2025

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SAEM Clinical Images Series: Bilateral Periorbital Edema

ALiEM

A 20-year-old previously healthy student-athlete female presented with a 2-week history of bilateral periorbital swelling unresponsive to steroids and anti-histamines prescribed by her PCP. The edema had been worsening, and there was a new development of throat tightening and discomfort. She denied rash, allergies, fever, URI symptoms, urinary symptoms, or new medications.

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A Message from AAA President Jamie Pafford-Gresham

American Ambulance Association

Happy New Year from Our New Association President Dear Fellow Members, I am saddened to begin the New Year with such grim and shocking news from Louisiana and New […] The post A Message from AAA President Jamie Pafford-Gresham appeared first on American Ambulance Association.

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ECG Cases 54 The Art of Occlusion MI: Scale and Proportionality

Emergency Medicine Cases

On this month's ECG Cases, Dr. Jesse McLaren explains how STEMI criteria can be false positive with large scale QRS and proportional ST elevation, or false negative with low/normal scale QRS and disproportionate ST elevation and hyperacute T waves, and that rules for subtle occlusion using proportionality can help differentiate LBBB with or without Occlusion MI, or LV aneurysm vs anterior STEMI with Q waves.

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Episode 204: Necrotizing Fasciitis

Core EM

We discuss the recognition and treatment of necrotizing fasciitis. Hosts: Aurnee Rahman, MD Brian Gilberti, MD [link] Download Leave a Comment Tags: Critical Care , General Surgery Show Notes Table of Contents 0:00 – Introduction 0:41 – Overview 1:10 – Types of Necrotizing Fasciitis 2:21 – Pathophysiology & Risk Factors 3:16 – Clinical Presentation 4:06 – Diagnosis 5:37 – Treatment 7:09 – Prognosis and Recovery 7:37 – Take Home points Int

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Torsade in a patient with left bundle branch block: is there a long QT? (And: Left Bundle Pacing).

Dr. Smith's ECG Blog

By Smith with comments from our electrophysiologist, Rehan Karim. (And of course Ken's comments at the bottom) An elderly obese woman with cardiomyopathy, Left bundle branch block, and chronic hypercapnea presented hypoxic with altered mental status. She was intubated. Bedside cardiac ultrasound showed moderately decreased LV function. CT of the chest showed no pulmonary embolism but bibasilar infiltrates.

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ECG of the week 29/1/2025

EMergucate

An 86yr male presents with syncope and melena. Hb 76. His ECG is below: What is the Rythm? What is you management plan for this patient?

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Post-Tonsillectomy Hemorrhage: A Three-Pronged Approach

ACEP Now

Its 4 a.m., and youre three hours from the nearest tertiary care center. A young woman, 13 days post-tonsillectomy, comes into your rural emergency department (ED) coughing up blood. On exam, you see bright red blood trickling down her left tonsillar fossa. Her vital signs are normal, except for a heart rate of 115 bpm. Its going to take time to get her to a tertiary center.

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JC: Do physician led prehospital teams improve outcomes?

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed This article explores the impact of physician-led interprofessional pre-hospital teams on survival and mortality outcomes for critically ill and injured patients. Drawing on a systematic review and meta-analysis, it examines the evidence, evaluates key benefits, and critically appraises the limitations. The discussion highlights the potential of this model to enhance pre-hospital emergency care while addressing challenges in implementation across dive

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Emergency Evidence Updates – December 2024

The Bottom Line

Whats new in the Critical Care literature monthly updates

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Episode 165 Fish Tongue Parasite: Parasite Appreciation Hour

This Podcast Will Kill You

Okay everyone, think about your tongue. Maybe move it around a bit, check in with it, consider what it means to you. Now imagine that your tongue suddenly shriveled up and fell off and that in its place is a tongue-sized isopod aka rollie pollie aka pillbug. Just there, hanging out, forever. How are you feeling? Horrified? Disgusted? Hey, we get it.

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SAEM Clinical Images Series: Spontaneous Eye Luxation

ALiEM

A 55-year-old female presented with the complaint of my right eye popped out. Symptoms started approximately seven hours prior to arrival and progressive, severe pain eventually prompted her visit to the ED. This happened once 10 years ago, requiring reduction in the ED. The patient denied preceding trauma, rubbing her eyes/eye-lids, or any history of thyroid disease.

