EMDocs

NOVEMBER 13, 2024

Commonly a monomicrobial infection with gram-negative bacteria like E. Paracentesis is a safe procedure with a low complication rate (< 1%). For the remaining fluid inject 1 mL into a purple top EDTA blood tube for cell count; send 2-3 mL for Gram stain in a red-top tube or sterile urine container. coli (50-90% of cases).

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EMDocs

NOVEMBER 16, 2024

1-3 Despite its commonality it retains a relatively high rate of complications overall and patients frequently present to the ED for evaluation. 9=11 70% monomicrobial, 25% poly-microbial, 5% culture-negative. 9=11 70% monomicrobial, 25% poly-microbial, 5% culture-negative. 2020 Sep 30;5(9):558-567. EFORT Open Rev.

EMS 96

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

JEMS

JULY 23, 2025

2 Only 1% of those studied actively attempted to solicit information from the patient with a suspected Autism Spectrum Disorder (ASD), instead electing to question bystanders. The DSM-5 splits Autism Spectrum Disorder into three levels on this basis: Level 1. References 1. & Stuart, E. World Health Organization (WHO).

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E-9-1-1 EMT EMT Public Safety 98

Don't Forget the Bubbles

DECEMBER 16, 2024

Coverage of the 6-in-1 vaccine measured at 12 months of age in England for Q4 2023 to 2024 Source: ONS under the Open Government License v3.0 Young infants and immunosuppressed individuals are particularly at risk of severe disease, resulting in significant morbidity and associated mortality rates of 1-3 per 1,000 cases.

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

EMDocs

JANUARY 6, 2025

ED Evaluation Transport to the ED from the refugee reception center takes 1 hour. g/dL, thrombocytopenia of 96 10 9 /L, prothrombin time (PT) of 16.1 1 By the end of 2023, 117.3 million people had been forcibly displaced, representing 1 in 69 individuals or 1.5% seconds (normal 30-40 seconds), creatinine of 3.11

ED 74

ED E-9-1-1 ALS Frozen Plasma 74

EMDocs

JULY 21, 2025

SCAPE defining features: 1) rapid onset of respiratory distress (<4-6 hours); 2) pulmonary edema with severe dyspnea; 3) abdominal vital signs with SBP > 160 and/or > 120, hypoxic, tachypneic, tachycardic; 4) critically ill, evidence of pulmonary edema. Epub 2022 Apr 1. Evaluate for ≥ 3 B lines in two bilateral lung zones.

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E-9-1-1 ALS Emergency Department OR 88

JEMS

JULY 9, 2025

1 Obviously, this is an extreme case; however, it illustrates that field amputations can be successful even in the most primitive conditions. The Gigli saw technique had an instrument malfunction on 3/9 trials which was distinct from the other techniques. 1996 Jan-Mar;11(1):63-6. 2018 Jan;54(1):90-95. Ralston, Aron.

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E-9-1-1 EMT EMT Mobile Integrated Health 102

Pediatric EM Morsels

MARCH 7, 2025

of IV form TXA [O’Neill 2020] Inexpensive ! of IV form TXA [O’Neill 2020] Inexpensive ! 2012 Feb;147(2):113-9. 2020;2(1):e0075. Published 2020 Jan 29. Treasure Island (FL): StatPearls Publishing; 2025 Jan-.Available Available from: [link] CRASH-2 trial collaborators. Acad Emerg Med. 2022;29(7):862-873.

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EMDocs

NOVEMBER 25, 2024

1 Life Cycle and Pathophysiology Life Cycle Humans are the only hosts for O. 1 The parasite has a 5-stage life cycle in which the blackfly acts as an obligate intermediate host. The worms can live as long as 15 years, and female worms may produce microfilariae (early-stage larvae) for up to 9 of those years. 13 Figure 1.

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E-9-1-1 ALS Emergency Department OR 71

REBEL EM

JULY 14, 2025

About 1 in 10 patients will have an occult fracture, and roughly 1 in 10 scaphoid fractures result in nonunion. 1,2 However, the risk of nonunion among patients with MRI-confirmed occult fractures is much lower—around 1 in 30. 2025;26(1):14. 7 🧾 Paper Cohen A, Reijman M, Kraan GA, et al. J Orthop Traumatol.

