Trending Articles

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Episode 200: Immune Checkpoint Inhibitors

Core EM

We discuss a new class of medications, Immune Checkpoint Inhibitors, and their side effects. Hosts: Avir Mitra, MD Brian Gilberti, MD [link] Download Leave a Comment Tags: Oncology Show Notes Overview of Immune Checkpoint Inhibitors (ICIs) ICIs are a relatively new class of oncologic drugs that have revolutionized cancer treatment. Unlike chemotherapy, ICIs help the immune system develop memory against cancer cells and adapt as the cancer mutates.

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SAEM Clinical Images Series: An Unusual Foreign Body

ALiEM

A 61-year-old female with a past medical history of hypertension, hyperlipidemia, type 2 diabetes, and normal pressure hydrocephalus s/p VP shunt (last revision nine months ago) presented to the Emergency Department (ED) for evaluation after noticing a “string” coming out of her anus today. Associated symptoms included nausea and a mild headache for one day, and one episode of vomiting prior to arrival.

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GAPBAC Balance Billing Report Released to Congress

American Ambulance Association

Video Transcript Hello, I’m Shawn Baird, past president of the American Ambulance Association. Together with my fellow ambulance profession representatives Ted Van Horne, Regina Crawford, and Rhonda Holden, I was […] The post GAPBAC Balance Billing Report Released to Congress appeared first on American Ambulance Association.

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Transcutaneous Pacing: Part 3

EMS 12-Lead

Complete Heart Block with Altered Mental Status Josh Kimbrell, NRP @joshkimbre Judah Kreinbrook, EMT-P @JMedic2JDoc This is the third installment of a blog series showing how transcutaneous pacing (TCP) can be difficult and how you can improve your skills. We will be using information from different cases where paramedics attempted TCP in the field.

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Lightning rounds 44: Post-intubation sedation roundup

Critical Care Scenarios

Experts in critical care share their approach to post-intubation sedation. Contributors: Check out the Intensive Care Academy here! Find us on Patreon here! Buy your merch here! Experts in critical care share their approach to post-intubation sedation. Contributors: * Jason Wieland * Casey Albin * Jace Mullen * Kali Dayton * Nick Ghionni * Emily Fridenmaker Check out the Intensive Care Academy here!

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Episode 200: Immune Checkpoint Inhibitors

Core EM

We discuss a new class of medications, Immune Checkpoint Inhibitors, and their side effects. Hosts: Avir Mitra, MD Brian Gilberti, MD [link] Download Leave a Comment Tags: Oncology Show Notes Overview of Immune Checkpoint Inhibitors (ICIs) ICIs are a relatively new class of oncologic drugs that have revolutionized cancer treatment. Unlike chemotherapy, ICIs help the immune system develop memory against cancer cells and adapt as the cancer mutates.

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Department of Veterans Affairs Announces Extended Timely Filing Period for Claims Impacted by Change Healthcare Cyberattack

American Ambulance Association

On August 22, 2024, the Department of Veterans Affairs (VA) published a notice in the Federal Register announcing an extension of the timely filing limits for claims impacted by the […] The post Department of Veterans Affairs Announces Extended Timely Filing Period for Claims Impacted by Change Healthcare Cyberattack appeared first on American Ambulance Association.

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More Trending

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First10EM Journal Club: August 2024

Broome Docs

Welcome to another month of nerdy journal jam goodness. This month Justin has served up an eclectic collection of evidence, ethics and educational excellence. As always – we have the full PDFs liked below and you can read more deep thoughts over at First10EM where Justin likes to inconvenience a lot of electrons in his pursuit of educational elegance.

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Why the sudden shock after a few days of malaise?