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2025 EMSNext Recipients Announced

American Ambulance Association

FOR IMMEDIATE RELEASE Contact: Samantha Hilker Sr. Director of Strategic Initiatives shilker@ambulance.org American Ambulance Association Announces 2025 EMSNext Winners Washington, D.C. The American Ambulance Association (AAA) is proud to […] The post 2025 EMSNext Recipients Announced appeared first on American Ambulance Association.

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Protocol Change

Peter Canning

When I started as a paramedic in Hartford in January of 1995, I was given a 100-page protocol book to memorize. There were fewer than 50 protocols in the book, along with pages for 24 medications and 8 procedures. The book was approved by the two largest hospitals in Hartford. Looking through the book today, it is truly an antiquated. For instance, there was no protocol for stroke or STEMI.

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(Q4/2024) ESO Updates: Quarterly Product Enhancements

ESO

Happy New Year, and w elcome back to another edition of ESO product updates. Thanks to our new and improved feedback process, our customers have been more involved than ever in our Product Roadmap. Your input is invaluable to our team and integral to the improvements and enhancements you’ll find below. So, without further ado, here are the latest updates from ESO in Q4 2024 and whats just ahead on the horizon , all of which h as been made possible by our incredible ESO community : Content

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Online QT calculator for wide QRS (LBBB, RBBB, etc.)

Dr. Smith's ECG Blog

(This was created by Arron Pearce ( [link] ) Online QT calculator for wide QRS (LBBB, RBBB, etc.

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ECG of the Week 22nd January

EMergucate

The following ECG is from a young male who has presented with intermittent palpitations. He has no significant medical history.

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Academy bites: You were here when we were not

Critical Care Scenarios

Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here!

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American Burn Association Stands Ready to Support Burn Care Response Amid California Wildfires and Recent Disasters

American Burn Association

Categories Advocacy Burn News MAC Spotlight Media Member Services Member Spotlight Organization News Prevention Quality Care Research Return to News & Activities CHICAGO [Jan. 10, 2025] As wildfires rage across California, the American Burn Association (ABA) is prepared to assist burn centers and healthcare providers in responding to burn injuries resulting from these devastating events.

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Pre Hospital Extracorporeal CPR (ECPR) in the UK: The Sub30 study

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed This feasibility study described the delivery of ECMO CPR (ECPR) for the first time in the UK The post Pre Hospital Extracorporeal CPR (ECPR) in the UK: The Sub30 study appeared first on St.Emlyn's.

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Critical Care Evidence Updates – December 2024

The Bottom Line

Whats new in the Critical Care literature monthly updates

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Intraosseous or Intravenous Vascular Access for Out-of-Hospital Cardiac Arrest

EMOttawa

Methodology: 4/5 Usefulness: 4/5 Vallentin MF, et al. N Engl J Med. 2024 Oct 31. doi: 10.1056/NEJMoa2407616. Editorial: The Way to a Patient’s Heart – Vascular Access in Cardiac Arrest Question and Methods: This RCT compared IO vs. IV vascular access in adults with OHCA, using ROSC as a primary outcome. Findings: No significant difference […] The post Intraosseous or Intravenous Vascular Access for Out-of-Hospital Cardiac Arrest appeared first on EMOttawa Blog.

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SAEM Clinical Images Series: A Curious Case of Anisocoria

ALiEM

A 3-month-old male with no past medical history was brought to the emergency department for evaluation of newly asymmetric pupils. The infant appeared to be asymptomatic per parents, without any behavior changes or associated symptoms noted. The patients mother noticed her sons left pupil was dilated and unresponsive to light the morning of presentation.

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NRHA | Community Paramedicine Framework

American Ambulance Association

National Rural Health Association December 2024 Policy Paper Bridging the gap: A policy framework for sustainable community paramedicine in rural America Authors: Katie Gorndt, Kimberly Haverly, Tom Syverson The post NRHA | Community Paramedicine Framework appeared first on American Ambulance Association.

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Finding the Gaps in Your Hospital's Disaster Preparedness Plan

SSCOR

Foreseeable disasters can come in all shapes and sizes, from a power failure that affects only your facility to an earthquake that sends hundreds of casualties to your emergency department.

