The Skeptics' Guide to EM

DECEMBER 16, 2023

Reference: Punches et al. Patient Perceptions of Microaggressions and Discrimination Towards Patients During Emergency Department Care. AEM Dec 2023 Date: December 14, 2023 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. He is also an avid FOAM supporter/producer through various online outlets including TheSGEM.

Emergency Department 295

Emergency Department ED ALS OR 295

Emergency Medicine Cases

DECEMBER 19, 2023

In this part 1 or our 2-part podcast series on wrist injuries Dr. Arun Sayal and Dr. Matt DiStefano answer such questions as:when should we suspect a DRUJ injury, why is it important to pick up DRUJ injuries in the ED, and how does it change our management? Why is the lateral x-ray view so important in picking up commonly missed wrist injuries? When it comes to distal radius fractures, how are Colles vs Barton's vs Smith's fractures managed differently in the ED?

ED 237

ED OR EMS 237

ALiEM

DECEMBER 18, 2023

A 19-year-old female with a past medical history of epilepsy presented to the emergency department for evaluation of rash and fever. Two days prior to presentation she began to experience fevers with a Tmax of 103°F. One day before presentation she developed a rash that began on her face and slowly spread down her body, now involving her palms. The patient endorsed associated pruritus and cervical lymphadenopathy with the rash.

Emergency Department 177

Emergency Department OR 177

American Ambulance Association

DECEMBER 21, 2023

Michele Bracken Training Officer Wendover Ambulance West Wendover, NV Share on: Facebook | Instagram | X | LinkedIn How did you come to be in EMS? I had a good […] The post EMS Profiles | Meet Michele Bracken appeared first on American Ambulance Association.

EMS 130

EMS Ambulance 130

Critical Care Scenarios

DECEMBER 20, 2023

Discussing the new 2023 AAN/AAP/CNS/SCCM Pediatric and Adult Brain Death/Death by Neurologic Criteria Consensus Practice Guideline, with the joint first authors: Dr. Ariane Lewis, neurointensivist, professor of neurology and neurosurgery at NYU Langone, director of neurocritical care, and chair of the Langone ethics committee, and Dr. Matthew Kirschen, pediatric neurointensivist and associate director of pediatric … Continue reading "Lightning rounds #35: Brain death updates, with Ariane Lewis a

OR 130

OR 130

Emergency Medicine Cases

DECEMBER 20, 2023

In this ECG Cases Dr. Jesse McLaren delves into ECG interpretation in toxicology and the poisoned patient using his HEARTS approach in 7 case examples. Heart rate/rhythm: consider antidotes for brady/tachy-arrhythmias, and for sinus tachycardia consider fluids for vasodilation and benzodiazepines for agitation. Electrical conduction and axis: consider sodium bicarb for QRS > 100 especially if RBBB or terminal rightward shift, and magnesium for QTc> 500.

Coronary 207

Coronary OR Overdose EMS 207

ALiEM

DECEMBER 22, 2023

An 84-year-old female presented with a chief complaint of right hip pain after a fall 12 hours prior to presentation. The patient reported a history of falls resulting in shoulder, rib, and left hip fractures in the past. The patient stated that upon getting out of bed, she took 4-5 steps, lost her balance, and fell backward onto the bedroom floor. She denied loss of consciousness.

OR 161

OR 161

EMergucate

DECEMBER 18, 2023

Answers: Question 1: PH = 7.58, that is severe alkalaemia. pCO2 = 20 mmHg, so we have respiratory alkalosis. Next we need to calculate the compensation.

130

130

Don't Forget the Bubbles

DECEMBER 18, 2023

“Okay team, we’ve been following the APLS algorithm for 30 minutes and have considered all reversible causes. This child has been in cardiac arrest for at least an hour and none of the interventions we have carried out have made a difference. The blood gas is incompatible with life. I think we should stop resuscitation. Does anyone have any objections?

CPR 131

CPR OR Ambulance 131

Life in the Fastlane

DECEMBER 18, 2023

Neil Long Button Battery Update 3.0 Want to know the latest on button battery management, prevention and immediate care? Look no further than our latest tox offering.

125

125

American Ambulance Association

DECEMBER 20, 2023

From Regulations.Gov NHTSA published a request for information on October 13, 2023, seeking comments from all sources (public, private, government, academic, professional, public interest groups, and other interested parties) on […] The post NHTSA Request for Information: Emergency Medical Services Education Agenda 2050 appeared first on American Ambulance Association.

Emergency Medical Services 130

Emergency Medical Services Ambulance EMS 130

EMergucate

DECEMBER 19, 2023

84 year old man with history of asthma and COPD presented with acute shortness of breath. His venous blood gases showed the following: PH = 7.

