The Skeptics' Guide to EM

SEPTEMBER 21, 2024

Date: September 18, 2024 Reference: Dillon et al. Naloxone and Patient Outcomes in Out-of-Hospital Cardiac Arrests in California. JAMA Network Open. August 20, 2024 Guest Skeptic: Dr. Chris Root is an emergency medicine and emergency medicine service (EMS) physician at the University of New Mexico, Albuquerque. Before attending medical school, he was a New York City Paramedic.

Naloxone 242

Naloxone NARCAN Overdose CPR 242

American Ambulance Association

SEPTEMBER 23, 2024

Press Contact Tristan North Senior Vice President American Ambulance Association tnorth@ambulance.org FOR IMMEDIATE RELEASE Congressman Brad Finstad Honored as 2024 Legislator of the Year by the American Ambulance Association Washington, […] The post Press Release: Congressman Brad Finstad Honored as Legislator of the Year appeared first on American Ambulance Association.

Ambulance 147

Ambulance 147

ALiEM

SEPTEMBER 25, 2024

A 24-year-old male with a history of microscopic hematuria presented to the emergency department (ED) with left lower quadrant abdominal pain. His pain started about two weeks ago and has been intermittent. He describes the pain as stabbing. He decided to come to the ED today because of the persistent nature of the pain. He denies chest pain, cough, shortness of breath, fevers, nausea, vomiting, diarrhea, constipation, rectal bleeding, dysuria, and increased urinary frequency.

Emergency Department 141

Emergency Department ED ALS OR 141

EMergucate

SEPTEMBER 22, 2024

47yr female presents with 2 day history of right infra-scapula pain. In ED has right sided pleuritic chest pain and is diaphoretic.

ED 130

ED OR EMS 130

Core EM

SEPTEMBER 24, 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.

ED 100

ED EMS Critical Care OR 100

American Ambulance Association

SEPTEMBER 23, 2024

Press Contact Tristan North Senior Vice President American Ambulance Association tnorth@ambulance.org FOR IMMEDIATE RELEASE Congresswoman Gluesenkamp Perez Awarded 2024 Legislator of the Year by the American Ambulance Association Washington, […] The post Press Release: Congresswoman Gluesenkamp Perez Honored as Legislator of the Year appeared first on American Ambulance Association.

Ambulance 147

Ambulance 147

St. Emlyn's

SEPTEMBER 26, 2024

St.Emlyn's - Emergency Medicine #FOAMed The diagnosis of subarachnoid haemorrhage in the emergency department is a constant source of anxiety. How do we make sure we pick up everyone with a bleed, but not overinvestigate […] The post The Subarachnoid Haemorrhage in the Emergency Department (SHED) Study appeared first on St.Emlyn's.

Emergency Department 125

Emergency Department 125

NVFC

SEPTEMBER 24, 2024

Practical tips for diversity, equity, and inclusion in your community Intergeneration Month is held worldwide each September. First launched in 2000, Intergeneration Month is a time to examine, strengthen, and celebrate the connections between generations of people. Like all industries, fire and emergency services organizations can experience challenges and opportunities by having first responders from several generations working together.

Firefighter 116

Firefighter First Responder EMS OR 116

Dr. Smith's ECG Blog

SEPTEMBER 23, 2024

Written by Willy Frick with edits by Ken Grauer A woman in her 70s with a history of hypertension presented with acute onset shortness of breath. She was out walking her dog when she developed sudden dizziness and light-headedness. When EMS found her, she was dyspneic and diaphoretic. Her ECG is shown below: What do you think? The conventional machine algorithm interpreted this ECG as STEMI.

E-9-1-1 109

E-9-1-1 Coronary STEMI ALS 109

FOAMfrat

SEPTEMBER 24, 2024

After peeling your unrestrained passenger from an MVC rollover off the pavement, you’re running down the usual trauma checklist: circulation, airway, breathing, and focused assessment. It’s probably safe to assume that your patient has a traumatic brain injury, so at what point in your treatment pathway do you reach for an antiepileptic drug (AED)?

OR 106

OR ALS 106

First Responders Foundation

SEPTEMBER 23, 2024

Veterans and first responders are the unsung heroes of our communities. They serve on the frontlines, protecting our nation, cities, and neighborhoods from danger. While their service is essential, the physical and emotional toll it takes can be immense. Many Veterans and first responders face unique challenges, including trauma, injury, and the stress of transitioning back into civilian life.

First Responder 105

First Responder Mental Health Services Public Safety OR 105

NVFC

SEPTEMBER 24, 2024

MSA Safety, DuPont Personal Protection, and the National Volunteer Fire Council (NVFC) are pleased to announce the latest recipients of new turnout gear and helmets through MSA and DuPont’s Globe Gear Giveaway. Cornettsville (KY) Fire Department and Elmore Fire Department (Lake Elmore, VT) will each receive four new sets of Globe turnout gear and four MSA Cairns® fire helmets to provide protection to their volunteer firefighters.

