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

ICU 204

ICU 204

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).

Emergency Department 213

Emergency Department ED ALS OR 213

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.

Ambulance 130

Ambulance OR 130

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?

EMS 130

EMS 130

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.

Life Support 100

Life Support Public Safety EMS OR 100

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.

OR 100

OR STEMI ED Coronary 100

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.

Emergency Medical Services 130

Emergency Medical Services EMS Ambulance 130

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.

ALS 89

ALS OR EMS 89

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.

STEMI 92

STEMI Coronary Emergency Department OR 92

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.

76

76

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.

130

130

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.

EMS 78

EMS Emergency Department OR 78

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.

STEMI 73

STEMI Paramedic Coronary ED 73

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.

81

81

EMergucate

OCTOBER 15, 2024

The chest x-ray shows hyperexpanded & lucent right lung field. There is no radio-opaque foreign body seen.

EMS 130

EMS 130

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

ED 81

ED OR 81

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.

Paramedic 80

Paramedic EMS 80

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.

OR 59

OR ALS 59

EMergucate

OCTOBER 15, 2024

The abdominal x-ray shows Gall stone ileus. There are prominent central bowel loops with pneumobilia.

EMS 130

EMS 130

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.

Coronary 68

Coronary 68

EMOttawa

OCTOBER 17, 2024

We remain amid an opioid crisis in Canada, with over 8000 deaths (or 22/day) in 2023. The harms of opioid use in society are devastating and cannot be understated – but so too are the harms from stimulant and other substance use. In 2023 there were 3479 apparent stimulant toxicity deaths, which is approximately 10/day. […] The post S’now Problem: Keep your Cool when Stimulants turn up the Speed appeared first on EMOttawa Blog.

OR 61

OR Critical Care Overdose EMS 61

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.

First Responder 59

First Responder 59

EMergucate

OCTOBER 15, 2024

The following ECG is from a 19-year-old female who has presented following a syncopal episode.

130

130

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.

Overdose 57

Overdose EMS OR 57

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

ALS 61

ALS 61

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

OR 59

OR ALS ED 59

EMergucate

OCTOBER 15, 2024

The left thigh x-ray shows fracture of proximal femur with massive callus formation.

EMS 130

EMS 130

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.

Public Safety 52

Public Safety 52

ESO

OCTOBER 18, 2024

Welcome to this quarter’s product updates. Our customers are at the heart of what we do, which is why it’s incredibly important for us to keep you in the loop on our latest updates. Q3 was an especially exciting quarter, and we’re excited to share the highlights delivered and improvements to come with a sneak peek at the Product Roadmap for Q4.

Mobile Integrated Health 52

Mobile Integrated Health Community Paramedicine Critical Care MIH 52

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.

52

52

EMergucate

OCTOBER 15, 2024

Interpret these blood gas results PH = 7.

130

130

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.

EMS 52

EMS 52

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.

OR 52

OR 52

AAAM

OCTOBER 17, 2024

Join your road safety peers at these upcoming road safety events and conferences. 2024 Midwest Traffic Safety Conference – November 12, 2024 in Itasca, Illinois A key event to network with law enforcement leaders, crash investigators, prosecutors, and road safety managers. 2024 National Alliance to Stop Impaired Driving (NASID) Conference – November 18 – 20, 2024 in Arlington, VA An opportunity to hear from national experts on impaired driving and connect with fellow road safet

OR 52

OR 52

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.

Public Safety 52

Public Safety First Responder 52

Pulsara

OCTOBER 16, 2024

Editor's Note: In August 2024, EMS1 and Fitch & Associates released their annual EMS t rend survey, What Paramedics Want, proudly sponsored by Pulsara. Because the articles and advice found within contain such critical subject matter, we've elected to publish each segment one at a time here on our blog. Read, enjoy, share, and take to heart the following information brought to you by the most prestigious thought leaders in EMS.

EMS 52

EMS Paramedic 52

ESO

OCTOBER 15, 2024

As communities expand near forests, grasslands, and other natural areas, wildland fires–also known as wildland-urban interface (WUI) fires–are becoming more frequent and difficult to manage. Data from the 2024 ESO Fire Service Index , which analyzed over 6.5 million incidents from 2023, shows that fire departments responded to more than 82,000 outdoor fire incidents , burning over 237,000 acres.

Firefighter 52

Firefighter OR 52