The Skeptics' Guide to EM

DECEMBER 9, 2023

Date: November 20, 2023 Reference: Jones et al. Time to reflect on open-label placebos and their value for clinical practice. PAIN October 2023 Guest Skeptic: Dr. Caitlin Jones is a Postdoctoral Research Associate at Sydney University’s institute for Musculoskeletal Health. Her research evaluates the benefits and harms of treatments for musculoskeletal conditions with a particular […] The post SGEM Xtra: Open Label Placebo first appeared on The Skeptics Guide to Emergency Medicine.

ALS 198

ALS OR 198

American Ambulance Association

DECEMBER 10, 2023

This content is for AAA members only. Please either Log In or Join! The post GAPBAC | Materials from Oct 31, Nov 1 meeting posted appeared first on American Ambulance Association.

Ambulance 130

Ambulance OR 130

EMCrit Project

DECEMBER 10, 2023

Within the past year, two major societies have released guidelines on ARDS: the ATS (American Thoracic Society) and the ESICM (European Society of Intensive Care Medicine). Don’t be fooled by their names – both of these organizations are fundamentally international in scope. Some authors on the ATS document were from Europe, and similarly some authors […] EMCrit Project by Josh Farkas.

132

132

EMergucate

DECEMBER 12, 2023

The following chest x-ray is from an adult with sepsis. What can be seen? Answer will be posted later.

EMS 130

EMS 130

Critical Care Scenarios

DECEMBER 13, 2023

If you produce academic work, use the research to produce multiple products. Once is a waste. If you produce academic work, use the research to produce multiple products. Once is a waste.

100

100

American Ambulance Association

DECEMBER 13, 2023

Randy Murry Director of Mississippi Operations Pafford Medical Services Clarksdale, MS Randy Murry is a 2023 EMSNext honoree. Share on: Facebook | Instagram | X | LinkedIn How did you […] The post EMS Profiles | Meet Randy Murry appeared first on American Ambulance Association.

EMS 130

EMS Ambulance 130

Dr. Smith's ECG Blog

DECEMBER 11, 2023

Occlusion myocardial infarction is a clinical diagnosis Written by Willy Frick (@Willyhfrick). Willy is a cardiology fellow with a keen interest in the ECG in OMI. A woman in her late 70s presented with left arm pain. The arm pain started the day prior when she was at the dentist's office for a root canal. Her systolic blood pressure at the dentist was over 200 mm Hg.

E-9-1-1 121

E-9-1-1 ACS Coronary STEMI 121

EMergucate

DECEMBER 12, 2023

50-year-old man with THC hyperemesis. His blood gases showed the following: PH = 7.

130

130

American Ambulance Association

DECEMBER 11, 2023

This content is for AAA members only. Please either Log In or Join! The post Ambulance Anti-Theft Devices appeared first on American Ambulance Association.

Ambulance 130

Ambulance OR 130

Broome Docs

DECEMBER 9, 2023

Welcome to another episode of the Emergency Medicine Journal Club with Dr Justin Morgenstern. This month we cover a bunch of papers that look at a lot of topics and try to answer questions such as: Can I push Keppra safely? Does BP management in haemorrhagic stroke matter? How good is my intuition about PE diagnosis? Is it a good idea to keep geriatric patients in the ED overnight?

Emergency Department 120

Emergency Department ALS ED 120

Dr. Smith's ECG Blog

DECEMBER 13, 2023

This middle aged patient presented with chest pain: What do you think? There is VERY low voltage. There is some ST Elevation, but it is MINIMAL. But look how small the QRS is!! Let's stretch out the QRS vertically so it is not so tiny: On upper left is the original. On the right are the precordial leads stretched vertically, so that the QRS is not tiny.

EMR 113

EMR Coronary OR STEMI 113

EMDocs

DECEMBER 11, 2023

Authors: Genevieve Pentecost, MD (@genpentecost, Emergency Medicine Resident, Washington University School of Medicine in St Louis) and Aaron Lacy, MD (@AaronLacyMD, Assistant Professor of Emergency Medicine, Washington University School of Medicine in St Louis) // Reviewed by: Jamie Santistevan, MD (EM Physician, Presbyterian Hospital, Albuquerque, NM); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Introduction Welcome back to ECG Pointers from emDOCS.

STEMI 110

STEMI Coronary Emergency Department OR 110

REBEL EM

DECEMBER 13, 2023

Take Home Points: Carbon monoxide is a colorless, odorless, and tasteless gas that results from incomplete combustion of any carbon containing product. Exposure often occur unintentionally from indoor use of gas powered generators, camp stoves, or faulty home heaters. The symptoms of mild, acute exposure are non-specific and can be confused with a variety of other disease processes including common viral syndromes.

