The Skeptics' Guide to EM

AUGUST 10, 2024

Date: July 29, 2024 Reference: Connolly SJ et al (ANNEXA-I investigators) Andexanet for Factor Xa Inhibitor–Associated Acute Intracerebral Hemorrhage. NEJM May 2024 Guest Skeptic: Dr. Vasisht Srinivasan is an Emergency Medicine physician and neurointensivist at the University of Washington and Harborview Medical Center in Seattle, WA. He is an assistant professor in Emergency Medicine, Neurology, and Neurosurgery at the School of Medicine at the University of Washington.

Emergency Medical Services 176

Emergency Medical Services ALS Emergency Department ED 176

American Ambulance Association

AUGUST 16, 2024

April 15, 2024 Submissions Due September 20 | Submit to ariordan@ambulance.org | Notification of Award on October 15 Overview The American Ambulance Association (AAA) invites proposals from qualified strategic planning […] The post Strategic Planning Consultant Request for Proposals appeared first on American Ambulance Association.

Ambulance 130

Ambulance 130

EMergucate

AUGUST 13, 2024

The following pelvic x-ray is from a patient complaining of hip pain post fall. What can be seen?

EMS 130

EMS 130

Core Ultrasound

AUGUST 12, 2024

In this Five Minute Sono, we dive into the critical role of Point of Care Ultrasound (POCUS) in diagnosing Hypertrophic Cardiomyopathy (HCM) and the associated Left Ventricular Outflow Tract Obstruction (LVOTO). VTI RMWA EF Ultrasound Courses The post 5 Minute Sono: HCM and LVOTO (2024) first appeared on Core Ultrasound.

130

130

NVFC

AUGUST 13, 2024

The National Volunteer Fire Council (NVFC) has been awarded an FY 2023 Fire Prevention and Safety (FP&S) grant by the Federal Emergency Management Agency (FEMA) to further its firefighter health and safety initiatives and reduce line-of-duty injuries and deaths. The grant initiatives will focus specifically on emergency responder behavioral health.

Firefighter 122

Firefighter First Responder EMS Emergency Management 122

ACEP Now

AUGUST 12, 2024

Every once in a while, I get a text from a friend of a meme decrying the inevitability of becoming interested in birds as you age. In a way, it’s true; it came out of nowhere for me. And granted it can seem peculiar to the uninitiated. But now that I have been indoctrinated for a couple of years, it has become much more than a hobby to me. I see it as a healthful exercise, a practice in mindfulness.

Emergency Department 115

Emergency Department OR 115

Dr. Smith's ECG Blog

AUGUST 16, 2024

Written by Pendell Meyers A man in his 60s presented with acute chest pain and normal vital signs. Here is his triage ECG: What do you think? The ECG shows massively hyperacute T waves of LAD OMI, plus WPW. V3-V5 also have the depressed HATW takeoff which qualifies them as the rare de Winter subtype of HATWs. Its hard to measure the STE in I exactly with the moving baseline, but there is almost certainly not enough STE to meet STEMI criteria.

STEMI 102

STEMI OR 102

NVFC

AUGUST 13, 2024

There are over 12,000 roadway incidents in the U.S. every day, putting responders and community members at risk. August is Traffic Incident Awareness Month, and now is a great time for your department to focus on training and outreach that can increase safety and save lives. Below are a few resources to get you started: Traffic Incident Management Certificate Responder Safety Learning Network Federal Highway Administration Other Online Training: NVFC Course: Electric Vehicle Safety: An Awareness

NFPA 116

NFPA EMS 116

ACEP Now

AUGUST 13, 2024

The inclusion of diversity, equity, and inclusion (DEI) principles in undergraduate medical education is considered crucial for creating a just and fair health care system. Though DEI education, including critical race theory and its derivatives, is still a topic of public debate, many industry specialists and educators believe that it forms the foundation of high quality health care practices and the achievement of health equity.

ALS 111

ALS Emergency Department OR ED 111

SSCOR

AUGUST 10, 2024

With the number of mass shootings across America increasing each year, there is a growing focus on integrated response, placing paramedics and EMTs side-by-side with law enforcement when called to scenes of violence. As tactical medical response evolves to meet these growing needs, so does our medical equipment. But the restrictions that go along with tactical scenarios—namely, take only what you can carry—mean that each piece of equipment must be fundamental to the mission.

EMT 98

EMT EMT Paramedic 98

Paramedics World

AUGUST 14, 2024

Welcome to a comprehensive guide on everything you need to know about anemia – a condition that affects millions of people worldwide. From understanding the causes and symptoms to exploring… The post All About Anemia: Types, Diagnosis, and Management appeared first on Paramedics World.

Paramedic 98

Paramedic 98

NVFC

AUGUST 13, 2024

By Mike Simpson This article is reprinted from the 2024 issue of Firefighter Strong. Utility-scale battery energy storage is often referred to as the bridge between a reliable power grid and building a clean energy future. Battery energy storage systems (BESS) are a flexible energy resource that address many of the challenges facing our electric grid as we work to decarbonize our electricity supply.

