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Senator Jerry Moran Honored with Legislative Recognition Award

American Ambulance Association

FOR IMMEDIATE RELEASE Contact: Tristan North tnorth@ambulance.org October 8, 2024 Senator Jerry Moran Honored with Legislative Recognition Award from the American Ambulance Association Washington, D.C. — The American Ambulance Association […] The post Senator Jerry Moran Honored with Legislative Recognition Award appeared first on American Ambulance Association.

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SAEM Clinical Images Series: Doubly Double Vision

ALiEM

A 52-year-old female with a past medical history of hypertension and prediabetes presented to the emergency department with double vision that started one day prior to arrival. She stated that her double vision improved when she closed one eye. She denied trauma, headache, neck pain, dizziness, dysphagia, numbness, tingling, weakness, or gait instability.

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SGEM#455: Harmony 5000 – Prehospital Detection of Large Vessel Occlusion Strokes

The Skeptics' Guide to EM

Date: October 2, 2024 Reference: Paxton et al. Headpulse measurement can reliably identify large-vessel occlusion stroke in prehospital suspected stroke patients: Results from the EPISODE-PS-COVID study. AEM Sept 2024 Guest Skeptic: Dr. Lauren Westafer an Assistant Professor in the Department of Emergency Medicine at the UMass Chan Medical School – Baystate.

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Imaging Case of the Week 606

EMergucate

The following chest x-ray is from a patient with chest pain. What can be noticed? Answer will be posted later.

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Test characteristics of point-of-care ultrasonography in patients with acute kidney injury.

EMOttawa

Methodology: 2.5/5 Usefulness: 3.5/5d Gaudreau-Simard M, et al. Ultrasound J. 2024 Feb 22;16(1):15. doi: 10.1186/s13089-023-00352-3. Question and Methods: The authors aimed to determine the test characteristics of point-of-care ultrasonography (POCUS) for detecting hydronephrosis in acute kidney injury. Findings: From 65 patients, POCUS had a sensitivity of 85% (95% CI 71-94%), specificity of 78% (95% CI […] The post Test characteristics of point-of-care ultrasonography in patients with ac

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Podcast 173 - Rethinking Lights & Sirens w/ Jeff Jarvis & Jonathon Jenkins

FOAMfrat

In this episode, we sit down with Dr. Jeffrey Jarvis , author of a fascinating paper on the impact of lights and siren (L&S) use in EMS responses. If you’re like most of us, when you hear those blaring sirens and see flashing lights, you think, “Wow, someone’s really in trouble!” But the truth, according to Dr. Jarvis’ study, might surprise you.

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Senator Jon Tester Honored with Legislative Recognition Award

American Ambulance Association

FOR IMMEDIATE RELEASE Contact: Tristan North tnorth@ambulance.org October 7, 2024 Senator Jon Tester Honored with Legislative Recognition Award from the American Ambulance Association Washington, D.C. — The American Ambulance Association […] The post Senator Jon Tester Honored with Legislative Recognition Award appeared first on American Ambulance Association.

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ECG of the Week 9 Oct 24

EMergucate

An 8yr old female presents with heart palpitations, she is hemodynamically stable and talking to you.

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Blood Gas Interpretation

Life in the Fastlane

Jeremy Rogers and Mike Cadogan Blood Gas Interpretation The blood gas is used to rapidly assess ventilatory function and identify acid-base disorders – and will also generally provide point-of-care testing of a number of values such as electrolytes, blood glucose and haemoglobin.

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First10EM Journal Club: October 2024

Broome Docs

Welcome to a special edition of the Journal Club with Justin. This month we recorded live with a bunch of fantastic Broome junior doctors. Justin gate-crashed our local journal club to share his approach to “reading a paper” ( Video version here) and then we dived into a bunch of new papers… and one really old one. Thanks to Drs Emily Wishart, Josh Briotti and Will Arnott who were brave enough to join the chaos and unscripted nerd fest that we put on every month or two.

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CISA | Hurricane Milton Access Coordination Request

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post CISA | Hurricane Milton Access Coordination Request appeared first on American Ambulance Association.

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NVFC Volunteer Firefighter Support Fund Helps Responders Impacted by Disasters

NVFC

The NVFC mourns the loss of life and devastating impact caused by Hurricane Helene, and we grieve for the responders who died while protecting their communities. When a disaster strikes, volunteer firefighters and emergency personnel are quick to respond – risking their safety to protect and assist others. At the same time, many of these responders are also impacted by these disasters, having their homes damaged or destroyed while they are out protecting their neighbors.

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Lab case 450 interpretation

EMergucate

Question 1: PH = 7.299 that is moderate acidaemia (less than 7.3), however we can argue that is mild as it is just 0.