Firefighter 105

Firefighter NFPA First Responder Emergency Management 105

Dr. Smith's ECG Blog

SEPTEMBER 25, 2024

This is another case sent by the undergraduate (who is applying to med school) who works as an EKG tech. The undergraduate is now willing to identify himself: Hans Helseth. A 56 year old male with a history of diabetes, dyslipidemia, hypertension, and coronary artery disease presented to the emergency department with sudden onset weakness, fatigue, lethargy, and confusion.

Coronary 108

Coronary STEMI Emergency Department OR 108

SSCOR

SEPTEMBER 26, 2024

Protecting the airway is key to protecting the patient, regardless of the reason for an EMS call. Almost all of the most common EMS emergencies involve risk to the airway.

First Responder 103

First Responder EMS 103

St. Emlyn's

SEPTEMBER 25, 2024

St.Emlyn's - Emergency Medicine #FOAMed This is the first of a series of blog posts on new research in emergency toxicology. We deal with all sorts of poisons here in Virchester, so be prepared for […] The post When is emergency endoscopy required for caustic ingestions? appeared first on St.Emlyn's.

104

104

NVFC

SEPTEMBER 24, 2024

The National Volunteer Fire Council (NVFC) Board of Directors held its annual fall meeting on September 18-20 in Kansas City, MO. The board gathers as a whole twice a year to conduct Council business, guide the strategic direction of the organization, and vote on matters before the board. Among those in attendance were 64 directors from 41 states. The 2.5-day agenda included committee meetings, guest speakers, general and executive sessions, activities, and a special election.

Emergency Response 105

Emergency Response Public Safety Firefighter ALS 105

EM Literature of Note

SEPTEMBER 24, 2024

The cornerstone of treatment for severe exacerbations of chronic obstructive pulmonary disease remains non-invasive positive pressure ventilation. Typically, this involves bi-level positive pressure settings, preventing alveolar collapse while assisting with inspiration and gas exchange. This works – most of the time. When it doesn’t work – endotracheal intubation.

Emergency Department 93

Emergency Department ED OR 93

SSCOR

SEPTEMBER 21, 2024

Aspiration pneumonia is common among seniors, people with dysphagia, and people with chronic breathing disorders. It can also occur during or following surgery, or subsequent to a sudden trauma. Mortality rates vary greatly and rise with patient age and comorbidities, as well as the total volume of aspirated fluids. Among those with emphysema , it may be as high as 20%.

OR 101

OR 101

EMDocs

SEPTEMBER 24, 2024

Today on the emDOCs cast with Brit Long ( @long_brit) , we cover eclampsia. Episode 107: Eclampsia Definition: Severe hypertensive disease of pregnancy (HDP) with new onset tonic-clonic, focal, or multifocal seizures or unexplained altered mental status in a patient who is pregnant or postpartum and there’s no other causative etiologies. Eclampsia can occur during or after the 20th week of pregnancy and up to 6 weeks postpartum. 60% of cases occur during the antepartum period, 20% intrapartum, a

ED 82

ED OR ACS ALS 82

NVFC

SEPTEMBER 24, 2024

This week the Occupational Safety and Health Administration (OSHA) released a statement indicating that they are listening to the public comments and the significant concerns the volunteer fire service has shared regarding their proposed Emergency Response Standard. The statement also emphasized the need for further engagement and comments from the volunteer fire service.

Emergency Response 105

Emergency Response Firefighter OR 105

Pulsara

SEPTEMBER 26, 2024

SEPTEMBER RECAP Fall is in the air, and Team Pulsara has been keeping busy! If you missed the opportunity to meet with our team at any of the seven trade shows we attended in September, not to worry. You'll have numerous opportunities to connect with them in October, as we have eleven shows scheduled.

82

82

First 10 EM

SEPTEMBER 23, 2024

If I am honest, on most of my shifts, other substances seem to be far more destructive than nicotine. I spend a lot of time talking to patients about suboxone, or dealing with the consequences of alcohol. I definitely talk to people about smoking, but aside from brief counseling and occasionally prescribing nicotine replacement for […] The post Smoking cessation in the emergency department (The COSTED trial) appeared first on First10EM.

Emergency Department 81

Emergency Department OR EMS 81

EMDocs

SEPTEMBER 26, 2024

Here’s another case from Medical Malpractice Insights – Learning from Lawsuits , a monthly email newsletter for ED physicians. The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. To opt in to the free subscriber list, click here. Stories of med mal lawsuits can save lives.

Emergency Department 74

Emergency Department ED ALS Coronary 74

EMCrit Project

SEPTEMBER 23, 2024

All things Vascular Access with the Vascular Guy EMCrit Project by Scott Weingart, MD FCCM.

