FOAMfrat

JANUARY 7, 2025

From my first discussion with Alcohol Withdrawal I talked about my personal experience that's now become a driving motivation to improve the care we render for patients suffering Alcohol Withdrawal Syndrome in my state, but how exactly can we do that? How do we reduce a number as high as a 37% mortality rate, to an incredible 5%? Let's briefly discuss a case.

E-9-1-1 59

E-9-1-1 ALS EMS OR 59

ALiEM

JANUARY 10, 2025

A 3-month-old male with no past medical history was brought to the emergency department for evaluation of newly asymmetric pupils. The infant appeared to be asymptomatic per parents, without any behavior changes or associated symptoms noted. The patients mother noticed her sons left pupil was dilated and unresponsive to light the morning of presentation.

ALS 161

ALS Emergency Department OR EMS 161

Emergency Medicine Cases

JANUARY 7, 2025

Dr. Patricia Lee is an EM physician in Calgary, Alberta and an Assistant Professor at the University of Calgary in the Department of Emergency Medicine. She reached out to me after listening to Episode 200 How EM Experts Think Part 1 as a longtime supporter of EM Cases, to highlight the importance of recognizing challenges that female-identifying EM physicians may face before, during and after ED shifts.

EMS 265

EMS ED 265

American Ambulance Association

JANUARY 8, 2025

This content is for AAA members only. Please either Log In or Join! The post Savvik’s Latest: Shop Henry Schein, Propper, and More! appeared first on American Ambulance Association.

Ambulance 130

Ambulance OR 130

EMergucate

JANUARY 7, 2025

80 year old man presented with shortness of breath. This patient had history of CHF and COPD. His venous blood gases showed the following PH = 7.

130

130

ALiEM

JANUARY 6, 2025

A 32 year-old male with PMH significant for opioid use disorder, a prior admission in 2021 for left-sided empyema s/p thoracotomy and decortication, gas bacteremia, and tricuspid endocarditis presented for a left leg wound. The patient reported a wound to his left leg that had become larger over the past 5 months. The pain worsened today, prompting him to come to the emergency department for evaluation.

NARCAN 141

NARCAN Overdose Naloxone Emergency Department 141

Emergency Medicine Cases

JANUARY 7, 2025

In this Part 2 of our 2-part podcast series on How EM Experts Think with Dr. Reuben Strayer, Dr. Mike Betzner and Dr. Scott Weingart we dive deep into the nuances of practicing smarter, faster, and better in the ED. We answer questions like: How should we employ hypothetico-deductive reasoning in our daily practice of Emergency Medicine? How can we best streamline thorough data gathering for each case so that we don't miss key data points?

EMS 225

EMS ED OR 225

Dr. Smith's ECG Blog

JANUARY 7, 2025

(This was created by Arron Pearce ( [link] ) Online QT calculator for wide QRS (LBBB, RBBB, etc.

103

103

ACEP Now

JANUARY 5, 2025

Its 4 a.m., and youre three hours from the nearest tertiary care center. A young woman, 13 days post-tonsillectomy, comes into your rural emergency department (ED) coughing up blood. On exam, you see bright red blood trickling down her left tonsillar fossa. Her vital signs are normal, except for a heart rate of 115 bpm. Its going to take time to get her to a tertiary center.

Operating Room 81

Operating Room Epinephrine ALS ED 81

EMOttawa

JANUARY 9, 2025

In the acute care setting, steroids have various usages and indications, but their usage can often be nuanced. From adrenal crises to septic shock, severe community-acquired pneumonia, and even acute pharyngitis, steroids play a pivotal role in managing a variety of conditions encountered in the Emergency Department (ED). However, their use is far from straightforwardbalancing […] The post These are the ‘Roids you are looking for – Steroids in the ED appeared first on EMOttawa

ED 111

ED Emergency Department Critical Care 111

EMDocs

JANUARY 8, 2025

Authors: Lloyd Tannenbaum, MD (EM Attending Physician, Geisinger Wyoming Valley, PA); Mai Saber, DO (EM Attending Physician, Hackensack University Medical Center, NJ); Rachel Bridwell, MD (EM Attending Physician, Charlotte, NC) // Reviewer: Brit Long, MD (@long_brit) Hello and welcome back to ECG Pointers, a series designed to make you more confident in your ECG interpretations.

CAD 72

CAD EMS Emergency Department ED 72

EMCrit Project

JANUARY 10, 2025

Nitty Gritty of All Things Defibrillation EMCrit Project by Scott Weingart, MD FCCM.

Defibrillator 78

Defibrillator 78

SSCOR

JANUARY 9, 2025

Training is an essential part of your job. With the demands of your work schedule, spending time with your family, and your daily obligations, you may find yourself struggling to find the motivation to put in extra time for training. But even the most skilled practitioners need to trainand train oftento best serve their patients when airway emergencies occur.

