Dr. Smith's ECG Blog

OCTOBER 1, 2023

This history immediately places this patient in a high -prevalence population for having an acute event. Thus, the role of the emergency provider has to be proving that an acute event is not happening — rather than the other way around. It's OK not to be certain from the initial ECG as to whether or not an acute event is occurring.

OR 129

OR STEMI Coronary CAD 129

NVFC

MARCH 12, 2024

However, departments that protect fewer than 2,500 people, which are almost all volunteer, have the highest percentage of firefighters over the age of 50 (34%). In many rural areas it is not uncommon to find volunteers in their 60s or 70s. The post Is Volunteerism Dying Or Has Your Marketing Flatlined?

OR 116

OR Firefighter NFPA EMT 116

NVFC

SEPTEMBER 10, 2024

The impact was significant: about half of the departments that hosted a screening during a recruitment event enlisted new volunteer firefighters or received strong inquiries, and one station received a $350,000 grant after screening it for state representatives. Want to host a watch party or hold your own FREE recruitment event?

Firefighter 98

Firefighter First Responder OR 98

NAEMSP

APRIL 15, 2024

Pharmaceutical intervention and sedation may prevent adverse events and improve the safety of the patient. Article Summary by Sarah Fabiano, MD, FACEP, FAAEM Kupas DF, Wydro GC, Tan DK, Kamin R, Harrell AJ 4th, Wang A. Clinical care and restraint of agitated or combative patients by emergency medical services practitioners. Epub 2021 Jun 7.

OR 52

OR Emergency Medical Technician Emergency Medical Services EMS 52

EMS 12-Lead

APRIL 9, 2024

He denied any specific prodrome of gross palpitations, however did endorse feeling quite dizzy just before the event. Given no clinical prelude of anginal (or equivalent) descriptors, prior to the acute event, risk stratification of the ECG and Troponin was pursued via Echo and nuclear Myocardial Perfusion Imaging (MPI).

Coronary 290

Coronary ACS CAD ED 290

ALiEM

SEPTEMBER 13, 2024

He had no other complaints and denied any other trauma or loss of consciousness during the event. On arrival to our emergency department, the patient expressed continued eye pain with bloody discharge as well as blurry vision from his right eye. Extraocular movements intact. Ocular pressure deferred. 1 mm superior eyelid laceration.

Emergency Department 161

Emergency Department OR ED 161

Dr. Smith's ECG Blog

SEPTEMBER 22, 2023

As discussed above in Dr. Smith's excellent discussion — serial ECGs, correlated to severity of patient symptoms soon confirmed the acute event in today's patient. This is diagnostic of full reperfusion.] An old ECG was found: As you can see, this patient has zero baseline STE, and normal T-waves. 90% of normals have some STE in V2 and V3.

OR 126

OR STEMI Coronary 126

Dr. Smith's ECG Blog

SEPTEMBER 9, 2024

My "Take" on Today's CASE: The history in today's case immediately places this patient in a higher-risk group for an acute event — in that this 40-year old woman suddenly developed new CP ( C hest P ain ) severe enough to contact EMS. In a large proportion of cath labs, the operator would probably have ended the case at this point.

OR 70

OR Coronary ACS EMS 70

Mile High Ambulance

DECEMBER 11, 2014

Mile High Ambulance Provides Medical To The Denver Area Large events require on scene medical standby in case of emergency Anytime people are gathered – whether it be for a community gathering, festival, school function, or even a sporting event – having a paramedic on site is always a good call.

Advanced Life Support 52

Advanced Life Support First Aid Life Support Ambulance 52

Pediatric EM Morsels

JULY 19, 2024

If bleeding has completely stopped, most of these children still come into the hospital for observation so access will likely be necessary and helpful should patient have rebleed event. Resolved Bleeding on Arrival Nebulized TXA: Even in the setting of bleeding that has stopped, nebulized TXA has been shown to reduce rebleeding events.

E-9-1-1 285

E-9-1-1 Epinephrine OR Emergency Department 285

NVFC

AUGUST 13, 2024

Earlier fires or thermal events have also reshaped the energy storage industry’s approach to BESS system design and safety. In addition, layered protections are designed to address specific battery failure modes to greatly diminish the likelihood of any singular battery cell failure from cascading into a larger thermal runaway event or fire.

Firefighter 105

Firefighter NFPA Emergency Response OR 105

NVFC

MAY 21, 2024

Practical tips for diversity, equity, and inclusion in your community First responders are consistently exposed to a variety of traumatic experiences on calls and though these events can certainly affect a first responder’s mental wellbeing, often these traumatic calls can be met with resiliency. Here are a few quick tips from each category.

