ALiEM

DECEMBER 9, 2024

A 25-year-old female with no pertinent past medical history presented to an emergency department in Massachusetts with four days of generalized malaise, myalgias, congestion, low-grade fever, and a rash behind her left knee. The patient denied cough, shortness of breath, chest pain, abdominal pain, nausea, vomiting, and diarrhea. She lives with three roommates, none of whom were sick, and she denied any other known sick contacts.

Emergency Department 152

Emergency Department ACS EMS OR 152

Emergency Medicine Cases

DECEMBER 3, 2024

In this month's ECG Cases Jesse McLaren takes us through 6 cases highlighting important mirror concepts in ECG interpretation including: which leads are reciprocal to each other, how to identify which is the main ST/T change and which is the mirror, reciprocal changes highlighting subtle inferior, lateral and posterior OMI, ST elevation in aVR as a mirror to widespread ST depression and more.

STEMI 209

STEMI EMS 209

American Ambulance Association

DECEMBER 20, 2024

This content is for AAA members only. Please either Log In or Join! The post Submit Comments: EMS Compact Draft Rules appeared first on American Ambulance Association.

EMS 130

EMS Ambulance OR 130

The Skeptics' Guide to EM

DECEMBER 14, 2024

Reference: Sanchez-Pinto, L.N., et al. Development and Validation of the Phoenix Criteria for Pediatric Sepsis and Septic Shock. JAMA 2024. Guest Skeptic: Prof. Damian Roland is a Consultant at the University of Leicester NHS Trust and Honorary Professor for the University of Leicesters SAPPHIRE group. He specializes in Paediatric Emergency Medicine and is a passionate believer and advocate of FOAMed.

ALS 139

ALS Emergency Department ED OR 139

EMergucate

DECEMBER 15, 2024

The following elbow x-ray is from an adolescent who has pain & swelling in the elbow after a fall on outstretched hand. What can be seen?

EMS 130

EMS 130

EMCrit Project

DECEMBER 1, 2024

John Holcomb, author of the PROPPR trial, on massive transfusion in 2024 EMCrit Project by Scott Weingart, MD FCCM.

126

126

ALiEM

DECEMBER 3, 2024

A 26-year-old male with a past medical history of eczema presented to the Emergency Department with a rash for two days. The patient stated he first noticed a rash on his right arm that rapidly spread to his face, chest, and left arm. He reported having similar rashes before but never to this extent. The patient stated he was given Bactrim and amoxicillin about one month ago for another rash, though he was unsure of the diagnosis.

Emergency Department 152

Emergency Department OR 152

American Ambulance Association

DECEMBER 19, 2024

Share your insights with fellow EMS leaders surrounded by the charm and excitement of Lexingtons iconic hospitality featuring world-class dining, bourbon, and horseracing. Speaker proposal deadline extended to January 31! The post Speak at Annual 2025 in Lexington! appeared first on American Ambulance Association.

Ambulance 130

Ambulance EMS 130

Dr. Smith's ECG Blog

DECEMBER 3, 2024

This was written by one of our fine residents, who will soon be an EMS fellow: Michael Perlmutter Case A mid-50s male came to the ED with a burning sensation that was acutely worse while at home. He had recently returned from overseas travel where these symptoms had been intermittently bothersome over the preceding weeks and had been attributed to heartburn.

ED 102

ED Coronary ACS STEMI 102

EMergucate

DECEMBER 10, 2024

A 23yr presents following a syncope, he denies chest pain. The following ECG is taken: What does this ECG demonstrate?

EMS 130

EMS 130

The Bottom Line

DECEMBER 11, 2024

Whats new in the Critical Care literature monthly updates

Critical Care 107

Critical Care 107

ALiEM

DECEMBER 16, 2024

A 12-year-old male with a history of autism spectrum disorder and chronic sinusitis presented for forehead swelling. His mother reported that she noticed progressive forehead swelling for about one month. She had followed up with the patients pediatrician and ENT and was given oral cephalexin and fluticasone nasal spray which did not make any changes in his symptoms.

OR 130

OR EMS 130

Core Ultrasound

DECEMBER 17, 2024

Ultrasound is a powerful tool that can significantly enhance patient care during cardiac arrest. In Part 1 of this lecture, we break down how ultrasound can be effectively utilized in three key areas: identifying reversible causes, assisting in critical procedures, and guiding resuscitation. RUSH exam Courses The post Cardiac Arrest Update 2024 (Part 1) first appeared on Core Ultrasound.

