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The post ESS Information Sharing Bulletin February 2025 appeared first on American Ambulance Association. This content is for AAA members only. Please either Log In or Join!
The post Notice of Proposed Rule Making HIPAA Security Rule To Strengthen the Cybersecurity of Electronic Protected Health Information appeared first on American Ambulance Association. This content is for AAA members only. Please either Log In or Join!
Author information Maureen Nsofor, MD Pediatric Emergency Medicine Fellow Atrium Health’s Carolinas Medical Center | The post ACMT Toxicology Visual Pearl – Apricot Kernels: Eat or pass? The amount of hydrogen cyanide in each kernel varies and ranges from 540 to 2,000 mg/kg [2]. Grinding or chewing the kernel increases toxicity [4].
… The post Understanding Ulcerative Colitis: Essential Information for Managing This Condition appeared first on Paramedics World. Are you or someone you know dealing with the challenges of ulcerative colitis? Understanding this chronic inflammatory bowel disease is crucial for managing its symptoms and improving quality of life.…
QRS Morphology during the WCT: As a single tracing standing alone in the absence of additional information — QRS morphology is not consistent with LBBB conduction ( either from preexisting LBBB or from rate-related LBBB aberrant conduction ). From a purely ECG interpretation standpoint — How would you interpret today's rhythm ?
The study lacks detailed information on recruitment and the randomization process, such as whether it was computer-generated or if patients were enrolled consecutively. Discussion: Methodology: This paper addresses an interesting and innovative topic but lacks crucial information, making the findings difficult to implement practically.
Further information on the diagnosis and treatment of salicylate toxicity Bedside Pearls Willow tree bark ( Salix genus) contains salicin, which is metabolized in the body to salicylic acid. Willow tree bark supplements are available as tablets, tinctures, powders, or tea. Ingestion of willow bark supplements can cause salicylism.
Author information Nara Shin, MD Assistant Medical Director Princeton University | The post SAEM Clinical Images Series: Bilateral Periorbital Edema appeared first on ALiEM. She denied rash, allergies, fever, URI symptoms, urinary symptoms, or new medications. Additional Images Physical Exam General : No acute distress.
There is plenty of data in the world, the key to improving performance is to discover the right information and make an appropriate decision, based on facts, in time to change outcomes for the better. It is also important that the decision criteria be flexible to adjust quickly to any changes in the business environment.
Hohon and Captain Jesse Slaughter, the department’s training officer, created a podcast – “It Tastes Like Burning” – to share and discuss information about the volunteer fire service. 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%).
Author information Sarah Gross Medical Student University of South Alabama College of Medicine | The post SAEM Clinical Images Series: Intracranial Abnormality appeared first on ALiEM. He denied vomiting, dizziness, diplopia, loss of consciousness, or seizures. Nothing made it better or worse. No follow-up or treatment is needed.
It should be treated as such unless there is more information such as old or serial EKGs that can confirm a benign diagnosis, as BTWI patterns can mimic the South Africa Flag Sign (Compare this EKG to case 4 here: [link] com/2022/05/quiz-post-which- of-these-if-any-are-omi.html ). Still, such dramatic changes cannot be overlooked.
More in-depth information regarding the Social Media Index. Author information Chris Belcher, MD Editor, ALiEM AIR Series Assistant Professor and Assistant Program Director Department of Emergency Medicine University of Kentucky College of Medicine | Twitter | The post ALiEM AIR Series | Procedures Module appeared first on ALiEM.
Author information Jessica Mason, MD Associate Clinical Professor of Emergency Medicine Medical Education Fellowship Director Vanderbilt University School of Medicine Associate Editor for EM:RAP | The post How to Cite Videos, Podcasts, Apps, Media, and Blogs in a Publication or CV (AMA style 11th edition) appeared first on ALiEM.
This ECG was texted to me with no other information. I assumed the presentation was consistent with acute MI. What did I say? Activate the cath lab." The T-waves in V2-V6 are diagnostic. It does, in fact, the STE meets STEMI criteria since there is 1 mm of in V4 and V5. There is also some non-diagnostic STE in inferior leads.
Author information Cassandra Bradby, MD Residency Program Director East Carolina University | The post SAEM Clinical Images Series: Purple Finger appeared first on ALiEM. Shortly after that, the finger turned purple, so she came to the Emergency Department for evaluation. She denied pain in the hand and has had no problems moving the finger.
