The Skeptics' Guide to EM

NOVEMBER 2, 2024

Date: October 29, 2024 Reference: Galili et al. Low dose ketamine as an adjunct to morphine: a randomized controlled trial among patients with and without current opioid use. AEM Oct 2024. Guest Skeptic: Dr. Neil Dasgupta is an emergency medicine physician and ED intensivist from Long Island, NY. He is the Vice Chair of the Emergency Department and Program Director of the EM residency program at Nassau University Medical Center in East Meadow, NY, the safety net hospital for Nassau County.

Emergency Department 244

Emergency Department ED ALS EMS 244

Emergency Medicine Cases

NOVEMBER 12, 2024

In this EM Cases main episode podcast, we tackle the complexities of trauma airway management, including direct trauma to the airway. We discuss indications and timing of intubation, penetrating neck trauma, the head injured patient, the agitated patients and the soiled airway. The critical question is: when should we deviate from, delay or modify RSI, and how do we navigate the unique challenges presented by trauma airways and airway trauma?

EMS 222

EMS OR 222

ALiEM

NOVEMBER 18, 2024

A 48-year-old male with no significant past medical history presented to the Emergency Department with a left-sided facial rash and associated burning left eye pain that started four days prior. He was seen at an ophthalmology clinic when his symptoms started and given oral valacyclovir which he took for three days without improvement. He also endorsed left-sided facial weakness and diplopia for the last eight days.

Emergency Department 161

Emergency Department ALS OR ED 161

Critical Care Scenarios

NOVEMBER 13, 2024

We talk about diagnosis, treatment, and subsequent care of the patient with bacterial meningitis, with Emory neurointensivist Casey Albin, MD (@caseyalbin). Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! Takeaway lessons Resources We talk about diagnosis, treatment, and subsequent care of the patient with bacterial meningitis, with Emory neurointensivist Casey Albin, MD ( @caseyalbin ).

OR 169

OR 169

Pediatric EM Morsels

NOVEMBER 15, 2024

Seizures are super scary for a parent to witness, but not all seizures mean danger. There is actually a diagnosis of seizures that has “ BENIGN” in the name! Have you ever had that feeling of falling that rapidly wakes you from sleep? While it’s unlikely that you were having Benign Epilepsy with CentroTemporal Spikes (BECTS) seizures or a benign Rolandic seizure, that tenuous state between sleeping and waking is a time when some odd neurologic things can happen, including BECTS.

ALS 152

ALS OR EMS 152

Core EM

NOVEMBER 19, 2024

Introduction: - Ankle sprains are among the most common injuries, affecting both athletes and everyday pedestrians. - The streets of New York City illustrate how treacherous surfaces can lead to ankle injuries. - The ankle is the most commonly injured joint in sports; jogging is a frequent cause. Anatomy of the Ankle: - The ankle joint, or mortise, is formed by the talus bone fitting snugly between the distal fibula and tibia. - Key ligaments securing the ankle include: Medial deltoid ligament S

Emergency Department 130

Emergency Department Ambulance OR 130

The Skeptics' Guide to EM

NOVEMBER 16, 2024

Date: October 28, 2024 Reference: Verma et al. Clinical evaluation of a machine learning–based early warning system for patient deterioration. CMAJ September 2024 Guest Skeptic: Michael Page is currently the Director of Artificial Intelligence (AI) Commercialization at Unity Health Toronto. He leads an AI team intending to improve patient outcomes and healthcare system efficiency.

ICU 142

ICU Emergency Department ALS EMS 142

ALiEM

NOVEMBER 1, 2024

A 67-year-old male with a past medical history of CHF, MI, hypertension, and diabetes presented to the ED with complaints of headache, chest pain, and dyspnea for the past four days. He stated that he has been without his medications for the past few months due to cost. He denied any past surgical history. He stated that he primarily presented because he felt like “my blood pressure is high” Additional Images Physical Exam Cardiovascular : Tachycardic, 2+ pedal edema bilaterally Re

ED 161

ED OR 161

Chicago EMT Training

NOVEMBER 16, 2024

Our third annual graduation ceremony was a success. We hosted around 250 people at the SkyDeck of the Sears Tower. We had Chief Deborah Sommer and Dr. Dave Nayak speak some wisdom and inspiration to some newly minted EMTs and their families. We also hosted various agencies where our new grads could be utilized. Agencies like CFD, CPD, OEMC, IL state police, cook county sheriff's office, and various private ambulance companies.