Firefighter 105

Firefighter NFPA Emergency Response OR 105

ACEP Now

AUGUST 14, 2024

The American Heart Association and American College of Cardiology released a comprehensive guideline on the management of atrial fibrillation (AF). 1 Most of the AHA/ACC recommendations are either irrelevant to the general emergency physician or common sense. For example, if a patient has hemodynamic instability attributable to AF, perform immediate electrical cardioversion.

ALS 105

ALS Emergency Department ED OR 105

First 10 EM

AUGUST 12, 2024

The concept of a “deepity” was, I believe, coined by Daniel Dennet in his great book “Intuition pumps and other tools for thinking”. He says, “a deepity is a proposition that seems both important and true – and profound – but achieves this effect by being ambiguous. On one reading it is manifestly false, but […] The post Is “First do no harm” a “deepity”?

97

97

Paramedics World

AUGUST 15, 2024

Welcome to our comprehensive guide on Diabetes Mellitus – a condition that affects millions of people worldwide. Whether you’re newly diagnosed, have a loved one facing this challenge, or simply… The post Diabetes Mellitus: A Comprehensive Guide to Understanding, Managing, and Thriving appeared first on Paramedics World.

Paramedic 98

Paramedic OR 98

NVFC

AUGUST 13, 2024

Following the conclusion of the initial public comment period on June 22, the Occupational Safety and Health Administration (OSHA) has begun the next step in the process of developing their new Emergency Response Standard to replace their existing Fire Brigades Standard. A virtual public hearing will take place beginning on November 12. Anyone can testify at OSHA’s virtual public hearing, although written requests to testify must be submitted by September 27.

Emergency Response 105

Emergency Response OR 105

ACEP Now

AUGUST 13, 2024

Question My new employer wants to make me a “1099.” What do I need to know as I transition away from being a true employee? Answer First, let’s make sure we understand the terminology. Emergency physicians are typically “paid on” one of three types of tax forms: W-2, K-1, or 1099. Those who receive a W-2 at the end of the year are employees, those paid on a K-1 are partners, and those paid on a 1099 are independent contractors.

OR 98

OR 98

Dr. Smith's ECG Blog

AUGUST 14, 2024

Written by Willy Frick I was reading through ECGs in the queue when I saw the following. What do you think of the rhythm? At first glance there seems to be a lot of variation happening, but by focusing on one part of the ECG at a time we can make sense of it. Ignore the first QRS complex and look at beats 2 through 5. I have labeled them below for ease of reference: We see P waves which are upright in leads I, II, and aVF, and upside down in aVR.

E-9-1-1 93

E-9-1-1 OR ALS 93

Paramedics World

AUGUST 13, 2024

Are you dealing with red, itchy patches on your skin that just won’t go away? You might be one of the 8 million Americans living with psoriasis. This common yet… The post Psoriasis Explained: Symptoms, Causes, and Treatments appeared first on Paramedics World.

Paramedic 98

Paramedic 98

Unitek EMT

AUGUST 16, 2024

Tracing the Evolution of Modern EMS: From Early Beginnings to Today’s Life-Saving Careers. Emergency medical services (EMS) are a critical component of healthcare, and they are dedicated to providing urgent medical care and transportation for individuals in need. EMS plays a vital role in emergency care, responding to accidents, medical emergencies, and disasters with trained […] The post The History of Modern EMS appeared first on Unitek EMT.

EMS 89

EMS Emergency Medical Services EMT EMT 89

EMDocs

AUGUST 13, 2024

Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American Heart Association released an updated scientific statement on management of elevated blood pressure. This post will provide the key points for emergency clinicians. Background Hypertension (HTN) is significant issue globally and a leading risk factor for cardiovascular disease.

ED 85

ED OR 85

REBEL EM

AUGUST 12, 2024

Background Information: Acute kidney injury (AKI) is one of the most frequent complications of cardiac surgery and the cause is complex. Renal hypoperfusion from decreased glomerular filtration rate after cardiopulmonary bypass is a major contributor. 1 This in combination with exogenous toxins, endogenous metabolites, oxidative stress, bleeding and reperfusion injury can all lead to the patient ending up on renal replacement therapy postoperatively.

ICU 81

ICU Operating Room Critical Care ALS 81

Paramedics World

AUGUST 10, 2024

Are achy joints and stiffness slowing you down? Osteoarthritis might be the culprit! In this comprehensive guide, we’ll dive deep into everything you need to know about osteoarthritis – from… The post All About Osteoarthritis: Prevention, Management, and Treatment appeared first on Paramedics World.

Paramedic 98

Paramedic 98

St. Emlyn's

AUGUST 13, 2024

St.Emlyn's - Emergency Medicine #FOAMed Some expert guidance and top tips about how to care for a child with lifelimiting illness who presents to the Emergency Department The post Podcast – Paediatric Palliative Care in the ED appeared first on St.Emlyn's.