76

76

Life in the Fastlane

JANUARY 8, 2025

Chris Nickson Come join the 2025 Clinician Educator Incubator! Expressions of interest are now open for the sixth Clinician Educator Incubator - EOIs close Feb 10th 2025.

72

72

St. Emlyn's

JANUARY 6, 2025

St.Emlyn's - Emergency Medicine #FOAMed How does pre-hospital emergency anaesthesia (PHEA) delivered by Helicopter Emergency Medical Services (HEMS) impacts trauma care timelines compared to emergency department RSI (EDRSI). This retrospective study explores time efficiency, injury severity, and patient outcomes, highlighting the role of HEMS in delivering critical care to severely injured patients in remote locations.

Emergency Department 89

Emergency Department Emergency Medical Services Critical Care 89

EMDocs

JANUARY 4, 2025

We always work hard, but we may not have time to read through a bunch of journals. Its 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: PARAMEDIC-3 and IVIO RCTs IO vs IV Epinephrine for OHCA Spoon Feed Two large studies randomizing patients with out-of-hospital-cardiac arrest (OHCA) to either an intraosseous (IO) or intravenous (IV) first approach

Epinephrine 80

Epinephrine Paramedic OR 80

FOAMfrat

JANUARY 10, 2025

In this episode of Good Reads, we look into the early stages of STEMI progression and how to identify critical ECG changes before obvious ST segment elevations appear. Using a 61-year-old male patient as a case study, we explore the significance of reciprocal lead changes, specifically in lead aVL, during early injury and ischemia phases. Learn to recognize early signs such as ST segment depression, T wave inversion, and checkmark T waves to improve early STMEI detection.

STEMI 52

STEMI 52

ACEP Now

JANUARY 4, 2025

Emergency medicine was approved as the 23rd medical specialty in 1979, shortly after a young Elsburgh Clarke, MD, discovered the burgeoning specialty. 1 Just one year prior, Dr. Clarke had begun an emergency medicine residency at what was then known as LA CountyUSC Hospital, Los Angeles. I was about two months into a family practice internship when I went to visit my uncle whose neighbor happened to be an ED resident, Dr.

ED 52

ED Emergency Department Ambulance CPR 52

St. Emlyn's

JANUARY 6, 2025

St.Emlyn's - Emergency Medicine #FOAMed How does pre-hospital emergency anaesthesia (PHEA) delivered by Helicopter Emergency Medical Services (HEMS) impacts trauma care timelines compared to emergency department RSI (EDRSI). The post Prehospital Emergency Anaesthesia (PHEA) vs. Emergency Department RSI: A Comparative Study on Trauma Care Timelines and Outcomes appeared first on St.Emlyn's.

Emergency Department 67

Emergency Department Emergency Medical Services Critical Care 67

EM Literature of Note

JANUARY 9, 2025

This is yet another one of those “Get With The Guidelines” stroke analyses, a retrospective dredge with massive imbalances between groups followed by statistical adjustments capable of turning out whichever result suits an author list with a full, dense printed page of pharma and stroke technology conflicts of interest. In that respect, the study is unremarkable.

EMS 74

EMS 74

The FllightBridge ED

JANUARY 10, 2025

What does it mean to actually take care of a trainee or new hire? What does good mentorship/preceptorship look like?

OR 40

OR 40

ACEP Now

JANUARY 4, 2025

In recent years, emergency medicine, once the bastion of quick decision making, clinical acumen, and patient-centered care, has been quietly succumbing to a different forcethe slow but steady erosion of critical thinking. The culprit is the increasing reliance on protocolization and the diminishing autonomy of emergency physicians. This shift, intended to standardize care and mitigate error, is paradoxically undermining the very heart of medicinethe doctors ability to think critically, adapt to

Emergency Department 52

Emergency Department OR 52

FOAMfrat

JANUARY 4, 2025

In this episode of Good Reads, we conclude our series on left bundle branch block (LBBB) by exploring Criteria C using the Smith Modified Criteria. We delve into how the ST segment elevation must be 25% or greater in relation to the preceding R wave depth and replace the outdated 5 mm rule. The video includes a step-by-step example to make this criterion clear.

Ambulance 52

Ambulance OR 52

EM Board Bombs

JANUARY 4, 2025

-Case- A 45-year-old male comes into your ED mentioning that he has been feeling “off” all week. He has felt short of breath climbing the stairs and has been battling nagging chest discomfort that gets worse every time he takes a deep breath.

ED 52

ED 52

The FllightBridge ED

JANUARY 10, 2025

What does it mean to actually take care of a trainee or new hire? What does good mentorship/preceptorship look like?

