REBEL EM

JUNE 8, 2023

Epinephrine – 10ug/mL, 10mL syringe Phenylephrine – 100ug/mL, 10mL syringe Phenylephrine bolus doses from 100-200ug and epinephrine 10-20ug administered every 2-5 minutes pursuant to provider order Inclusion Criteria: Adults age >18 years old Received at least one bolus dose of phenylephrine or epinephrine pre-filled syringes Exclusion (..)

Epinephrine 98

Epinephrine Emergency Department ALS Critical Care 98

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. The patient rapidly regained consciousness, reporting no residual pain.

Coronary 111

Coronary EMR STEMI Emergency Department 111

AAEM RSA

MAY 7, 2021

Uber recently partnered with Cerner, and Lyft recently paired with Epic, two of the largest electronic medical record (EMR) providers, to make it easier for hospitals to order rides for patients. The integration with EMRs also provides a better way for hospitals to collect data to determine the true impact of their transportation programs.

EMR 52

EMR Emergency Medical Services Ambulance Emergency Department 52

NCOAE

MAY 25, 2022

National Registry Certification examinations evaluate the competence of EMS practitioners at a variety of levels, including Emergency Medical Responder (EMR), Emergency Medical Technician (EMT), Advanced Emergency Medical Technician (AEMT), and Paramedic. If that’s the case, please feel free to call our office for additional support.

EMT 52

EMT EMT Emergency Medical Technician AEMT 52

Don't Forget the Bubbles

SEPTEMBER 11, 2024

You have no control over the number of ambulances ramped outside your emergency department, You have no control over the glitches in the EMR. And so the slow burn continues… As you become increasingly exhausted, you lose self-control, making it harder to protect yourself from the demands of your job. Let’s call it the ABC approach to repair.

EMR 88

EMR OR Emergency Department Ambulance 88

Dr. Smith's ECG Blog

JULY 31, 2020

The more leads in a given lead area that show hyperacute changes — the greater the concern for acute OMI. Terminal QRS distortion ( ie, the absence of both a J-wave and an S-wave in either lead V2 or lead V3 ) — SEE My Comment in the November 14, 2019 post for an illustration and description of T-QRS-D.

STEMI 52

STEMI Coronary EMR ALS 52

Dr. Smith's ECG Blog

NOVEMBER 13, 2022

Written by Emre Aslanger. Emre is a new Editor of the Blog. PMID: 34523597. == MY Comment by K EN G RAUER, MD ( 11/13/2022 ): == Highly interesting case by Emre Aslanger. He is an interventionalist in Turkey. See bibliography). ECG hardly ever tells lies! Many times it is more prudent to count on ECG than the patient’s history.

EMR 52

EMR Coronary OR STEMI 52

AAAM

JANUARY 12, 2024

I can foresee an increase in the use of AI as an adjunct to manual EMR abstraction in order to streamline the data collection process – but I am confident that there will always be a need for HUMAN analysts to ensure the quality and accuracy of that data! I have a yarn collecting addiction, and I enjoy knitting in my spare time.

EMR 52

EMR ACS OR 52

REBEL EM

MARCH 27, 2023

Reason for intubation, severity of illness, ARDS risk score, and ventilator settings were extracted from the electronic medical record (EMR). Data was automatically captured in the EMR so that accurate information was able to be extracted for the study. of patients left the ED on TV settings of 450 mL and 36.1%

Emergency Department 52

Emergency Department ICU Critical Care EMR 52

Peter Canning

JANUARY 14, 2024

Here are some of the highlights: EMRs and EMTs may administer Naloxone IM in a dose of 0.4 For all the fancy changes over the year, the bottom line has always been to provide good CPR compressions and timely defibrillation. Speaking of protocol changes, Connecticut released its latest two year update. mg via syringe.* micrograms/kg/min. .*

CPR 52

CPR Naloxone EMT EMT 52

Dr. Smith's ECG Blog

JANUARY 30, 2018

Arterial pulse tapping artifact [link] This online article references the article below by Emre Aslanger, a great guy who occasionally corresponds with me about ECGs. The Wilson (or Goldberger) Central Terminal is used to produce the augmented (a) leads: aVR, aVL, aVF. Aslanger E, Yalin K. Journal of Electrocardiology. 2012;45(1):15-17.

EMR 52

EMR OR 52

Dr. Smith's ECG Blog

MARCH 3, 2023

Smith and Emre Aslanger, but we also thank external researchers for their demonstrative ECGs (thanks to Philip L. As myocardial infarction (MI) and many other diagnoses (for example left ventricular hypertrophy, prior MI etc.) The majority of the ECGs are from Stephen W. Mar for atrial activity ECG). For download: Enjoy !

