ALiEM
OCTOBER 21, 2024
A 5-year-old generally healthy fully immunized boy presented to the ED with worsening left ear redness, swelling, and tenderness that his family noticed the day before presentation. His family had also recently noticed an abrasion over that ear. The patient was on amoxicillin for strep throat, which was diagnosed a week before the onset of his symptoms and was improving.
Critical Care Scenarios
OCTOBER 16, 2024
We discuss the practical barriers to implementing the A-F ICU liberation bundle, with Kali Dayton, ACNP-BC (@HomeIcu), host of the Walking Home from the ICU podcast, and consultant to ICUs working on these issues. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! We discuss the practical barriers to implementing the A-F ICU liberation bundle, with Kali Dayton, ACNP-BC ( @HomeIcu ), host of the Walking Home from the ICU podcast, and consultant to ICUs working
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
American Ambulance Association
OCTOBER 17, 2024
This content is for AAA members only. Please either Log In or Join! The post CMS Announces CY 2025 Ambulance Inflation Factor appeared first on American Ambulance Association.
EMergucate
OCTOBER 15, 2024
An 80yr male presents with 2 weeks increasing shortness of breath, he has a history of CABG. What can be seen on the ECG: If these were new findings what might you be concerned about?
The Skeptics' Guide to EM
OCTOBER 19, 2024
Date: October 7, 2024 Reference: Nguyen et al. Comparison of Nebulized Ketamine to Intravenous Subdissociative Dose Ketamine for Treating Acute Painful Conditions in the Emergency Department: A Prospective, Randomized, Double-Blind, Double-Dummy Controlled Trial. Annals of EM 2024. Guest Skeptic: Dr. Brendan Freeman is an emergency medicine physician, assistant professor of emergency medicine, and medical education fellow at Staten Island University Hospital.
High Performance EMS
OCTOBER 18, 2024
Great OpEd published by AIMHI about how our industry is changing and leading to “EMS On Life Support: The Alarming Gap Between Expectations and Reality.” [link] I have been writing a lot this year that “ a stopwatch is not a valid instrument for summarizing the measure of care that a patient receives. ” What any administrator, or politician, should be concerned with is the quality care they are buying before the simplistic statistics they are generating.
Dr. Smith's ECG Blog
OCTOBER 15, 2024
This was sent to me by an undergraduate name Hans Helseth, who is an EKG tech, but who is an expert OMI ECG reader. He wrote most of it and I (Smith) edited. A prehospital “STEMI” activation was called on a 75 year old male ( Patient 1 ) with a history of hyperlipidemia and LAD and Cx OMI with stent placement. He arrived to the ED by helicopter at 1507, about three hours after the start of his chest pain while chopping wood around noon.
Paramedicine Now brings together the best content for paramedicine professionals from the widest variety of thought leaders.
EMergucate
OCTOBER 15, 2024
The chest x-ray shows streaky lucency outlining the great vessels of the neck (tubular artery sign) & air in the … Continue reading →
EM Literature of Note
OCTOBER 20, 2024
Pharmaceutical development is all about the blockbuster drug. Many of our brightest minds are research scientists and bioinformaticians working at translating in vitro discoveries to improving the lives of human kind. Many of our brightest minds are also working to ensure, even if their drug candidates are – say – a little flawed, there’s a clinical trial design, trial implementation, and post-approval marketing plan to maximize return to shareholders.
First 10 EM
OCTOBER 14, 2024
Another month, another set of articles. Some clinically relevant. Some just thought provoking. One is more than 100 years old. Yes, I look everywhere for these papers. The BroomeDocs podcast version can be found here: [link] Clinically but not statistically significant: what do you do? Turgeon AF, Fergusson DA, Clayton L,et al. Liberal or Restrictive […] The post The October 2024 Research Roundup appeared first on First10EM.
St. Emlyn's
OCTOBER 18, 2024
St.Emlyn's - Emergency Medicine #FOAMed Kevin Cyr, the commander of a SWAT-like unit within the Royal Canadian Mounted Police, shared his insights at the Tactical Trauma 24 conference in Sundsvall, Sweden, in conversation with Iain Beardsell and Liz Crowe and offers essential takeaways for anyone working in high-pressure environments, including healthcare professionals.