First Responder 98

First Responder First Aid OR 98

The Skeptics' Guide to EM

AUGUST 17, 2024

Networking Opportunities: The conference provides a unique platform to connect with peers, thought leaders, and industry professionals from around the world, fostering collaborations that can continue long after the event. Five Questions about IncrEMentuM Listen to the podcast to hear Francisco and Carmen answer the five questions.

EMS 231

EMS OR 231

EMDocs

SEPTEMBER 3, 2024

Secondary: % change from baseline in anti-factor Xa activity during the first 2 hours from randomization Safety (assessed at 30 days): thrombotic events (ischemic stroke, VTE, myocardial infarction), mortality Results: 452 patients analyzed for the primary outcome. Increased thrombotic events with Andexanet alpha.

ALS 76

ALS OR 76

Emergency Medicine Cases

JULY 30, 2024

Compassion in not simply innate; like any behaviour, it can be learned through deliberate practice.

OR 130

OR EMS 130

Pediatric EM Morsels

AUGUST 18, 2023

Myth #1: Musculoskeletal Adverse Events (MAE) This concern is likely the most common reason fluoroquinolones are rarely used in children. Musculoskeletal Adverse Events include: Articular cartilage damage causing arthralgias or arthritis , Tendonitis , and Tendon rupture. Which is a risk of 1 event for 62.5

E-9-1-1 130

E-9-1-1 OR ACS ALS 130

The Skeptics' Guide to EM

JULY 6, 2024

Conflicts in the ED often stem from clinical decision-making and actions, leading to potential adverse patient events and exacerbating access block issues. An abdominal pelvic CT scan demonstrates uncomplicated left-sided diverticulitis. Background: We have discussed agitation in the ED on the SGEM several times.

ED 210

ED ALS Emergency Department OR 210

NVFC

AUGUST 13, 2024

Emergency responders see traumatic events on a regular basis, putting them at risk for many behavioral health challenges, including acute and post-traumatic stress, anxiety, relationship challenges, addiction, suicidal thoughts, and more. Each attendee of the event will then teach the curriculum at trainings across the nation.

Firefighter 122

Firefighter First Responder EMS Emergency Manager 122

High Performance EMS

MARCH 8, 2024

It may be better to account for the coverage of recommended demand maintained based on a measured forecast for evaluation of performance, for instance, than simply reviewing specific results at the end of an event. It is also important that the decision criteria be flexible to adjust quickly to any changes in the business environment.

Public Safety 278

Public Safety OR 278

International Journal of Paramedicine

JULY 8, 2024

However, ketamine may be associated with adverse clinical events including a higher intubation rate. Secondary endpoints included the percentage of patients who achieved an improved RASS score post drug administration, the use of additional sedating agents and the need for airway and breathing support, and differences in adverse events.

Emergency Department 98

Emergency Department Ambulance ED OR 98

NVFC

SEPTEMBER 10, 2024

In community risk reduction, vulnerability is the likelihood that an individual or group will suffer harm or loss from a hazardous environment or event.

OR 52

OR 52

Core EM

JANUARY 25, 2024

Consider these medications if there are signs of end-organ dysfunction, there is a considerable delta in baseline BP, systolic is less than 90 and/or MAP is less than 65 Norepinephrine is a good pressor for a lot of the situations that we encounter in the emergency department, such as septic shock, undifferentiated shock and hypovolemic shock.

Epinephrine 246

Epinephrine Critical Care Emergency Department ED 246

First Responders Foundation

SEPTEMBER 3, 2024

This event is dedicated to celebrating the remarkable contributions of individuals who have gone above and beyond in their support for first responders and their communities. The First Responders Foundation is proud to recognize Carol Stolp as one of the distinguished honorees at our 9/11 Luncheon of Honor.

First Responder 98

First Responder Public Safety OR 98

Critical Care Scenarios

JUNE 26, 2024

This is primarily an experience of inattention, with relatively little awareness of their circumstances, the day, the context for events, and the presence of often-vivid hallucinations and delusions. * Find us on Patreon here! Buy your merch here! Delirium often dominates the patient experience of the ICU.

ICU 169

ICU OR 169

NVFC

SEPTEMBER 10, 2024

Make Me A Firefighter Campaign Community education events and open houses can also be an opportunity to recruit new volunteers to your fire or emergency service department. Fire Prevention Week (FPW) is coming up on October 6-12, and this year’s theme is “Smoke alarms: Make them work for you!