100

100

American Ambulance Association

DECEMBER 19, 2024

On Tuesday, Congressional Leaders released a FY 2025 Continuing Resolution (CR) to fund the Federal Government through March 14, 2025. A two-year extension through December 31, 2026 of the temporary […] The post Ambulance Medicare Add-On Extension Update appeared first on American Ambulance Association.

Ambulance 130

Ambulance 130

EMDocs

DECEMBER 1, 2024

Authors: Grant Gerstner, DO (EM Resident Physician, San Antonio, TX); Kyle Smiley, MD (EM Resident Physician, San Antonio, TX) // Reviewed by: Sophia Görgens, MD (EM Physician, BIDMC, MA); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Alex Koyfman, MD (@EMHighAK) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providing an expedited review of clinical basics.

EMS 82

EMS E-9-1-1 OR ED 82

EMergucate

DECEMBER 10, 2024

PH = 6.782, that is severe acidaemia. HCO3 = 2.5 mmol/L, that is extremely low. So we have metabolic acidosis.

130

130

The Bottom Line

DECEMBER 11, 2024

Whats new in the Critical Care literature monthly updates

Critical Care 106

Critical Care 106

ALiEM

DECEMBER 20, 2024

A 3-year-old male with a history of severe atopic dermatitis presented for facial rash and hand pain. Mom had been applying Aquaphor and Vaseline several times a day. On the day of presentation, he woke up with a new rash over his face and hands which prompted the ED visit. He is up to date on childhood immunizations and is not prescribed any oral medications.

Emergency Department 130

Emergency Department ED OR 130

Pediatric EM Morsels

DECEMBER 20, 2024

Its been a BIG year for Mycoplasma! If your EDs have been anything like ours, youve been seeing more patients with Mycoplasma Pneumonia than you expected. Many kids are presenting to the ED for failure of outpatient antibiotic therapy of community acquired pneumonia, only to find out thats because they werent on the right meds! Let’s debrief on this atypical bug.

ED 130

ED OR EMS 130

American Ambulance Association

DECEMBER 19, 2024

This content is for AAA members only. Please either Log In or Join! The post GADCS Year 1 & Year 2 Cohort Analysis Released appeared first on American Ambulance Association.

Ambulance 130

Ambulance OR 130

St. Emlyn's

DECEMBER 2, 2024

St.Emlyn's - Emergency Medicine #FOAMed Uncover the truth about alcohol poisoning. Find out how toxic alcohols can be ingested accidentally or intentionally and the serious consequences they can have with a focus on Emergency medicine management. #FOAMed @stemlyns The post Toxic alcohol poisoning: What do we know about fomepizole, methanol and ethylene glycol?

OR 91

OR 91

EMergucate

DECEMBER 10, 2024

2-year-old boy brought to ED by ambulance as category 1 for severe croup. His blood gases showed the following.

Ambulance 130

Ambulance ED 130

Don't Forget the Bubbles

DECEMBER 2, 2024

Merry Christmas and Season’s Greetings! With millions of journal articles published yearly, it is impossible to keep up. An international team joining DFTB Bubble Wrap from Aghia Sophia Childrens Hospital ED , Athens, Greece, tell us what is new in thepaediatric literature Led by Spyridon Karageorgos, a Paediatrician enthusiastic about Paediatric Emergency Medicine, reducing antibiotic use in paediatric patients, and Medical Education.

ED 94

ED Emergency Department OR ALS 94

ALiEM

DECEMBER 13, 2024

An 87-year-old female with a history of hypertension, hyperlipidemia, chronic kidney disease stage IIIB, type 2 diabetes mellitus, and schizophrenia presented for evaluation due to sudden visual loss in her right eye, which began 12 hours before she arrived at the emergency department. She has experienced a sudden loss of vision in her right eye for more than six hours.

Emergency Department 130

Emergency Department OR ED 130

EM Literature of Note

DECEMBER 4, 2024

The emergency department is a place of risk and errors. Those who work in the ED are acutely aware of this, and it conjures up tremendous cognitive pressures on staff every shift. Every ED clinician knows the most benign-appearing triage complaint may obfuscate lurking catastrophe. The vision changes that are actually an acute aortic dissection. A sore shoulder that is necrotizing fasciitis.

