Emergency Medicine Cases

FEBRUARY 27, 2024

Anand Swaminathan on an update on the appropriate selection of induction agents. Hans Rosenberg on when to use gabapentinoids for pain control in the ED. Katie Lin on pearls for neuroprotective intubation. Nour Khatib and Hamza Jalal on an approach to paresthesias in the ED. Eric Wortmann on preventing burnout in emergency medicine. Please support EM Cases with a donation [link] The post EM Quick Hits 55 – Induction Agents, Gabapentinoids, Neuroprotective Intubation, Approach to Paresthesi

EMS 258

EMS ED 258

ALiEM

FEBRUARY 26, 2024

An 18-day-old male presented for a rash on his face for two days. The patient was born via spontaneous vaginal delivery full term without complications to a mom who has a history of genital HSV but without active lesions at delivery and on acyclovir. The patient presented with a vesicular rash on his face including around his eyes. He had conjunctival discharge noted by mom.

195

195

The Skeptics' Guide to EM

FEBRUARY 24, 2024

Reference: Li, T., & Gal, D. (2023). Consumers prefer natural medicines more when treating psychological than physical conditions. Journal of Consumer Psychology 2023, Date: February 23, 2024 Guest Skeptic: Ethan Milne is a Marketing PhD student at the Ivey Business School (Western University). He researches how moral outrage and status-seeking personalities motivate social media aggression, and how […] The post SGEM#341: You Make Me Feel Like a Natural Treatment first appeared on The Skeptics G

Emergency Department 174

Emergency Department OR 174

Pediatric EM Morsels

MARCH 1, 2024

We have digested many Morsels regarding various pulmonary complaints. While some are very rare (ex, Pulmonary Embolism , Pulmonary Hypertensive Crisis , Negative Pressure Pulmonary Edema , CPAM ) others are commonly encountered (ex, Croup , Bronchiolitis , Sinusitis ). It is pneumonia , however, that often generates the most conversations. When should I consider a CXR ?

EMS 169

EMS Critical Care OR 169

Core EM

MARCH 1, 2024

We review Nitrous Oxide Toxicity: Symptoms, diagnosis, and treatment overview Hosts: Stefanie Biondi, MD Brian Gilberti, MD [link] Download Leave a Comment Tags: Toxicology Show Notes Patient Case Illustration Hypothetical case: 21-year-old male with no previous medical history, experiencing a month of progressively worsening numbness, tingling, and weakness.

Emergency Department 162

Emergency Department ED OR ALS 162

ALiEM

MARCH 1, 2024

A 24-year-old female with no pertinent PMHx presents to the ED with a chief complaint of eye pain. She reported a 10-day history of worsening right eye pain following being punched in that eye. She had been managing her pain with ice and had not taken any OTC medications. Her mom convinced her to go to the ED and she first went to an outside hospital, but was referred to come to our institution.

ED 152

ED OR 152

EMergucate

FEBRUARY 26, 2024

The following ECG is from a 40-year-old man who presents overnight with left sided sharp chest pain which has woken him from sleep. He describes the pain as radiating into his left arm.

130

130

FirstNet Authority

FEBRUARY 29, 2024

Update on February 22 Network Outage Blog joseph.rey@fir… Thu, 02/29/2024 - 13:49 By Joe Wassel, Executive Director and CEO, First Responder Network Authority Learn more about how FirstNet is transforming public safety communications — contact your local FirstNet Authority Public Safety Advisor and sign up for our discipline newsletters. Follow us on Twitter , Facebook , Instagram , and LinkedIn for the latest FirstNet Authority updates.

Public Safety 128

Public Safety First Responder OR 128

ALiEM

FEBRUARY 28, 2024

As medical education podcasts, videos, and blogs continue to grow in popularity it is crucial that we cite them correctly, both in publications and on our CVs. We also must recognize the important contributions of media such as clinical photographs, radiology images, and ECGs. The American Medical Association (AMA) Manual of Style released its 11th edition in 2020.

OR 130

OR ED 130

EMergucate

FEBRUARY 25, 2024

Answers: PH = 7.39, that is within normal range/ pCO2 = 48 mmHg, that is slightly elevated (Can be considered normal for venous blood) HCO3 = 29 mmol/L.

130

130

REBEL EM

FEBRUARY 29, 2024

Background: Ventilator-associated pneumonia (VAP), or what the CDC recently renamed infection-related ventilator-associated complication (IVAC), is defined as a nosocomial pneumonia occurring on day 3 of mechanical ventilation that was preceded by 2 days of stable or decreasing ventilator requirements. 1, 2 Its occurrence often portends worse outcomes in intubated patients, whose projected hospital course was already tenuous. 3, 4 It is the most common nosocomial infection in patients on m

E-9-1-1 126

E-9-1-1 ICU OR ALS 126

Critical Care Scenarios

FEBRUARY 28, 2024

We discuss the medications typically used after organ transplant, their impact on critical illness, and how to manage them when these patients show up sick—with Olivia Philippart, transplant clinical pharmacist specializing in liver and kidney transplant at University of Kentucky HealthCare. Find us on Patreon here! Buy your merch here! Takeaway lessons References From: Fishman … Continue reading "Episode 71: Transplant medications with Olivia Philippart" Photo by Tim Webb We discuss the medicat

ICU 100

ICU OR 100

St. Emlyn's

FEBRUARY 27, 2024

St.Emlyn's - Emergency Medicine #FOAMed A review of Acute on Chronic Liver Disease (ACLD / decompensated liver disease) in the ED. How we can improve patient outcomes. #FOAMed @stemlyns The post Decompensated. Liver disease in the ED. St Emlyn’s appeared first on St.Emlyn's.