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EMDocs

MAY 17, 2025

1 These values can be difficult to quickly assess and measure in a fast-paced clinical scenario. See Figure 1. 9 Current best practice suggests a 1:1:1 administration of PRBC, Platelets, and FFP. Provide 1-2 grams calcium chloride or 3-6 grams calcium gluconate should be administered per MTP round.

E-9-1-1 104

E-9-1-1 EMS FFP Frozen Plasma 104

REBEL EM

FEBRUARY 24, 2025

1 They noticed how spontaneously breathing patients had their IVC collapse with inspiration; and ventilated patients had their IVC dilate during positive pressure ventilation. Nov 2020; PMID: 33140173 Hanson J, et al. Oct 2013; PMID: 24079262 Gohar E, et al. Effects of capillary refill time-vs. Ann Intensive Care.

ALS 64

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

This Podcast Will Kill You

JUNE 16, 2025

The Lancet Infectious Diseases, 19(9), pp.e313-e321. The Lancet infectious diseases, 9(5), pp.281-290. ” New England Journal of Medicine Atchade, E., ” New England Journal of Medicine Atchade, E., Antibiotics, 13(1), p.96. Centers for Disease Control: Toxic-shock syndromeUnited States. Reame, N.K.,

E-9-1-1 52

E-9-1-1 ALS OR 52

Dr. Smith's ECG Blog

NOVEMBER 23, 2017

Repost this one A 30-something with 8 hours of chest pain and an e. Computer says. huge inf right lateral RV afib block vfib What is lurking underneath this new right bundle b. QT Correction Formulas Compared to The Rule of Thu. A 30-something with It is not a STEMI; it is an opportunity to save my. A male in his 50s with chest pain.

E-9-1-1 52

E-9-1-1 STEMI Coronary CPR 52

EMDocs

APRIL 12, 2025

Typically begin after development of the pincer grip (9 months). 1 ADHD is considered an important risk factor for auricular foreign bodies due to increased impulsivity and inatentiveness. 1 Typically presents in ages 9 months – 8 years. 1-3 More common in boys (1.48 to 1 ratio). to 1 ratio).

E-9-1-1 79

E-9-1-1 EMS Emergency Department ED 79

Dr. Smith's ECG Blog

NOVEMBER 25, 2017

Repost this one A 30-something with 8 hours of chest pain and an e. Computer says. huge inf right lateral RV afib block vfib What is lurking underneath this new right bundle b. QT Correction Formulas Compared to The Rule of Thu. A 30-something with It is not a STEMI; it is an opportunity to save my. A male in his 50s with chest pain.

E-9-1-1 52

E-9-1-1 STEMI Coronary CPR 52

EMDocs

JUNE 2, 2025

2021;12(1):885-901. link] Jain S, Khaiboullina S, Martynova E, et al. 2017;17(1):225. 2019;6(1):435-458. 2016;77:9-14. 2015;372(1):40-47. Use of Ebola Vaccine: Recommendations of the Advisory Committee on Immunization Practices, United States, 2020. 2021;70(1):1-12. Outbreak History.;

E-9-1-1 100

E-9-1-1 ALS EMS OR 100

This Podcast Will Kill You

JULY 1, 2025

University of Chicago Press, 2020. Scientific Opinion on the re‐evaluation of Sunset Yellow FCF (E 110) as a food additive. Scientific Opinion on the re‐evaluation of Allura Red AC (E 129) as a food additive. Scientific Opinion on the re‐evaluation Tartrazine (E 102). Refined exposure assessment for Allura Red AC (E 129).

E-9-1-1 52

E-9-1-1 ACS ALS OR 52

Dr. Smith's ECG Blog

JANUARY 16, 2020

A man in his early sixties with palpitations An elderly patient with a fall, QS-waves, and ST E. Intubated External pacing To cath lab Coronaries ok Pacemaker Posted by Steve Smith at 8:16 AM Email This BlogThis! And have you ever. great EKG of heart block, RBBB, TIMI-3 flow in LAD A 40-something with sharp chest pain, worse with l.