Dr. Smith's ECG Blog

Written by Magnus Nossen - Edits by Grauer and Smith The patient in today’s case is a woman in her 70s with a previous medical history of HTN and hyperlipidemia. She presented to an outside hospital after several days of malaise and feeling unwell. At the time of admission, her vital signs were normal. Heart rate was in the 80s. She had a very elevated troponin T at 12,335 ng/L at the time of presentation. ( This is a value typical for a large subacute MI, n ormal value 48 hours after myocardial

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Bubble Wrap Live from DFTB24

Don't Forget the Bubbles

Can’t get enough of Bubble Wrap? This year, four wonderful speakers shared their thoughts on what was important. Here are their recommendations for a little light reading. 1.Neonatal Bubble Wrap from Brian Dunn Seidler AL, Aberoumand M, Hunter KE, Barba A, Libesman S, Williams JG, Shrestha N, Aagerup J, Sotiropoulos JX, Montgomery AA, Gyte GM. Deferred cord clamping, cord milking, and immediate cord clamping at preterm birth: a systematic review and individual participant data meta-analysis.

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CAAS Panel of Commissioners Seeks New Business Representative

American Ambulance Association

CAAS Panel of Commissioners Seeks New Business Representative At the end of 2024, the Commission on Accreditation of Ambulance Services will be replacing its business representative on the CAAS […] The post CAAS Panel of Commissioners Seeks New Business Representative appeared first on American Ambulance Association.

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7 Uses for Suction Catheters

SSCOR

A suction catheter is one of the most versatile, useful pieces of medical equipment in your supply bag. Whether it’s preventing emergencies before they start or offering life-saving treatment when a person cannot effectively breathe on their own, the right suction catheter is critical to doing your job. Here are seven key uses for suction catheters.

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Honoring Carol Stolp: A Life of Community Involvement and Service

First Responders Foundation

The First Responders Foundation is proud to recognize Carol Stolp as one of the distinguished honorees at our 9/11 Luncheon of Honor. This event is dedicated to celebrating the remarkable contributions of individuals who have gone above and beyond in their support for first responders and their communities. Honoring Carol Stolp: A Life of Community Involvement and Service Carol Stolp has dedicated much of her life to community service and support for various charitable organizations.

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An elderly male with shortness of breath

Dr. Smith's ECG Blog

A 70-something y.o. male presents to triage with shortness of breath. He reports significant chest pain at the base of his scapula on the right side along with new shortness of breath. ECG 1 at time zero EARLY REPOLARIZATION ABNORMAL ECG ED final official overread: "early repol vs hyperacute T, minimal changes from previous (previous shown below)" What do YOU think?

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JC: The patient experience in the Emergency Department.

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed @LizCrowe2 gives us a fantastic critical appraisal of an EMJ paper discussing the patient experience in the emergency department. A qualitative study gives real insight into the patient experience. #FOAMed @stemlyns The post JC: The patient experience in the Emergency Department. appeared first on St.Emlyn's.

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EMCrit 383 – The Ultrasound Hierarchy of Needs in Cardiac Arrest with Mike Prats

EMCrit Project

Learn about how to use ultrasound during cardiac arrest EMCrit Project by Scott Weingart, MD FCCM.

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EM@3AM: Retroperitoneal Hematoma

EMDocs

Author: Iosif Davidov, MD (EM/IM/CC/Ethics Fellow at North Shore/LIJ Northwell Health System) // 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.

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6 Tips for Airway Management: Improving Your Suction Technique

SSCOR

It’s astonishing how fast a 12-hour shift in the hospital can go. You find yourself in constant motion, carefully assessing each patient and making sure to complete all of your necessary duties before the next nurse comes on to relieve you.

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The First10EM monthly wrap-up for summer 2024

First 10 EM

The First10EM monthly (or I guess seasonal this time) wrap up is a place for me to share updates about the website, about my academic life, and also interesting content, such as books, podcasts, and other FOAMed, that I have encountered in the prior month. Obviously the format means the focus is mostly on content […] The post The First10EM monthly wrap-up for summer 2024 appeared first on First10EM.