Dr. Smith's ECG Blog
OCTOBER 17, 2024
Written by Jesse McLaren Two patients in their 70s presented to the ED with chest pain and RBBB. Do either, both, or neither have occlusion MI? Patient 1 : a 75 year old called paramedics with one day of left shoulder pain which migrated to the central chest, which was worse with deep breaths. Past medical history included RBBB without other cardiac history, but old ECG was not available.
EMergucate
OCTOBER 15, 2024
The following axial CT is from a 60-year-old lady who has had a witnessed collapse. Provide your interpretation and diagnosis.
EMDocs
OCTOBER 14, 2024
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.
First 10 EM
OCTOBER 21, 2024
I love toxicologists, but it’s time for someone to call them out. (I also love ranting. Let’s see if I can get myself cancelled by a group of physicians that are definitely smarter than me.) I am sick of the anti-science rhetoric. Every time a toxicologist takes the stage at a conference, or grabs the […] The post Toxicology: the excuses must stop appeared first on First10EM.
St. Emlyn's
OCTOBER 21, 2024
St.Emlyn's - Emergency Medicine #FOAMed Should we use AP or AL pad position first for defibrillation in VF/VT cardiac arrest. Critical appraisal of an observational study in JAMA suggests a better outcome with AP, but there are many biases in this study. #FOAMed @stemlyns The post JC: AP or AL pad position for first choice shock in VF? appeared first on St.Emlyn's.
SSCOR
OCTOBER 19, 2024
Around 1.4 million people living with a life-limiting illness receive care from hospices in the United States annually. To optimize the quality of life for patients in hospice and palliative care settings, healthcare providers must be knowledgeable about the unique breathing problems and airway emergencies these patients experience, along with the best methods for airway management and treatment.
EMergucate
OCTOBER 20, 2024
This chest x-ray is from a 23-year-old with right shoulder tip pain. What can be seen?
Don't Forget the Bubbles
OCTOBER 18, 2024
What are midline catheters? There are three types of peripheral venous catheters: 1. Midline Catheter 2. PICC line 3. Long peripheral catheters. Midline catheters (MCs) are peripheral intravenous lines that are longer (usually 6-20 cm) than routine peripheral IV cannulas. However, the tip of the catheter does not extend into a central vein. The final position of the tip should be in the axillary vein, ideally in the infraclavicular segment.
EMOttawa
OCTOBER 17, 2024
We remain amid an opioid crisis in Canada, with over 8000 deaths (or 22/day) in 2023. The harms of opioid use in society are devastating and cannot be understated – but so too are the harms from stimulant and other substance use. In 2023 there were 3479 apparent stimulant toxicity deaths, which is approximately 10/day. […] The post S’now Problem: Keep your Cool when Stimulants turn up the Speed appeared first on EMOttawa Blog.
REBEL EM
OCTOBER 16, 2024
Take Home Points Orogastric lavage may still play an important role in treatment of the overdose patient. Do not perform lavage if the ingestion has limited toxicity at any dose or the ingested dose is unlikely to cause significant toxicity. Strongly consider orogastric lavage in a patient who has taken an overdose of drugs that are particularly toxic, suspected extreme doses associated with high morbidity/mortality and do not have easily available and effective antidotes.
SSCOR
OCTOBER 17, 2024
Endotracheal intubation offers life-saving relief when an airway obstruction endangers a patient’s life. Yet many first responders have little experience with endotracheal intubation, and some actively avoid training opportunities because they feel overwhelmed and intimidated by the process. Endotracheal intubation is a basic skill that every first responder must master.
EMergucate
OCTOBER 15, 2024
The chest x-ray shows hyperexpanded & lucent right lung field. There is no radio-opaque foreign body seen.
Don't Forget the Bubbles
OCTOBER 21, 2024
Olivia, 7, has been brought to the emergency department. Over the last couple of weeks, Olivia has been having episodes of rapid blinking and grimacing. They only occur when she’s awake. She does not lose awareness, and her activities are not impaired. Olivia feels she can stop them from happening, but she feels better if she lets them happen. She is otherwise completely well.
