The Skeptics' Guide to EM

DECEMBER 30, 2023

Reference: Roussel et al. Overnight stay in the emergency department and mortality in older patients, JAMA Intern Med 2023 Date: December 18, 2023 Guest Skeptic: Dr. Chris Carpenter, Vice Chair of Emergency Medicine at Mayo Clinic. Case: An 85-year-old patient (Ms. McG) presents to your emergency department (ED) after being found by family on the […] The post SGEM#424: Ooh-Ooh, I Can’t Wait – To Be Admitted to Hospital first appeared on The Skeptics Guide to Emergency Medicine.

Emergency Department 274

Emergency Department ED ALS OR 274

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.

EMS 255

EMS 255

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?

EMS 177

EMS ALS OR 177

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.

EMS 130

EMS Ambulance 130

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.

Coronary 130

Coronary OR 130

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.

EMS 130

EMS 130

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.

130

130

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.

122

122

First 10 EM

JANUARY 1, 2024

I love when people use science to investigate the many simple assumptions we make about the world. Not every trial needs to look novel (mostly read “me too”) drugs or fancy procedures. I also have a child in the age range for croup, and we are in our winter viral season in Canada, so this […] The post Cold air for croup (An RCT) appeared first on First10EM.

OR 120

OR EMS 120

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.

130

130

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.

EMS 130

EMS Ambulance Paramedic 130

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.

Coronary 119

Coronary 119

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.

ACS 106

ACS ALS OR STEMI 106

EMergucate

JANUARY 2, 2024

The chest x-ray is from an adult with fever and dyspnoea. What can be seen? With thanks to Dr.

EMS 130

EMS 130

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

ALS 98

ALS OR Critical Care 98

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.

OR 106

OR 106

Don't Forget the Bubbles

JANUARY 1, 2024

Can’t get enough of Bubble Wrap? The Bubble Wrap Plus is a monthly paediatric Journal Club reading list from Professor Jaan Toelen (University Hospitals Leuven) and Dr Anke Raaijmakers (Sydney Children’s Hospital). 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.

ALS 98

ALS OR ED 98

EMergucate

JANUARY 2, 2024

35-year-old lady with palpitations. Her ECG as below. What is the most underlying cause?

130

130

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.

Coronary 96

Coronary EMR STEMI Emergency Department 96

EMDocs

JANUARY 3, 2024

Authors: Luke Wohlford, MD, MPH (@retinueofblue, EM Resident, University of Vermont Medical Center); Neil Krulewitz, DO (EM Attending, University of Vermont Medical Center); Ahmed Harhash, MD (Heart Failure Cardiologist, University of Vermont Medical Center); Skyler Lentz, MD (@SkylerLentz, EM and Critical Care Attending, University of Vermont Medical Center) Case A 55-year-old man with a history of heart failure with a preserved ejection fraction presents at the request of their cardiologist wi

Defibrillator 86

Defibrillator Allergic Reaction ED ALS 86

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!

80

80

EMergucate

JANUARY 2, 2024

Answers: PH = 7.547 that is moderate alkalaemia. pCO2 = 24 mmHg, so we have respiratory alkalosis.

100

100

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.

STEMI 88

STEMI EMS ED OR 88

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.

76

76

EMDocs

DECEMBER 31, 2023

Authors: Brit Long, MD ( @long_brit – EM Attending Physician, San Antonio, TX); Manpreet Singh, MD ( @MPrizzleER – Assistant Professor of Emergency Medicine / Department of Emergency Medicine – Harbor-UCLA Medical Center); and Alex Koyfman, MD ( @EMHighAK – EM Attending Physician, UT Southwestern Medical Center / Parkland Memorial Hospital) Thank you for everything you do and the great year!

ED 74

ED EMS OR 74

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.

OR 72

OR 72

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.

EMS 52

EMS EMT EMT Paramedic 52

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.

Community Paramedicine 52

Community Paramedicine Paramedicine Paramedicine Public Safety 52

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.

52

52

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.

EMT 52

EMT EMT Emergency Medical Technician Emergency Medical Services 52

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.

Emergency Medical Services 52

Emergency Medical Services Ambulance EMS 52

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.

Community Paramedicine 52

Community Paramedicine Paramedicine Paramedicine Mobile Integrated Health 52

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.

Paramedic 52

Paramedic 52

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.

52

52

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.

Emergency Department 52

Emergency Department Plasma OR 52

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.

Firefighter 52

Firefighter Public Safety EMS First Responder 52

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.

OR 52

OR Paramedic 52