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Understanding Breast Cancer: Causes, Symptoms, and Risk Factors

Paramedics World

Breast cancer is a topic that resonates with many, touching lives in profound ways. Whether you have been personally affected or know someone who has faced this challenge, understanding breast… The post Understanding Breast Cancer: Causes, Symptoms, and Risk Factors appeared first on Paramedics World.

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EMCrit RACC Lit Review – September 2024

EMCrit Project

All the Resuscitation and Acute Critical Care goodness in the literature for September 2024 EMCrit Project by Scott Weingart, MD FCCM.

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PECARN STELAR Podcast – Episode 3: PEM Disparities

EMDocs

The emDOCs.net team is very happy to collaborate with PECARN STELAR (Seattle, Dallas/Texas, and Los Angeles) Node and the Emergency Medical Services for Children Innovation and Improvement Center (EIIC) in presenting high-yield pediatric topics that highlight evidence based medicine with solid research. This podcast on health equity and the impact of standardized clinical care pathways and decision support tools embedded in the electronic health record (EHR).

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Still on Track: NERIS Beta Launch and Latest Developments

ESO

Good news ! The National Emergency Response Information System (NERIS) is on track! On August 1, 2024 , the U.S. Department of Homeland Security, the Fire Safety Research Institute, and the U. S. F ire A dministration hosted their fourth informational webinar , NERIS Next Steps: Beta Launch, API Development, and Secondary Schema Release , to update departments on the current progress with NERIS and the anticipated timeline over the next three years.

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FirstNet Authority Update on Network Outage Task Force

FirstNet Authority

FirstNet Authority Update on Network Outage Task Force Blog michelle.fordi… Thu, 09/05/2024 - 10:35 By Joe Wassel, Executive Director and CEO, First Responder Network Authority Learn more about how FirstNet is transforming public safety communications — contact your local FirstNet Authority Public Safety Advisor and sign up for our discipline newsletters.

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Understanding Ovarian Cancer: Types, Stages, and Risk Factors

Paramedics World

Ovarian cancer, often dubbed the “silent killer,” affects thousands of women each year. Its subtle beginnings can make it difficult to detect early, leading to a sense of urgency around… The post Understanding Ovarian Cancer: Types, Stages, and Risk Factors appeared first on Paramedics World.

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"The dye don't lie".except when it does. Angiogram Negative, or is it?

Dr. Smith's ECG Blog

Written by Willy Frick A 40 year old woman was at home cooking when she developed chest pain. She took an oxycodone and called EMS. Her presenting ECG is shown below: ECG 1 What do you think? I sent this to Drs. Meyers and Smith and the response was: "I’m quite confident that this is OMI." Here is the Queen's verdict with explainability: She sees OMI with low confidence.

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emDOCs Videocast: EBM Update #3 – ANNEXA-1 and DOAC Reversal in ICH

EMDocs

Welcome to the emDOCs Videocast – please subscribe to our YouTube channel. These videos will cover post summaries, take homes on clinical condition, and EBM/guideline literature updates. Today we focus on Andexanet versus 4F-PCC for reversal of DOAC-associated intracerebral hemorrhage (ICH). EBM Update: ANNEXA-1 and DOAC Reversal in ICH Article: Connolly SJ, Sharma M, Cohen AT, et al; ANNEXA-I Investigators.

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Honoring Bob and Charlotte Dean: Founders of JAVELAN

First Responders Foundation

At the First Responders Foundation, we are proud to honor Bob and Charlotte Dean, founders of JAVELAN, a program dedicated to helping veterans by providing and training service dogs. JAVELAN, named after Charlotte’s service dog, Jack (Jack, Assisting Veterans Enjoying Life Again), has become a vital resource for veterans in need. Honoring Bob and Charlotte Dean: Founders of JAVELAN A Life of Service Charlotte grew up in a military family and served 13 years on active duty, raising her daughters

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FirstNet supports disaster response in rural Montana

FirstNet Authority

FirstNet supports disaster response in rural Montana Blog joseph.rey@fir… Wed, 09/04/2024 - 10:56 By Tracey Murdock, Senior Public Safety Advisor, First Responder Network Authority Learn more about how FirstNet is transforming public safety communications — contact your local FirstNet Authority Public Safety Advisor and sign up for our discipline newsletters.

