The Skeptics' Guide to EM
NOVEMBER 23, 2024
Date: November 13, 2024 Reference: Lee WH, et al. Study of Pediatric Appendicitis Scores and Management Strategies: A Prospective Observational Feasibility Study. Academic Emergency Medicine. Dec 2024 Guest Skeptic: Dr. Dennis Ren is a pediatric emergency medicine physician at Children’s National Hospital in Washington, DC. He’s also the host of SGEMPeds.
EMergucate
NOVEMBER 25, 2024
72 year-year-old man with history of type II DM and has a single kidney. Presented with 2 weeks of diarrhoea. He has been in bed for 2 weeks. Unresponsive. Last proper meal was 2 weeks ago.
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American Ambulance Association
NOVEMBER 25, 2024
This content is for AAA members only. Please either Log In or Join! The post Registration Open! Public Meeting on December 4 for NACCD appeared first on American Ambulance Association.
Critical Care Scenarios
NOVEMBER 27, 2024
We chat about the post-op transition of care from the OR to the ICU, including questions to ask, workflows, and pitfalls. Check out the Intensive Care Academy here! Bryan’s textbook: Concepts in Surgical Critical Care Find us on Patreon here! Buy your merch here! We chat about the post-op transition of care from the OR to the ICU, including questions to ask, workflows, and pitfalls.
Core Ultrasound
NOVEMBER 29, 2024
In this video tutorial, we provide a detailed guide to operating the Sonosite LX ultrasound machine. Designed for both beginners and those familiar with ultrasound technology, this demonstration will walk you through the essential features and functions of this device. You’ll learn how to power it on, optimize image quality, navigate the user interface, save and review images, and utilize its advanced settings to improve your workflow. > The post 5 Minute Sono – Sonosite LX Machine Basics
EMergucate
NOVEMBER 24, 2024
The supine chest x-ray shows left sided deep sulcus sign (lucency diving deep into left upper quadrant) indicative of a … Continue reading →
Core EM
NOVEMBER 26, 2024
Diagnosis of acute aortic syndromes with ultrasound and d-dimer: the PROFUNDUS study European Journal of Internal Medicine, 2024 Background Acute aortic syndromes (AAS) are rare causes in patients presenting with chest/abdominal/back pain or syncope. Types of AAS include aortic dissection, intramural aortic hematoma, and penetrating aortic ulcer. Diagnosis of AAS requires urgent advanced aortic imaging (AAI), such as computed tomography angiography (CTA).
Paramedicine Now brings together the best content for paramedicine professionals from the widest variety of thought leaders.
Core Ultrasound
NOVEMBER 29, 2024
In this video tutorial, we provide a comprehensive guide to the basic operation of the Mindray TeX ultrasound machine. Whether you’re new to ultrasound or exploring this device for the first time, this step-by-step demonstration will help you confidently navigate its features and settings. We cover everything from powering on the machine and adjusting image quality to using the touch interface, saving and reviewing images, and making the most of its key functions.
EMergucate
NOVEMBER 25, 2024
Question 1: PH = 7.30, that is mild acidaemia. HCO3 = 18, that is low (less than 24), So we have metabolic acidosis.
Dr. Smith's ECG Blog
NOVEMBER 27, 2024
Pendell and I and the geniuses at Powerful Medical (Producers of the PMCardio Queen of Hearts OMI AI app ) are working on an objective, mathematical definition of hyperacute T-waves , based on real OMI outcomes and hyperacute T-wave annotation that has excellent interrater agreement (between me and Pendell), and it will end up being a logistic regression using these 3 variables: 1) area under the curve (AUC) relative to the QRS size 2) increased symmetry , as defined by time from T-wave onset to
St. Emlyn's
NOVEMBER 26, 2024
St.Emlyn's - Emergency Medicine #FOAMed In this podcast, Liz Crowe discusses the effect bad behaviour has on teams and ultimately patient safety. The post Podcast – Bad Behaviour in Teams with Liz Crowe at Tactical Trauma 2024 appeared first on St.Emlyn's.
FOAMfrat
NOVEMBER 25, 2024
Earlier in the summer, I wrote a blog discussing the challenges, intricacies, and educational pitfalls of postpartum hemorrhage in EMS. The blog's aftermath yielded much great discussion of amniotic fluid emboli and how we can best prepare to manage these patients prehospitally I have always known that amniotic fluid embolism patients exist. I even know of cases that my colleagues have managed!
