The Skeptics' Guide to EM

MARCH 2, 2024

Reference: Gibbons et al. The sonographic protocol for the emergent evaluation of aortic dissections (SPEED protocol): A multicenter, prospective, observational study. AEM February 2024. Date: February 28, 2024 Guest Skeptic: Dr. Neil Dasgupta is an emergency medicine physician and ED intensivist from Long Island, NY. He is the Vice Chair of the Emergency Department at Nassau University […] The post SGEM#432: SPEED, Give Me What I Need – To Diagnose Acute Aortic Dissections first appeared on Th

Operating Room 301

Operating Room Emergency Department ALS ED 301

ALiEM

MARCH 5, 2024

Which medication can be derived from the bark of the pictured tree? Aspirin Atropine Colchicine Quinine Reveal the Answer 1. Aspirin Background The photo shows a weeping willow, a member of the Salix genus of trees. Willow tree bark contains salicin from which aspirin (acetylsalicylic acid) can be derived. For over 3500 years, willow bark has been used as a traditional medicine to treat fevers and pain [1].

OR 286

OR 286

High Performance EMS

MARCH 8, 2024

There is plenty of data in the world, the key to improving performance is to discover the right information and make an appropriate decision, based on facts, in time to change outcomes for the better. Computers are quite useful in aggregating and processing data to distill information in support of the decision-making process, but artificial intelligence and machine-learning has increased our expectations of cyber assistance.

Public Safety 278

Public Safety OR 278

American Ambulance Association

MARCH 6, 2024

On February 21, 2024, UnitedHealth Group (UHG) disclosed that one of its subsidiaries was the victim of a ransomware attack. According to UHG, the cyberattack was perpetrated against Change Healthcare, […] The post Summary of Change Healthcare Cyberattack and HHS Statement appeared first on American Ambulance Association.

Ambulance 130

Ambulance 130

Critical Care Scenarios

MARCH 6, 2024

You poked through the deep wall of a vessel. Now what? Find us on Patreon here! Buy your merch here! You poked through the deep wall of a vessel. Now what? Find us on Patreon here! Buy your merch here!

117

117

ALiEM

MARCH 7, 2024

Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric renal and bladder ultrasonography. Then test your skills on the ALiEMU course page to receive your PEM POCUS badge worth 2 hours of ALiEMU course credit. Take the ALiEMU Quiz: Pediatric Renal and Bladder Ultrasound Module Goals List the indications for performing a pediatric renal/bladder point-of-care ultrasound (POCUS) Describe the technique for performing renal/bladder POCUS Identify hydronephrosis and its

E-9-1-1 177

E-9-1-1 Emergency Department ALS ED 177

EMergucate

MARCH 5, 2024

80-year-old lady presented with confusion. Her Venous blood gases showed the following: PH = 7.

130

130

First 10 EM

MARCH 4, 2024

This is an invited guest post by Dr. Cory Rohlfsen (@CoryRohlfsen) based on an interesting twitter thread of his from a few month back. Dr. Rohlfsen is a hybrid internal medicine clinician at the University of Nebraska Medical Center. He splits his time between hospitalist duties and primary care clinic. He is passionate about fostering […] The post Diagnostic reasoning as artificial intelligence emerges: a distributed cognition framework appeared first on First10EM.

123

123

Dr. Smith's ECG Blog

MARCH 7, 2024

A young man presented with a gunshot wound to the right chest, with hemo-pneumothorax and hemorrhagic shock. He got a chest tube and intubation and massive transfusion and stabilized. CT of chest showed the bullet path through his right lung but nowhere near his heart. But he did get an EKG: What is this? There were times when it would be usurped by sinus tachycardia, then return to this rhythm.