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How terrible can it be to fail to recognize OMI? To whom is OMI Obvious or Not Obvious?

Dr. Smith's ECG Blog

This was sent to me by a reader who wishes to remain anonymous. A lady in her 60s came to the ER with chest discomfort and shortness of breath. She had a history of previous anterior MI treated by primary PCI to the proximal LAD. The first EKG is from 2:30 PM on the day of presentation to the ER. Smith : To me this is a blatantly obvious acute anterior OMI.

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Quick Overview of Pediatric Intubation

SSCOR

Pediatric intubation is a frightening scenario for a parent. Thanks in part to differences in children’s airway anatomy , they are more vulnerable to respiratory distress. Your agency must offer regular training on pediatric intubation because the pediatric airway is smaller, more difficult to access, and more susceptible to injury. Knowledge is no substitute for experience, so take every opportunity to practice pediatric intubation.

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InvestigateTV | Dire delays at hospital ERs create long waits for ambulance crews

American Ambulance Association

On Hold: Dire delays at hospital ERs create long waits for ambulance crews, put patients at risk National data shows delayed EMS crews frequently wait an hour or more before […] The post InvestigateTV | Dire delays at hospital ERs create long waits for ambulance crews appeared first on American Ambulance Association.

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NVFC and First Alert Team Up to Offer Fire Prevention and Safety Courses for Free in October

NVFC

The National Volunteer Fire Council (NVFC) and First Alert have partnered to create a series of online courses to equip first responders with the knowledge and resources to educate residents and make their communities safer and better prepared for emergencies. In honor of Fire Prevention Month and thanks to support from First Alert, these courses are available free of charge to the fire and emergency services community in October.

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RCEM ASC 2024.

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed Day one report of the Annual Scientific Conference of the Royal College of Emergency Medicine #RCEMASC #FOAMed @stemlyns The post RCEM ASC 2024. appeared first on St.Emlyn's.

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A 30-something with acute chest pain

Dr. Smith's ECG Blog

This was sent to me from Sam Ghali ( @EM_Resus ) with no other information. I assumed it was a patient with acute chest pain. "What do you think, Steve? Real or just fake?" What do YOU think? It has some inferior ST elevation with some reciprocal ST depression and inverted T in aVL. This usually indicates inferior OMI. My answer: "Fake: pretty certain, but not 100% certain.

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EMCrit 385 – Eye Trauma I – Retrobulbar Hematoma, Orbital Compartment Syndrome, and Paracanthal Decompressions

EMCrit Project

When you need to temporize orbital compartment syndrome, there is markedly easier way than Lateral Cantholysis EMCrit Project by Scott Weingart, MD FCCM.

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Employee Voting Rights Overview with Scott Moore, Esq.

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post Employee Voting Rights Overview with Scott Moore, Esq. appeared first on American Ambulance Association.

Ambulance 130
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Liberal or restrictive transfusion in brain injury (The HEMOTION trial)

First 10 EM

How much blood people need in their body is an ongoing question. Physicians have moved beyond the days of removing blood from their patients, but we still aren’t totally sure when we are supposed to put blood back in. Most studies suggest we should transfuse less, but there are specific populations who, at least theoretically, […] The post Liberal or restrictive transfusion in brain injury (The HEMOTION trial) appeared first on First10EM.

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Podcast – July 2024 Round-Up

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed All the best from the blog from July 2024, in our easy to digest podcast. The post Podcast – July 2024 Round-Up appeared first on St.Emlyn's.

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The 20 Essential Items for Building a First-Aid Kit

Unitek EMT

Be prepared for anything with these critical supplies. In life, emergencies can arise when least expected. From minor injuries like scrapes and cuts to more serious incidents such as broken bones or heavy bleeding, having the right tools on hand can make a world of difference. While professional medical help is crucial, there are situations […] The post The 20 Essential Items for Building a First-Aid Kit appeared first on Unitek EMT.

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Electrical injuries

Don't Forget the Bubbles

Electrical injuries can range from something minor that needs no medical input to tetany of respiratory muscles through to cardiac arrest secondary to dysrhythmia (VF, VT or asystole). Up to 5% of burns occur secondary to electrical injuries, and this rises to 27% in developing countries. There are two periods of peak incidence in children – under six years and adolescents aged between 13-18 years.

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NEMSAC | Applications Open

American Ambulance Association

National Emergency Medical Services Advisory Council; Solicitation of Applications NHTSA is soliciting applications for appointment to the DOT’s NEMSAC. The purpose of NEMSAC is to serve as a nationally recognized […] The post NEMSAC | Applications Open appeared first on American Ambulance Association.

