ALiEM

MAY 6, 2024

It has been 3 years since the 8-week, self-guided Bridge to Emergency Medicine (EM) curriculum was launched to help graduating medical students prepare for EM residency. The curriculum has been viewed over 43,000 times and we have awarded over 5,000 ALiEMU course certificates. It is now a part of many residency programs’ intern boot camp. Launching the 2nd edition of Bridge to EM (2024) We are thrilled to announce that we launching the second edition of the curriculum.

EMS 174

EMS 174

Critical Care Scenarios

MAY 8, 2024

We chat about pulmonary/critical care medicine fellowship with recent graduate Nicholas Ghionni (@pulmtoilet), a first-year attending at the MedStar Baltimore Hospital system. He completed PCCM fellowship at MedStar Washington Hospital Center where he also served as chief fellow. Find us on Patreon here! Buy your merch here! We chat about pulmonary/critical care medicine fellowship with recent graduate Nicholas Ghionni ( @pulmtoilet ), a first-year attending at the MedStar Baltimore Hospital sys

Critical Care 143

Critical Care 143

Critical Care Scenarios

APRIL 24, 2024

We discuss the role of point-of-care ultrasound in evaluating the patient with kidney injury and assessing volume status, with Abhilash Koratala (@nephroP), nephrologist, Director of Clinical Imaging for Nephrology at the Medical College of Wisconsin, and champion of nephrology-focused ultrasound. Find us on Patreon here! Buy your merch here! Takeaway lessons References Episode 4 with … Continue reading "Episode 73: POCUS for nephrology, with Abhilash Koratala" We discuss the role of point-of-ca

OR 289

OR 289

Emergency Medicine Cases

APRIL 23, 2024

In this month's EM Quick Hits podcast: Justin Morgenstern on the first RCT of high dose nitroglycerin in SCAPE, Andrew Neill on Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) indications and evidence, Brit Long on indications for CT in suspected diverticulitis, Tahara Bhate on Central Retinal Artery Occlusion (CRAO) and diagnostic error, Matthew McArthur on penicillin allergy labels, myths and penicillin challenges, and Susan Lu on how ED physician personality influences patie

EMS 258

EMS Allergic Reaction ED 258

The Skeptics' Guide to EM

APRIL 27, 2024

Reference: Tanner et al, A retrospective comparison of upper and lower extremity intraosseous access during out-of-hospital cardiac arrest resuscitation. Prehospital Emergency Care. February 2024. Date: April 25, 2024 Guest Skeptic: Missy Carter is a PA working in an ICU in the Tacoma area and an adjunct faculty member with the Tacoma Community College paramedic program.

ICU 208

ICU Defibrillator Paramedic CPR 208

Core EM

APRIL 25, 2024

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262

262

American Ambulance Association

MAY 8, 2024

This content is for AAA members only. Please either Log In or Join! The post EEOC Updated Enforcement Guidance on Harassment in the Workplace appeared first on American Ambulance Association.

Ambulance 130

Ambulance OR 130

EMergucate

MAY 6, 2024

The following ECG is from a 46-year-old male with an hour of chest pain. He has a background of hypertension, morbid obesity and is a heavy smoker. Interpret the ECG.

130

130

FOAMfrat

APRIL 25, 2024

In this episode, we discuss a recent paper on false electrical capture and pre-hospital transcutaneous pacing by paramedics. The guests, Tom Boutilet, Josh Kimbrell, and Judah Kreinbrook, discuss their research findings and the implications for paramedics. They conducted a retrospective study and found that paramedics often mistakenly believe they have electrical capture when they do not.

Paramedic 128

Paramedic ACS EMS ED 128

Critical Care Scenarios

MAY 1, 2024

The difference between people and institutions. Find us on Patreon here! Buy your merch here! The difference between people and institutions. Find us on Patreon here! Buy your merch here!

118

118

American Ambulance Association

MAY 6, 2024

This content is for AAA members only. Please either Log In or Join! The post DHS Updates the Resource Typing EMS Resources Under NIMS appeared first on American Ambulance Association.

EMS 130

EMS Ambulance OR 130

First 10 EM

APRIL 22, 2024

As mentioned in my most recent review, publication bias has been a major concern when trying to decide whether to prescribe paxlovid. Pfizer rushed to publish their positive study (EPIC-HR), but refused to release the results of a second simultaneous study (EPIC-SR) that was stopped (due to futility) at the exact same time. With the […] The post EPIC-SR: The negative paxlovid data Pfizer has been sitting on appeared first on First10EM.

