Emergency Medicine Cases
JANUARY 2, 2024
Based on a blend of number of listens, feedback from listeners, website visits and personal faves, EM Cases Best of 2023 Top 10. The post EM Cases Best of 2023 Top 10 appeared first on Emergency Medicine Cases.
ALiEM
JANUARY 5, 2024
Dr. Sara Krzyzaniak (podcast host and Stanford University PD) and Dr. Michelle Lin (ALiEM Founder/UCSF) are joined by Dr. Aaron Kraut (University of Wisconsin PD) in this insightful, rapid-fire, practical episode through the lens of experienced residency program directors. What does the Electronic Residency Application Service (ERAS) preliminary data show just far for the 2024 residency application season?
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EMergucate
JANUARY 5, 2024
Question 1: PH = 7.409, that is with in normal range pCO2 = 54 mmHG, that is suggestive of respiratory acidosis. HCO3 = 33.3, that is suggestive of metabolic alkalosis.
American Ambulance Association
JANUARY 4, 2024
Request for Proposal State EMS Policy Whitepaper Development & Strategic Consulting Services Overview and Objectives The American Ambulance Association (AAA) seeks proposals from qualified consulting firms to provide strategic services […] The post RFP | State EMS Policy Whitepaper & Strategic Consulting appeared first on American Ambulance Association.
Emergency Medicine Cases
JANUARY 2, 2024
Triquetrum chip fractures, scapholunate injuries, hook of the hamate fractures, and of course, scaphoid fractures can be easily missed with serious consequences for our patients. In this part 2 of our 2-part podcast series on wrist injuries we highlight the "Big 4" most commonly missed and mismanaged carpal bone injuries, elucidating the key historical, physical exam and x-ray findings, as well as management strategies.
Critical Care Scenarios
JANUARY 3, 2024
We discuss head and neck surgery with Dr. Alexandra Kejner, otolaryngologist at the Medical University of South Carolina specializing in transoral robotic surgery, reconstructive surgery including microvascular free tissue transfer, salivary neoplasms, and sialoendoscopic procedures. Find us on Patreon here! Buy your merch here! Takeaway lessons References We discuss head and neck surgery with Dr.
Core EM
JANUARY 2, 2024
We review a general approach to syncope in children. Hosts: Brian Gilberti, MD Ellen Duncan, MD [link] Download Leave a Comment Tags: Cardiology , Pediatrics Show Notes Initial Evaluation and Management : Similar initial workup for children and adults: checking glucose levels for hypoglycemia and conducting an EKG. The history and physical exam are crucial.
Paramedicine Now brings together the best content for paramedicine professionals from the widest variety of thought leaders.
EMergucate
JANUARY 2, 2024
35-year-old lady with palpitations. Her ECG as below. What is the most underlying cause?
EMCrit Project
JANUARY 1, 2024
background and general concept My research project in fellowship was the construction of a mathematical model to convert VBG values into ABG values. The fundamental concept for the model was pretty simple: we can approximate the respiratory quotient (RQ) of tissue in the hand as being constant. This indicates that changes in oxygen content and […] EMCrit Project by Josh Farkas.
St. Emlyn's
DECEMBER 30, 2023
St.Emlyn's - Emergency Medicine #FOAMed We generally try and review studies that are close to use in practice. but occasionally we spot something that is just interesting and which might give us a clue as … JC: Selective aortic arch perfusion. St Emlyn’s Read More » The post JC: Selective aortic arch perfusion. St Emlyn’s appeared first on St.Emlyn's.
American Ambulance Association
JANUARY 3, 2024
Maryam Boyd Paramedic Crew Chief Mecklenburg EMS Agency (Medic 911) Charlotte, NC Share on Facebook | X | Instagram | LinkedIn How did you come to be in EMS? I’ve […] The post EMS Profiles | Meet Maryam Boyd appeared first on American Ambulance Association.
EMergucate
JANUARY 2, 2024
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.
Dr. Smith's ECG Blog
JANUARY 5, 2024
Written by Willy Frick A 46 year old man with a history of type 2 diabetes mellitus presented to urgent care with complaint of "chest burning." The documentation does not describe any additional details of the history. The following ECG was obtained. ECG 1 What do you think? The ECG shows sinus bradycardia but is otherwise normal. There is TWI in lead III, but this can be seen in normal ECGs.