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E-9-1-1 STEMI Coronary CPR 52

This Podcast Will Kill You

JULY 8, 2025

Human reproduction, 33(9), pp.1602-1618. Stener-Victorin, E., The lancet Diabetes & endocrinology, 10(9), pp.668-680. BMJ medicine, 2(1), p.e000548. Ricardo Azziz, and Sharon E. Frontiers in endocrinology, 9, p.452. Journal of endocrinological investigation, 41(1), pp.49-57. Chicano-Gálvez, E.,

E-9-1-1 56

E-9-1-1 OR 56

Pediatric EM Morsels

OCTOBER 27, 2023

DeBoer 2020] Now seen as industry standard in pediatric emergency care. Initially tested in Johannesburg, South Africa: 1 month old to 12 years old Broselow predicted within 10% of weight in 63.6% K 2020] In Mexican children, the Broselow differed from actual weight by <10% in 46-64% of patients. Came out in 1986.

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E-9-1-1 Emergency Medical Services Life Support ALS 274

Pediatric EM Morsels

JULY 19, 2024

Since tonsillectomy is one of the most common pediatric surgeries in the US (~500,000 per year) and the rate of post-tonsillectomy hemorrhage is about 1-5% , it is a good idea that we all are familiar with how to manage this issue! 2020 Sep;38(9):1943. Epub 2020 Jan 29. Load gauze onto Magill forceps. PMID: 35988367.

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E-9-1-1 Epinephrine Emergency Department OR 293

ALiEM

MAY 19, 2023

The SB tube was created in 1950 in order to help tamponade variceal bleeds [1]. Apply traction to the tube by tying a roller bandage to the end of it and then the other end to a 1 L bag of IV fluids. Pearl 1: Check the units of pressure being used. The conversion rate is: 1 cmH2O = 0.74 1950 May;131(5):781-9.

E-9-1-1 245

E-9-1-1 Emergency Department ICU OR 245

ALiEM

MARCH 7, 2024

Ultrasound probes from left to right: linear (nenoates), phased array (infants/younger children), and curvilinear (older children/adolescents) Pro tips for performing renal/bladder POCUS on a child [1] Addressing potential anxiety leads to a more efficient and comfortable examination. Estimated volume = 39.2

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E-9-1-1 Emergency Department ALS ED 177

ALiEM

MAY 13, 2024

Her symptoms started 1 week ago as a scratch which progressively got more red and painful. Pediatric Soft Tissue POCUS Ultrasound Technique Figure 1. Cellulitis with cobblestoning Video 1. Abscess with irregular borders and surrounding cellulitis E. Superficial abscess with well-circumscribed borders Table 1.

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E-9-1-1 ALS Emergency Department OR 161

Dr. Smith's ECG Blog

DECEMBER 19, 2023

link] A 62 year old man with a history of hypertension, type 2 diabetes mellitus, and carotid artery stenosis called 911 at 9:30 in the morning with complaint of chest pain. Challenge QUESTION: The relative change in T-QRS-D is not the only thing that changes during period of time that passed between recording of the 2 ECGs shown in Figure-1.

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E-9-1-1 Coronary ACS BLS 134

Don't Forget the Bubbles

AUGUST 30, 2023

The parents of 9-month-old Josie bring her into the Emergency Department with coryzal symptoms and difficulty breathing. Among those who do not always obtain a CXR, one-fifth still routinely obtained them under a certain age (2 weeks to 12 years, median of 1 year). Pediatrics July 2020; 146 (1_MeetingAbstract): 206–209.

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E-9-1-1 Emergency Department ALS OR 130

Dr. Smith's ECG Blog

AUGUST 14, 2024

R waves 6 through 9 have no preceding P waves and are suspiciously regularly spaced. Impulses E, F, G, H, and I were blocked. Progress in Biophysics and Molecular Biology , 120 (1–3), 164–178. Science Translational Medicine , 9 (400). Figure-1: I've labeled the initial ECG in today's case to illustrate my theory.