OR 105

OR EMS ED 105

First 10 EM

DECEMBER 11, 2023

Welcome back to another edition of the research roundup, where we discuss an eclectic collection of articles selected through the rigorous process of whatever I happened to find most interesting in my recent reading (with a couple suggestions from Dr. Casey Parker). The BroomeDocs podcast version can be found here: [link] Our poorly managed hospitals […] The post Research Roundup (December 2023) appeared first on First10EM.

ED 103

ED EMS 103

Dr. Smith's ECG Blog

DECEMBER 9, 2023

A 50-something had syncope while driving. He was belted and it was low speed. He had a prehospital ECG. He was ambulatory at the scene. He has a history of STEMI and heart failure. The medics stated he had been nauseated and diaphoretic, but he did not have any chest pain or SOB. They recorded a prehospital ECG: What do you think? I read this blinded, with no clinical information, and read it as inferior OMI.

STEMI 107

STEMI Coronary ED Paramedic 107

Don't Forget the Bubbles

DECEMBER 13, 2023

Luke is a 2-month-old boy who presents with poor weight gain since birth. He was born at term via emergency c-section due to failure to progress and foetal distress. Antenatal history was unremarkable. His birth weight was 2.72 kg (3rd centile), length 49 cm (18th centile) and head circumference 33 cm (5th centile). ‘Failure to thrive’ is common “Failure to thrive” occurs when a child has slow weight gain.

E-9-1-1 98

E-9-1-1 OR 98

ACEP Now

DECEMBER 11, 2023

The wave of increasing hospital closures and service line cutbacks continues to sweep the U.S. A recent article documents 56 additional U.S. hospitals that are closing clinical departments or ending or reducing services. Cited are issues of “shoring up finances,” “staffing shortages,” or “focusing on more in-demand services” as driving forces. 1 This adds to the over 640 (mostly rural) hospitals that recently failed financial stress tests and are adjudged to be at imminent risk of closing. 2 Of

OR 98

OR ALS 98

EMOttawa

DECEMBER 14, 2023

In part 1 of this series, we focused on the physiologic and hemodynamic consequences of aortic stenosis, as well as management in atrial fibrillation and procedural sedation. In this part, we will focus on the management of decompensated aortic stenosis with heart failure, and the approach to PoCUS. To remind you of the case we […] The post The Way is Shut: Aortic Stenosis Part 2 appeared first on EMOttawa Blog.

Critical Care 79

Critical Care 79

EMDocs

DECEMBER 14, 2023

Here’s another case from Medical Malpractice Insights – Learning from Lawsuits , a monthly email newsletter for ED physicians. The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. To opt in to the free subscriber list, click here. Stories of med mal lawsuits can save lives.

ED 72

ED OR 72

Dr. Smith's ECG Blog

DECEMBER 15, 2023

This is by Magnus Nossen, from Norway The patient is a 70 something male with a hx of hypertension and tobacco use disorder. He is otherwise healthy. The patient contacted EMS after a few hours of chest pain that started 5:30 AM. The pain was described as 6/10 radiating to the right shoulder. Vital signs were within normal limits, and the patient was not ill appearing.

ACS 60

ACS STEMI Coronary EMS 60

EMCrit Project

DECEMBER 15, 2023

Bariatric operations and how they go bad EMCrit Project by Scott Weingart, MD FCCM.

90

90

FOAMfrat

DECEMBER 14, 2023

[link] FOAMfrat is excited to partner with the International Board of Specialty Certifications (IBSC) to release the final social media scenario for 2023. These scenarios aim to spark conversation and encourage providers to dig deeper into critical care topics. I copied and pasted the storyboard and notes below as we crafted each shot. This will help freezeframe some pertinent moments to help facilitate discussion.

Critical Care 52

Critical Care OR 52

EMDocs

DECEMBER 9, 2023

We always work hard, but we may not have time to read through a bunch of journals. It’s 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: Early or Delayed Intubation in Critically Ill Patients? Spoon Feed Advanced statistics emulating clinical trial protocols from an ICU database did not identify consistent differences in 30-day mortality when ICU pat

ICU 68

ICU ED OR 68

ESO

DECEMBER 14, 2023

Just as important as EMS clinicians’ and firefighters’ physical health, is the protection of their mental health. According to the Ruderman White Paper on Firefighter mental health and wellness, the suicide rate for firefighters is 18 out of 100,000 (compared to 13 out of 100,000 for the general population). Additionally, studies by IAFF have found that 5% of all firefighters have attempted suicide and approximately 22% are expected to experience PTSD at some point in their career.

Firefighter 52

Firefighter Public Safety EMS OR 52

SSCOR

DECEMBER 14, 2023

Medical suctioning can save lives, prevent aspiration, and reduce the risk of surgical and dental complications. But as with all medical procedures, suctioning poses some risks, especially with a rushed or unskilled technique.

OR 52

OR 52

Paramedics World

DECEMBER 14, 2023

Choosing to go overseas for a medical mission is a great decision. You get the chance to touch the lives of people who may not have had access to quality… The post Navigating Challenges in Overseas Medical Mission Work appeared first on Paramedics World.