101

101

REBEL EM

SEPTEMBER 23, 2024

Bottom Line Up Top: Based on the available evidence, we should strongly consider ketamine over etomidate as our default induction agent in critically ill patients. Clinical Scenario: A 48 year old man presents with fever, hypotension, hypoperfusion and hypoxemia. Workup reveals multifocal pneumonia and oxygenation only marginally improves with non-invasive ventilation.

ALS 75

ALS EMS ED OR 75

Dr. Smith's ECG Blog

SEPTEMBER 25, 2024

Submitted by Dr. George Mastoras (Twitter @georgemastoras), written by Jesse McLaren It’s a busy day in the ED when you’re sent another ECG to sign off from a patient at triage. A healthy 45-year-old female presented with chest pain, with normal vitals. The computer interpretation was “ST elevation, consider early repolarization, pericarditis or injury.

OR 66

OR STEMI ACS Coronary 66

The Bottom Line

SEPTEMBER 24, 2024

What’s new in the Critical Care literature – monthly updates

Critical Care 106

Critical Care 106

ESO

SEPTEMBER 24, 2024

Ambulance Patient Offload Time (APOT) is a new metric introduced in the 2024 ESO EMS Index that measures the duration from when an ambulance arrives at the hospital to the transfer of patient care to hospital personnel. Commonly referred to as “wall time ”, extended ambulance offload times have raised real concern throughout the healthcare industry.

MIH 59

MIH NFPA Ambulance EMS 59

Paramedics World

SEPTEMBER 27, 2024

Qualified and skilled doctors have reversed the death rate ratio worldwide with perseverance and elevated the quality of the treatments provided to patients. The outcomes are better with each passing… The post How To Prepare for USMLE Step 2 CK? appeared first on Paramedics World.

Paramedic 52

Paramedic 52

FirstNet Authority

SEPTEMBER 26, 2024

How public safety broadband drives results for Virginia joseph.rey@fir… Thu, 09/26/2024 - 09:11 Shawn Talmadge, State Coordinator for the Virginia Department of Emergency Management, describes how the Commonwealth utilizes of FirstNet capabilities — such as radio interoperability, unmanned arial systems, and flood monitoring — to ensure reliable communication for Virginia’s emergency teams both during routine and unexpected events.

Public Safety 52

Public Safety Emergency Manager Emergency Management 52

The Bottom Line

SEPTEMBER 24, 2024

What’s new in the Critical Care literature – monthly updates

Critical Care 105

Critical Care 105

NVFC

SEPTEMBER 24, 2024

Junior firefighter programs can be a key recruitment pipeline for volunteer fire departments. Thanks to a grant from the Motorola Solutions Foundation, the NVFC has released a new course on Building a Strong Foundation: Creating a Successful Junior Firefighter Program. Taught by Jerry Presta, this course equips fire department leaders with tools and knowledge to develop, implement, and maintain a thriving junior firefighter program.

Firefighter 52

Firefighter 52

Paramedics World

SEPTEMBER 26, 2024

Statistics from The National Council for Mental Wellbeing report that more than 70% of adults in the United States have experienced some type of traumatic event at least once in… The post How Trauma Can Affect Our Overall Health and Wellbeing appeared first on Paramedics World.

Paramedic 52

Paramedic 52

The Vocal CORD

SEPTEMBER 24, 2024

We are excited to introduce the dedicated individuals who form the backbone of our organization. Each month, we will spotlight different board members, offering insights into their backgrounds, interests, and unique perspectives. Through these introductions, we hope you will appreciate the expertise and vision driving CORD’s mission forward. Stay tuned to get to know the leaders shaping our future!

Emergency Department 52

Emergency Department OR ED 52

This Podcast Will Kill You

SEPTEMBER 24, 2024

For life on this planet, iron is not optional. It is essential. When our iron levels are low, we can get sick, and when they get really really low, we can even die. But you know what they say, too much of a good thing can be a bad thing. In the case of iron, the genetic condition hemochromatosis is often to blame for iron overload, but why is too much iron a bad thing?

ALS 52

ALS ACS 52

NVFC

SEPTEMBER 24, 2024

The NVFC is pleased to welcome Tractor Supply Company as a Chairman’s Club member. For more than 85 years, Tractor Supply has been passionate about serving the needs of recreational farmers, ranchers, homeowners, gardeners, pet enthusiasts, and all those who enjoy living Life Out Here. Tractor Supply is the largest rural lifestyle retailer in the U.S., with 2,254 Tractor Supply stores in 49 states and 205 Petsense by Tractor Supply stores in 23 states.

52

52

EMOttawa

SEPTEMBER 26, 2024

I wrote this piece because understanding diseases by framing them as high or low levels of dopamine, acetylcholine, glutamate, or GABA has significantly improved my grasp of their pathophysiology and treatment strategies. Too often, medicine is taught as isolated pieces of information, disconnected from a bigger, cohesive picture. This fragmentation makes the material less relevant […] The post Acetylcholine vs Dopamine “It’s Not You, It’s Me” appeared first on EMOt

OR 51

OR Critical Care 51