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This content is for AAA members only. Please either Log In or Join! The post FOUO Critical Incident Report Regarding Unsubstantiated Threats to U.S. Hospitals appeared first on American Ambulance Association.
Date: March 23, 2025 I was honoured to be invited to speak at Incrementum 2025 in Mercia, Spain. Thank you to Paco, Carmen, and the Incrementum team for putting on one of the best conferences ever. They asked me to talk about five important recent papers in 15 minutes. Usually, I do ten papers in ten minutes.However, This was an international audience, with many of the close to 600 attendees having English as their second language.
Written by Pendell Meyers, sent by anonymous, with additions by Smith A man in his 40s had acute chest pain and called EMS. EMS arrived and recorded this ECG: What do you think? Here is the PMcardio Queen of Hearts interpretation of the ECG: STEMI equivalent detected. Inferior and posterior OMI without STEMI criteria. If you think the Queen of Hearts is so sensitive because it sacrifices specificity, you would be wrong.
Let's talk about starting patients on milrinone. Milrinone is part of a group of medications that I would regard as quasi-titratable. They have an awkward half-life of roughly ~0.5-3 hours. Other medications in this group might include diltiazem, labetalol, and perhaps nicardipine. These drugs can be given as a continuous infusion, but they're not easy […] EMCrit Project by Josh Farkas.
What is Dexmedetomidine? Dexmedetomidine (Dexmed) is a highly selective alpha-adrenoreceptor agonist that can provide anxiolysis, sedation , and analgesia. Alpha-adrenoreceptors are found all over the body and reduce the fight-or-flight (sympathetic) response. Dexmed targets the alpha-adrenoreceptors in the brainstem and spinal cord. In the brainstem, it works on the ponsa crucial hub that helps regulate breathing, sleep, and automatic body functions.
Why do patients with methemoglobinemia have an oxygen saturation fixed at 85%? Here’s a case for you: an older patient with lung cancer undergoes an awake intubation with benzocaine. They then experience hypoxemia which stays fixed at 85% despite receiving 100% FiO2 oxygen. The care team does an ABG, which yields chocolate-colored blood with a PO2 of 284.
Why do patients with methemoglobinemia have an oxygen saturation fixed at 85%? Here’s a case for you: an older patient with lung cancer undergoes an awake intubation with benzocaine. They then experience hypoxemia which stays fixed at 85% despite receiving 100% FiO2 oxygen. The care team does an ABG, which yields chocolate-colored blood with a PO2 of 284.
EMS providers and industry stakeholders can now improve data management, streamline workflows, and reduce the risk of double documentation through data interoperability New technology tools can be a double-edged sword in emergency medical response. On the one hand, they can enable new efficiencies and improved care. On the other hand, they may require more time, resources, or new workflows to manage and maintain.
Are patients allowed to eat in your department? Do you field endless phone calls from nurses asking whether a patient is allowed to eat? Have you ever witnessed a confrontation between a nurse and a patient or family member over NPO status? The concept of forcing emergency patients to remain nil by mouth on the […] The post Let them eat: Emergency department patients should be encouraged to eat and drink appeared first on First10EM.
Methodology: 3.5/5 Usefulness: 4/5 Taccone FS, et al. JAMA. 2024 Nov 19;332(19):1623-1633. Question and Methods: This multicenter, randomized trial aimed to determine the optimal hemoglobin transfusion threshold in patients with acute brain injury, comparing a restrictive transfusion strategy (hgb <70g/L) with a liberal strategy (hgb<90g/L) to assess their impact on neurological outcomes.
Authors: Kamoga Dickson, MD (EM Resident Physician, Makerere College of Health Sciences, Kampala, Uganda); Jessica Pelletier, DO, MHPE (APD/Assistant Professor of EM/Attending Physician, University of Missouri-Columbia) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case A 17-year-old male presents to the emergency department (ED) for sexually transmitted infection (STI) testing.
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