Clinical Question: How can patient perceptions of microaggressions that occur during an ED visit inform potential interventions and prevent future occurrences? Background: Patient experiences of care are associated with health outcomes and may impact perspectives of ED care and the patient recovery process.(1-5) Reference: Punches el al.
We will be using redacted information from different cases where paramedics attempted TCP in the field. Details are edited and redacted to preserve patient anonymity. In this call, paramedics arrived on scene to find a patient apneic and pulseless with CPR in progress by first responders (AED had an unknown unshockable rhythm).
Author information Andrew Washington Medical Student University of South Alabama College of Medicine | The post SAEM Clinical Images Series: Back Yard Football Injury appeared first on ALiEM. The patient is reluctant to abduct the right arm secondary to pain. Anterior dislocations are mostly caused by medial impact to the lateral shoulder.
Author information Rebecca Yue, MD Resident Physician UT Southwestern Medical Center | The post SAEM Clinical Images Series: Pediatric Genitourinary Bleeding appeared first on ALiEM. Urethral prolapse is a rare condition occurring in prepubertal female pediatric patients. View other cases from this Clinical Image Series on ALiEM.
PMID 12801736 Author information Sheila Goertemoeller, PharmD, DABAT, ICPS Clinical Toxicologist and Educator Drug and Poison Information Center Cincinnati Children's Hospital Medical Center | The post ACMT Toxicology Visual Pearl: The Heart Won’t Go On and On appeared first on ALiEM. ouabain, poison rope) Asclepias spp.
Author information Michael Cataldo, DO Emergency Medicine Resident Emergency Department South Brooklyn Health | The post Trick of Trade: Alternative to a Pressure Bag for IV Fluids appeared first on ALiEM. In the unused port, attach a 10 or 20 cc syringe. Interested in Other Tricks of the Trade? Read the series Buy the print book!
Comparison: None Outcome: Primary Outcome: Children’s perspectives on their emotional, practical, and general informational needs and experiences. He is accompanied by his worried parents. Before entering the room, she says to you, “This is the first time I’ve seen a pediatric patient.
Always refer to the packaging for flow rate information, which highlights the differences between catheter types. . - Practical Implications: - In emergency situations requiring rapid volume infusion, such as trauma or severe GI bleeding, bilateral 16-gauge IVs are often more effective and quicker to place than a central line.
Author information Meraj Fatima, MBBS Resident Emergency Medicine Aga Khan University | The post Trick of Trade: Removal of Entrapped Metal Zipper appeared first on ALiEM. All revolve around understanding zipper anatomy and obtaining adequate exposure to assess how the skin is entrapped. Genitourinary trauma.
We will be using redacted information from different cases where paramedics attempted TCP in the field. Josh Kimbrell, NRP @joshkimbre Judah Kreinbrook, EMT-P @JMedic2JDoc This is the first installment of a blog series showing how transcutaneous pacing (TCP) can be difficult, and how you can improve your skills.
SUMMARY: Upon initial evaluation of patients in the emergency department with clinical signs of soft tissue infections, consider using POCUS as a valuable tool to gather more information in patients with a high suspicion for the diagnosis and/or are too unstable to undergo CT imaging. REFERENCES: Castleberg E, Jenson N, Dinh VA.
Author information Peter Alsharif Resident Physician Department of Emergency Medicine Rutgers New Jersey Medical School | The post SAEM Clinical Images Series: Dangerous Eye Drainage appeared first on ALiEM. He reported that his vision had been normal before these symptoms started. pneumoniae and Strep. Indian J Otolaryngol Head Neck Surg.
More in-depth information regarding the Social Media Index. These posts have been flagged by and agreed upon by AIR Board members as worthwhile, accurate, unbiased, and appropriately referenced despite an average score. Please go to the above link. You will need to create a free, 1-time login account.
Even that, however, was a step beyond the simpler model of a predetermined “ run card ” that often lacked any automated vehicle location (AVL) information at all. Today, we have many more decision constraints that complicate the assignment process. Life-threatening requests are similarly streamlined.