EMT 130

EMT EMT Ambulance 130

Emergency Medicine Cases

NOVEMBER 12, 2024

Dr. Sara Alavian describes some of the challenges of providing palliative care in low-income/low resource settings and offers some simple solutions in this Global EM column. The post Global EM 6 Palliative Care in Low-Resource Settings: Challenges and Solutions appeared first on Emergency Medicine Cases.

EMS 130

EMS 130

EMergucate

NOVEMBER 10, 2024

This week our patient is a 34yr old gentleman who presents to the ED with a 1 week history of chest pain and palpitations, his initial ECG is: His potassium and magnesium are borderline low so you …

ED 130

ED 130

The Skeptics' Guide to EM

NOVEMBER 9, 2024

Date: October 28, 2024 Reference: Woelfle T et al. Benchmarking Human–AI collaboration for common evidence appraisal tools. J Clin Epi Sept 2024. Guest Skeptic: Dr. Laura Walker is an Associate Professor of Emergency Medicine and the vice chair for digital emergency medicine at the Mayo Clinic. In addition to finding ways to use technology in emergency department (ED) care, she is interested in how health systems work and how patients move through the healthcare system.

Emergency Department 140

Emergency Department ED ALS OR 140

American Ambulance Association

NOVEMBER 14, 2024

This content is for AAA members only. Please either Log In or Join! The post OSHA Emergency Response Proposed Rule Hearing Links Published appeared first on American Ambulance Association.

Emergency Response 130

Emergency Response Ambulance OR 130

Core EM

NOVEMBER 1, 2024

We review Sexually Transmitted Infections and pertinent updates in diagnosis and management. Hosts: Avir Mitra, MD Brian Gilberti, MD [link] Download Leave a Comment Tags: gynecology , Infectious Diseases , Urology Show Notes Table of Contents (1:49) Chlamydia (3:31) Gonorrhea (4:50) PID (6:14) Syphilis (8:08) Neurosyphilis (9:13) Tertiary Syphilis (10:06) Trichomoniasis (11:13) Herpes (12:49) HIV (14:10) PEP (15:13) Mycoplasma Genitalium (18:00) Take Home Points Chlamydia: Prevalence: M

OR 130

OR 130

Chicago EMT Training

NOVEMBER 4, 2024

We are ready to begin hosting psychomotor exams for BLS providers that successfully completed their written NREMT requirement. Assessments include: Medical Assessment (Neuro) Trauma Assessment (Head to Toe) Airway Management (with iGel) CPR//AED/choking for adults, pediatrics, and infants Bleeding Control (tourniquet) Penetrating Chest Trauma Spinal Motion Restriction OB Delivery Please schedule an appointment with Victor at info@chicagoemttraining.com To prepare, you can utilize our study guide

BLS 130

BLS CPR 130

Core Ultrasound

NOVEMBER 6, 2024

In this Five Minute Sono video we provide a streamlined, step-by-step walkthrough on how to accurately conduct the VEXUS Score, perfect for clinicians who are already familiar with its purpose and clinical applications. IVC VTI Courses The post 5 Min Sono: The VExUS Score (2024) first appeared on Core Ultrasound.

147

147

EMergucate

NOVEMBER 17, 2024

A 60yr old female presents to ED with 3hrs of pleuritic chest pain radiating to the back associated with diaphoresis.