ED 115

ED OR 115

EMDocs

MARCH 2, 2024

Authors: Mounir Contreras Cejin, MD (EM Resident Physician, UT Southwestern – Dallas, TX); Felipe Gonzalez Gutierrez (Medical Student, UT Southwestern – Dallas, TX); Emmanuel Ohuabunwa, MD, MBA (Attending Physician, UT Southwestern – Dallas, TX) // Reviewed by: Sophia Görgens, MD (EM Physician, Northwell, NY); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Welcome to EM@3AM, an emDOCs series

EMS 113

EMS E-9-1-1 OR ED 113

FirstNet Authority

MARCH 7, 2024

Fiscal Year 2023 Annual Report to Congress features successful completion of 5-year network build, Band 14 FCC license renewal Blog michelle.fordi… Thu, 03/07/2024 - 12:47 By Thomas Shull, Director of Legislative Affairs, 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.

Public Safety 113

Public Safety First Responder OR 113

St. Emlyn's

MARCH 8, 2024

St.Emlyn's - Emergency Medicine #FOAMed Is mechanical CPR associated with improved or worse outcomes in in-hospital cardiac arrest. #FOAMed @stemlyns The post Is mCPR associated with better outcomes for in-hospital cardiac arrest? St Emlyn’s appeared first on St.Emlyn's.

CPR 111

CPR OR 111

Dr. Smith's ECG Blog

MARCH 4, 2024

I have often written about how an ECG interpreted as "normal" by a conventional algorithm may well be manifesting OMI, or even long QT or hyperkalemia. I have collected 51 OMI cases that were diagnosed as completely normal by the conventional automated computer algorithm. Shifa Karim and Gabe Keller helped with a project to assess all these ECGs with the Queen of Hearts.

STEMI 110

STEMI OR ED ALS 110

ESO

MARCH 7, 2024

The 2023 ESO Trauma Index offers a detailed analysis of current trends and benchmarks in trauma care, setting a new standard for improvement. Accompanied by the ESO Data Café Webinar series , taking place every third Thursday of the month, this report features insights from ESO Industry Experts and allows healthcare professionals to get a closer look into the data, understand its impact, and explore best practices for enhancing patient outcomes.

Operating Room 105

Operating Room ICU OR ED 105

REBEL EM

MARCH 6, 2024

REBEL Core Cast 119.0 – Sleep Hygiene Click here for Direct Download of the Podcast Employ sleep strategies: Anchor sleep: a period of sleep that overlaps each day regardless of your night shift schedule to provide a guidepost for your body clock. Ideally would overlap with when you would normally be asleep if you were not on night shift. Split sleep: sleep 3-4 hours immediately after shift then another 3-4 hours immediately before shift Melatonin timing/dosing: Most sleep specialists rec

ALS 105

ALS OR EMS 105

Firefighters and EMS Fund

MARCH 5, 2024

Today, voters in states around the country will be asked to stand behind their local fire departments by passing levies, bonds, and other measures used to support Fire and EMS protection services. Here are a few important primary election measures around the country we are keeping an eye on: Avoca, AK The Avoca Volunteer Fire […] The post Spring Primary Ballot Measure Roundup appeared first on Firefighters and EMS Fund.

Firefighter 98

Firefighter EMS 98

FOAMfrat

MARCH 4, 2024

You will frequently see posts on social media attempting to crowd-source information from others in the industry regarding protocols/guideline implementation. Within the last few years, I have seen an uptick in individuals asking about the steps needed to implement ultrasound successfully within their organization. This blog will serve as an attempt to create a "one-stop shop" and summarize what you need to get started!

Emergency Medical Services 98

Emergency Medical Services EMS Paramedic OR 98

Pulsara

MARCH 6, 2024

EDITOR'S NOTE: This article originally appeared on FireRescue1.com. Special thanks to our guest author, Courtney Levin , for FireRescue1 BrandFocus Staff. When resources are lacking, these grant opportunities can help Operating a fire department requires an incredible amount of money, even for small or volunteer agencies. Certain budget line items cannot be sacrificed, while others may have a bit of wiggle room from year to year.

