ALiEM

DECEMBER 9, 2024

Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved. JAMA Dermatol. 2018 Nov 1;154(11):1292-1303. doi: 10.1001/jamadermatol.2018.3186. PMID: 30285069; PMCID: PMC6248135.

Emergency Department 152

Emergency Department ACS EMS OR 152

ALiEM

DECEMBER 16, 2024

Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved. Oral Maxillofac Surg. 2009 Jun;13(2):115-7. doi: 10.1007/s10006-009-0155-7. PMID: 19352731.

OR 130

OR EMS 130

EMDocs

DECEMBER 1, 2024

2023 Oct 26;15(6):700-716. 2023 Oct 26;15(6):700-716. 2024 Jun 10;14(2):e185-e187. Blanton LS. Murine Typhus: A Review of a Reemerging Flea-Borne Rickettsiosis with Potential for Neurologic Manifestations and Sequalae. Infect Dis Rep. Civen R, Ngo V. Murine Typhus: An Unrecognized Suburban Vectorborne Disease. Clin Infect Dis.

E-9-1-1 97

E-9-1-1 EMS OR ED 97

ACEP Now

JANUARY 5, 2025

Published November 2023. Nebulized tranexamic acid in secondary post-tonsillectomy hemorrhage: case series and review of the literature. Clin Pract Cases Emerg Med. 2021;5(3):1-7. Helman A, Weingart S, Tillmann B. Hemoptysis ED approach and management. Emergency Medicine Cases. Accessed October 31, 2024. Andreae MC, Cox RD, Shy BD, et al.

Operating Room 98

Operating Room Epinephrine ALS ED 98

JEMS

JULY 11, 2025

2023), tested various forms of albumin, including 25% HSA, in animal models to explore its effectiveness in managing severe blood loss. For paramedics, this could mean a shelf-stable, easy-to-use solution that saves more lives in the toughest conditions, revolutionizing prehospital care as we know it. Reference Penn, A. Falabella, M.,

Mobile Integrated Health 105

Mobile Integrated Health EMT EMT Community Paramedicine 105

ALiEM

NOVEMBER 22, 2024

Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved. Clin Pediatr (Phila). 1999 Feb;38(2):63-72. doi: 10.1177/000992289903800201. PMID: 10047938.

ED 183

ED OR 183

ALiEM

NOVEMBER 18, 2024

Updated August 16, 2023. 2020.06.029 Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved. Accessed January 11, 2024. Munawar K, Nayak G, Fatterpekar GM, et al. Cavernous sinus lesions.

Emergency Department 177

Emergency Department ALS OR ED 177

ACEP Now

JULY 3, 2025

Treasure Island (FL): StatPearls Publishing; July 28, 2023. 2023 Jul 17. 2023 Jun 9. 2023 Feb 13. 2023 Jan 23. 2023 Jun 12. Calcium channel blocker toxicity: a practical approach. J Multidiscip Healthc. 2022;15:1851-1862. Khalid MM, Galuska MA, Hamilton RJ. Beta-blocker toxicity. In: StatPearls.

E-9-1-1 52

E-9-1-1 Overdose Epinephrine Naloxone 52

Dr. Smith's ECG Blog

JANUARY 2, 2025

For more on Torsades de Pointes vs PMVT See My Comment in the October 18, 2023 post and the September 2, 2024 post in Dr. Smith's ECG Blog ). Smith Pacing in today's case is an effective intervention as doing so prevents the bradycardia and pauses that are likely to precipitate additional episodes of Torsades de Pointes. (

Coronary 122

Coronary OR Defibrillator ALS 122

The Bottom Line

JUNE 27, 2025

Search TBL Search for: Clinical Topics Antibiotics Anticoagulation ARDS Cardiac Arrest Cardiac Surgery Cardiology Communication COVID-19 Delirium EBM ECHO ECMO EGDT Featured Fluid Haematology Head Injury Intubation Microbiology Monitoring Neurology Nutrition Oxygen Paediatrics Perioperative Care Pharmacology Pneumonia Pulmonary Embolism Rehabilitation (..)

Emergency Department 69

Emergency Department Critical Care Overdose Epinephrine 69

EMDocs

JANUARY 11, 2025

May 18, 2023) Stercoral Colitis: A Diagnostic Challenge and Therapeutic Approach in an Elderly Patient With Chronic Constipation. 2023 Oct;48(10):3050-3062. Epub 2023 Jun 27. Stercoral colitis in the emergency department: a review of the literature. International journal of emergency medicine, 17(1), 3. Stercoral Colitis.

E-9-1-1 95

E-9-1-1 EMS Emergency Department ALS 95

ALiEM

DECEMBER 20, 2024

Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved. J Emerg Med. 2011 Feb;40(2):167-9. doi: 10.1016/j.jemermed.2007.11.049. 2007.11.049. Epub 2008 Jun 27. PMID: 18584994.

