Emergency Medicine Cases

NOVEMBER 12, 2024

In this EM Cases main episode podcast, we tackle the complexities of trauma airway management, including direct trauma to the airway. We discuss indications and timing of intubation, penetrating neck trauma, the head injured patient, the agitated patients and the soiled airway. The critical question is: when should we deviate from, delay or modify RSI, and how do we navigate the unique challenges presented by trauma airways and airway trauma?

EMS 270

EMS OR 270

Don't Forget the Bubbles

NOVEMBER 11, 2024

One-liner… Traumatic brain injury (TBI) is a leading cause of mortality and morbidity in paediatric populations, and fever is associated with worse outcomes. Should we aim to prevent fever, or should we cool patients? A 12-year-old boy presents with a significant head injury following a road traffic accident. At the scene, his lowest GCS was 5 (E1V2M2).

ALS 116

ALS Life Support Critical Care OR 116

American Ambulance Association

NOVEMBER 14, 2024

This content is for AAA members only. Please either Log In or Join! The post OSHA Emergency Response Proposed Rule Hearing Links Published appeared first on American Ambulance Association.

Emergency Response 130

Emergency Response Ambulance OR 130

EMergucate

NOVEMBER 12, 2024

The ankle images are from a patient who has sustained a twisting injury to their ankle. What can be seen?

EMS 130

EMS 130

The Skeptics' Guide to EM

NOVEMBER 9, 2024

Date: October 28, 2024 Reference: Woelfle T et al. Benchmarking Human–AI collaboration for common evidence appraisal tools. J Clin Epi Sept 2024. Guest Skeptic: Dr. Laura Walker is an Associate Professor of Emergency Medicine and the vice chair for digital emergency medicine at the Mayo Clinic. In addition to finding ways to use technology in emergency department (ED) care, she is interested in how health systems work and how patients move through the healthcare system.

Emergency Department 140

Emergency Department ED ALS OR 140

First 10 EM

NOVEMBER 11, 2024

In the most recent BroomeDocs podcast, we talk about an attempt to use the IM route to give cardiac arrest victims epinephrine faster. (The podcast and Research Roundups blog post might actually come out next week.) I was skeptical about the outcomes, partly because the evidence that epinephrine helps at all in cardiac arrest is […] The post IV versus IO for cardiac arrest (PARAMEDIC3 and IVIO) appeared first on First10EM.

Epinephrine 132

Epinephrine EMS 132

American Ambulance Association

NOVEMBER 10, 2024

The winners of the 2024 AAA Board of Directors election are listed below. Each board member’s term will begin on January 1, 2025. Please join us in thanking all candidates […] The post 2024 AAA Board of Directors Election Results appeared first on American Ambulance Association.

Ambulance 130

Ambulance 130

Medic Mindset

NOVEMBER 13, 2024

Want CE for listening? Here’s how. Dr. Casey Patrick is the EMS medical director of Montgomery County Hospital District (Texas). As an EM physician, he shares how he decides to care for his own patients in the ED who present with rapid atrial fibrillation. He wants paramedics to ask the same question he asks: Is the rapid A-fib the primary problem or secondary to another critical condition like sepsis, PE, DKA, hypovolemia, etc?

Paramedic 98

Paramedic Emergency Department EMS ED 98

EMCrit Project

NOVEMBER 15, 2024

Medtwitter was great. We met amazing people and exchanged ideas. There were endless arguments about electrolytes and intubation. But the strength of Medtwitter was never the platform – it was the people. Twitter has been deteriorating for years. For example, the algorithm is horrific, the blocking feature has been largely removed, posts from paid users […] EMCrit Project by Josh Farkas.

104

104

REBEL EM

NOVEMBER 13, 2024

Take Home points : Always suspect an open joint if there is a laceration, regardless of size, the lies over joint CT scan of the affected joint is widely considered to be the standard approach to evaluation but the saline load test may be useful in certain circumstances. Obtain emergency orthopedics consultation for all open joints and administer antibiotics and update tetanus in all patients REBEL Core Cast 131.0 – Traumatic Arthrotomy Click here for Direct Download of the Podcast.

ED 105

ED OR EMS 105

EMDocs

NOVEMBER 13, 2024

Today on the emDOCs cast with Brit Long, MD ( @long_brit) , we cover the literature on evaluation and management of primary SBP. Episode 110: Primary Spontaneous Bacterial Peritonitis Background: End-stage liver disease with cirrhosis and ascites is a major cause of death worldwide. Primary spontaneous bacterial peritonitis (SBP) is one of the most common infections in those with cirrhosis and ascites.

E-9-1-1 79

E-9-1-1 ALS OR ED 79

Pulsara

NOVEMBER 13, 2024

Editor's Note: In August 2024, EMS1 and Fitch & Associates released their annual EMS trend 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.

Paramedic 83

Paramedic EMS Emergency Medical Services 83

SSCOR

NOVEMBER 9, 2024

When you think of intubation, you should automatically be thinking of suction. The two treatments go hand-in-hand; you cannot safely intubate without the aid of suction, which is why you must include a portable suction unit any time there is the possibility of intubating.

