The Bottom Line

JUNE 27, 2025

Journal of Hepatology Association of central capillary refill time with mortality in adult trauma patients: a secondary analysis of the crash-2 randomised controlled trial data Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Dorsal Digital Nerve Block Versus Ultrasound-Guided Selective Peripheral Nerve Block for Finger Analgesia: (..)

Emergency Department 69

Emergency Department Critical Care Overdose Epinephrine 69

EMDocs

DECEMBER 18, 2024

fold higher risk of NSTI than the control group 12 For those without comorbidities , AUD exhibited a 15.2-fold fold higher risk of NSTI than the control group 12 For those without comorbidities , AUD exhibited a 15.2-fold fold higher risk of NSTI than the control group 12 For those without comorbidities , AUD exhibited a 15.2-fold

E-9-1-1 100

E-9-1-1 Emergency Department ICU ED 100

EMDocs

JANUARY 11, 2025

Up to 1/3 of adults over 60 suffer from chronic constipation. Evaluation: A good history and a high index of clinical suspicion is paramount, especially in high-risk patient populations 4 CT of the abdomen and pelvis with contrast is the best choice for diagnosis. Enemas (some studies show this may be associated with perforation risk).

E-9-1-1 96

E-9-1-1 EMS Emergency Department ALS 96

ACEP Now

JUNE 25, 2025

The 2013 ACEP Clinical Policy on asymptomatic hypertension does not recommend routine ED medical interventions for asymptomatic elevated blood pressure unless the patient had poor follow-up or the patient was part of a select high-risk patient population.

Heart Attack 64

Heart Attack ED Emergency Department OR 64

EMDocs

NOVEMBER 13, 2024

Literature concerning risk with PPIs is controversial. Presentation: Classic presentation is abdominal pain or tenderness, fever, and altered mental status. Literature suggests 10-33% of patients are asymptomatic or only have mild symptoms. Clinician sensitivity for SBP based on bedside assessment is between 40-75%. increase in mortality.

E-9-1-1 100

E-9-1-1 ALS OR ED 100

REBEL EM

NOVEMBER 13, 2024

Saline load test Has mainly been supplanted by CT scan due to ease in obtaining, reported performance characteristics, consultant recommendation and difficulty in interpreting test. cefazolin or cefuroxime) If risk factors for MRSA present, use agent with activity against MRSA (i.e.

ED 97

ED OR EMS 97

EMDocs

NOVEMBER 16, 2024

Answer : Posterior dislocation of a periprosthetic hip Epidemiology: Total Hip Arthroplasty (THA) is the 4 th most common surgical procedures in the United States (2.3% of adults over the age of 55). 1-3 Despite its commonality it retains a relatively high rate of complications overall and patients frequently present to the ED for evaluation.

EMS 96

EMS E-9-1-1 Operating Room Emergency Department 96

JEMS

JUNE 17, 2025

In 2013, the Weld Community Foundation — then known as the North Colorado Medical Center Foundation — was paramount in Greeley becoming just the second city in Colorado to earn the designation of a “Heart Safe City.” If the user is in a position to help, they can respond and provide aid while emergency personnel are en route. “On

Mobile Integrated Health 52

Mobile Integrated Health Community Paramedicine Heart Attack CPR 52

JEMS

JULY 11, 2025

6 min read EMS Equipment & Gear News News Feed Headlines West Virginia Massachusetts Opioid Overdose Deaths Down 36% in 2024 Opioid related overdose deaths fell 36% in Massachusetts in 2024, reaching their lowest point since 2013. “We know timing is everything,” he said. We know timing is everything,” he said. Air Force Lt.

Mobile Integrated Health 52

Mobile Integrated Health Overdose Community Paramedicine Ambulance 52

JEMS

JULY 11, 2025

5 min read News News Feed Patient Care Headlines Nebraska Whole Blood Massachusetts Opioid Overdose Deaths Down 36% in 2024 Opioid related overdose deaths fell 36% in Massachusetts in 2024, reaching their lowest point since 2013. Gastric decompression is an easy skill. There are few true contraindications for using NG/OG in the field.

