming first in the state — and one of the first in the country — to completely switch from land mobile radios (LMR) to public safety broadband for their communications. The cost savings will benefit his community for years to come and his officers can utilize a variety of functional, reliable devices over FirstNet.
Firefighters and EMS Fund
OCTOBER 17, 2024
Firefighters are the unsung heroes of our communities, rushing into danger to protect lives and property. These brave men and women face not only immediate risks but also long-term health hazards from exposure to toxic substances. The silent killer of cancer stalks firefighters long after the flames are extinguished, a grim reminder of their selfless […] The post Presumptive Cancer Benefits in Tennessee appeared first on Firefighters and EMS Fund.
AAAM
OCTOBER 17, 2024
The Association for the Advancement of Automotive Medicine (AAAM) is proud to announce that our President-Elect, Associate Professor Sjaan Koppel, PhD , has been honored with the 2024 Australasian College of Road Safety (ACRS) Women in Road Safety Award. This esteemed recognition highlights Sjaan’s significant contributions to road safety research and advocacy, particularly in protecting vulnerable road users such as older adults and children.
Stem EMS
OCTOBER 15, 2024
Municipal Disaster Days in Madrid: an unmissable event for professionals and companies in the security sector L'articolo Municipal Disaster Days in Madrid proviene da Stem Ems.
FirstNet Authority
OCTOBER 16, 2024
Wellness is a hot topic in the public safety community – but how does it address the challenges faced by first responders serving on the front lines? Dr. Kristen Wheldon, Assistant Chief Patrick Fale, and Undersheriff Sylvia Moir discuss the importance of early intervention solutions for first responders, live at 5x5: The Public Safety Innovation Summit.
Don't Forget the Bubbles
OCTOBER 16, 2024
You’re embarking on your first paediatric registrar rotation – welcome to this exciting next stage of your career, and congratulations on getting here! This article is not intended to be a set of step-by-step instructions but to give you some ideas to consider and some tips and tricks from first-time registrars who have recently gone through this transition.
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