EMOttawa
OCTOBER 15, 2024
Methodology: 3/5 Usefulness: 4/5 Essat M, et al. Ann Emerg Med. 2024 Jun 18:S0196-0644(24)00260-9 Question and Methods: Using systematic review methodology, the authors aimed to determine sensitivity and specificity in the use of D-Dimer in the work-up for Acute Aortic Syndrome. Findings: A total of 25 studies were included in the primary meta-analysis; summary sensitivity […] The post Diagnostic Accuracy of D-Dimer for Acute Aortic Syndromes: Systematic Review and Meta-Analysis appeared
FirstNet Authority
OCTOBER 18, 2024
How a Georgia police department switched their communications to broadband joseph.rey@fir… Fri, 10/18/2024 - 13:40 Chief Joe Duvall led the Dallas Police Department to becoming first in the state — and one of the first in the country — to completely switch from land mobile radios (LMR) to public safety broadband for their communications. The cost savings will benefit his community for years to come and his officers can utilize a variety of functional, reliable devices over FirstNet.
ESO
OCTOBER 18, 2024
Welcome to this quarter’s product updates. Our customers are at the heart of what we do, which is why it’s incredibly important for us to keep you in the loop on our latest updates. Q3 was an especially exciting quarter, and we’re excited to share the highlights delivered and improvements to come with a sneak peek at the Product Roadmap for Q4.
EMergucate
OCTOBER 15, 2024
The abdominal x-ray shows Gall stone ileus. There are prominent central bowel loops with pneumobilia.
Don't Forget the Bubbles
OCTOBER 14, 2024
Some definitions Asylum seeker: A person who has fled their country and applied to another country to be recognised as a refugee but has not yet been granted this status. Refugee: Someone whose asylum application has been successful. The government recognizes they cannot return to their country of origin owing to a well-founded fear of being persecuted for the reasons provided for in the United Nations Refugee Convention or European Convention on Human Rights (such as persecution due to race, se
AAAM
OCTOBER 17, 2024
The Association for the Advancement of Automotive Medicine (AAAM) is proud to announce that our President-Elect, Associate Professor Sjaan Koppel, PhD , has been honored with the 2024 Australasian College of Road Safety (ACRS) Women in Road Safety Award. This esteemed recognition highlights Sjaan’s significant contributions to road safety research and advocacy, particularly in protecting vulnerable road users such as older adults and children.
Stem EMS
OCTOBER 15, 2024
Municipal Disaster Days in Madrid: an unmissable event for professionals and companies in the security sector L'articolo Municipal Disaster Days in Madrid proviene da Stem Ems.
FirstNet Authority
OCTOBER 16, 2024
Wellness is a hot topic in the public safety community – but how does it address the challenges faced by first responders serving on the front lines? Dr. Kristen Wheldon, Assistant Chief Patrick Fale, and Undersheriff Sylvia Moir discuss the importance of early intervention solutions for first responders, live at 5x5: The Public Safety Innovation Summit.
EMergucate
OCTOBER 15, 2024
The following ECG is from a 19-year-old female who has presented following a syncopal episode.
Don't Forget the Bubbles
OCTOBER 16, 2024
You’re embarking on your first paediatric registrar rotation – welcome to this exciting next stage of your career, and congratulations on getting here! This article is not intended to be a set of step-by-step instructions but to give you some ideas to consider and some tips and tricks from first-time registrars who have recently gone through this transition.
AAAM
OCTOBER 17, 2024
Join your road safety peers at these upcoming road safety events and conferences. 2024 Midwest Traffic Safety Conference – November 12, 2024 in Itasca, Illinois A key event to network with law enforcement leaders, crash investigators, prosecutors, and road safety managers. 2024 National Alliance to Stop Impaired Driving (NASID) Conference – November 18 – 20, 2024 in Arlington, VA An opportunity to hear from national experts on impaired driving and connect with fellow road safet
Pulsara
OCTOBER 16, 2024
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.
ESO
OCTOBER 15, 2024
As communities expand near forests, grasslands, and other natural areas, wildland fires–also known as wildland-urban interface (WUI) fires–are becoming more frequent and difficult to manage. Data from the 2024 ESO Fire Service Index , which analyzed over 6.5 million incidents from 2023, shows that fire departments responded to more than 82,000 outdoor fire incidents , burning over 237,000 acres.
Expert insights. Personalized for you.
152 
Let's personalize your content