STEMI 52

STEMI EMR Coronary OR 52

Dr. Smith's ECG Blog

JUNE 11, 2021

Accordingly, in the algorithm by Cai et al for patients with LBBB and ischemic symptoms ( See below ) — the first indication for PCI is clinical: patients with hemodynamic instability or acute heart failure. An initial level of 650 ng/L represents a too rapid rise to be attributable only to Type II MI from brief cardiac arrest. Learning points 1.

EMR 52

EMR STEMI CPR ED 52

NAEMSP

APRIL 19, 2023

Additionally, low ionized calcium levels have been correlated with increasing mortality in sepsis and other critical illnesses in adults and children (Bora, Ramazan, Oznur, Emre, & Basar, 2021), (Sanchez, et al., 2021), and AHA guidelines also maintain this use (Panchal, et al., mEq/L (OR: 51.11; 95% CI: 3.12−1639.16; 1639.16; p=0.01).

E-9-1-1 52

E-9-1-1 Advanced Life Support Overdose CPR 52

Dr. Smith's ECG Blog

DECEMBER 18, 2022

Written by Emre Aslanger (Emre is our newest editor. He is an interventionalist in Turkey and one of 3 originators of the OMI/NOMI paradigm, along with Pendell and Smith. Here are his publications.) Case A 39-year-old male without prior medical history presents with chest pain that started 2 hours prior to presentation. References: 1.

EMR 40

EMR OR ALS Coronary 40

AAEM RSA

APRIL 8, 2021

Propelled by the loss of autonomy and an unnatural tethering to a computer and an EMR system, we have seen the rate of burnout approach nearly 50% of physicians, and signs of burnout have been seen in residents and medical students alike.1,2 California, where I train, feels like it’s about to burst. What are we going to do?

ICU 52

ICU EMR OR ED 52

Paramedic Training Spot

MARCH 29, 2018

You’ve spent the money on your EMT class, you’ve worked hard, and now you are wondering what you’re about to face on the NREMT cognitive exam. If you are finding that you are anxious about this process or don’t know what to expect, know that you are in good company. The advantage to this kind of test is that it is not about your score.

EMT 52

EMT EMT Paramedic CPR 52

Paramedic Training Spot

SEPTEMBER 18, 2017

One of the most thorough NREMT prep websites, this website offers exam prep software for EMR, EMT, AEMT, and Paramedic exams with a money back guarantee. The exam will end when the computer detects that the student is either 95% certain that the student is above or below the passing level.

EMT 52

EMT EMT Paramedic Emergency Medical Technician 52

Paramedic Training Spot

MARCH 29, 2018

However, I will offer you two points to consider when using those resources: First, be very sure of who has written those resources. If you use a paid or reputable site, then you are good to go. Second, pedagogically-speaking, there is great merit to physically writing (or typing) your own flashcards. No, of course not.

EMT 52

EMT EMT Paramedic EMS 52

Dr. Smith's ECG Blog

APRIL 21, 2023

So under the OMI paradigm, expert-trained AI would help providers identify OMI and this patient would have had immediate cath lab activation, without any need to wait for repeat ECGs or troponin levels. The troponin element is at least one troponin above the 99th percentile URL with rise and/or fall.

STEMI 52

STEMI Coronary EMR EMT 52

ESO

JULY 3, 2024

Patient Registry | FHIR Integration Now officially in the Epic Showroom, the Patient Registry FHIR integration improves your data abstraction efficiency by importing data from the hospital EMR system directly into a patient encounter record in the registry.

Mobile Integrated Health 52

Mobile Integrated Health MIH Critical Care Community Paramedicine 52

Dr. Smith's ECG Blog

DECEMBER 5, 2022

Arterial pulse tapping artifact [link] This online article references the article below by Emre Aslanger, a great guy who occasionally corresponds with me about ECGs. The Wilson (or Goldberger) Central Terminal is used to produce the augmented (a) leads: aVR, aVL, aVF. Aslanger E, Yalin K. Journal of Electrocardiology. 2012;45(1):15-17.

EMR 52

EMR OR 52

BoostPrep

APRIL 26, 2022

EMT Airway, Respiration, & Ventilation Practice Test Time limit: 0 Quiz Summary 0 of 10 Questions completed Questions: Information You have already completed the quiz before. Hence you can not start it again. Quiz is loading… You must sign in or sign up to start the quiz. You must first complete the following: Results Quiz complete.

EMT 52

EMT EMT CPR Emergency Medical Technician 52

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

V1 has 0.5 mm of ST segment elevation, V2 and V3 have 1 mm of elevation, v4 has 2 mm of elevation and v5 around 1.5 mm of elevation. More notably there are hyperacute T waves in V3 through V5. These T waves are too large in proportion to their QRS complexes with broad bases, and they are symmetric or nearly symmetric in appearance.

