Pediatric EM Morsels

JULY 21, 2023

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!

Critical Care 246

Critical Care ALS OR Life Support 246

Emergency Medicine Cases

JULY 18, 2023

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.

EMS 222

EMS ACS STEMI 222

ALiEM

JULY 20, 2023

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.

Emergency Department 188

Emergency Department EMS OR 188

American Ambulance Association

JULY 20, 2023

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.

Paramedic 130

Paramedic Ambulance OR 130

EMergucate

JULY 19, 2023

Characteristics Associated With Serious Self-Harm Events in Children and Adolescents Mert Sekmen,a,b Carlos G.

183

183

Emergency Medicine Cases

JULY 18, 2023

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.

OR 130

OR ED EMS 130

ALiEM

JULY 17, 2023

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].

EMS 130

EMS ALS Emergency Department ED 130

Critical Care Scenarios

JULY 19, 2023

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.

ICU 100

ICU OR 100

Don't Forget the Bubbles

JULY 19, 2023

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.

ALS 98

ALS Emergency Department ED OR 98

REBEL EM

JULY 17, 2023

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.

ED 98

ED ICU Emergency Department Overdose 98

American Ambulance Association

JULY 20, 2023

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.

Ambulance 130

Ambulance 130

First 10 EM

JULY 17, 2023

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.

OR 98

OR 98

Don't Forget the Bubbles

JULY 17, 2023

Can’t get enough of Bubble Wrap? The Bubble Wrap Plus is a monthly paediatric journal club reading list from Anke Raaijmakers, working with Professor Jaan Toelen and his team at the University Hospitals in Leuven. This comprehensive list is developed from 34 journals, including major and subspecialty paediatric journals. We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research.

E-9-1-1 98

E-9-1-1 ALS Emergency Department Emergency Medical Services 98

EMergucate

JULY 21, 2023

Question 1: PH = 7.31 That is mild acidosis PCO2 = 61, that is high (>40). So, we have respiratory acidosis.

OR 100

OR 100

American Ambulance Association

JULY 19, 2023

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.

Ambulance 130

Ambulance 130

Dr. Smith's ECG Blog

JULY 17, 2023

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.

OR 90

OR ED 90

EMCrit Project

JULY 20, 2023

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.

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90

Medgadget

JULY 18, 2023

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.

OR 86

OR 86

American Ambulance Association

JULY 18, 2023

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.

Ambulance 130

Ambulance OR 130

EMDocs

JULY 17, 2023

Authors: Christopher Whiting, MD (EM Resident Physician, University of Vermont) and Joseph Kennedy (EM Attending Physician, University of Vermont) // Reviewed by: Joshua Lowe (EM Attending Physician, USAF), Marina Boushra (EM-CCM Attending Physician, Cleveland Clinic Foundation); Brit Long, MD (@long_brit) Case A 57-year-old man with a past medical history of hypertension and tobacco use presents to the emergency department (ED) with five days of abdominal pain.

E-9-1-1 76

E-9-1-1 ED Operating Room ALS 76

REBEL EM

JULY 20, 2023

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.

EMS 75

EMS OR ED 75

Medgadget

JULY 19, 2023

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.

OR 71

OR 71

American Ambulance Association

JULY 17, 2023

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.

Ambulance 130

Ambulance 130

EMDocs

JULY 19, 2023

Authors: Ariana Trautmann, MD (Emergency Medicine Resident, Carolinas Medical Center, Charlotte, NC), Ann-Jeannette Geib, MD (Emergency Medicine Attending; Medical Toxicologist, Carolinas Medical Center, Charlotte, NC) // Reviewed by: James Dazhe Cao, MD (@JamesCaoMD, Associate Professor of EM, Medical Toxicology, UT Southwestern Medical Center, Dallas, TX); Alex Koyfman, MD (@EMHighAK); and Brit Long, MD (@long_brit) Case : A 48-year-old female presents to the ED for months of progressively wor

ACS 65

ACS Plasma OR ED 65

EM Literature of Note

JULY 21, 2023

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.

63

63

Medgadget

JULY 19, 2023

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.

OR 68

OR 68

University of Maryland Department of Emergency Med

JULY 18, 2023

Ineffective handoff communications have been shown to occur in up to 80% of medical errors. Previous studies have shown that up to 1/3 o.

ED 70

ED EMS 70

American Burn Association

JULY 20, 2023

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.

52

52

The Overrun Podcast

JULY 18, 2023

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.

EMS 52

EMS OR 52

Medgadget

JULY 19, 2023

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.

OR 68

OR 68

Ambulance Driver Files

JULY 18, 2023

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.

52

52

American Burn Association

JULY 18, 2023

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).

52

52

ESO

JULY 17, 2023

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.

Firefighter 52

Firefighter Paramedic ED 52

Medgadget

JULY 19, 2023

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.

Plasma 56

Plasma ACS 56

University of Maryland Department of Emergency Med

JULY 21, 2023

Substance use disorder is now known to be a function of brain disease and not a moral failure. Patients with substance use disorder ar.

Emergency Department 63

Emergency Department 63

The Bottom Line

JULY 19, 2023

What’s new in the Critical Care literature – monthly updates

Critical Care 75

Critical Care 75

EMS 20/20

JULY 19, 2023

In this week's episode, Spencer tells Chris a tale about meth, altered levels of consciousness, and maybe even child protective services. Also, frogs. In this week's episode, Spencer tells Chris a tale about meth, altered levels of consciousness, and maybe even child protective services. Also, frogs.

40

40