ED 130

ED EMS 130

St. Emlyn's

NOVEMBER 6, 2024

St.Emlyn's - Emergency Medicine #FOAMed Creating a learning culture in the emergency department (ED) fosters psychological safety, open communication, and continuous improvement. This approach supports team resilience, enhances patient care, and reduces burnout. Learn practical steps to build a strong learning culture in your ED, promoting growth and collaborative excellence in emergency medicine.

ED 123

ED Emergency Department 123

American Ambulance Association

NOVEMBER 14, 2024

November 14, 2024 FOR IMMEDIATE RELEASE Contact: Amanda Riordan 703-615-4492 ariordan@ambulance.org EMS Heroes Honored in Washington, DC as 2024 Stars of Life Washington, DC—This week, the American Ambulance Association (AAA) […] The post News Release | EMS Heroes Honored in Washington, DC as 2024 Stars of Life appeared first on American Ambulance Association.

EMS 130

EMS Ambulance 130

Dr. Smith's ECG Blog

NOVEMBER 14, 2024

This was texted to me by a paramedic while I was out running one day: "54 yo male chest pain started at 1pm. History of diabetes type II and stent placement in 2018. I’m seeing hyperacute T waves III, aVF, down sloping depression I and aVL. Thoughts?" What do you think? I responded: "Definite inferior OMI. And Right Ventricular. Activated the Cath Lab.

ED 116

ED Coronary Paramedic OR 116

First 10 EM

NOVEMBER 11, 2024

In the most recent BroomeDocs podcast, we talk about an attempt to use the IM route to give cardiac arrest victims epinephrine faster. (The podcast and Research Roundups blog post might actually come out next week.) I was skeptical about the outcomes, partly because the evidence that epinephrine helps at all in cardiac arrest is […] The post IV versus IO for cardiac arrest (PARAMEDIC3 and IVIO) appeared first on First10EM.

Epinephrine 118

Epinephrine EMS 118

Core Ultrasound

NOVEMBER 18, 2024

In this virtual interview, Dr. Longino and Dr. Riscinti—both from Denver Health—share their expertise on the background of the VExUS (Venous Excess UltraSound) exam. Whether you’re a clinician seeking to refine your ultrasound skills or a learner diving into advanced techniques, this discussion offers expert insights from two leaders in the field. This episode is part one of a two part interview where I personally learned so much and I’m thankful for all of the knowledge translation from Drs.

OR 130

OR 130

EMergucate

NOVEMBER 12, 2024

The ankle images are from a patient who has sustained a twisting injury to their ankle. What can be seen?

EMS 130

EMS 130

NVFC

NOVEMBER 19, 2024

Safe and adequate personal protective equipment is essential to firefighters performing at their best. However, many volunteer fire departments lack the resources to purchase new gear, leaving them to function with old, torn, and non-compliant equipment. To help combat this issue, the National Volunteer Fire Council (NVFC) has partnered with MSA Safety and DuPont Personal Protection to award 13 volunteer fire departments with new turnout gear and helmets in 2024.

Firefighter 105

Firefighter First Responder Emergency Response EMS 105

American Ambulance Association

NOVEMBER 10, 2024

The winners of the 2024 AAA Board of Directors election are listed below. Each board member’s term will begin on January 1, 2025. Please join us in thanking all candidates […] The post 2024 AAA Board of Directors Election Results appeared first on American Ambulance Association.

Ambulance 130

Ambulance 130

St. Emlyn's

NOVEMBER 19, 2024

St.Emlyn's - Emergency Medicine #FOAMed Traditionally, large-bore chest tubes have been standard for managing hemothorax, but smaller tubes are now proving just as effective in stable patients, with added benefits like reduced pain and fewer tube days. This review explores outcomes in drainage efficacy, complication rates, and patient comfort, showing that small-bore thoracostomy may be a reliable alternative for non-emergent cases.

OR 100

OR 100

This Podcast Will Kill You

NOVEMBER 19, 2024

We really don’t give fungi the credit they deserve. Over the years of this podcast, we’ve covered only a handful of fungal pathogens, and pathogenic fungi themselves represent a teeny tiny proportion of the incredible diversity of fungal life on this planet. But with this book club episode, we’re attempting to correct this oversight, at least a little bit.