OR 95

OR 95

SSCOR

MARCH 2, 2024

Chest trauma can mean lethal consequences for your patients. Chest injuries account for 20% to 25% of deaths from trauma and contribute to 25% to 50% of the remaining deaths. Early recognition and treatment is one of the primary factors in reducing mortality.

87

87

Firefighters and EMS Fund

MARCH 4, 2024

In the realm of emergency response, fire departments stand as the frontline guardians of public safety, confronting crises with unwavering courage and expertise. Yet, behind every successful firefighting operation lies a crucial support system often overlooked: federal grants. Federal Grants are a lifeline for Local Fire Departments. This vital financial source allows Fire Departments across […] The post An Emergency Lifeline: The Importance of Federal Grants to Sustain Fire Departments ap

Public Safety 98

Public Safety Firefighter Emergency Response EMS 98

EMDocs

MARCH 4, 2024

Authors: Amelia Campbell, MD (EM Resident Physician, Carl R. Darnall Army Medical Center) and Alec Pawlukiewicz, MD (EM Attending Physician, Carl R. Darnall Army Medical Center) // Reviewed by: Joshua Lowe, MD (EM Attending Physician, USAF); Marina Boushra (EM-CCM, Cleveland Clinic Foundation); Brit Long, (@long_brit) Disclaimer: The views expressed in this post are those of the authors and do not reflect the official policy or position of the Department of the Army, DoD, or the US Government.

Emergency Department 86

Emergency Department E-9-1-1 ALS OR 86

EMCrit Project

MARCH 8, 2024

NephMadness hits EMCrit with RRT for the Poisoned Patient EMCrit Project by Scott Weingart, MD FCCM.

118

118

The Curious Clinicians

MARCH 4, 2024

Welcome to NephMadness 2024! In collaboration with Things We Do For No Reason (TWDFNR), we are excited to promote the start of this amazing medical education opportunity. Inspired by the “March Madness” college basketball tournament, NephMadness is a “ a free online, CME-granting, evidenced-based, noncommercial learning initiative that leverages the tools of social media to teach about the latest and greatest breakthroughs in the field of nephrology!

ACS 82

ACS Critical Care OR 82

SSCOR

MARCH 7, 2024

It’s 3:00 a.m., and you’ve just arrived at the home of a woman in her early 70s. She told the dispatcher that her husband was feeling a bit of discomfort in his chest and got up to go to the bathroom several minutes ago. She heard him fall in the hallway and found him unresponsive. You’re informed that he has a history of high blood pressure and has been a smoker for over 50 years, alerting you to the possibility he had a heart attack.

Heart Attack 59

Heart Attack 59

Peter Canning

MARCH 8, 2024

I was honored to be the keynote speaker at the recent symposium held at Eastern Connecticut College, Moving Forward: Community Dialogues on the Opioid Epidemic. Thanks to the organizers for putting on a great event. I was impressed at the almost universal recognition among the participants that the best way out of this crisis was to recognize it as a public health issue, not a criminal one, and that ending stigma and treating all as members of the community and not outcasts were the only true pa

52

52

Paramedics World

MARCH 7, 2024

Nurturing professional growth within physical therapy is pivotal for practitioners aiming to enhance their expertise, elevate patient care, and adapt to the evolving healthcare landscape. As the demand for specialized… The post Nurturing Professional Growth in Physical Therapy Practice appeared first on Paramedics World.

Paramedic 52

Paramedic 52

ACEP Now

MARCH 6, 2024

Every year, the volume of published research continues to outpace capacity to consume. “Gotta catch ‘em all!” may be an appealing mantra, however it is impracticable to achieve with the medical literature. The Sisyphean task remains to try to keep up—and, in that vein—here is a light round of the emergency medicine literature from 2023. How Best to Stop the Bleeding in Trauma?