130

130

Dr. Smith's ECG Blog

DECEMBER 19, 2023

This is written by Willy Frick, an amazing cardiology fellow in St. Louis. [link] A 62 year old man with a history of hypertension, type 2 diabetes mellitus, and carotid artery stenosis called 911 at 9:30 in the morning with complaint of chest pain. He described it as "10/10" intensity, radiating across his chest from right to left. EMS obtained the following vital signs: pulse 50, respiratory rate 16, blood pressure 96/49.

E-9-1-1 118

E-9-1-1 Coronary ACS BLS 118

First 10 EM

DECEMBER 18, 2023

This is a guest post by Dr. Ross Prager. It was actually the first blog post on a new FOAMed project – SimpleSage – and I asked to cross-post it here because I think that, based on the quality, readers of First10EM will almost certainly be interested in following this new evidence based medicine project. […] The post How to create a focused and answerable research question appeared first on First10EM.

106

106

American Ambulance Association

DECEMBER 19, 2023

43 min PLAY The road ahead: Resuscitating EMS through trend analysisEMS One-Stop Government Listen on Apple Podcasts Collecting and communicating the big EMS news of 2023 The American Ambulance Association […] The post Podcast | EMS One-Stop | Resuscitating EMS through trend analysis appeared first on American Ambulance Association.

EMS 130

EMS Ambulance 130

EMergucate

DECEMBER 19, 2023

The foot x-ray is from an adult with lateral forefoot swelling and inflammation. What can be seen?

EMS 130

EMS 130

Dr. Smith's ECG Blog

DECEMBER 22, 2023

This is a case I had quite a while back. The patient with no prior cardiac history presented in the middle of the night with acute chest pain, and had this ECG recorded during active pain: I did not see any ischemia on this electrocardiogram. It does not look entirely normal, since there are some nonspecific STT abnormalities, such as flattening of the T waves in aVL.

ACS 103

ACS STEMI OR 103

Life in the Fastlane

DECEMBER 17, 2023

Oliver Flower The Power of Words: Language and Death Victoria Whitfield and Louise Sayers discuss the importance of effective communication from health professionals to patients and their families

98

98

American Ambulance Association

DECEMBER 21, 2023

This content is for AAA members only. Please either Log In or Join! The post 2023 Year-End Government Affairs Update appeared first on American Ambulance Association.

Ambulance 130

Ambulance OR EMT EMT 130

EMDocs

DECEMBER 19, 2023

Today on the emDOCs cast, we have a special guest, Alexis Koda, core faculty at the Nazareth Emergency Medicine Residency program in Philadelphia, PA. Alexis takes us through marine envenomations and trauma. Episode 91: Marine Envenomation and Trauma Major Marine Trauma Shark Bites Tend to be neurovascular injury and tissue loss Death from hemorrhage Don’t chew—result in tearing injuries Treatment of Major Marine Trauma Remove from water Control bleeding Supportive management Radiographs for fo

First Aid 91

First Aid ED OR ALS 91

EMCrit Project

DECEMBER 22, 2023

Is your mind ready for no preparation critical care? EMCrit Project by Scott Weingart, MD FCCM.

Critical Care 98

Critical Care 98

EMOttawa

DECEMBER 21, 2023

Introduction Emergency health care places paramedics and healthcare providers are at the intersection of complex ethical considerations and legal obligations when addressing acute behavioural disturbances. The need for immediate treatment or physical/chemical restraint without patient consent can be challenging and requires a deep understanding of the legal frameworks that guide these decisions.

Paramedic 60

Paramedic OR 60

Life in the Fastlane

DECEMBER 21, 2023

Neil Long Merry Funtabulously Frivolous Friday Five 354 Funtabulously Frivolous Friday Five 354 - Christmas - Just when you thought your brain could unwind, enter the medical trivia of FFFF.

59

59

EMDocs

DECEMBER 20, 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 77

ED OR 77

REBEL EM

DECEMBER 18, 2023

A 55-year-old woman with a history of end-stage kidney disease on peritoneal dialysis presents due to abdominal pain. She has had pain and redness at the site of her catheter exit site. Physical examination is notable for 3 cm of erythema around the catheter exit, located in the lateral left lower quadrant, along with tenderness to palpation in a straight line extending medially 5 cm from the catheter exit site.

EMS 59

EMS ED ALS 59

EMOttawa

DECEMBER 21, 2023

Take your POCUS Game to the Next Level Who should attend: Staff and resident physicians and other practitioners who take care of acutely unwell patients. Plenary Talks: Working up the “nerve” to “block” pain in the ED: is it time to change our approach? – Dr Alice Chan Soft Tissue POCUS – Why & How? […] The post Ottawa POCUS Symposium appeared first on EMOttawa Blog.