EMS 86

EMS 86

Dr. Smith's ECG Blog

NOVEMBER 11, 2024

Written by Willy Frick A middle aged man presented for elective outpatient surgery. The following ECG was obtained in the preoperative area. What do you think? The ECG shows sinus rhythm with a rate of about 78 and 2:1 AV conduction along with right bundle branch block and left anterior fascicular block. The PR interval on the conducted beats is prolonged, about 220 ms.

OR 75

OR E-9-1-1 Coronary 75

EMDocs

NOVEMBER 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 79

EMS Emergency Department OR 79

EMOttawa

NOVEMBER 14, 2024

Urine drug (or toxicologic) screens are a fairly standard tool used in addictions, psychiatry and the Emergency Department (ED), often employed to detect substance use in patients presenting with altered mental status, trauma, psychiatric or abnormal behaviour. Yet, the reliance on these screens is fraught with inaccuracies, clinical irrelevance, and significant ethical concerns, particularly from […] The post Blurred Lines: The Ethical Pitfalls of Urine Drug Screens appeared first on EMOt

Emergency Department 75

Emergency Department ED OR 75

First Responder Wellness

NOVEMBER 15, 2024

Enhancing Mental Health Support for Public Safety and First Responders Lexipol , the leader in solutions that enhance performance excellence in public safety, is proud to announce a new partnership with First Responder Wellness (FRW). This collaboration aims to enhance mental health support for first responders by integrating Lexipol’s clinician and peer support training with FRW’s residential treatment services for public safety personnel in need of specialized care.

First Responder 52

First Responder Public Safety 52

Life in the Fastlane

NOVEMBER 15, 2024

James Miers and Daniel Gaetani Procedure: Radial Arterial Line Emergency Procedure: Radial Arterial Line, with a guide made in partnership with a recent publication in Emergency medicine Australasia

52

52

The FllightBridge ED

NOVEMBER 14, 2024

Draft MediumWednesday, November 6, 202421:43If you were to ask the internet “why are people still dying from trauma in 2024” you might beunsurprised at the…

52

52

FirstNet Authority

NOVEMBER 14, 2024

The Sac and Fox Tribe of the Mississippi, known as Meskwaki Nation, is the only federally recognized tribe in Iowa. The Meskwaki Police Department uses FirstNet for reliable connectivity across the reservation. FirstNet coverage helps tribal police officers communicate during everyday operations and planned events in the community, including the annual Powwow.

52

52

Clinical Correlations

NOVEMBER 12, 2024

By Enoch Jiang Peer Reviewed “Counseled patient on diet and lifestyle.” Over the past few weeks on my Ambulatory Care rotation, this phrase has rapidly shot to the top of my internal gestalt of a prototypical.

52

52

Paramedic Chiefs of Canada

NOVEMBER 14, 2024

Violence against Paramedics – A National Study The PCC, with funding from Defence Research Development Canada (DRDC), and led by Dr. Renée MacPhee (Wilfrid Laurier University), are preparing to launch the Canadian Study of Violence Against Paramedics (CSVAP). The breadth, depth, scope, and severity of the violence against paramedics in Canada on a national level remains relatively unknown to all levels of government, paramedic service organizations, professional paramedic associations, labour gr

Paramedic 52

Paramedic Public Safety Paramedicine Paramedicine 52

The FllightBridge ED

NOVEMBER 13, 2024

“There comes a precious moment in all of our lives when we are tapped on the shoulder and offered the opportunity to do something very…

52

52

Emergency Medicine Cases

NOVEMBER 12, 2024

Dr. Sara Alavian describes some of the challenges of providing palliative care in low-income/low resource settings and offers some simple solutions in this Global EM column. The post Global EM 6 Palliative Care in Low-Resource Settings: Challenges and Solutions appeared first on Emergency Medicine Cases.

EMS 130

EMS 130

NVFC

NOVEMBER 14, 2024

The National Volunteer Fire Council (NVFC) is now accepting nominations for the following annual volunteer fire service awards: Chief James P. Seavey Sr. Health and Wellness Leadership Award, Junior Firefighter of the Year, and Junior Firefighter Program of the Year. Recognize the contributions of outstanding members of your fire department and junior firefighter program by submitting your nominations by 5pm EST on January 17.

Firefighter 52

Firefighter First Responder Ambulance OR 52

EMS 20/20

NOVEMBER 13, 2024

Join Chris, Spencer AND SPECIAL GUEST **ERIC BAUER** as the team sift through a transfer that has all the bells and whistles: an intubation, a med error, a crew conflict. this one has it all! Join Chris, Spencer AND SPECIAL GUEST **ERIC BAUER** as the team sift through a transfer that has all the bells and whistles: an intubation, a med error, a crew conflict. this one has it all!