OR 40

OR 40

ACEP Now

JANUARY 5, 2025

Every year, the hopeless task of keeping up with the medical literature grows even more unattainable. Will our Sisyphean burden be replaced with AI? ( Read this months Skeptics Guide to Emergency Medicine for that answer.) Will we be microchipped with peripheral PubMed brains? Will we finally wake up from the Matrix and be freed? Not yet! So, in the meantime, heres a host of articles of more than just passing interest from the past year, not already covered in ACEP Now.

ALS 40

ALS E-9-1-1 ED Emergency Department 40

St. Emlyn's

JANUARY 10, 2025

St.Emlyn's - Emergency Medicine #FOAMed Day 2 of the London Trauma Conference delivered impactful discussions on trauma care innovations, including advanced resuscitation strategies, rib fracture management, and prehospital interventions. The post Talking Trauma – London Trauma Conference 2024 Day 2 appeared first on St.Emlyn's.

40

40

The Bottom Line

JANUARY 9, 2025

Acetaminophen for Prevention and Treatment of Organ Dysfunction in Critically Ill Patients With Sepsis Ware. JAMA 2024. doi:10.1001/jama.2024.8772 Clinical Question In critically ill adult patients with sepsis does the administration of acetaminophen compared to placebo increase the number of days alive and free of organ support to day 28?

65

65

Paramedic Chiefs of Canada

JANUARY 6, 2025

Paramedics in peril: New study to give Canada-wide picture of violence on the job Paramedics in Canada face violence on the job and a new study hopes to understand how often and why

Paramedic 52

Paramedic 52

ACEP Now

JANUARY 4, 2025

Effectively negotiating your employment contract may be as important as the actual choice of position itself. Although most emergency doctors focus primarily on money paid and hours worked, career quality and longevity are optimized by good contract negotiation. I am often asked: What are the most important contract provisions to consider? First, one must carefully study the more general, descriptive contract provisions beyond just compensation.

OR 40

OR ED 40

St. Emlyn's

JANUARY 7, 2025

St.Emlyn's - Emergency Medicine #FOAMed Mastering likelihood ratios can transform your diagnostic skills. In this podcast with Rick and Greg, discover how likelihood ratios can enhance decision-making and improve patient care. The post Podcast – Likelihood Ratios: Critical Appraisal Nugget 12 appeared first on St.Emlyn's.

78

78

Critical Care Scenarios

JANUARY 8, 2025

We talk about the nitty-gritty details of a well-run cardiac arrest, with Scott Weingart of Emcrit (@emcrit), ED intensivist. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! Takeaway lessons Resources We talk about the nitty-gritty details of a well-run cardiac arrest, with Scott Weingart of Emcrit ( @emcrit ), ED intensivist.

Epinephrine 214

Epinephrine Defibrillator Coronary ED 214

The Skeptics' Guide to EM

JANUARY 4, 2025

Date: December 6, 2024 Guest Skeptic:Akil Dasan is a multifaceted artist renowned for his talents as a rapper, singer, guitarist, and beatboxer. He gained prominence as a member of the British jazz-rap group Us3, contributing to their 2006 album "Schizophonic". This is an SGEM Xtra. We have done a top ten list before on the SGEM. That episode was the Ten Commandments of EBM.

OR 164

OR 164

ACEP Now

JANUARY 5, 2025

On June 24, 2022, Roe v. Wade was overturned by the U.S. Supreme Court, leaving regulation of abortion to the discretion of the states. Since then, many states have enacted laws to strictly regulate abortion, resulting in complex legal considerations for medical professionals. 1,2 This article reviews key statutes in the states with the strongest prohibitions against abortion and offers documentation principles for treating patients with ectopic pregnancies, spontaneous miscarriages, and other p

OR 52

OR Emergency Department Critical Care 52

American Ambulance Association

JANUARY 6, 2025

The American Ambulance Association (AAA) is pleased to announce the release of its new state-level whitepaper, Ground Ambulance Balance Billing: Overview and Recommendations. Developed by a collaborative team of industry […] The post Whitepaper | State-Level Ambulance Balance Billing Overview appeared first on American Ambulance Association.

Ambulance 130

Ambulance 130

EMDocs

JANUARY 6, 2025

Authors: Paul Omagor, MD (EM Resident Physician, Makerere University, Uganda); Tracy Walczynski, MD (EM Attending Physician, SEED Global Health, Mbarara University of Science and Technology, Uganda ); Jessica Pelletier, DO, MHPE (APD, EM Attending Physician, University of Missouri-Columbia, USA) // Reviewed by: Marina Boushra, MD (EM-CCM Attending, Cleveland Clinic, USA); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case A 16-year-old female with no remarkable past medical history is

ED 57

ED E-9-1-1 ALS Emergency Department 57

FirstNet Authority

JANUARY 6, 2025

FirstNet is Transforming Communications for First Responders in Hagerstown, Washington County Press Releases joseph.rey@fir Mon, 01/06/2025 - 13:34 News Media Contact: Ryan Oremland 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.

First Responder 105

First Responder Public Safety OR 105