St. Emlyn's
JANUARY 3, 2024
St.Emlyn's - Emergency Medicine #FOAMed Just before midnight at the NYE dinner party I was hosting the guests started to ask around the table “what are your New Year’s resolutions?”. Many people disclosed that they … Resolutions or Habits? St Emlyn’s Read More » The post Resolutions or Habits? St Emlyn’s appeared first on St.Emlyn's.
EMOttawa
JANUARY 2, 2024
Methodology: 4/5 Usefulness: 2/5 Liu L, et al. BMJ. 2023 Oct 9;383:e076448. Question: Do early vs delayed blood pressure management in patients with mild-moderate acute ischemic strokes decrease death or dependency at 90 days? Methods: Randomization to early (24 hrs) vs delayed treatment (after 7 days) of blood pressure. They monitored BP at baseline, during […] The post Early versus delayed antihypertensive treatment in patients with acute ischaemic stroke: multicentre, open label, rando
EMergucate
JANUARY 2, 2024
The chest x-ray is from an adult with fever and dyspnoea. What can be seen? With thanks to Dr.
Dr. Smith's ECG Blog
JANUARY 1, 2024
This was contributed by Co-editor Emre Aslanger, an interventional cardiologist in Turkey. @AslangerE A 65-year-old gentleman presented to the emergency department after experiencing two recent ICD shocks in the preceding hours. His medical history includes hypertension, a decade-long battle with diabetes, ischemic heart disease, a coronary bypass graft surgery ten years ago, a diagnosis of congestive heart failure for the last five years, and a prior ICD implantation five years ago.
CanadiEM
JANUARY 2, 2024
In our 2023 year in review, CanadiEM celebrates its 8th birthday! Does CanadiEM continue to serve an important role in the medical education community? This year is an opportunity for those who value this virtual community of practice to get involved, especially for those who are interested in a leadership role. If that interests you, please reach out at CanadiEMblog@gmail.com. 2023 was another busy year for CanadiEM!
First 10 EM
DECEMBER 31, 2023
This is the first edition of a new, recurrent post format. The First10EM monthly wrap up is a place for me to share updates about the website, about my academic life, and also interesting content, such as books, podcasts, and other FOAMed, that I have encountered in the prior month. It is sort of my […] The post The First10EM monthly wrap-up for December 2023 appeared first on First10EM.
EMergucate
JANUARY 2, 2024
Answers: PH = 7.547 that is moderate alkalaemia. pCO2 = 24 mmHg, so we have respiratory alkalosis.
Dr. Smith's ECG Blog
JANUARY 3, 2024
Written by Pendell Meyers A woman in her 70s had acute chest pain and called EMS. On arrival, EMS recorded relatively normal vital signs and this EMS ECG: What do you think? Interpretation : diagnostic of acute anterior OMI with STE less than STEMI criteria in V1-V4, hyperacute T waves in V2-V4, and suspiciously flat isoelectric ST segments in III and aVF suspicious for reciprocal findings.
EMOttawa
JANUARY 4, 2024
What exactly is an EPA, really? EPAs, or Entrustable Professional Activities, are the basic building blocks of assessment within many models of Competency-Based Medical Education, such as Competency By Design. In theory, EPA assessments are supposed to serve as a collection of observations that put together a cohesive high-resolution picture from many little data […] The post Factors Affecting the EPA Experience appeared first on EMOttawa Blog.
International Journal of Paramedicine
JANUARY 5, 2024
Objective Determining the decision-making capacity of patients in the prehospital setting is a high-risk area for EMS systems. This risk is only enhanced by the growing prevalence of mental, neurological, and substance use disorders. This study sought to evaluate the feasibility of on-shift simulation as an educational method, in this case to improve EMS clinicians’ ability and confidence in performing capacity assessments.
Pulsara
JANUARY 5, 2024
EDITOR'S NOTE: This article originally appeared on FireRescue1.com. Special thanks to our guest author, Courtney Levin , for FireRescue1 BrandFocus Staff. Now that you’ve developed the initial groundwork, these next steps are key to finding success The fire service is pivotal in caring for their community’s underserved population. Introducing a community paramedicine program allows public safety to dynamically meet those needs.
SSCOR
JANUARY 4, 2024
Medical providers have long used pulse oximeters as a quick and easy way to assess blood oxygen levels. However, the amount of CO2 a person expires is an equally useful piece of information that provides key details about ventilation. Capnography provides clear data about the amount of CO2 expired at each stage of respiration. Using capnography during medical suction can reduce the risk of hypoxia and provide additional details about patients at risk of serious suction-related complications.