40

40

The FllightBridge ED

NOVEMBER 10, 2024

Training Issues and Fixes #3: Allowing Success With Poor Technique. “Nothing is more dangerous in airway management than success with bad technique.

52

52

FirstWatch

NOVEMBER 11, 2024

Instructions to join are below description and speakers. December 5, 2024 | 9:00 am PDT (12:00 pm EDT) There has been growing attention to the responses that emergency services provide for people, in particular, individuals with a range of mental health needs, when they are in crisis. There has been an increasing demand for paramedic services to respond to mental health-related calls, and it’s becoming even more important to respond appropriately to these calls.

Paramedicine 40

Paramedicine Paramedicine Paramedic Community Paramedicine 40

St. Emlyn's

NOVEMBER 14, 2024

St.Emlyn's - Emergency Medicine #FOAMed Emergency medicine is shaped by our ability to respond effectively to both routine cases and extreme, high-stakes incidents. While civilian incidents dominate prehospital care, the intersection of civilian and military […] The post Podcast – Care in the Hot Zone with Claire Park at Tactical Trauma 2024 appeared first on St.Emlyn's.

Emergency Department 82

Emergency Department 82

FOAMfrat

NOVEMBER 14, 2024

We can all remember a call that sticks out in our minds, a crazy, messy, tragic call that has stuck with us over the course of our entire careers. I know I’ve had a few of these, but there’s one in particular I’d like to share that breaks from the norm and has stuck with me every day since. One day, I was running a paramedic fly-car and was dispatched for a sick subject withdrawing from alcohol.

Paramedic 97

Paramedic EMT EMT Ambulance 97

REBEL EM

NOVEMBER 11, 2024

Background: Patients with sepsis are routinely treated with empiric broad-spectrum antibiotics while awaiting source identification, as recommended by the surviving sepsis campaign.2 Vancomycin, in combination with either piperacillin-tazobactam or cefepime, is commonly used for empiric treatment in these cases. Literature comparing the two regimens has largely focused on the adverse effects of each medication, rather than on overall efficacy.

E-9-1-1 84

E-9-1-1 ALS ICU Critical Care 84

Critical Care Scenarios

NOVEMBER 13, 2024

We talk about diagnosis, treatment, and subsequent care of the patient with bacterial meningitis, with Emory neurointensivist Casey Albin, MD (@caseyalbin). Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! Takeaway lessons Resources We talk about diagnosis, treatment, and subsequent care of the patient with bacterial meningitis, with Emory neurointensivist Casey Albin, MD ( @caseyalbin ).

OR 169

OR 169

Pediatric EM Morsels

NOVEMBER 15, 2024

Seizures are super scary for a parent to witness, but not all seizures mean danger. There is actually a diagnosis of seizures that has “ BENIGN” in the name! Have you ever had that feeling of falling that rapidly wakes you from sleep? While it’s unlikely that you were having Benign Epilepsy with CentroTemporal Spikes (BECTS) seizures or a benign Rolandic seizure, that tenuous state between sleeping and waking is a time when some odd neurologic things can happen, including BECTS.

ALS 152

ALS OR EMS 152

American Ambulance Association

NOVEMBER 14, 2024

November 14, 2024 FOR IMMEDIATE RELEASE Contact: Amanda Riordan 703-615-4492 ariordan@ambulance.org EMS Heroes Honored in Washington, DC as 2024 Stars of Life Washington, DC—This week, the American Ambulance Association (AAA) […] The post News Release | EMS Heroes Honored in Washington, DC as 2024 Stars of Life appeared first on American Ambulance Association.

EMS 130

EMS Ambulance 130

Dr. Smith's ECG Blog

NOVEMBER 14, 2024

This was texted to me by a paramedic while I was out running one day: "54 yo male chest pain started at 1pm. History of diabetes type II and stent placement in 2018. I’m seeing hyperacute T waves III, aVF, down sloping depression I and aVL. Thoughts?" What do you think? I responded: "Definite inferior OMI. And Right Ventricular. Activated the Cath Lab.

ED 125

ED Coronary Paramedic OR 125

Peter Canning

NOVEMBER 9, 2024

I always enjoying giving a new medicine, using a new gadget or following a new procedure for the first time. I clearly remember the first time I gave Ativan on standing order, the first time I gave Cardizem, fentanyl, zofran, and ketamine, all new meds at one time. I remember the first time I did a 12-lead ECG (we didn’t have them when I started), the first time I used CPAP, the first time I used capnography, the first time I used a spinal motion restriction protocol where I didn’t h

ED 98

ED Ambulance EMS OR 98

Unitek EMT

NOVEMBER 15, 2024

Key details on requirements, benefits, and how to stay current in your EMT career In the fast-paced world of emergency medical services, where every second counts, staying current with the latest protocols, guidelines, and medical technologies is vital for delivering life-saving care. An EMT Refresher Course is a structured educational program designed to help Emergency […] The post What is an EMT Refresher Course?

EMT 81

EMT EMT Emergency Medical Services EMS 81