97

97

REBEL EM

NOVEMBER 13, 2024

Take Home points : Always suspect an open joint if there is a laceration, regardless of size, the lies over joint CT scan of the affected joint is widely considered to be the standard approach to evaluation but the saline load test may be useful in certain circumstances. Obtain emergency orthopedics consultation for all open joints and administer antibiotics and update tetanus in all patients REBEL Core Cast 131.0 – Traumatic Arthrotomy Click here for Direct Download of the Podcast.

ED 102

ED OR EMS 102

EMergucate

NOVEMBER 19, 2024

The chest x-ray is from an adult with chest pain post MVA. What can be seen?

EMS 130

EMS 130

NVFC

NOVEMBER 5, 2024

The National Emergency Response Information System (NERIS) launched on November 4 to modernize incident data collection and provide vital intelligence for local fire departments across the United States. NERIS is a secure, cloud-based platform developed in collaboration with the American fire service to capture all-hazards incident data and provides analytic tools for local fire and emergency service leaders in near-real time.

Emergency Response 111

Emergency Response Public Safety Firefighter EMS 111

American Ambulance Association

NOVEMBER 6, 2024

Register now for our upcoming National Rural Health Day webinar The Centers for Medicare & Medicaid Services Office of Minority Health (CMS OMH) invites you to celebrate National Rural Health […] The post CMS National Rural Health Day Webinar appeared first on American Ambulance Association.

Ambulance 130

Ambulance 130

Medic Mindset

NOVEMBER 13, 2024

Want CE for listening? Here’s how. Dr. Casey Patrick is the EMS medical director of Montgomery County Hospital District (Texas). As an EM physician, he shares how he decides to care for his own patients in the ED who present with rapid atrial fibrillation. He wants paramedics to ask the same question he asks: Is the rapid A-fib the primary problem or secondary to another critical condition like sepsis, PE, DKA, hypovolemia, etc?

Paramedic 98

Paramedic Emergency Department EMS ED 98

The Curious Clinicians

NOVEMBER 1, 2024

How could you live with only one lung? The math seems simple. If you only have one lung, you only have 50% of your normal lung function, you can only get 50% of the normal amount of oxygen into your blood, and you’ll be dead in a few minutes. However, there are many patients who undergo pneumonectomies and not only survive, but don’t need supplemental oxygen and even can exercise.

ACS 105

ACS OR 105

Peter Canning

NOVEMBER 9, 2024

I always enjoying giving a new medicine, using a new gadget or following a new procedure for the first time. I clearly remember the first time I gave Ativan on standing order, the first time I gave Cardizem, fentanyl, zofran, and ketamine, all new meds at one time. I remember the first time I did a 12-lead ECG (we didn’t have them when I started), the first time I used CPAP, the first time I used capnography, the first time I used a spinal motion restriction protocol where I didn’t h

ED 97

ED Ambulance EMS OR 97

ACEP Now

NOVEMBER 6, 2024

Native American emergency physicians make up 0.1 percent of physicians in U.S. emergency departments, according to research published in 2020 in Annals of Emergency Medicine. Three Native American emergency physicians in Oklahoma—three of five in the state—discussed with ACEP Now their approach to health care and how their careers in medicine began.

Emergency Department 98

Emergency Department OR 98

Life in the Fastlane

NOVEMBER 2, 2024

Mike Cadogan Waiting Room Medicine With exponential Emergency Department over-crowding and spiraling waiting times, the Utopian College has produced a series of guidelines to assist fondling members.

Emergency Department 98

Emergency Department 98

American Ambulance Association

NOVEMBER 6, 2024

This content is for AAA members only. Please either Log In or Join! The post CMS Finalizes the Productivity Adjustment, Adds Prehospital Blood Transfusion to ALS2 appeared first on American Ambulance Association.

Ambulance 130

Ambulance OR 130