ED 124

ED Critical Care 124

EMergucate

FEBRUARY 27, 2024

The following ankle x-ray is from a 13 year old with severe ankle pain & swelling post twisting injury to … Continue reading →

EMS 130

EMS 130

NVFC

FEBRUARY 27, 2024

First 100 people to post their project plans online will receive a free campaign banner The National Fire Protection Association® (NFPA®) and State Farm have announced that Wildfire Community Preparedness Day will be held on Saturday, May 4, reflecting the 10th anniversary of the campaign. Each year, Wildfire Community Preparedness Day actively encourages groups and individuals living in wildfire-prone areas to complete projects that can help make their homes and communities safer from wildfire.

NFPA 111

NFPA OR 111

Life in the Fastlane

FEBRUARY 25, 2024

Sheralyn Guilleminot and Franz Wiesbauer How to make a medical podcast using AI (part 2) The original hope was that using AI might allow us to create a single podcast episode in one afternoon. But things didn’t go quite the way we planned.

110

110

Unitek EMT

FEBRUARY 28, 2024

Explore the educational pathway, skills, and opportunities in community paramedicine. Community Paramedicine represents a transformative approach to healthcare delivery, particularly in underserved or rural areas where access to healthcare services is often limited. By extending the traditional role of emergency medical services (EMS) personnel, Community Paramedics are instrumental in bridging gaps within the healthcare system, […] The post How to Become a Community Paramedic appeared fir

Community Paramedicine 100

Community Paramedicine Paramedic Paramedicine Paramedicine 100

EMergucate

FEBRUARY 26, 2024

61-year-old man presented to ED with hypoglycemia that was difficult to correct with oral and IV dextrose.

ED 130

ED 130

NVFC

FEBRUARY 27, 2024

Practical tips for diversity, equity, and inclusion in your community By Larry Conley The American firefighter has many faces and backgrounds. Though the paid firefighter receives the most attention through media, movies, etc., most firefighters in America are volunteers. I have always felt that volunteer firefighters are extra special because they put themselves in harm’s way without monetary compensation.

Firefighter 105

Firefighter OR EMT EMT 105

First Responders Foundation

FEBRUARY 27, 2024

First responders—firefighters, police officers, paramedics, and emergency medical technicians—face intense stressors that are inherent to their jobs. The high-stakes nature of their work, exposure to traumatic experiences, and the physical demands of their roles can lead to burnout, a state of physical, emotional, and mental exhaustion. Addressing burnout is crucial not only for the well-being of first responders but also for maintaining the quality of public safety services.

First Responder 98

First Responder Public Safety Emergency Medical Technician Emergency Response 98

EMT Training Station

FEBRUARY 26, 2024

As an EMT veteran and EMT instructor, I can’t stress enough the importance of NREMT basic exam practice tests. They’re not just about memorizing stuff; they get you in tune with the exam’s feel and type of questions. The real deal is about quick thinking under pressure, much like in the field. Practicing also eases your nerves, helping you spot your weak spots.

EMT 98

EMT EMT CPR Ambulance 98

EMergucate

MARCH 1, 2024

Question 1: PH = 7.30 that is mild acidaemia. HCO3 = 16 mmol/L (>24) so we have metabolic acidosis.

130

130

NVFC

FEBRUARY 27, 2024

Thank you to all those who contacted their Representative to express the importance of the Assistance to Firefighters Grants (AFG) and Staffing for Adequate Fire and Emergency Response (SAFER) grant programs and request that they sign the letter urging the leadership of the House of Representatives to include AFG, SAFER, and U.S. Fire Administration reauthorization in the upcoming “must pass” funding bill.

Firefighter 105

Firefighter Emergency Response 105

Dr. Smith's ECG Blog

MARCH 1, 2024

This 60 yo male had an apparent tonic clonic seizure. He had no history of seizures. He was unconscious for 8 minutes and slowly awoke in the ambulance, complaining of nausea only. First responders found him to be very tachycardic , confused, perserverating and with no memory of the event. There was tongue biting. Lightheadedness continued. The tachycardia was gone by the time paramedics arrived.