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E-9-1-1 OR ALS 116

Dr. Smith's ECG Blog

DECEMBER 27, 2023

Written by Willy Frick A man in his 50s with a history of hypertension, dyslipidemia, type 2 diabetes mellitus, and prior inferior OMI status post DES to his proximal RCA 3 years prior presented to the emergency department at around 3 AM complaining of chest pain onset around 9 PM the evening prior. ECG 1 What do you think? Grines, C.

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E-9-1-1 OR Coronary ACS 137

Dr. Smith's ECG Blog

NOVEMBER 14, 2023

Learning Point: 1. For examples of this phenomenon — See My Comment in the February 14, 2018 — July 21, 2020 — and December 22, 2022 posts in Dr. Smith's ECG Blog ). For examples of such exceptions — See My Comment in the January 9, 2019 — August 22, 2020 — and June 30, 2023 posts in Dr. Smith's ECG Blog ).

E-9-1-1 122

E-9-1-1 Coronary ED EMS 122

This Podcast Will Kill You

JULY 23, 2024

Official journal of the American College of Gastroenterology| ACG , 118 (1), pp.59-76. Annals of internal medicine , 172 (1), pp.ITC1-ITC16. ” BMC medicine 17 (2019): 1-20. . ” BMC medicine 17 (2019): 1-20. Gastroenterology , 160 (1), pp.63-75. ” Internal and emergency medicine 9 (2014): 249-256.

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E-9-1-1 ALS OR 98

EMDocs

SEPTEMBER 7, 2024

1 Risk Factors: 1-4 Spontaneous Anticoagulants (Apixaban, Rivaroxaban, etc.) Older Age (median age of 70 years) 1 Abnormal vasculature/neoplasm of the kidney (e.g., 5 Clinical Presentation: 1-3 Variable presentation but may present with dropping hemoglobin/hematocrit without other findings in spontaneous cases.

EMS 96

EMS E-9-1-1 Operating Room ICU 96

Don't Forget the Bubbles

SEPTEMBER 20, 2023

Published 2020 Mar 15. 2012;161(1):44–50.e502. 2014;164(1):83-88.e2 2020;15(9):557-559. 3387 Kearney R, Edwards T, Braford M, Klein E. 2019;35(9):624-629. Take home points References Anwar Ul Haq MM, Lyons H, Halim M. 2020;12(3):e7283. doi:10.7759/cureus.7283 2017;191:179-183. doi:10.1016/j.jpeds.2017.08.075

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E-9-1-1 Emergency Department ALS ED 133

EMDocs

JULY 29, 2023

Other bacterial causes include anaerobic oral flora, Strep viridans, E. Other bacterial causes include anaerobic oral flora, Strep viridans, E. Other bacterial causes include anaerobic oral flora, Strep viridans, E. Other bacterial causes include anaerobic oral flora, Strep viridans, E.

E-9-1-1 94

E-9-1-1 EMS Emergency Department OR 94

Don't Forget the Bubbles

JUNE 17, 2024

Here are ten things to think about: 1. 2020 Aug 20. Churruca K, Pavithra A, McMullan R, Urwin R, Tippett S, Cunningham N, Loh E, Westbrook J. 2014 Jun 26;23(12):653-9. 2020 Jan 1;35(1):70-6. 2023 Oct 31;21(1):403. Roche E, Jones A, Plunkett A. cognitive rehearsal techniques ). A realist review.

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E-9-1-1 Critical Care CPR ICU 104

Don't Forget the Bubbles

SEPTEMBER 13, 2023

When considering tumours, 37 observation studies involving 2661 children found that 3% (95% CI 1-7%) had tumours. Reaffirmed October 17, 2020 Jaffe M, Bar-Joseph G, Tirosh E. 2021;26(1):50-57 NICE. 2006;67(9):1542-1550 Royal Children’s Hospital Melbourne. 2000; 55(5):616-623. Pediatrics. 2000;41(8):950-954.

E-9-1-1 130

E-9-1-1 Emergency Department ALS OR 130

EMDocs

MAY 11, 2024

CT head without contrast 1 is performed and reveals the following: Question: What is the diagnosis? Updated November 9, 2023. On exam, the patient opens eyes to voice, has extraocular movements intact, is unable to speak, and has 0/5 strength in all extremities. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Simply Psychology.

EMS 102

EMS E-9-1-1 ALS OR 102