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ECPR Eligibility and Preparation w/ Alec Wilcox

FOAMfrat

In this episode, Alec Wilcox & I discuss ECPR eligibility & preparation. ECPR, or extracorporeal cardiopulmonary resuscitation, involves taking a patient in cardiac arrest, sucking blood from their venous system, oxygenating it externally, and then pumping it back into their arterial system. This procedure helps maintain blood circulation and oxygen delivery during cardiac arrest, serving as a bridge to further therapy.

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Neuroimaging Cases 007

Life in the Fastlane

Michael Gibbs MD Neuroimaging Cases 007 Nail gun injury. First in our Neuroimaging case study series with Teresa Crow , Troy Carnwath, Scott DiMeo, L.

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ECG of the Week – 15th January

EMergucate

The following ECG is from a 60-year-old male who has presented with 5 days of central chest pain and epigastric pain which radiates between his shoulder blades.

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ECG Pointers: A Dynamic Approach to Tachydysrhythmias Part 4

EMDocs

Authors: Lloyd Tannenbaum, MD (EM Attending Physician, Geisinger Wyoming Valley, PA); Mai Saber, DO (EM Attending Physician, Hackensack University Medical Center, NJ); Rachel Bridwell, MD (EM Attending Physician, Charlotte, NC) // Reviewer: Brit Long, MD (@long_brit) Hello and welcome back to ECG Pointers, a series designed to make you more confident in your ECG interpretations.

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National Fire Organizations Set to Advocate for Legislation in DC Later this Week

NVFC

The Congressional Fire Services Institute (CFSI) will hold its annual Fire and Emergency Services Symposium and Dinner on February 12-13 in Washington, DC. CFSI is a consensus organization for the nations fires service that advocates for policies that have been approved by its National Advisory Committee, which consists of over 30 national fire service organizations including the National Volunteer Fire Council (NVFC).

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More trials from TBS 2025. (part 2)

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed This blog post provides concise summaries of recent critical care trials, including HEMOTION, PREOXI, BLING III, CLASSIC, EVIDENCE, VICTOR, and PARAMEDIC-3. Each trial is examined for its key findings, strengths, limitations, and practical implications for clinical practice. The post aims to inform healthcare professionals about the latest evidence-based practices in critical care.

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EMCrit 392 – All Things Defibrillation with Sheldon Cheskes

EMCrit Project

Nitty Gritty of All Things Defibrillation EMCrit Project by Scott Weingart, MD FCCM.

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These are the ‘Roids you are looking for – Steroids in the ED

EMOttawa

In the acute care setting, steroids have various usages and indications, but their usage can often be nuanced. From adrenal crises to septic shock, severe community-acquired pneumonia, and even acute pharyngitis, steroids play a pivotal role in managing a variety of conditions encountered in the Emergency Department (ED). However, their use is far from straightforwardbalancing […] The post These are the ‘Roids you are looking for – Steroids in the ED appeared first on EMOttawa

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SAEM Clinical Images Series: Xylazine Wounds

ALiEM

A 32 year-old male with PMH significant for opioid use disorder, a prior admission in 2021 for left-sided empyema s/p thoracotomy and decortication, gas bacteremia, and tricuspid endocarditis presented for a left leg wound. The patient reported a wound to his left leg that had become larger over the past 5 months. The pain worsened today, prompting him to come to the emergency department for evaluation.

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ESS Information Sharing Bulletin February 2025

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post ESS Information Sharing Bulletin February 2025 appeared first on American Ambulance Association.

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The Ultimate List of Emergency Medical Nursing Equipment

SSCOR

Preparedness is your best weapon against preventable morbidity and mortality. Here are the items you need to have in your emergency nursing equipment kit.

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Become a member

Irish College of Paramedics

[one_half] Why join ICoP? We welcome all Practitioners to use the ICoP as a platform for the development of paramedicine and the pre-hospital emergency care profession. ICoP is for all registered practitioners and those allied professionals with an interest in pre-hospital care.

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Paramedic Chiefs of Canada – The Preburn Project: Preventing Burnout by Predicting Compromised Wellness in EMS Workers

FirstWatch

Instructions to join are below description and speakers. February 6th, 2025 | 9:00 am PST (12:00 pm EST) Join us for an in-depth exploration of the innovative Preburn Project: Preventing Burnout by Predicting Compromised Wellness in EMS Workers. This session is designed for EMS directors, EMS administrators, paramedics, dispatchers, mental health professionals and researchers who are committed to improving the well-being of frontline EMS workers.