Mobile Integrated Health 116

Mobile Integrated Health Overdose Community Paramedicine CPR 116

Peter Canning

JUNE 8, 2025

Only after I had read the article the second time did I notice it had been published in 2013. Giving thrombolytics to a patient already bleeding in the brain could kill them. Not everyone calls the minute their stroke strikes so we are often arriving past the stroke window or very late in the window. Time is Brain. EMS Decisions Matter.

Heart Attack 52

Heart Attack EMS STEMI Ambulance 52

JEMS

JUNE 23, 2025

While this mechanism has enabled states to draw down billions in additional federal funds, CMS argues that it distorts the fiscal integrity of Medicaid by allowing states to effectively cycle federal dollars back to providers without a commensurate state contribution or measurable expansion of care for enrollees.

EMS 116

EMS E-9-1-1 Community Paramedicine Emergency Medical Services 116

FOAMfrat

DECEMBER 26, 2024

These showed that with 22 incidents between 2011 and 2013, 43 people were harmed. TRIGGER WARNING: TOPICS OF SUICIDE MAY BE HARD FOR SOME PEOPLE TO READ ABOUT. THIS ARTICLE IS COVERING THE MEDICAL ASPECTS OF CHEMICAL SUICIDES. IF YOU OR A LOVED ONE NEEDS HELP, CALL 988 OR SEEK CARE AT A LOCAL EMERGENCY DEPARTMENT.

Epinephrine 116

Epinephrine First Responder OR CAD 116

Don't Forget the Bubbles

DECEMBER 16, 2024

The reduced coverage is particularly notable in urban areas like London , where socio-economic and cultural barriers further compound the problem. This contributed to a sharp increase in cases of both diseases in 2024. Health services worldwide were disrupted, with routine immunisation programmes among the hardest hit.

E-9-1-1 57

E-9-1-1 OR ALS Emergency Department 57

Dr. Smith's ECG Blog

JANUARY 6, 2016

The QRS proves it. Posted by Steve Smith at 6:29 AM Email This BlogThis! Share to X Share to Facebook Share to Pinterest Labels: draft No comments: Post a Comment DEAR READER: I have loved receiving your comments, but I am no longer able to moderate them. Disclaimer Cases come from all over the world.

STEMI 52

STEMI Coronary CPR ACS 52

This Podcast Will Kill You

DECEMBER 10, 2024

” World Journal of Gastroenterology: WJG 19.34 (2013): 5607. 2013): 339-354. Surgeons performed appendectomies like it was spring cleaning – when in doubt, cut it out. In this episode, we trace the story of the appendix from its earliest descriptions to the latest advancements in treatment of appendicitis. 2017): 39-57.

E-9-1-1 52

E-9-1-1 ALS Emergency Department OR 52

JEMS

JULY 2, 2025

, taping the head to the board and applying straps to the body. Back in those days, the board was probably produced in the garage of one of the members of the ambulance service or fire department. Then, logroll back to the ED cart and back to the ED they would go, sans spine board. I don’t want to brag (or complain), but this was my idea.

Mobile Integrated Health 98

Mobile Integrated Health E-9-1-1 EMT EMT 98

JEMS

JUNE 12, 2025

Since beginning my EMS career in 1993, the U.S. Food and Drug Administration has approved over 3,000 new medications, averaging over 110 new drugs yearly. 1 Many of these approvals represent entirely new drug classes or treatment approaches. It would be a great display in training centers, simulation labs and EMS stations.]

Mobile Integrated Health 98

Mobile Integrated Health E-9-1-1 EMS Community Paramedicine 98

Don't Forget the Bubbles

MAY 12, 2025

Worryingly, there has been an 84.1% rise in hospital admissions for children under 16 following assaults with sharp objects. This mirrors an 89.0% increase in police-recorded offences involving knives or sharp instruments over the same period. These scenarios might include: Children with reduced consciousness level (this includes intubated patients!)