Emergency Department 161

Emergency Department ED OR 161

EMDocs

NOVEMBER 19, 2024

Published 2023. Accessed October 23, 2023. Accessed October 23, 2023. Accessed October 23, 2023. Accessed October 23, 2023. Accessed October 23, 2023. Innov Clin Neurosci. 2018;15(7-8):20-22. Second-generation antipsychotic medications: Pharmacology, administration, and side effects. Micromedex.

Overdose 101

Overdose EMS ALS Emergency Medical Services 101

ACEP Now

DECEMBER 7, 2024

2023 Dec;28(1):2206681]. Trauma-informed care in the emergency department: concepts and recommendations for integrating practices into emergency medicine [published correction appears in Med Educ Online. Med Educ Online. 2023;28(1):2178366. The post Employ a Trauma-Informed Approach to Care appeared first on ACEP Now.

Mental Health Services 52

Mental Health Services Emergency Department ED ALS 52

The Skeptics' Guide to EM

DECEMBER 28, 2024

AEM December 2024 Population: Adult patients with diagnosed OUD presenting to an academic ED between February and August 2023. Emergency department staff compassion is associated with lower fear of enacted stigma among patients with opioid use disorder.

Emergency Department 223

Emergency Department Overdose ED ALS 223

EMDocs

JULY 9, 2025

1 The 2022 CLASSIC and 2023 CLOVERS trials are two landmark studies that further examine approaches to fluid resuscitation in septic patients. 2,3 However, patient populations who are prone to volume overload or depletion require a tailored approach to the treatment of septic shock.

Emergency Department 83

Emergency Department ALS Critical Care ICU 83

Pulsara

JULY 9, 2025

Joseph Health EMS has been the go-to medical provider for the Texas Renaissance Festival—but in 2023, that almost changed. Joseph Health EMS Triaged 150+ Patients a Day at One of Texas’s Largest Festivals When hundreds of thousands of people descend on a single event over just eight weekends, things are bound to get chaotic.

EMS 78

EMS 78

Don't Forget the Bubbles

NOVEMBER 18, 2024

“Epidemiology of Hypotension in Neonates,” Journal of Perinatology , 2023. References for Further Reading Australian and New Zealand Neonatal Network (ANZNN), Annual Reports on Neonatal Hypotension and Outcomes. and Roberts, N. Batton, B., Li, L., & Newman, N. Kleinman, M. E., & de Caen, A. R., & Bhattacharya, S.

OR 57

OR Critical Care Coronary Emergency Department 57

Paramedic Chiefs of Canada

JUNE 9, 2025

He has been a PCC board member since 2022, Vice President for the PCC from 2023 to 2025 and has assumed the role of President as of May 2025. After moving over to Deputy Chief of Operations, he became Chief of Paramedics in October 2019 and served as a Board member for the OAPC.

Paramedicine 40

Paramedicine Paramedicine Paramedic Emergency Manager 40

ALiEM

JANUARY 6, 2025

Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved. Xylazine Toxicity – Statpearls – NCBI Bookshelf, www.ncbi.nlm.nih.gov/books/NBK594271/. Accessed 14 Dec.

NARCAN 141

NARCAN Overdose Naloxone Emergency Department 141

JEMS

JUNE 23, 2025

However, the program concluded earlier than planned, ending on December 31, 2023, two years ahead of its scheduled five-year duration. 2023, July). 2023, July 20). This early termination was due to lower-than-expected participation and fewer interventions than projected. Tax Policy and the Economy, 32, 135–172. WA-23-0024).

EMS 116

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

ALiEM

OCTOBER 28, 2024

2023 May 30. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. Leslie SW, Sajjad H, Murphy PB. Wilms Tumor. In: StatPearls [Internet]. PMID: 28723033. View other cases from this Clinical Image Series on ALiEM. Author information Harshit Terala, DO Resident Physician St. appeared first on ALiEM.

ED 161

ED OR 161

JEMS

JULY 3, 2025

According to the 2024 Michigan Healthcare Workforce Index, a staggering 10-year shortage of paramedics between 2023 and 2033 will rise to 1,160 paramedics and 621 emergency medical technicians (EMTs). Recruitment and retention are the bane of the public safety organization.

EMS 116

EMS E-9-1-1 EMT EMT 116

GEDC

FEBRUARY 27, 2025

To forge aligned partnerships between VBCOs and GEDs, West Health Institute brought together three dyads in August 2023, charged with reducing inpatient visits originating from GEDs, among other aims. in gross service savings from September 30, 2023 to September 30, 2024. View & Download Toolkit

Emergency Department 52

Emergency Department Paramedic ED OR 52

FOAMfrat

DECEMBER 31, 2024

Apr 10, 2023). Jul 10, 2023). A Basic Approach to the LVAD Patient in the Emergency Department. link] Choi, H, & Merrill, S. EMS Left Ventricular Assist Device Management. In StatPearls. StatPearls Publishing. PMID: 30252243 DeMers, D & Wachs, D. Physiology, Mean Arterial Pressure. In: StatPearls. Physiology, Pulse Pressure.