EMS 127

EMS 127

EMergucate

APRIL 23, 2024

The following ECG is from an 80-year-old man who has been referred by his GP with worsening renal failure. He has a history of atrial fibrillation with bradycardia, for which he has a pacemaker.

EMS 130

EMS 130

NVFC

APRIL 23, 2024

On February 5, the Occupational Safety and Health Administration (OSHA) published a Notice of Proposed Rulemaking (NPRM) to modernize the agency’s “Fire Brigades” standard with a proposed new “Emergency Response Standard.” This NPRM’s publication triggered the beginning of a public comment period that is scheduled to conclude June 21, 2024. Anyone, organization or individual, is encouraged to submit comments to OSHA during this this public comment period (ignore the May 6 deadline as it has been

Emergency Response 116

Emergency Response OR 116

Dr. Smith's ECG Blog

APRIL 22, 2024

A 50-something male with hypertension and 20- to 40-year smoking history presented with 1 week of stuttering chest pain that is worse with exertion, which takes many minutes to resolve after resting and never occurs at rest. It is a ssociated with mild dyspnea on exertion. At times the pain does go to his left neck. It was present on arrival at triage but then resolved before bed placement in the ED.

Coronary 112

Coronary STEMI ED OR 112

American Ambulance Association

MAY 6, 2024

This content is for AAA members only. Please either Log In or Join! The post NPRM Cyber Incident Reporting for Critical Infrastructure Act Requirements appeared first on American Ambulance Association.

Ambulance 130

Ambulance OR 130

EMOttawa

APRIL 18, 2024

In this Prehospital Journal Club Recap, let us take a deep dive into the use of blood products, as well as the adjunct use of automated controlled elevation in CPR. Resuscitation with blood products in patients with trauma-related hemorrhagic shock receiving prehospital care (RePHILL): a multicentre, open-label, randomized, controlled, phase 3 trial Background The use […] The post PTM Journal Club: Blood Product and ACE-CPR use Prehospital appeared first on EMOttawa Blog.

CPR 114

CPR 114

EMergucate

MAY 5, 2024

Simulation report 1/2/24 In situ sim ED JHC Hi everyone, Thank you so much for participating and helping … Continue reading →

ED 130

ED 130

NVFC

APRIL 23, 2024

It’s National Volunteer Week , and the NVFC extends our thanks to all of the volunteer firefighters, EMS providers, rescue workers, and support personnel who make our communities better every day. This is a great week to recognize the work of the volunteers in your department as well as plan initiatives for supporting your membership and recruiting more volunteers.

Firefighter 111

Firefighter First Responder EMS 111

Dr. Smith's ECG Blog

APRIL 24, 2024

Quiz The PM Cardio Queen of Hearts AI model for ECG interpretation from Powerful Medical is still in its early days. Do you think you can outperform the toddler version of the AI model? Version 2.0 will soon be available with four times the training data. The QoH groups ECGs into OMI and NOT OMI. Each category is subdivided into three levels of confidence.

OR 108

OR 108

American Ambulance Association

MAY 2, 2024

The American Ambulance Association (AAA) has learned that the Centers for Medicare and Medicaid Services (CMS) has started to send notices to ground ambulance providers that missed their deadline to […] The post CMS Begins Notifications to Ground Ambulance Providers that Failed to Submit Cost Data appeared first on American Ambulance Association.

Ambulance 130

Ambulance 130

REBEL EM

APRIL 29, 2024

Critically ill patients requiring resuscitation often present with many challenges including the ability to secure safe, sterile, fast, and reliable intravenous (IV) access. Over the years emergency and critical care physicians have tried many ways to establish IV access in emergencies including the “crash” or “dirty” central line. If you are not familiar with this term, it’s the act of rapidly trying to place a central line (usually femoral), placing the needle for access over strict sterile pr

ALS 103

ALS Epinephrine Critical Care Emergency Department 103

EMergucate

APRIL 22, 2024

20 year-year-old man brought to ED after a car accident. His blood pressure was 80/41 and he was unconscious. His blood gases showed the following: PH = 6.

ED 130

ED 130

Unitek EMT

APRIL 25, 2024

Exploring the Path to a Career as an Industrial Emergency Medical Technician: Training, Certification, and Essential Skills Industrial Emergency Medical Technicians (EMTs) play a critical role in safeguarding the health and safety of workers in various industrial settings, such as manufacturing plants, construction sites, and oil rigs. These specialized EMTs are trained to respond swiftly […] The post How to Become an Industrial EMT appeared first on Unitek EMT.