EMergucate
NOVEMBER 24, 2024
The lateral view of ankle demonstrates an avulsion fracture above the posterior calcaneus.
American Burn Association
NOVEMBER 25, 2024
Categories Advocacy Burn News MAC Spotlight Media Member Services Member Spotlight Organization News Prevention Quality Care Research Return to News & Activities FOR IMMEDIATE RELEASE Contact: Susan Urbanczyk Senior Manager, Marketing and Communications American Burn Association urbanczyk@ameriburn.org ameriburn.org Cook Safely This Week: Protect Yourself and Your Loved Ones from Burn Injuries CHICAGO [Nov. 26, 2024] —
St. Emlyn's
NOVEMBER 24, 2024
St.Emlyn's - Emergency Medicine #FOAMed GLP-1A toxicity: What do emergency clinicians need to know about drugs like Ozempic® and Wegovy®? #FOAMed @stemlyns Greg Yates takes through a paper reporting overdoses in US practice. The post GLP-1A toxicity: What do emergency clinicians need to know about drugs like Ozempic® and Wegovy®? appeared first on St.Emlyn's.
EMCrit Project
NOVEMBER 28, 2024
I discussed the reasons for migrating to BlueSky here. I've received positive feedback from several FOAMed expats who migrated to Bluesky and enjoy it there. I've also received some questions about getting started on BlueSky, so here is a brief guide to moving into MedSky. [1] Set up your account & profile This is essentially […] EMCrit Project by Josh Farkas.
EMergucate
NOVEMBER 26, 2024
The following ECG is from a 62-year-old man who presented following an MVA.
Dr. Smith's ECG Blog
NOVEMBER 25, 2024
Introductory Angiography Guide To find the guide later, go to the banner at the top of the blog: This blog is dedicated to improving understanding of ECGs in the context of emergency medicine. A substantial proportion of cases discussed include diagnostic angiography. Attaining expertise in angiography requires dedication and practice. What follows is an introduction to angiography -- a guide meant for people with no prior experience interpreting angiograms.
SSCOR
NOVEMBER 28, 2024
A tracheostomy opens a direct airway into the neck. Its prevalence in long-term care is increasing, and some providers assert that early tracheostomy in mechanically ventilated patients may decrease complications and reduce morbidity.
Pulsara
NOVEMBER 27, 2024
NOVEMBER RECAP After a whirlwind November with Team Pulsara exhibiting at eight conferences, our exhibit schedule is slowing down as the year draws to a close. As we wrap up 2024, take a look to see where you can catch us next month!
EMergucate
NOVEMBER 24, 2024
There is a sliver of air under the right hemi-diaphragm.
Don't Forget the Bubbles
NOVEMBER 27, 2024
Imagine this – a six-week-old infant with a fever of 38.3⁰C presents to your emergency department. They look well and, apart from fever, have no other symptoms. There are no sick contacts at home. Although they look well, you don’t want to miss a serious diagnosis, so what do you do? You’ve so many questions. Which of the many febrile infant clinical decision tools should you use?
EM Literature of Note
NOVEMBER 25, 2024
Following on the success of Toy Story 2, Inside Out 2, and Avatar 2, we have WOMAN-2, yet another trial featuring emergency medicine’s third-favorite medication: tranexamic acid. However, where those sequels succeeded, WOMAN-2 is more like Miss Congeniality 2 – the one we’re not going to talk about again. But, don’t take it from me – take it from the ChatGPT Agent I created!
First 10 EM
NOVEMBER 25, 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 (or now quarter). Obviously the format means the focus is mostly on content I have found, […] The post The First10EM monthly wrap-up for autumn 2024 appeared first on First10EM.
Dr. Smith's ECG Blog
NOVEMBER 29, 2024
Written by Willy Frick A young woman with a history of paroxysmal nocturnal hemoglobinuria presented with acute substernal chest pain. Five days prior, she had a similar presentation to a different hospital. She underwent coronary angiography which showed thrombotic occlusion of an RPL branch s/p aspiration thrombectomy. The report describes heavy plaque in the proximal RCA by IVUS, but no lesions in the previously occluded RPL branch and no stent was deployed.