ED 82

ED Emergency Department 82

EMCrit Project

AUGUST 15, 2024

Getting sued in the maelstrom that is the US malpractice system is horrible!! Let's talk about how to make it better. EMCrit Project by Scott Weingart, MD FCCM.

80

80

Don't Forget the Bubbles

AUGUST 12, 2024

One-liner… Understanding the underpinning principles and management of raised intracranial pressure is essential for reducing the morbidity and mortality of traumatic brain injuries. Seven-year-old Dan was involved in a motor vehicle collision. At the scene, he was vomiting and drowsy with a low Glasgow Coma Score (GCS). The air ambulance service intubated him at the scene and pre-alerted the department before arrival.

ALS 75

ALS Emergency Department Plasma OR 75

Pulsara

AUGUST 14, 2024

Mass casualty incidents present a number of unique challenges. They're unplanned, unpredictable, and come with a number of unknowns. Responders from multiple agencies may be working the same scene, providing mutual aid and trying to work together to stabilize patients and get them care as quickly as possible. In such a high-pressured environment, communication and coordination are critical.

EMS 75

EMS 75

Dr. Smith's ECG Blog

AUGUST 11, 2024

Written by Jesse McLaren A healthy 75 year old developed 7/10 chest pain associated with diaphoresis and nausea, which began on exertion but persisted. Below is the first ECG recorded by paramedics after 2 hours of chest pain, interpreted by the machine as “possible inferior ischemia”. What do you think? There’s competing sinus bradycardia and junctional rhythm, with otherwise normal conduction, borderline right axis, normal R wave progression and voltages.

STEMI 74

STEMI Paramedic Coronary EMS 74

EMOttawa

AUGUST 15, 2024

Assessing patients with pleural effusions in the emergency department (ED) can be challenging and unclear. This is largely due to the lack of guidelines around pleural effusions in the ED. In this post, I’ve tried to highlight some key information about an approach to patients presenting with a new pleural effusion. This is not all-encompassing, […] The post By the Hammer of Thora: Pleural Effusions in the ED (part 1) appeared first on EMOttawa Blog.

ED 71

ED Emergency Department Critical Care 71

FOAMfrat

AUGUST 15, 2024

Alright, picture this: you are sitting at work waiting for the next call, when the crew working opposite of you returns from an incident. The other crew walks into the lounge to join you, but you notice they have a look of solemn defeat on their face. When you ask them what’s wrong they tell you they just cared for a female with postpartum hemorrhage, and they had no idea what to do.

Plasma 69

Plasma Ambulance ALS Emergency Department 69

SSCOR

AUGUST 15, 2024

Intubation forms a cornerstone of advanced airway management, giving patients oxygen in both emergencies and the surgical suite, in addition to providing long-term breathing support for critically ill patients. Patients will need both immediate and longer-term support following intubation, regardless of the reason for the procedure. Monitoring patients during intubation and providing appropriate follow-up care and support can improve outcomes as well as quality of life.

59

59

EMCrit Project

AUGUST 10, 2024

Penetrating Neck Trauma and how to leave the zone EMCrit Project by Scott Weingart, MD FCCM.

83

83

Paramedics World

AUGUST 16, 2024

Introduction to cold-blooded and warm-blooded animals Have you ever wondered why some animals seem to bask in the sun’s warmth while others are always on the move, generating their own… The post Understanding the Difference: Cold-Blooded vs. Warm-Blooded Animals appeared first on Paramedics World.

Paramedic 52

Paramedic OR 52

NVFC

AUGUST 16, 2024

The National Volunteer Fire Council (NVFC) is the premier nonprofit association serving the volunteer fire, emergency, and rescue services. Today, the NVFC serves as the voice of over one million volunteer firefighters and EMS personnel on Capitol Hill and provides valuable training, programs, and other resources. The NVFC seeks a full-time Chief Operating Officer.

Firefighter 52

Firefighter OR EMS 52

FirstNet Authority

AUGUST 14, 2024

Celebrating the 2024 Patriot Award Winners joseph.rey@fir… Wed, 08/14/2024 - 13:26 Congratulations to the Patriot Award winners of 2024: Dan Munsey, Joe Duval, Robert Simmons, Shawn Talmadge, and Robert Barbera. Established in 2023, this award honors trailblazers in public safety for their innovative use of broadband technologies. Join award winners as they share what this award means to them as they continue to pave the way for public safety.

Public Safety 52

Public Safety 52

Life in the Fastlane

AUGUST 13, 2024

Sheralyn Guilleminot and Mike Cadogan Navigating the Risks of Artificial Intelligence in Healthcare Do you know about these common risks of artificial intelligence in healthcare? Learn to mitigate them successfully and with confidence!

52

52

Paramedics World

AUGUST 15, 2024

Are you feeling tired, gaining weight unexpectedly, or struggling with infertility? You might be experiencing symptoms of hypothyroidism. This common yet often misunderstood condition can wreak havoc on your body… The post Hypothyroidism Explained: Symptoms, Causes, and Treatment appeared first on Paramedics World.

Paramedic 52

Paramedic OR 52