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In emergency medicine, we often use illness scripts and protocols to help drive our decision-making. I recall a shift I had with Dr. Fox while I was early in fellowship ( not so many years ago ). We had just received a young child from EMS who was post-ictal with decreased mentation. Dr. Fox asked me what I wanted to do next to care for the child, and as I calculated his GCS… 7 at the time… I felt somewhat obligated to say that I should intubate the child. “ Less than 8, intubate!
On this month's EM Quick Hits podcast David Carr on differential diagnosis of normal unenhanced CT renal colic, Leeor Sommer on recognition and management of perichondritis and auricular abscess, Suzanne Schuh on IV magnesium sulphate for pediatric asthma, Jess McLaren on Occlusion MI ECG interpretation requiring cath lab activation and Justin Morgenstern on update on steroids for pneumonia.
Welcome to the AIR Infectious Disease Module! After carefully reviewing all relevant posts in the past 12 months from the top 50 sites of the Social Media Index, the ALiEM AIR Team is proud to present the highest quality online content related to related to infectious diseases in the Emergency Department. 6 blog posts met our standard of online excellence and were approved for residency training by the AIR Series Board.
This content is for AAA members only. Please either Log In or Join! The post CMS Releases Advance Copy of CY 2024 Physician Fee Schedule Proposed Rule appeared first on American Ambulance Association.
You are working the ambulatory section of your ED and evaluating a 6-year boy with a possible distal radius injury. He lives with autism spectrum disorder and is uncomfortable in X-ray rooms, and you wonder if there is a role for PoCUS to help exclude a fracture. With expert clinical commentary by Dr. Arun Sayal and Research Methodology Hot Take by Dr.
The Study In an Annals of Emergency Medicine paper , Preiksaitis et al. sought to identify program factors associated with unfilled post-graduate year 1 (PGY-1) emergency medicine (EM) positions in the 2023 Match [1]. The authors completed a cross-sectional, observational study using National Residency Matching Program (NRMP) data and examined 9 variables as potential predictors of unfilled PGY1 positions using regression analyses [2].
Washington, DC— While the Centers for Medicare & Medicaid Services (CMS) has decided to end the Emergency Triage, Treat, and Transport (ET3) Model two years early on December 31, 2023, […] The post AAA Encourages CMS to Consider Revised Innovation Model for Treatment in Place appeared first on American Ambulance Association.
We dive into when to initiate renal replacement therapy, the modalities, settings, and physics involved, troubleshooting problems, and more, with Dr. Paul Adams, a dual-trained nephrologist and intensivist at the University of Kentucky. Find us on Patreon here! Buy your merch here! Takeaway lessons We dive into when to initiate renal replacement therapy, the modalities, settings, and physics involved, troubleshooting problems, and more, with Dr.
Olivia, a previously well 13-year-old girl, is referred to the paediatric ED from the Ophthalmology ED. She went to the optician today to get a new pair of glasses. When they examined her and found that she had enlarged optic discs, they sent Olivia to the ophthalmology ED. The Ophthalmology SHO agreed and referred Olivia to you. They had explained to Olivia and her parents that she needed urgent neuroimaging as the enlarged optic discs could be a sign of a brain tumour.
A young man presented with weakness and fever. His pulse was 186. An ECG was recorded: What do you think? There is a regular narrow complex tachycardia. Thus, it is supraventricular tachycardia. It is important to remember that SVT includes Sinus Tachycardia! That is why I like to call re-entrant SVT "Paroxysmal" SVT, or PSVT). The sinus node is "supraventricular" and in young people it can beat VERY fast.
This content is for AAA members only. Please either Log In or Join! The post Perez and Finstad Push Medic to Paramedic Provision appeared first on American Ambulance Association.
I have written about the resuscitation of anaphylaxis and asthma before. However, I was forwarded the AMAX4 algorithm for the patient with asthma or anaphylaxis who is either unconscious or requiring assisted ventilation, and I think it is an important addition for our sickest patients. The heartbreaking backstory to this algorithm and website, created by […] The post Critical anaphylaxis and asthma: The AMAX4 algorithm appeared first on First10EM.
So we used a mean guy on twitter to spur a discussion on Oxygenation Physiology and talk about when PaO2s are necessary and you can't use the pulse ox (hint: not often). My discussant is Alex Yartsev. EMCrit Project by Scott Weingart, MD FCCM.
Background: Standard rapid sequence intubation (RSI) in the emergency department involves administration of an induction agent and a neuroblocking agent in quick succession. RSI inherently carries with it risks of complications such as post-intubation hypotension and cardiac arrest in the most extreme cases. It is possible that the induction agent used could play an important role on hemodynamic effects in critically ill adults.