ALS 52

ALS Critical Care Emergency Department OR 52

NCOAE

MARCH 6, 2024

It’s been my experience that emergency medical personnel — including Emergency Medical Technicians (EMTs) — tend to be much better at caring for others than for themselves. That’s generally the result of long shifts, life-or-death situations, and consistently helping people who are suffering the worst day of their lives. It’s going to take a toll. To compound the problem, those who work in emergency medicine often neglect their own health and fitness.

EMT 52

EMT EMT Emergency Medical Technician EMS 52

NAEMSP

MARCH 5, 2024

Article Summary by Sarah Fabiano, MD, FACEP, FAAEM Lyng JW, Braithwaite S, Abraham H, et al. Appropriate air medical services utilization and recommendations for integration of air medical services resources into the EMS system of care: a joint position statement and resource document of NAEMSP, ACEP, and AMPA. Prehosp Emerg Care 2021 Nov-Dec;25(6):854-73. doi: 10.1080/10903127.2021.1967534.

Critical Care 52

Critical Care Medical Transportation CPR EMS 52

Paramedics World

MARCH 5, 2024

In today’s fast-paced world, mobility has become a crucial aspect of our daily lives. From commuting to work, running errands, or traveling for leisure, the need for efficient and reliable… The post Empowering Mobility: Solutions for Every Need appeared first on Paramedics World.

Paramedic 52

Paramedic OR 52

Peter Canning

MARCH 5, 2024

Connecticut opioid-related deaths declined for the second year in a row, down 14% from their 2021 high of 1431 opioid deaths, according to the latest statistics from the Connecticut Office of the Medical Examiner (OCME). Opioid deaths represented 92% of all overdose deaths in Connecticut. Fentanyl was present in 92% of opioid deaths and 85% of all overdose deaths.

Overdose 52

Overdose Naloxone EMS OR 52

NHCPS Save a Life

MARCH 4, 2024

Are you passionate about saving lives and ready to embark on a rewarding career in emergency medical services? Becoming a paramedic is a noble and fulfilling path that demands dedication, a comprehensive educational background, and a commitment to providing advanced medical care in critical situations. This step-by-step guide is designed to illuminate the journey of […] The post How to Become a Paramedic: A Step-by-Step Guide to Launching Your Career appeared first on SaveaLife.com.

Paramedic 52

Paramedic Emergency Medical Services 52

Best Practice Medicine

MARCH 2, 2024

Discover the incredible story of how best practice medicine played a crucial role in saving a man in need.

Paramedicine 59

Paramedicine Paramedicine EMT EMT 59

Paramedics World

MARCH 4, 2024

The global market for diaphragm pumps has been steadily on the rise in recent years. In 2021, diaphragm pumps had a market size value of USD$7.32 billion. And from 2022… The post 4 Applications of Diaphragm Pumps in Medical Settings appeared first on Paramedics World.

Paramedic 52

Paramedic 52

Emergency Medicine Education

MARCH 7, 2024

In November 2023, JAMA published an article on noninvasive airway management among patients with depressed consciousness. The watch-and-wait approach, involving close monitoring for individuals with traditional GCS scores <9 and suspected acute poisoning, demonstrated positive outcomes.

OR 40

OR 40

Don't Forget the Bubbles

MARCH 4, 2024

With millions of journal articles published yearly, it is impossible to keep up. Our team have scoured the literature, so you don’t have to… or it might spark an interest to go and have a look at the full article. We have teamed up with the team from the Emergency Department at Bristol Royal Hospital, who have used this as a springboard for their journal club.

Emergency Department 78

Emergency Department Critical Care ALS OR 78

NVFC

MARCH 4, 2024

$25,000 in fire department grants and 100 pancake breakfast fundraiser kits will be awarded As a brand that aspires to spread smiles for the past 60 years, this pancake season Nutella® is seeking to shine a light on those who spread positivity in their local communities with “ Stacks for Giving Back.” Through this program, Nutella has partnered with the National Volunteer Fire Council (NVFC), the leading association representing the nation’s volunteer fire and emergency services, to award

Firefighter 105

Firefighter First Responder EMS OR 105