Emergency Department 52

Emergency Department E-9-1-1 Coronary STEMI 52

The Skeptics' Guide to EM

NOVEMBER 24, 2018

One of the most common reasons cited for burnout is the electronic medical record (EMR) (Shanafelt et al 2016). Michelle Johnston ( Dustfall ) did a fantastic job the during the ACEM18 opening presentation highlighting what we do everyday. The word burnout was coined by Burnout was a term coined by Herbert Freudenberger in 1974.

EMR 130

EMR ALS Emergency Department OR 130

The Skeptics' Guide to EM

SEPTEMBER 25, 2021

Despite the lack of high-quality evidence to support these sepsis bundles, many hospitals incorporated them into their electronic medical record (EMR). He has a heart rate of 93 beats per minute, a blood pressure of 145/90 mm Hg, respiratory rate of 24 breaths per minute, and an oxygen saturation of 92% on room air. mg/dl or 107 umol/L).

EMR 100

EMR Emergency Department ICU ALS 100

Dr. Smith's ECG Blog

DECEMBER 22, 2022

by Emre Aslanger Dr. Aslanger is our newest editorial member. Dr. Aslanger is also the author of the DIFFOCULT study: Emre K. He is an interventional cardiologist in Turkey. Aslanger , a, ⁎ Özlem Yıldırımtürk , b Barış Şimşek , c Emrah Bozbeyoğlu , c Mustafa Aytek Şimşek , a Can Yücel Karabay , b Stephen W. Again nothing diagnostic.

STEMI 52

STEMI EMR Coronary OR 52

Paramedic Training Spot

NOVEMBER 29, 2021

EMR vs. EMT vs. MICP vs. MICN There are four different levels of medical first responders in New Jersey: EMRs, EMTs, MICPs, and MICNs. EMRs, or Emergency Medical Responders , know the basics of emergency medical care; They are trained in basic First Aid and CPR, and are taught proper body mechanics when lifting and moving patients.

EMT 52

EMT EMT EMR Emergency Medical Technician 52

Peter Canning

DECEMBER 19, 2024

Volunteer ambulances may have an EMT and an EMR (emergency medical responder), but there is no “ambulance driver” category of certification. Novel theory, but not enough to make me forget about the driver dis. Ambulance drivers. Paramedics and EMTs are trained medical professionals who assess and treat sick and injured patients.

Ambulance Driver 52

Ambulance Driver Ambulance Emergency Medical Technician EMT 52

Medgadget

JUNE 8, 2022

Both stethoscope sounds and ECGs can be immediately visualized on the Eko app, recorded, and linked to an electronic medical record (EMR), or shared with a clinician for review. The core stethoscope unit is very light and compact (4.7 in L x 1.9 in W x 0.6 in D), weighing in at just 3.6

EMR 73

EMR OR 73

Paramedic Training Spot

MARCH 29, 2018

Administer oxygen via non-rebreather mask at 12 lpm. Remove the pillow. Insert an oropharyngeal airway. In this case, many EMT candidates would be tempted to choose either answer A or D, as they recognize that there is a need to open the airway in order to resolve the snoring respirations. All of the given answers could be correct, in theory.

EMT 52

EMT EMT Paramedic EMR 52

Emergency Medicine Cases

DECEMBER 23, 2024

How can apps, personalized workflows, or EMR tools be better utilized to minimize cognitive load and enhance clinical decision-making during shifts? With interruptions shown to increase task errors and decision fatigue, how can you strike a balance between being approachable to colleagues and safeguarding your focus for patient care?

EMR 172

EMR EMS OR 172

REBEL EM

DECEMBER 23, 2024

Reliance on a billing dataset, instead of EMR or prospective data, likely affected the quality of outcome measurement. The heterogeneity of treatment effects was also assessed among different hemoglobin SS genotypes, levels of care, volumes of fluid resuscitation, and diagnosis of acute kidney dysfunction on admission.

ALS 128

ALS ED ACS EMR 128

ACEP Now

OCTOBER 30, 2024

We spend all that time with the patient, spend all that time with EMRs, we have a scribe, we have coders, and we stay up late trying to complete our notes after our shifts, and we’re still getting 40% denials. Once we get good at [AI], your note will basically be written by the time you leave and you can modify it accordingly.

EMR 40

EMR OR 40

Paramedic Training Spot

DECEMBER 21, 2021

An EMR performs emergency medical interventions with minimal equipment. An EMR performs emergency medical interventions with minimal equipment. In this article, we’ll be discussing the differences between a civilian paramedic and a United States Army combat medic. Is this field for me?” or “would I be any good this?”

Paramedic 52

Paramedic Emergency Medical Technician EMT EMT 52

Core EM

JANUARY 16, 2025

look them up in the EMR to see if theyve been intubated before, and look at the note on the difficulty and grade of view.) Practice may not achieve perfection, but it will make you better. All of these topics are active areas of research, so keep an eye on the literature for new innovations! fiber optic through the nose).

E-9-1-1 130

E-9-1-1 EMS ALS OR 130