EMT 104

EMT EMT Emergency Medical Technician EMS 104

Dr. Smith's ECG Blog

APRIL 18, 2024

Written by Jesse McLaren A 70 year old with prior MIs and stents to LAD and RCA presented to the emergency department with 2 weeks of increasing exertional chest pain radiating to the left arm, associated with nausea. The pain recurred at rest 90 minutes prior to presentation, felt like the patient’s prior MIs, and was not relieved by 6 sprays of nitro.

STEMI 110

STEMI Coronary ALS CAD 110

American Ambulance Association

MAY 2, 2024

Attention EMS Leaders! We are reaching out to gather your insights on the potential financial impact of the recent OSHA Proposed Rule concerning health and safety requirements in the EMS […] The post OSHA Proposed Rule Impact Survey appeared first on American Ambulance Association.

Ambulance 130

Ambulance EMS 130

St. Emlyn's

APRIL 27, 2024

St.Emlyn's - Emergency Medicine #FOAMed What you don’t do, determines what you can do Tim Ferris One of the most powerful personal lessons I have learned in recent years is every time I say YES […] The post Choosing with Intention. Liz Crowe appeared first on St.Emlyn's.

EMS 101

EMS 101

EMergucate

APRIL 22, 2024

The chest x-ray shows cardiomegaly & Oreo Cookie sign. The chest x-ray of this paediatric patient shows a massive cardiomegaly.

EMS 130

EMS 130

ESO

APRIL 19, 2024

From April 2-5, ESO brought the hospital industry’s top thought leaders and data analysts together at Wave 2024 to share what trends they’re forecasting for the medical field along with how they’re enacting change within their own organization through the power of data-driven insights. Throughout the four-day conference, many impactful topics were discussed, and five major themes emerged. 1.

EMS 105

EMS Paramedic Critical Care STEMI 105

SSCOR

APRIL 20, 2024

Airway suctioning is a routine part of a first responder’s job. From preventing aspiration pneumonia to clearing the airway of a drowning victim, the right suction machine is an integral part of your EMS toolkit. Yet many paramedics, EMTs, and other first responders avoid suctioning the airway unless they absolutely have to.

EMS 104

EMS First Responder EMT EMT 104

American Ambulance Association

MAY 1, 2024

NAEMSP is currently conducting a vital survey aimed at understanding the effects of drug shortages on Emergency Medical Services (EMS) agencies. As esteemed leaders in the field of EMS, your […] The post NAEMSP Survey on Drug Shortages: Impact on Fire Departments and EMS Agencies appeared first on American Ambulance Association.

Emergency Medical Services 130

Emergency Medical Services EMS Ambulance 130

Dr. Smith's ECG Blog

MAY 5, 2024

An undergraduate (not yet in medical school) who works as an ED technician (records all EKGs, helps with procedures, takes vital signs) and who reads this blog regularly arrived at work and happened to glance down and see this previously recorded ECG on a table in the ED. It was recorded at 0530: What do you think? The young ED tech immediately suspected LAD OMI.

ED 92

ED STEMI Coronary Paramedic 92

EMergucate

APRIL 22, 2024

The lumbar spine x-ray shows anterior compression fracture of L1 & fracture of spinous process of T12 vertebra.

EMS 130

EMS 130

ESO

APRIL 19, 2024

From April 2-5, the top fire services and EMS industry thought leaders and data analysts gathered at Wave 2024 to share what trends they’re forecasting for both fields and how they’re enacting change within their own organizations through the power of data-driven insights. Throughout the entire ESO-sponsored four-day conference, many impactful topics were discussed, and six major themes emerged.

MIH 105

MIH EMS Paramedic Firefighter 105

SSCOR

MAY 2, 2024

Airway obstructions are common. The prevalence and type of airway obstruction varies with age. Children younger than four are more vulnerable to choking-related upper airway obstructions, while adults commonly experience airway obstruction caused by complications from smoking. First responders will inevitably encounter a wide variety of airway obstructions and must be prepared to promptly respond to each with appropriate medical care.

First Responder 95

First Responder 95

American Ambulance Association

APRIL 29, 2024

This content is for AAA members only. Please either Log In or Join! The post FTC Publishes Final Rule Banning Employee Non-Compete Agreements appeared first on American Ambulance Association.

Ambulance 130

Ambulance OR 130

First 10 EM

APRIL 29, 2024

Although it made a bit of a splash when published, this article really didn’t interest me. Obviously, GCS 8 doesn’t mean intubate. I didn’t think anyone was simplistic enough to practice medicine based on a jingle. Clearly trajectory matters. If a patient’s GCS hit 8 and they are on a clinical course where you expect […] The post GCS 8 obviously doesn’t mean intubate (in tox or otherwise) appeared first on First10EM.

OR 96

OR EMS 96