Firefighter 52

Firefighter OR 52

The Skeptics' Guide to EM

JUNE 4, 2017

cumulative radiation dose, serious adverse events, transfusion requirements, number of missed injuries and hospital costs. . cumulative radiation dose, serious adverse events, transfusion requirements, number of missed injuries and hospital costs. first appeared on The Skeptics Guide to Emergency Medicine.

OR 130

OR ALS CPR ICU 130

The Skeptics' Guide to EM

DECEMBER 7, 2019

Changes in the Management of Children With Brief Resolved Unexplained Events (BRUEs). Changes in the Management of Children With Brief Resolved Unexplained Events (BRUEs). BRUE stand for a Brief Resolved Unexplained Event. Date: October 2nd, 2019 Reference: Ramgopal et al. Date: October 2nd, 2019 Reference: Ramgopal et al.

CPR 130

CPR ALS OR 130

Chicago EMT Training

AUGUST 6, 2021

Standby EMS for events The company that comes to mind in Chicago is Event Medical Solutions. Standby EMS for events The company that comes to mind in Chicago is Event Medical Solutions. The biggest event they provide EMS for recently is Lollapalooza. It opens many doors in various industries.

EMT 130

EMT EMT Paramedic Ambulance 130

NVFC

APRIL 19, 2024

Exceptional attention to detail is required along with excellent written and verbal communication skills. Candidates should have education and/or experience in adult education/professional development. The post NVFC Seeks Training Coordinator appeared first on National Volunteer Fire Council.

Firefighter 98

Firefighter OR EMS 98

NAEMSP

JUNE 18, 2024

Outcomes included: pain time to analgesia memory of pain hypotension respiratory depression mental status changes vital signs nausea vomiting emergence delirium Opioids versus ketamine Most of the evidence was low strength, but opioids seemed to have less adverse events than ketamine, less dizziness than ketamine, and more respiratory depression.

ALS 52

ALS OR 52

EMT Training Station

APRIL 5, 2023

The survival and emergency supplies found in a BattlBox subscription can help them stay ready for unexpected events, both on and off duty. With this in mind, it’s essential to show our appreciation and support for these incredible individuals. Shield Tactical Boots Oakley Radar Sunglasses 5.11

EMT 52

EMT EMT Paramedic OR 52

NVFC

MARCH 20, 2024

The National Volunteer Fire Council (NVFC) recently hosted its first Wildland Fire Assessment Program (WFAP) Advocate train-the-trainer event for a new network of regional representatives that will teach the WFAP curriculum and advocate for mitigation and safety in wildfire-prone areas across the U.S. The WFAP is a joint effort by the U.S.

OR 116

OR 116

NAEMSP

FEBRUARY 1, 2023

1] Hypoglycemia events may occur in patients on medications, including insulin and oral medications, to manage diabetes. Article Summary by James Li, MD Sinclair, Julie E., “Characteristics, prehospital management, and outcomes in patients assessed for hypoglycemia: repeat access to prehospital or emergency care.” 2019): 364-376.

OR 52

OR Emergency Department Emergency Medical Services Paramedic 52

EMDocs

APRIL 6, 2024

Spoon Feed Underweight (less than 5 th percentile) and obese (over 95 th percentile) children are more likely to suffer hypoxemia and adverse events during tracheal intubation. We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter. Pediatr Crit Care Med. 2024 Feb 1;25(2):147-158.

OR 76

OR 76

Paramedic Chiefs of Canada

APRIL 18, 2024

Click on image or here to register. Click here to download poster (PDF). For AHS employees, use name@ahs.ca For AHS employees, use name@ahs.ca For AHS employees, use name@ahs.ca

Paramedicine 52

Paramedicine Paramedicine Paramedic EMS 52

Pulsara

MARCH 6, 2024

While the basics like vehicles and radios may be accounted for, other facets could make a world of difference should a significant event occur. Special thanks to our guest author, Courtney Levin , for FireRescue1 BrandFocus Staff. Certain budget line items cannot be sacrificed, while others may have a bit of wiggle room from year to year.

OR 89

OR 89

Dr. Smith's ECG Blog

NOVEMBER 1, 2022

which would suggest reduced rates of major adverse cardiac events with coronary artery bypass grafting." He had been smoking an opiate and suddenly collapsed. He was ventilated with BVM on arrival. He awoke with naloxone. This EKG was recorded as part of a standing order for critical care. He denied any CP or SOB. It does not radiate.

Overdose 52

Overdose OR Coronary ACS 52