Emergency Department 92

Emergency Department ED OR 92

American Ambulance Association

DECEMBER 18, 2024

This content is for AAA members only. Please either Log In or Join! The post Helpful Resources for Protecting EMS appeared first on American Ambulance Association.

EMS 130

EMS Ambulance OR 130

Dr. Smith's ECG Blog

DECEMBER 6, 2024

A 50-something man presented with worsening severe exertional chest pain which was just resolving as he had an ECG recorded in triage. Time zero. Are the T-waves in leads I and II hyperacute? Hard to tell. How can we know? By the evolution of the ECG! Watch what happends as the heart recovers from its episode of ischemia. The T-waves deflate, demonstrating that the first one was indeed hyperacute. 2 hours T-waves in lead II are significant smaller In lead I not much difference Troponins returned

Coronary 106

Coronary ED OR 106

EMergucate

DECEMBER 3, 2024

The x-ray is from a toddler with fever and abdominal pain. What can be seen? Answer will be posted later.

EMS 130

EMS 130

EMDocs

DECEMBER 18, 2024

Authors: Kyler Osborne (EM-3 Resident Physician; Tacoma, WA); Katey DG Osborne, MD (EM Attending Physician; Tacoma, WA); Rachel Bridwell, MD (EM Attending Physician; Charlotte, NC) // Reviewed by: Alex Koyfman, MD (@EMHighAK, EM Attending Physician, UTSW / Parkland Memorial Hospital) and Brit Long, MD (@long_brit, EM Attending Physician) Welcome to emDOCs revamp!

E-9-1-1 61

E-9-1-1 Emergency Department ICU ED 61

Pulsara

DECEMBER 20, 2024

December Recap In addition to exhibiting at three trade shows, Pulsara's SVP - Med Ops, Brandon Means, presented the session, 'Emergency Operations that Scale: Redefining How We Communicate.' at the IAEM Annual Conference & EMEX. What has Team Pulsara been up to in 2024? Take a look below at our annual Year in Review.

67

67

St. Emlyn's

DECEMBER 16, 2024

St.Emlyn's - Emergency Medicine #FOAMed The blog highlights the updated 2024 guidelines from the Royal College of Radiologists (RCR) on imaging in pediatric trauma. It emphasizes critical changes from the previous 2014 guidelines, focusing on the judicious use of imaging to minimize ionizing radiation exposure in children. Key updates include algorithms for blunt trauma, penetrating trauma, and blast injuries.

64

64

American Ambulance Association

DECEMBER 17, 2024

This content is for AAA members only. Please either Log In or Join! The post REMINDER: Register Now: EMS Focus Webinar appeared first on American Ambulance Association.

EMS 130

EMS Ambulance OR 130

Core Ultrasound

DECEMBER 12, 2024

Expand your expertise in ultrasound-guided nerve blocks with Part 2 of this comprehensive tutorial series. In this video, we delve into advanced techniques, exploring brachial plexus blocks, fascia iliaca compartment blocks, and the erector spinae plane block (both in the thoracic and lumbar regions). Nerve Blocks, Pt 1 Courses The post Mastering Ultrasound-Guided Nerve Blocks Basics, Part 2 first appeared on Core Ultrasound.

100

100

EMergucate

DECEMBER 17, 2024

This week our case involves complications around elective cardioversion.

EMS 100

EMS 100

SSCOR

DECEMBER 14, 2024

The holiday season in the U.S. is upon us, and food, family, gifts, and much more bring us joy. Unfortunately, some unique challenges for emergency responders accompany these special days.

67

67

Don't Forget the Bubbles

DECEMBER 16, 2024

Over the last decade, there has been a concerning decline in childhood vaccination rates in the UK. This has been mirrored in many parts of the world. This trend, exacerbated by the COVID-19 pandemic, has led to a resurgence of vaccine-preventable diseases such as measles and pertussis. Once on the brink of eradication, these diseases now pose significant public health risks, especially to vulnerable groups like infants, young children, and the immunocompromised.

E-9-1-1 59

E-9-1-1 OR ALS Emergency Department 59

St. Emlyn's

DECEMBER 9, 2024

St.Emlyn's - Emergency Medicine #FOAMed Explore key takeaways from the DAS 2024 meeting, including airway management in obstetrics, ethics of training, challenges in critical care, and international practices. Insights tailored for emergency and anaesthesia professionals. The post Difficult Airway Society Meeting 2024 appeared first on St.Emlyn's.

Critical Care 109

Critical Care 109