Emergency Department 99

Emergency Department OR 99

EMDocs

JULY 21, 2025

SCAPE differs in several significant ways: rapid onset (hours), respiratory distress, severe HTN, may or may not be systemically volume overload. Meta-analyses demonstrate reduced need for intubation, improved survival, improved respiratory indices (e.g., May use BPAP or CPAP; neither superior to the other. Standard doses of nitroglycerin (0.4

E-9-1-1 67

E-9-1-1 ALS Emergency Department OR 67

The Bottom Line

JUNE 27, 2025

Skip to content Twitter Google+ Facebook Reddit RSS The Bottom Line A compendium of critical appraisals in Intensive Care Medicine research and related specialties Home About Us Summaries Intensive Care Medicine Emergency Medicine Peri-operative Medicine Blog News EBM Editorial Submit a review Wessex ICS You are here: Home Blog Critical Care Evidence (..)

Critical Care 69

Critical Care ICU Coronary OR 69

FOAMfrat

NOVEMBER 14, 2024

Accessed November 7, 2013. While this seems like a relatively mundane call to most, there are a few things I want to call attention to: Alcohol Withdrawal Syndrome (AWS) is one of the most frequent causes of death worldwide, more so than HIV, TB, and violence combined (Grover & Ghosh, 2018). New York: McGraw-Hill; 2011. Brouwers, E.

Paramedic 98

Paramedic EMT EMT ED 98

Dr. Smith's ECG Blog

NOVEMBER 16, 2016

Thus, the ACC/AHA 2013 STEMI guidelines now list diffuse ST depression, with ST elevation in aVR, as an indication for thrombolytic therapy. Here is her initial ED 12-lead ECG: There is atrial fibrillation with a rate of approximately 114. There is some STE in V1 and aVL, further suggesting left main involvement.

ACS 52

ACS Coronary ICU STEMI 52

JEMS

JULY 11, 2025

5 min read News News Feed Patient Care Headlines Nebraska Whole Blood Massachusetts Opioid Overdose Deaths Down 36% in 2024 Opioid related overdose deaths fell 36% in Massachusetts in 2024, reaching their lowest point since 2013. It’s a culture change as well, for people to think that they can still get drugs at that corner,” Torrence said.

Overdose 52

Overdose Mobile Integrated Health NARCAN First Responder 52

ACEP Now

JUNE 17, 2025

2013 Apr 15;87(8):536. Think about the medical student on rounds whose pockets are stuffed with all manner of items compared to the attending who carries nothing more than a phone, eschewing even a pen or stethoscope to the burden of others. 1,2 Panel a. Additional techniques for diagnosing scabies. Am Fam Physician. Woodley D, Saurat JH.

Emergency Department 52

Emergency Department E-9-1-1 ALS OR 52

NVFC

JUNE 10, 2025

Fire departments are urged to upgrade to SCBAs certified to the 2013 or newer standard and to report any failures or performance issues in accordance with NFPA 1852. These older lenses have been shown to fail under high heat conditions, leading to severe deformation and potential firefighter injury.

NFPA 52

NFPA Firefighter OR 52

Dr. Smith's ECG Blog

JUNE 6, 2020

Acute Diagonal Branch Occlusion: For an example of ST elevation in lead aVL ( and also lead I ), but limited to lead V2 in the anterior leads (ie, No ST elevation in either lead V1 or leads V3,V4,V5 ) — SEE this case contributed by Dr. Theodorou to the ECG Guru from 9/21/2013. Is it important to know whether this is LAD or RCA?

STEMI 40

STEMI ALS OR 40

Dr. Smith's ECG Blog

MAY 10, 2019

Disclaimer Cases come from all over the world. Patient identifiers have been redacted or patient consent has been obtained. The contents of this site have not been reviewed nor approved by Hennepin County Medical Center and any views or opinions expressed herein do not necessarily reflect the views or opinions of Hennepin County Medical Center.