Author information Walter L Green, MD Professor Emergency Medicine University of Texas Southwestern | The post SAEM Clinical Images Series: Red Rash on My Legs appeared first on ALiEM. The rash began the day before presentation when she became overheated while wearing sweatpants in 104°F weather. The rash was mildly pruritic but not painful.
We will be using information from different cases where paramedics attempted TCP in the field. Unfortunately, no information is available about the in-hospital portion of this patient’s care. Details are edited and redacted to preserve patient anonymity. Rhonchi are auscultated bilaterally.
Author information Madeline Field, MD Pediatric Emergency Medicine Fellow Medical College of Wisconsin | The post SAEM Clinical Images Series: A Rare Pediatric Scalp Rash appeared first on ALiEM. The image is of the cutaneous manifestation of neonatal lupus erythematosus. Fifty percent resolve by four months of life and 100% by one year.
2023.02.011 , PMID 36967275 Author information Chris Belcher, MD Editor, ALiEM AIR Series Assistant Professor and Assistant Program Director Department of Emergency Medicine University of Kentucky College of Medicine | Twitter | The post ALiEM AIR Series | Trauma 2023 Module appeared first on ALiEM. Please go to the above link.
Analgesic Onset Elimination Half Life IV Infusion Rates Side Effects and Other Information Fentanyl 1 – 2 min 2 – 4 hr 0.7 – 10 μg/kg/hr Rapid onset. Patients in the analgesia only group had statistically significantly more days without mechanical ventilation and on average shorter ICU length of stays. Short acting. mg/kg 0.01 – 0.1
2023.02.011 , PMID 36967275 Author information Chris Belcher, MD Editor, ALiEM AIR Series Assistant Professor and Assistant Program Director Department of Emergency Medicine University of Kentucky College of Medicine | Twitter | The post ALiEM AIR Series | Toxicology Module appeared first on ALiEM. Please go to the above link.
Author information Elizabeth Glowacki, MD Resident Physician Thomas Jefferson University Hospital | The post SAEM Clinical Images Series: Rectal Bulge appeared first on ALiEM. Case Question: What is the treatment for intussusception? Air or hydrostatic enemas have a 70-85% success rate in current literature.
Low-risk patients do not routinely require stress testing in the ED. Intermediate-risk patients may be further stratified based on recent stress testing or coronary angiogram findings plus a modified HEART or Emergency Department Assessment of Chest Pain (EDACS) score. That’s because these values are assay specific. She does not smoke.
The experience gap forces younger staff to either ignore an issue or take personal actions with information that is often poorly calculated or presented. Independent of organizational upheaval at the federal or state level, there is more that individual agencies can do specifically to stem the loss of collective workforce understanding.
Author: Natalie Bertrand, MD Editor: Naillid Felipe, MD Background: Definition: adverse reaction to blood product administration Incidence: more common in children than adults, except for delayed hemolytic transfusion reactions Allergic (non-anaphylaxis) – Platelets 1-3%; RBCs 0.1-0.3% mg IF requiring IM Epi >3x, switch to IV Epi, 0.05-0.1
Author information Winston Wu, MD Resident Physician University of Virginia | The post SAEM Clinical Images Series: When Needles Go Beyond Sewing and Acupuncture appeared first on ALiEM. Additional Images Physical Exam Extremities : When palpating the right forearm, multiple linear hard objects are felt in the subcutaneous tissue.
Author information Rachel Whittaker, MD Resident Physician University of Chicago | The post SAEM Clinical Images Series: Spontaneous Eye Luxation appeared first on ALiEM. Symptoms started approximately seven hours prior to arrival and progressive, severe pain eventually prompted her visit to the ED. References Kelly, E.W. and Fitch, M.T.
Author information Andrew Bleinberger, MD Resident WellSpan York Hospital | The post SAEM Clinical Images Series: A Rare Case of Purpura appeared first on ALiEM. The patient stated that she was started on Cipro eyedrops 1 or 2 days prior to presentation for a possible eye infection. It was not on her palms or soles.
Author information Zachary Grant, MD Assistant Instructor Department of Emergency Medicine The University of Texas Southwestern Medical Center | The post SAEM Clinical Images Series: An Interesting Case of Ocular Trauma appeared first on ALiEM. His vision slowly improved though it never normalized. Visual acuity was 20/50 OD, 20/30 OS.
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