EMDocs
NOVEMBER 23, 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: Could Paralyzing Before Sedatives Increase First Pass Success? Spoon Feed This study utilized Bayesian analysis and found that when paralytic medications were administered before sedatives during ED intubation, the
Don't Forget the Bubbles
NOVEMBER 29, 2024
It’s a busy day in the paediatric ED. A worried parent rushes in carrying a toddler who’s just had a gulp from an unlabelled bottle in the garage. The child looks unsettled but otherwise fine—for now. “It was just a bit of the stuff we use for cleaning the car windscreen,” the parent says. You smell the faint odour of alcohol on the child’s breath A quick mental note: methanol poisoning?
REBEL EM
NOVEMBER 25, 2024
Background: In 2018, the BEAM Trial, a small single-center randomized clinical trial, conducted in the emergency department at Hennepin County Medical Center, demonstrated that bougie use significantly increased the first-attempt intubation success rate compared to the endotracheal tube with stylet (98% vs 87% (absolute difference, 11% [95% CI, 7% to 14%]). 1 Conversely, the 2021 BOUGIE trial—a larger, multicenter randomized clinical trial conducted by the same investigators—found no significant
Dr. Smith's ECG Blog
NOVEMBER 23, 2024
An elderly woman presented with one day of chest and right arm pain, and also abdominal pain. There was associated tingling and numbness in the right hand and generalized weakness, worse on the right side. A triage ECG was recorded: Smith : there is widespread artifact, except in lead III. Since lead III is not artifactual, one can deduce that t he artifact is caused by movement of the right arm electrode, so that electrode should be moved and the ECG re-recorded.
SSCOR
NOVEMBER 23, 2024
Preplanning is part of the job as an emergency responder. Each shift, you must be prepared to answer any type of emergency that your community throws at you, so you had better plan ahead. When it comes to your equipment, especially your pharyngeal suction device , you want a unit that will fit the needs of the community in which you work. Here are a few considerations when choosing a portable suction unit.
Don't Forget the Bubbles
NOVEMBER 25, 2024
A 7-week-old baby presents to the Emergency Department (ED) with a one-day history of coryza and cough. Parents have recorded a temperature of 38°C at home. In triage, she is noted to be alert and feeding well. Her initial observations show a temperature of 38.2°C, HR 152 bpm, RR 45/min, and oxygen saturation 97% in room air. You perform a viral swab test at ED which comes back positive for SARS-CoV-2.
FOAMfrat
NOVEMBER 28, 2024
Dr. Hoffman is the editor-in-chief of PulmCCM, a blog that frequently updates its readers on evidence and best practices in critical care medicine. I have always wondered how our work in the field affects a patient's care downstream. Do pulmonologists ever sigh to themselves and think, "God, I wish paramedics would just start/stop doing ?" Turns out, this is not the case, but the discussion was super interesting and I thank Dr.
Peter Canning
NOVEMBER 27, 2024
I was giving a data presentation to the statewide Harm Reduction Advocacy Group and after reviewing the EMS data I had, I touched on the latest CDC numbers that show a 24.1% decrease in overdoses in Connecticut since November 2021 based on rolling 12-month averages with the latest 12-month period ending June 2024. After the presentation I saw in the chat a comment about white overdoses being down, but minority overdoses still rising.
This Podcast Will Kill You
NOVEMBER 26, 2024
A mere 150 years ago, uttering the words “scarlet fever” was enough to strike fear into the hearts of many, especially parents of young children. For a brief period of time, this disease, caused by an infection with the bacterium Streptococcus pyogenes , reigned as a leading cause of childhood death in many parts of the world. It left its mark on gravestones, in public health decrees, in literature like the Velveteen Rabbit, but then something changed.
ESO
NOVEMBER 25, 2024
On October 29, 2024, the U.S. Department of Homeland Security, the Fire Safety Research Institute, and the U.S. Fire Administration hosted an informational webinar, NERIS Version 1: Platform Launch and National Rollout, to provide updates and timelines for the National Emergency Response Information System (NERIS). Here’s a recap of the latest news to keep your team informed.
First Responders Foundation
NOVEMBER 25, 2024
Service dogs play an invaluable role in supporting Veterans and first responders, offering assistance that ranges from anxiety relief and refocusing in public settings to specialized tasks that help manage daily challenges, such as diabetic or cardiac alerting. Whether it’s helping a firefighter cope with trauma or aiding a police officer with mobility issues, these specially trained dogs provide a level of support that can be life-changing.
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