Sat.Jan 04, 2025 - Fri.Jan 10, 2025

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37%, How to raise the bar and drop the number

FOAMfrat

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.

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Post-Tonsillectomy Hemorrhage: A Three-Pronged Approach

ACEP Now

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.

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American Burn Association Stands Ready to Support Burn Care Response Amid California Wildfires and Recent Disasters

American Burn Association

Categories Advocacy Burn News MAC Spotlight Media Member Services Member Spotlight Organization News Prevention Quality Care Research Return to News & Activities CHICAGO [Jan. 10, 2025] As wildfires rage across California, the American Burn Association (ABA) is prepared to assist burn centers and healthcare providers in responding to burn injuries resulting from these devastating events.

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These are the ‘Roids you are looking for – Steroids in the ED

EMOttawa

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

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Prehospital Emergency Anaesthesia (PHEA) vs. Emergency Department RSI: A Comparative Study on Trauma Care Timelines and Outcomes

St. Emlyn's

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.

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Savvik’s Latest: Shop Henry Schein, Propper, and More!

American Ambulance Association

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.

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Lab case 455

EMergucate

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.

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Pre-Hospital Emergency Anaesthesia (PHEA) vs. Emergency Department RSI: A Comparative Study on Trauma Care Timelines and Outcomes

St. Emlyn's

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.

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Online QT calculator for wide QRS (LBBB, RBBB, etc.)

Dr. Smith's ECG Blog

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

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Good Reads: Understanding Smith Modified Sgarbossa Criteria

FOAMfrat

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.

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2024 Emergency Medicine Research Highlights: Forced Air, Sepsis, and More

ACEP Now

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.

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Talking Trauma – London Trauma Conference 2024 Day 2

St. Emlyn's

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.

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EMCrit 392 – All Things Defibrillation with Sheldon Cheskes

EMCrit Project

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

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3 Airway Management Scenarios You Need to Train For

SSCOR

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.

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Come join the 2025 Clinician Educator Incubator!

Life in the Fastlane

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.

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CRASH and Burn: The Clues to Kawasaki Disease

EM Board Bombs

-Case- During your shift in the pediatric ED, a 4-year-old girl arrives with her exhausted parents. She’s been running a high fever for five days straight and her parents say, “no amount of Tylenol or ibuprofen seems to be helping” On your exam, her lips are cracked and erythematous, her eyes are red, and she has a new rash on her chest and back.

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Nurture Their Will To Win – Part 1

The FllightBridge ED

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

OR 40
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Violence to Paramedics – CBC interviews

Paramedic Chiefs of Canada

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

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Activate or Wait – 010

Life in the Fastlane

Robert Buttner, Stephen W. Smith and Hana Hybasek Dzurikova Activate or Wait – 010 38-year-old male with left arm pain, shortness of breath, and dizziness. BP 105/60. We are five minutes from your tertiary centre.

OR 52
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CRASH and Burn: The Clues to Kawasaki Disease

EM Board Bombs

-Case- During your shift in the pediatric ED, a 4-year-old girl arrives with her exhausted parents. She’s been running a high fever for five days straight and her parents say, “no amount of Tylenol or ibuprofen seems to be helping” On your exam, her lips are cracked and erythematous, her eyes are red, and she has a new rash on her chest and back.

ED 52
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Nurture Their Will To Win – Part 1

The FllightBridge ED

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

OR 40
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The EM Expert Mindset – A Female Perspective

Emergency Medicine Cases

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.

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SGEM Xtra: Think, About It – Ten Commandments for Teachers

The Skeptics' Guide to EM

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.

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Breathe Easy: Spotting Pulmonary Embolism

EM Board Bombs

-Case- A 45-year-old male with no past medical history 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.

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Episode 83: Cardiac arrest with Scott Weingart

Critical Care Scenarios

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.

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Ep 201 How EM Experts Think Part 2: Data Gathering, Diagnostic and Treatment Decision Making, Test Ordering and Interpretation, Documentation, Emotional Resilience

Emergency Medicine Cases

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?

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SAEM Clinical Images Series: A Curious Case of Anisocoria

ALiEM

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.

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Whitepaper | State-Level Ambulance Balance Billing Overview

American Ambulance Association

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.

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Podcast – Likelihood Ratios: Critical Appraisal Nugget 12

St. Emlyn's

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.

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Syncope, chest pain, and inferior ST Elevation with Reciprocal ST depression in aVL

Dr. Smith's ECG Blog

A 26 year old male presented with syncope and chest pain. Syncope was sudden and without prodrome, and resulted in head trauma with a scalp laceration. Here is his ECG: There is significant ST Elevation in inferior leads, with reciprocal ST depression in aVL. This appears to be an inferior OMI What do you think? Smith : I recognize this as a STEMI mimic.

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SAEM Clinical Images Series: Xylazine Wounds

ALiEM

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.

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FirstNet is Transforming Communications for First Responders in Hagerstown, Washington County

FirstNet Authority

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.

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Inhaled Corticosteroids An Underused Option for Asthma

ACEP Now

Each year, more than 1.3 million individuals visit U.S. emergency departments (EDs) with asthma-related conditions. 1 Patients often present after being unable to manage their condition at home. Historically, short-acting beta agonists (SABAs), such as albuterol, have been used as a pillar of acute asthma management. These bronchodilators provide quick relief.

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EMT to Emergency Room Technician: Career Guide

Unitek EMT

How to Become an ER Technician: Duties, Requirements, Certifications, Job Outlook, and Salary Starting a career as a certified EMT is a rewarding way to step into the dynamic world of emergency medicine. Many EMTs find fulfillment in the fast-paced nature of the job and choose to continue working as first responders for the long […] The post EMT to Emergency Room Technician: Career Guide appeared first on Unitek EMT.

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ECG Pointers: A Dynamic Approach to Tachydysrhythmias Part 4

EMDocs

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.

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The AI Will Literally See You Now

EM Literature of Note

This AI study is a fun experiment claiming to replicate the clinical gestalt generated by a physician’s initial synthesis of visual information. The ability to rapidly assess the stability and acuity of a patient is part of every experienced clinician’s refined skills and used as a pre-test anchor for application of further diagnostic and management reasoning.

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The Death of Critical Thinking in Emergency Medicine

ACEP Now

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