STEMI 52

STEMI Coronary CPR ACS 52

Dr. Smith's ECG Blog

NOVEMBER 27, 2014

Disclaimer Cases come from all over the world. Patient identifiers have been redacted or patient consent has been obtained. The contents of this site have not been reviewed nor approved by Hennepin County Medical Center and any views or opinions expressed herein do not necessarily reflect the views or opinions of Hennepin County Medical Center.

STEMI 52

STEMI Coronary CPR ACS 52

Dr. Smith's ECG Blog

FEBRUARY 20, 2016

Disclaimer Cases come from all over the world. Patient identifiers have been redacted or patient consent has been obtained. The contents of this site have not been reviewed nor approved by Hennepin County Medical Center and any views or opinions expressed herein do not necessarily reflect the views or opinions of Hennepin County Medical Center.

STEMI 52

STEMI Coronary CPR ACS 52

Dr. Smith's ECG Blog

APRIL 13, 2019

Disclaimer Cases come from all over the world. Patient identifiers have been redacted or patient consent has been obtained. The contents of this site have not been reviewed nor approved by Hennepin County Medical Center and any views or opinions expressed herein do not necessarily reflect the views or opinions of Hennepin County Medical Center.

STEMI 52

STEMI Coronary CPR ACS 52

REBEL EM

FEBRUARY 24, 2025

July 2013; PMID: 23774337 Cavallaro, F et al: Diagnostic accuracy of passive leg raising for prediction of fluid responsiveness in adults: systematic review and meta-analysis of clinical studies. Oct 2013; PMID: 24079262 Gohar E, et al. As with most things in medicine, it is important to understand the pitfalls. Ultrasound Med Biol.

ALS 64

ALS E-9-1-1 Critical Care OR 64

Dr. Smith's ECG Blog

JULY 27, 2020

Disclaimer Cases come from all over the world. Patient identifiers have been redacted or patient consent has been obtained. The contents of this site have not been reviewed nor approved by Hennepin County Medical Center and any views or opinions expressed herein do not necessarily reflect the views or opinions of Hennepin County Medical Center.

STEMI 52

STEMI Coronary CPR ACS 52

Dr. Smith's ECG Blog

JANUARY 11, 2017

Disclaimer Cases come from all over the world. Patient identifiers have been redacted or patient consent has been obtained. The contents of this site have not been reviewed nor approved by Hennepin County Medical Center and any views or opinions expressed herein do not necessarily reflect the views or opinions of Hennepin County Medical Center.

STEMI 40

STEMI Coronary CPR ACS 40

Don't Forget the Bubbles

FEBRUARY 24, 2025

Since the introduction of the Pertussis vaccination in pregnancy, from 2013 to the end of October 2024, there have been 31 deaths in infants under 3 months with confirmed Pertussis (eleven of which occurred in 2025). Two-month-old Isla presents to their local hospital following a prolonged apnoea at home.

ALS 57

ALS Critical Care OR Life Support 57

Dr. Smith's ECG Blog

AUGUST 25, 2013

OMI Manifesto About Resources Teaching Images Lectures + Podcasts Rules + Equations OMI Literature Timeline OMI Facts and References The OMI Quizzes OMI Pocket Guide Cardiac CATH Guide QTc Calculator Lead Reversals-Artifact Neuroprotective CPR OMI AI: The Queen of Hearts Sunday, August 25, 2013 Anterior ST Elevation - Is it STEMI?

STEMI 52

STEMI Coronary CPR ACS 52

Dr. Smith's ECG Blog

AUGUST 15, 2017

Disclaimer Cases come from all over the world. Patient identifiers have been redacted or patient consent has been obtained. The contents of this site have not been reviewed nor approved by Hennepin County Medical Center and any views or opinions expressed herein do not necessarily reflect the views or opinions of Hennepin County Medical Center.

STEMI 52

STEMI Coronary CPR ACS 52