CPR 65

CPR Defibrillator Emergency Department Emergency Transportation 65

JEMS

JUNE 15, 2025

of Oregon’s overall population was homeless in 2023, according to the most recently available federal data. When she was finally released in 2023, after two decades living in an institution, the group housing that had been set up for her didn’t work out. Only about 0.5% And homeless people tend to stay in hospitals longer.

Mobile Integrated Health 59

Mobile Integrated Health Paramedic Community Paramedicine OR 59

JEMS

JUNE 19, 2025

The System Is Collapsing Under Its Own Weight The Manistee Fire Department reported that EMS made up 84% of fire department calls in 2023 with no urgent medical situations. 2023, October 6). 2023, October 6). Meanwhile, recruitment continues to lag. 7 This isn’t a staffing problem. (2025, March 19). National Registry of EMTs.

Paramedic 138

Paramedic Mobile Integrated Health E-9-1-1 Emergency Medical Services 138

ACEP Now

MAY 10, 2025

1-3 This cohort study included data from the National Ultrasound-Guided Nerve Block Registry, a retrospective multicenter observational registry encompassing procedures performed in 11 EDs in the US from January 1, 2022, to December 31, 2023, of adult patients who underwent a UGNB.

ED 87

ED Emergency Department ALS Epinephrine 87

JEMS

JUNE 26, 2025

As Unitek EMT noted in 2023, providers across the country are leading CPR courses, injury prevention programs, and health fairs to teach people what to do before they have to call 911. Unitek EMT (2023). You’re not being punished—you’re being given the tools to stay relevant and reliable. References 1. Recertification Requirements.

Emergency Medical Technician 111

Emergency Medical Technician EMS Mobile Integrated Health EMT 111

Peter Canning

APRIL 22, 2025

In Connecticut, a review of EMS data over the years 2020-2023 showed there was no year-to-year increase in naloxone dosing. When they get naloxone it should be titrated to breathing not consciousness. The 8 milligram single dose device is overkill, and not allowed to be used by EMS in Connecticut.

Naloxone 52

Naloxone Overdose EMS OR 52

JEMS

JULY 15, 2025

2023 [cited 2025 Jul 14]. 2023 [cited 2025 Jul 14]. Understanding the increased mental health risks facing emergency medical services [Internet]. Available from: [link] 3. Institutes of Health. PTSD in first responders: understanding the need for tailored mental health treatment [Internet]. Available from: [link] 4. Anguiano P.

Mobile Integrated Health 128

Mobile Integrated Health EMS EMT EMT 128

FOAMfrat

JANUARY 7, 2025

2023, October 1). Building on compassionate care, we need to take an aggressive approach to managing symptoms. link] Mirijello, A., DAngelo, C., Ferrulli, A., Vassallo, G., Antonelli, M., Gasbarrini, A., & Addolorato, G. Identification and management of alcohol withdrawal syndrome. Drugs , 75 (4), 353365. link] Reuben. link] Sachdeva, A.

E-9-1-1 59

E-9-1-1 ALS EMS OR 59

This Podcast Will Kill You

FEBRUARY 11, 2025

” International Journal for Parasitology: Parasites and Wildlife (2023). Marine Biology, 164, pp.1-15. Lymbery, Alan J., and Nico J. “Conservation of parasites: a primer.” Mladineo, I., Katharios, P., Cascarano, M.C., Keklikoglou, K., Volpatti, D. and Beraldo, P.,

E-9-1-1 97

E-9-1-1 ALS OR 97

FOAMfrat

JANUARY 21, 2025

Clare Agdamag, A., Nutting, L., Frascone, R. Burnett, A., Simpson, N., Peterson, B., Sipprell, K., & Yannopoulos, D. Supraglottic airway devices are associated with asphyxial physiology after prolonged CPR in patients with refractory Out-of-Hospital cardiac arrest presenting for extracorporeal cardiopulmonary resuscitation. link] Kopra, J.,

CPR 98

CPR OR 98

ESO

DECEMBER 18, 2024

After reviewing over 12 million EMS incidents that took place in 2023 , the 2024 ESO EMS Index highlights two critical areas that demand attention: Early CPR and Opioid Use Disorder (OUD). In 2023, EMS clinicians responded to 236,000 calls for suspected opioid overdoses, representing nearly 2% of all EMS calls nationwide.

CPR 52

CPR Naloxone Overdose Defibrillator 52

JEMS

JUNE 21, 2025

The George County Board of Supervisors approved the agreement, paving the way for an enhanced mutual aid partnership with neighboring Greene County after AmeriPro took over EMS services there in September 2023.

Mobile Integrated Health 59

Mobile Integrated Health Community Paramedicine Ambulance EMT 59

REBEL EM

NOVEMBER 25, 2024

A medical librarian with expertise in systematic reviews, searched Cochrane, Embase, Medline, Scopus, and Web of Science for relevant randomized controlled trials and comparative observational studies from inception to June 2023. Included patients from out-of-hospital, emergency department, intensive care unit, and operating-room intubations.

Operating Room 99

Operating Room Emergency Department ICU ALS 99