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This is what happened when a hospital implemented the Queen of Hearts

Dr. Smith's ECG Blog

This patient had the onset of chest pain 24 hours before arrival to the ED. An ECG was recorded immediately at triage and, at this hospital, the Queen of Hearts is routinely used to determine cath lab activation. Here is that ECG: Original ECG What do you think? There is ST depression maximal in V1-V4, which is diagnostic of posterior OMI. There is some ST Elevation and slightly hyperacute T-wave in V6.

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10 Benefits of Using the Same Communication Tool Every Day

Pulsara

EDITOR'S NOTE: This article originally appeared on FireRescue1.com. Special thanks to our guest author, Courtney Levin, for EMS1 BrandFocus Staff. Photo courtesy of Colorado Springs Fire Department: Mark Warth, fire medical program coordinator at Colorado Springs Fire Department, shares the specific benefits the department has experienced since implementing Pulsara. __ The saying “practice makes perfect” is a little misleading.

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EM@3AM: ESBL-Producing Organisms and Their Management

EMDocs

Authors: Devin Morris, MD (EM Resident Physician, UT Southwestern – Dallas, TX); Samia Farooqi, MD (Assistant Professor, UT Southwestern – Dallas, 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); Brit Long, MD (@long_brit) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providing an expedited review of clinical basics.

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Let ChatGPT Guide Your Hand

EM Literature of Note

This exploration of LLMs in the emergency department is a bit unique in its conceptualization. While most demonstrations of generative AI applied to the ED involve summarization of records, digital scribing, or composing discharge letters, this attempts clinical decision-support. That is to say, rather than attempting to streamline or deburden clinicians from some otherwise time-intensive task, the LLM here taps into its ability to act as a generalized prediction engine – and tries its hand at p

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Preplanning in the path of totality: FirstNet Authority supports public safety during eclipse

FirstNet Authority

Preplanning in the path of totality: FirstNet Authority supports public safety during eclipse Blog michelle.fordi… Tue, 10/08/2024 - 09:03 By Bruce Fitzgerald, Senior Public Safety Advisor, FirstNet Authority To learn more about how FirstNet is helping public safety and the emergency management community to leverage innovative public safety communications, sign up for the Emergency Management Take with Bruce Fitzgerald.

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Mental Health Resources for First Responders

First Responders Foundation

The demanding nature of first responder work often leads to mental health challenges that can go unnoticed or untreated. From exposure to traumatic events to working long hours under extreme stress, first responders are at high risk for mental health issues such as PTSD, depression, anxiety, and burnout. In this guide, we highlight the importance of mental health resources for first responders and provide strategies for accessing support, building resilience, and promoting overall well-being to

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The Bottom Line: Insights Into EMS Staffing [2024 EMS Trend Survey]

Pulsara

Editor's Note: In August 2024, EMS1 and Fitch & Associates released their annual EMS t rend survey, What Paramedics Want, proudly sponsored by Pulsara. Because the articles and advice found within contain such critical subject matter, we've elected to publish each segment one at a time here on our blog. Read, enjoy, share, and take to heart the following information brought to you by the most prestigious thought leaders in EMS.

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Be Mindful of Negative Coping

First Responder Wellness

We all experience emotions and events that are uncomfortable, painful, or traumatic. Those moments or circumstances often cause lingering thoughts and emotions that must be dealt with one way or another. At some point, we may engage in numbing behavior to put off having to process unpleasant feelings. That behavior may look different for everyone and change throughout life.

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“Mama, Can You Die from a Broken Heart?” Exploring the Pathogenesis of Takotsubo Cardiomyopathy

Clinical Correlations

By Justin Jewell Peer Reviewed We all have our guilty pleasures, and one of mine happens to be country music. On a cold night in February, as I struggled to stay afloat in my seemingly never-ending.

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First Aid Tips for Staying Safe as the Days Get Darker

EMT First Aid

As daylight hours shorten and darkness arrives earlier, it's essential to prioritize safety to avoid accidents and injuries. In this blog post, we will discuss key first aid tips to help you stay safe during the darker days of the year.1. Visibility is Key:With reduced daylight, visibility becomes a significant concern, especially for pedestrians and cyclists.

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Adrenal Crisis and Addison’s Disease: What EMS Needs to Know

NAEMSP

Author: Joshua Stilley, MD FACEP FAEMS This article was written in collaboration with the National Adrenal Diseases Foundation Background: Adrenal crisis occurs when the adrenal glands are unable to produce enough endogenous steroids under stress. This is often due to primary adrenal insufficiency, also known as Addison’s disease, or secondary causes like chronic exogenous steroid use leading to adrenal suppression.

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