Unitek EMT
JANUARY 4, 2024
Explore alternative career paths and specialized roles available to EMTs. In the dynamic realm of emergency medical services, the role of Emergency Medical Technicians (EMTs) transcends the conventional image of ambulance responders rushing to accident scenes. The world of EMT specializations is a tapestry woven with diverse skills, each thread contributing to the intricate fabric […] The post 13 Top EMT Specialties appeared first on Unitek EMT.
International Journal of Paramedicine
JANUARY 5, 2024
Background: Hazardous chemicals are essential for modern society but the use and transportation of them bears the risk of major incidents. Past incidents have revealed the importance of preparation and training of emergency medical service (EMS) personnel when responding to these incidents. However, studies have shown the level of preparedness to be insufficient.
Pulsara
JANUARY 3, 2024
EDITOR'S NOTE: This article originally appeared on FireRescue1.com. Special thanks to our guest author, Courtney Levin , for FireRescue1 BrandFocus Staff. Departments can play a large role in supporting the health and safety of underserved residents The inherent nature of the fire service means that responses to community needs are usually reactive.
Paramedics World
JANUARY 3, 2024
When you’re just starting out in looking into an enhanced edge in lifting, the Ostarine and Cardarine stack stands out as a great option. With all the different SARMs and… The post Ostarine Cardarine Stack Guide – Results, What to Expect, & More appeared first on Paramedics World.
FirstNet Authority
JANUARY 3, 2024
On Time, On Budget, On Task: FirstNet's Initial 5-Year Build Out joseph.rey@fir… Wed, 01/03/2024 - 11:40 FirstNet Authority Board Chair Chief Richard Carrizzo shares the FirstNet Authority completed its verification and validation of the initial FirstNet network build-out. Learn more about FirstNet and the FirstNet Authority at FirstNet.gov.
International Journal of Paramedicine
JANUARY 5, 2024
Background : This study is to concentrate on adverse outcomes of CPR in out-of-hospital cardiac arrest (OHCA) among different performers that are trained first responders, professional practitioners, and automated devices by exploring types of injuries and comparing between datasets. It is also to find out potential contributing factors for each injury which display statistical significance.
This Podcast Will Kill You
JANUARY 2, 2024
Often, the more we learn about a disease, the more we learn about ourselves and the world around us. The story of the genetic disorder osteogenesis imperfecta (OI), colloquially known as brittle bone disease, illustrates this perfectly. As researchers continue to uncover the mechanisms responsible for OI development and progression, the better we understand the varied and crucial roles collagen plays in all parts of our biology.
Paramedics World
JANUARY 3, 2024
Feeling tired, weary, or exhausted? These sensations of fatigue seem to be an inevitable part of modern life. We blame fatigue on lack of sleep, overwork, stress, not enough exercise,… The post Fatigue: Is It Simple Tiredness or an Underlying Illness? appeared first on Paramedics World.
Firefighters and EMS Fund
JANUARY 2, 2024
[01/02/2024, Manhattan, NY]- Firefighters and EMS Fund was honored to both attend and win an award at the 2023 ASTORS Homeland Security Awards Ceremony, hosted by American Security Today. Firefighters and EMS Fund won recognition in the category Excellence in Public Safety and First Responder Support. “Foremost, we are here to make a difference,” said […] The post Firefighters and EMS Fund Honored to Receive Recognition at 2023 ASTORS Awards appeared first on Firefighters and EMS Fund.
International Journal of Paramedicine
JANUARY 5, 2024
Background: The shock index is a valid tool used to detect impending circulatory collapse in the pre-hospital setting. As validation of the shock index requires high sample sizes, the majority of retrospective studies have been performed at urban level 1 trauma centers. We hypothesized that the shock index would accurately predict mortality in a rural level 1 trauma center.
Life in the Fastlane
JANUARY 2, 2024
Susie Liddiard and Chris Nickson Scombroid Poisoning Scombroid poisoning occurs after the ingestion of fish with high histamine levels due to improper processing or storage.
FirstNet Authority
JANUARY 4, 2024
Three keys to success for FirstNet 3.0 Blog joseph.rey@fir… Thu, 01/04/2024 - 10:34 By Joe Wassel, Executive Director and CEO, First Responder Network Authority 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. Follow us on Twitter , Facebook , Instagram , and LinkedIn for the latest FirstNet Authority updates.
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