Paramedic 52

Paramedic 52

Pulsara

DECEMBER 13, 2023

The following is an excerpt from an article b y Kasia Kerridge , originally published on kktv.com on December 12th, 2023. Check out the full article here. COLORADO SPRINGS, Colo. (KKTV) - Colorado Springs firefighters are reflecting on how to better communicate with local hospitals after Club Q. 11 News spoke with the Colorado Springs Fire Department one year after Club Q , which has rolled out a tracking technology by Pulsara.

Firefighter 52

Firefighter 52

FOAMcast

DECEMBER 13, 2023

Apple Podcasts , Spotify , Listen Here The American Heart Association (AHA) released new clinical practice guidelines on atrial fibrillation (AF ). This episode reviews the emergency medicine-related guidelines. Ramesh T, Lee PYK, Mitta M, Allencherril J. I ntravenous magnesium in the management of rapid atrial fibrillation: A systematic review and meta-analysis.

ALS 52

ALS 52

NCOAE

DECEMBER 11, 2023

For decades, spinal immobilization (SI) has been the standard practice when moving trauma patients with potential spinal injuries. Indeed, this particular procedure has long been commonplace for patients injured in the backcountry. Spinal immobilization involves the use of various devices, including a long spine board (LSB) and a cervical collar to stabilize the spine and prevent further injury.

OR 52

OR Emergency Medical Technician Emergency Department Emergency Medical Services 52

Paramedics World

DECEMBER 11, 2023

Isolation rooms are among the frontline healthcare facilities in the event of an outbreak, whether the disease is well-known or new. Holding dozens of patients and the necessary equipment, these… The post Isolation Room Maintenance: Best Practices for Hygiene and Safety appeared first on Paramedics World.

Paramedic 52

Paramedic OR 52

ACEP Now

DECEMBER 11, 2023

Many conditions outside of acute coronary syndrome (ACS) mimic ST-elevation myocardial infarction (STEMI), but only a handful of cases have reported ST-elevations (STE) in the setting of pancreatic inflammation where underlying ACS was excluded. 1,2 While acute pancreatitis can involve electrocardiographic changes in up to 50 percent of cases, the exact mechanism causing STE remains unknown. 3,4 Patients with ST segment elevation in the absence of classic ACS symptoms presents a dilemma for emer

STEMI 52

STEMI Coronary ACS Critical Care 52

Peter Canning

DECEMBER 9, 2023

If you have enjoyed my blog over the years, please considered buying some of my books this Christmas, either as gifts or to read yourself. Johns Hopkins Press is holding a big sale on my book Killing Season: A Paramedic’s Dispatches from the Font Lines of the Opioid Epidemic. Only $6.95 in hardcover. My first two books, Paramedic: On the Front Lines of Medicine and Rescue 471: A Paramedic’s Stories are available from Amazon for $7.99 each.

Paramedic 52

Paramedic EMS OR 52

The EMS Show

DECEMBER 13, 2023

You know we like to cross over a bit here, so let's do it! It was billed as the biggest event of the year! Bigger than the Super Bowl! Did it live up to the hype? Did you watch it? One EMS Medical Director in the stands as a spectator, one international man of mystery Marshaling.what are the EMS implications to an event like this based on those 2 perspectives?

EMS 40

EMS 40

FirstNet Authority

DECEMBER 14, 2023

California summit delivers valuable FirstNet feedback Blog joseph.rey@fir… Thu, 12/14/2023 - 10:22 By Kevin Nida, First Responder Network Authority, Senior Public Safety Advisor 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 40

Public Safety First Responder OR 40

ACEP Now

DECEMBER 11, 2023

The Emergency Department Benchmarking Alliance (EDBA) is a membership organization composed of high-performance emergency departments (EDs) that share a commitment to quality. The preliminary 2022 report contained performance measures for 938 EDs that managed more than 46 million patient visits, plus 222 additional freestanding EDs that served more than 4 million patients.

Emergency Department 52

Emergency Department ED EMS ALS 52

REBEL EM

DECEMBER 10, 2023

Background: The use of ultrasound is well established for trauma patients in the emergency department, with almost every patient receiving a FAST (Focused Assessment with Sonography in Trauma) examination as part of the “ABC’s” of trauma. Though the initial focus of the FAST exam was for detection of abdominal free fluid, the eFAST (Extended FAST) is more commonly used and adds thoracic windows helping to identify pneumothorax ( Musthafa 2014 ).

E-9-1-1 40

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

The EMS Show

DECEMBER 13, 2023

You know we like to cross over a bit here, so let's do it! It was billed as the biggest event of the year! Bigger than the Super Bowl! Did it live up to the hype? Did you watch it? One EMS Medical Director in the stands as a spectator, one international man of mystery Marshaling.what are the EMS implications to an event like this based on those 2 perspectives?

EMS 40

EMS 40