First Responder 97

First Responder ED Ambulance Paramedic 97

Prehospital Emergency Care Podcast

FEBRUARY 28, 2024

The Field Triage Guidelines (FTG) are used across North America to identify seriously injured patients for transport to appropriate-level trauma centers. We should aim for an under-triage rate of 5% and an over-triage rate of 25-35%. But how faithful are we to these recommendations? In this podcast, we interview the lead author Joshua Lupton MD MPH M.Phil on the manuscript: Under-Triage and Over-Triage Using the Field Triage Guidelines for Injured Patients: A Systematic Review Click here to

97

97

First 10 EM

FEBRUARY 26, 2024

Welcome back to another edition of the research roundup, where we discuss an eclectic collection of articles selected through the very rigorous process of whatever I happened to find interesting in my recent reading. The BroomeDocs podcast version can be found here: [link] Putting nail bed repair to bed? Jain A, Greig AVH, Jones A, […] The post The Research Roundup (February 2024) appeared first on First10EM.

EMS 97

EMS 97

St. Emlyn's

FEBRUARY 25, 2024

St.Emlyn's - Emergency Medicine #FOAMed Key papers from the university of toronto CPD update in emergency medicine Whistler 2024 #uoftem24 #FOAMed #EBM #EM @stemlyns @davidcarr333 The post CPD update for UoT CPD conference, Whistler 2024. St Emlyn’s appeared first on St.Emlyn's.

EMS 101

EMS 101

EMDocs

FEBRUARY 26, 2024

Authors: Kamoga Dickson, MD (EM Resident Physician, Makerere University of Health Sciences); Jessica Pelletier, DO (EM Education Fellow, Washington University in St. Louis) // Reviewed by: Joshua Lowe, MD (USAF Physician); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case A 42-year-old female with advanced acquired immunodeficiency syndrome (AIDS) presents to the Emergency Department (ED) with two weeks of progressive dyspnea that worsens with exertion, associated with a dry cough an

E-9-1-1 87

E-9-1-1 ED ALS OR 87

EMCrit Project

FEBRUARY 26, 2024

Do you still need to worry about contrast in patients with tenuous renal function? EMCrit Project by Scott Weingart, MD FCCM.

92

92

First 10 EM

FEBRUARY 29, 2024

The First10EM monthly wrap up is a place for me to share updates about the website, about my academic life, and also interesting content, such as books, podcasts, and other FOAMed, that I have encountered in the prior month. Obviously the format means the focus is mostly on content I have found, but I hope […] The post The First10EM monthly wrap-up for February 2024 appeared first on First10EM.

96

96

St. Emlyn's

FEBRUARY 29, 2024

St.Emlyn's - Emergency Medicine #FOAMed In our modern world global health is vitally and increasingly important. Anisa Jafar takes us through a project designed to connect and map global health practitioners. Follow the links and join the network. The post Global Health map – connecting UK emergency care practitioners appeared first on St.Emlyn's.

100

100

EMDocs

FEBRUARY 29, 2024

Authors: Rachel Bridwell (Attending EM Physician); Brannon Inman, MD (EM Crit Care, Orlando Health); Lloyd Tannenbaum (Staff Physician, Hackensack University Medical Center) // Reviewed by: Jamie Santistevan, MD ( @jamie_rae_EMdoc, EM Physician, Presbyterian Hospital, Albuquerque, NM); Manpreet Singh, MD ( @MPrizzleER ); Brit Long, MD ( @long_brit ) Case: You’re working on shift and the nurses hand you an ECG asking what you want for rate control on this: Do you think this is atrial fibrillatio

EMS 80

EMS OR 80

Don't Forget the Bubbles

FEBRUARY 26, 2024

Non-invasive BiPAP can be a successful ventilation strategy for status asthmaticus, removing the need for intubation and the complications associated with this. A 6-year-old known asthmatic presents to ED with a two-day history of cough and coryza, worsening wheeze and work of breathing over the last day. He is usually managed with beclomethasone twice daily and salbutamol as needed.

E-9-1-1 72

E-9-1-1 Critical Care OR ALS 72

EMOttawa

FEBRUARY 26, 2024

Methodology: 3.5/5 Usefulness: 3/5 Freund Y, et al. JAMA. 2023 Dec 19;330(23):2267-2274. Question and Methods: Multicenter RCT involving comatose patients with suspected acute poisoning and GCS <9 compared a conservative airway strategy of withholding intubation versus routine practice for the primary hierarchical composite end point of in-hospital death, length of ICU stay, and length of […] The post Effect of Noninvasive Airway Management of Comatose Patients With Acute Poisoning: A

ICU 64

ICU ALS Critical Care 64

St. Emlyn's

FEBRUARY 24, 2024

St.Emlyn's - Emergency Medicine #FOAMed Our regular podcast round up with @docib and @emmanchester of the best of the blog from January 2024. This month we focus on habits, the management of the comatose overdose patient and retention/recruitment issues in UK emergency medicine. #foamed @stemlyns The post St Emlyn’s podcast round up January 2024. appeared first on St.Emlyn's.

Overdose 90

Overdose Critical Care 90

EMDocs

FEBRUARY 28, 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.

Medical Transportation 80

Medical Transportation ED EMS OR 80

The Bottom Line

FEBRUARY 29, 2024

In critically ill adults with overt acute hepatic encephalopathy (HE) admitted to ICU, does the addition of rifaximin to broad spectrum antimicrobials affect time to resolution of HE?

ICU 62

ICU 62