ED 58

ED 58

The Overrun Podcast

DECEMBER 22, 2023

Summary In this episode, Ed and Dan discuss several topics related to medicine and EMS in 2023. They start by reviewing a study on the use of nitroglycerin in acute pulmonary edema and congestive heart failure, highlighting its positive effects on blood pressure and oxygenation. They then move on to a comparison of succinylcholine and rocuronium in rapid sequence intubation (RSI), concluding that the choice of paralytic agent may not significantly impact outcomes.

Paramedic 52

Paramedic EMS ED 52

SSCOR

DECEMBER 21, 2023

The call is going smoothly. The elderly woman had gone into cardiac arrest just minutes before you arrived, but immediate CPR and rapid defibrillation were rewarded with a weak return of pulses. Your IV is flowing and the patient is intubated. But just because you have secured an endotracheal tube does not mean the airway is completely protected.

Defibrillator 52

Defibrillator CPR EMS 52

Paramedics World

DECEMBER 21, 2023

Dental implants are high-tech medical devices placed into the jawbone to replace missing teeth. As you know, defective and missing teeth are disastrous for overall health and appearance. So, this… The post Do Dental Implants Matter for Your Overall Health? appeared first on Paramedics World.

Paramedic 52

Paramedic 52

EMOttawa

DECEMBER 18, 2023

At this month’s PTM Journal Club, two topics were covered; the use of intranasal (IN) glucagon for hypoglycemia and preshospital triage of chest pain patients. Haamid et al. The post PTM Journal Club Recap: Hypoglycemia and NSTEMI Care appeared first on EMOttawa Blog.

ALS 56

ALS 56

Pulsara

DECEMBER 20, 2023

As 2023 comes to a close, we're pausing to look back at the case studies and research findings published by Pulsara customers. From streamlining emergency response times to enhancing patient outcomes, the stories published this year showcase the transformative power of collaboration, cutting-edge technology, and the relentless pursuit of excellence.

Emergency Response 52

Emergency Response 52

Stem EMS

DECEMBER 20, 2023

Transporting pregnant women in ambulances is a delicate responsibility that requires utmost attention from healthcare providers. The safety of both the mother and the baby is of primary importance, especially […] L'articolo Safety and Care: Ambulance Transport of Pregnant Women proviene da Stem Ems.

Ambulance 52

Ambulance EMS 52

Paramedics World

DECEMBER 20, 2023

The home care provider market in the United States is witnessing rapid growth, marked by a continuous influx of new entrepreneurs. However, the journey from initiating a home care business… The post 5 Strategies to Improve Your Home Care Agency Management appeared first on Paramedics World.

Paramedic 52

Paramedic 52

EMT Training Station

DECEMBER 20, 2023

Updated Jan 2024 Looking for the best stethoscope for an EMT or Paramedic can be a daunting task. Stethoscopes are one of the most important tools in an EMT or Paramedics arsenal. They allow them to listen to the normally inaudible noises the body makes. They can be used to assess the lungs, bowels, and even detect signs of crepitus when dealing with a suspected bone fracture.

EMT 52

EMT EMT Paramedic Ambulance 52

Don't Forget the Bubbles

DECEMBER 20, 2023

This talk, from Dr Eve Purdy, was given at our 2022 DFTB conference. The Hospital’s Cultural Landscape In the heart of the hospital, where medical emergencies unfold, and teams collaborate under intense pressure, the significance of culture becomes apparent. Dr Eve Purdy, a Canadian emergency physician and anthropologist, unravels the complex dynamics of culture within medical teams.

Emergency Department 52

Emergency Department OR 52

Paramedic Chiefs of Canada

DECEMBER 19, 2023

(PCC) Annual Leadership Summit The PCC is pleased to announce a call for speakers for the 2024 Annual Leadership Summit in Quebec City June 4 th -6 th , 2024. The PCC Leadership Summit program provides a platform for sharing of information covering topics related to (but not limited to) Leadership, Research, Paramedic Health and Wellness, and Workplace Culture.

Paramedic 52

Paramedic Public Safety OR 52

This Podcast Will Kill You

DECEMBER 19, 2023

Parkinson’s is a disease of many dimensions. On the shelves of any bookstore or library you’ll find at least a handful of titles exploring the topic from a myriad of perspectives, and extending that search to the internet will turn up dozens upon dozens more options: how-to guides for the recently diagnosed, in-depth textbooks exploring the neurophysiology of disease development, memoirs about caregiving for people with Parkinson’s, books offering a tour through the history of research advanceme

ALS 52

ALS OR 52