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Decoding Kidney Stones: Causes, Symptoms, and Treatment

Paramedics World

Kidney stones are a common yet often misunderstood condition that can cause significant discomfort and distress. Picture this: sharp pains radiating through your lower back, an urgent need to run… The post Decoding Kidney Stones: Causes, Symptoms, and Treatment appeared first on Paramedics World.

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30. Engineering Belonging in EMS

The EMS Educator

Engineering Belonging in EMS: What is belonging? Why is this critical for learning? In this episode, hosts Rob Lawrence and Dr. Maia Dorsett welcome expert guests, Dan Batsie, Deputy - Commissioner of Public Safety for the State of Vermont; Dr. Heather Davis -Director of Assessment – UCLA School of Medicine, also taskforce chair of the IDEA Taskforce – IDEA is the Inclusion Diversity Equity & Access for EMS; and Ginger Locke, Prodigy’s newest team member (also Associate Professor of EMS Prof

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emDOCs Videocast: EBM Update – IV BP Meds in NV Emergencies

EMDocs

Welcome to the emDOCs Videocast – please subscribe to our YouTube channel. These videos will cover post summaries, take homes on clinical condition, and EBM/guideline literature updates. Today we focus on IV blood pressure medications in patients with neurovascular emergencies. EBM Update: IV BP Meds in NV Emergencies Background: There is no one agent that is recommended over others for reducing elevated BP in those with neurovascular emergencies.

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2024 ACEP Elections Preview: Meet the Board of Directors Candidates

ACEP Now

Jennifer J. Casaleto, MD, FACEP (North Carolina) Current Professional Positions: Emergency Medicine Physician, CirrusMD and Mid-Atlantic Emergency Medical Associates (MEMA); Adjunct Clinical Faculty Physician, Atrium Health’s Carolinas Medical Center Internships and Residency: Emergency Medicine Residency, Carolinas Medical Center (2003) Medical Degree: MD, Vanderbilt University School of Medicine (2000) Response Similar to most member organizations, ACEP experienced membership decline associate

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Technology supports disaster response in rural Montana

FirstNet Authority

Technology supports disaster response in rural Montana Blog joseph.rey@fir… Wed, 09/04/2024 - 10:56 By Tracey Murdock, Senior Public Safety Advisor, First Responder Network Authority Learn more about how FirstNet is transforming public safety communications — contact your local FirstNet Authority Public Safety Advisor and sign up for our discipline newsletters.

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Prostate Cancer – Types, Causes, Symptoms, Prevention & more

Paramedics World

Prostate cancer is one of the most common types of cancer affecting men worldwide, and yet many remain unaware of its implications. Understanding this disease can be empowering for men… The post Prostate Cancer – Types, Causes, Symptoms, Prevention & more appeared first on Paramedics World.

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Understanding the Good Samaritan Law

NHCPS Save a Life

If you see an emergency happening right in front of you, what do you do? Will you get into trouble with the law if you touch another person without permission? What about if you perform first aid or a medical procedure? In the majority of cases, bystanders who provide aid to someone who is hurt […] The post Understanding the Good Samaritan Law appeared first on SaveaLife.com.

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Dispatch of Mobile Stroke Unit Services: Results of an International Survey

International Journal of Paramedicine

Background: Treatment on Mobile Stroke Units (MSU) improves outcome for patients with acute ischemic stroke, however MSU effectiveness relies on accuracy of field dispatch. We aimed at collecting representative data on dispatch infrastructure, methods of stroke identification at the dispatcher level, operation rules and accuracy of dispatcher impression relevant to MSU operations worldwide.

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