From CMS on July 19, 2023 The next CMS Ambulance Open Door Forum scheduled for: Date: Thursday, July 27, 2023 Start Time: 2:00pm-3:00pm PM Eastern Time (ET); Please dial-in at […] The post 7/27 CMS Ambulance Open Door Forum appeared first on American Ambulance Association.
Researchers at the University of British Columbia have developed a protein-based hydrogel that is highly adapted for articular cartilage repair. A major challenge in creating biomaterial therapies to repair damaged articular cartilage is matching the mechanical properties of this highly specialized tissue. Cartilage is very tough, resisting breaking under force, but also very stiff, meaning that it resists being bent or deformed.
INTRODUCTION You’re moonlighting in a remote access hospital. EMS radios in for a burn patient and to anticipate a difficult airway. You can hear the tension in their voice. They’re rolling up now. The patient is horribly burned. She was smoking with her home O2 on and has severe mixed partial and full thickness burns to the chest, neck, face, and airway.
This content is for AAA members only. Please either Log In or Join! The post Rule Expanding Electronic Submission Requirements for Injury & Illness Data for High Hazard Employers appeared first on American Ambulance Association.
Nevro , a medtech company based in California, has developed the HFX iQ spinal cord stimulation system, which is intended to treat chronic pain. While spinal cord stimulators can be very useful in controlling certain types of chronic pain, at present, patients must attend with their clinician to obtain adjustments to their stimulator. This is inconvenient for both patient and clinician alike.
It is the long, cold dark here in Christchurch – improved dramatically by leaving for the U.S. for four weeks! Firstly, the blog may be making a bit of a comeback – the ugly demise of Twitter seems to necessitate a better method of knowledge translation, such as blog posts that can be replicated across whichever platform is progressing towards dominance.
Honor YOUR Stars in Washington, DC The American Ambulance Association’s Stars of Life program celebrates the contributions of ambulance professionals who have gone above and beyond the call of duty […] The post 2023 Stars of Life Nominations Are OPEN! appeared first on American Ambulance Association.
Researchers at UCLA have developed a wearable patch that can measure muscle movements in underlying tissues. The patch contains nanomagnets, and movements in underlying muscles can deform the resulting magnetic fields, creating an electric current. This both provides a readable signal for the system, and also means that the system is self-powered and does not require a battery.
Categories Advocacy Burn News MAC Spotlight Media Member Services Organization News Prevention Quality Care Research Return to News & Activities ABA President Robert Cartotto, MD, shares information and tips for keeping children safe on hot playgrounds and preventing contact burns during outdoor activities on hot days on FOX Weather.
Researchers at Florida Atlantic University have developed a soft robotic glove that can assist stroke patients to relearn how to perform dexterous tasks with their hands. The glove contains soft actuators that helps patients to move their fingers as they perform tasks, and sensors that help to create tactile sensations. So far, the researchers have focused on using the gloves to assist patients to play music.
We're bad at notifying families what's happening during a cardiac arrest event. We're even worse on ourselves. The average person may see 3 or 4 dead people in their lives and EMS workers often see that many in a shift. The Overrun's new team member Steph Leather, a national speaker on death notifications and a director of a clinical psychology practice takes us through the steps to make death notifications easier on ourselves and on families of our patients.
Scientists at Penn State have developed an assay that lets them to directly measure HIV viral load in a drop of blood. The technology is also faster and less expensive than current approaches. At present, RT-PCR is typically used to assess HIV levels in a patient’s blood, requiring genetic material to be amplified before it can be measured. This is time-consuming and does not provide a direct measurement of viral loads, but rather a close estimate.
Categories Advocacy Burn News MAC Spotlight Media Member Services Organization News Prevention Quality Care Research Return to News & Activities The American Burn Association (ABA) has released American Burn Association Strategic Quality Summit 2022: Setting the direction for the future in the Journal of Burn Care & Research (JBCR). This paper summarizes goals and outcomes from last year’s Strategic Quality Summit (SQS).
It was often said that I had no brakes on my Dare Car, and today’s shopping trip proved it. I was browsing the maternity section at Lane Bryant, and not for clothes for Mary. Thus far, Operation Impregnation had produced zero results, but I vowed to soldier on and do my part in the procreation.
Dear Colleagues, After investing my heart and soul into ESO for almost two decades, I’ve decided to transition from CEO to Executive Board Chair at the start of July. First and foremost, I would like to express my deepest gratitude for the trust and support so many of you have shown me throughout the years. It has been an absolute honor to lead ESO, and I am truly humbled by the opportunity to have supported an industry I deeply care about.
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