This Podcast Will Kill You

DECEMBER 10, 2024

2023): 928-936. Nature Reviews Gastroenterology & Hepatology , 20 (9), pp.615-624. 2016): 1-9. Conficconi, E., BioMed research international , 2017 (1), p.9784565. 2023): 972-982. Thieme, E. JAMA network open , 4 (8), pp.e2122248-e2122248. Fitz, Reginald H. Ponsky, T.A., Huang, Z.J.,

E-9-1-1 52

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

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. 2023 Aug;70:84-89.

E-9-1-1 101

E-9-1-1 ALS OR ED 101

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. Arthroplasty 5 , 2 (2023). 10% of patients.

EMS 96

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

JEMS

JUNE 23, 2025

1 EMS has always been described as the canary in the coal mine and the tip of the spear simultaneously. 1 Yet, despite its critical function, EMS remains an underfunded outlier in the Medicaid landscape, excluded from mandatory federal benefits, inconsistently reimbursed, and perennially subject to the whims of state fiscal policy.

EMS 116

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

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). Here’s a closer look at each topic: 1. References 1. Journal of Taibah University Medical Sciences , 10 (1), 12–15.

EMS 116

EMS E-9-1-1 EMT EMT 116

JEMS

JUNE 19, 2025

In 2025, some systems are running 1 EMS call every 45 seconds in urban centers, with the majority of those calls for non-life-threatening issues. 1 Yet the industry response has been predictable; “We need more medics.” 2023, October 6). 2023, October 6). Meanwhile, recruitment continues to lag. Campanile C. New York Post.

Paramedic 138

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

Don't Forget the Bubbles

DECEMBER 16, 2024

A Decline in Vaccination Coverage: A Global Issue In 2023, the World Health Organisation (WHO) reported that worldwide immunization rates for key vaccines, including the diphtheria-tetanus-pertussis (DTP3) series, had dropped to 84% from pre-pandemic rates of 86%. 2023 UK Government. have completed their preschool DTaP/IPV booster.

E-9-1-1 57

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

REBEL EM

NOVEMBER 11, 2024

4 The 2023 ACORN Trial ( covered here on REBEL EM ) randomized 2,511 patients requiring antipseudomonal coverage to receive either cefepime or piperacillin-tazobactam. What They Did: Investigators performed a retrospective cohort study in the Emergency Department at the University of Michigan between July 1, 2014 through December 31, 2018.

E-9-1-1 93

E-9-1-1 ICU ALS Critical Care 93

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. 2023 Apr 4;147(14):e674. What about diuretics?

E-9-1-1 88

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

JEMS

JUNE 12, 2025

1 Many of these approvals represent entirely new drug classes or treatment approaches. 9 Still, some educators worry that reliance on technology could erode hands-on problem-solving. 8-9 The future of medicine will be digital, personalized, and AI-enabled. References 1. Mercier, E., van de Garde, E.

Mobile Integrated Health 98

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

Pediatric EM Morsels

MARCH 7, 2025

Updated 2023 Jul 24]. Shakur H, Roberts I, Bautista R, Caballero J, Coats T, Dewan Y, El-Sayed H,Gogichaishvili T, Gupta S, Herrera J, Hunt B, Iribhogbe P, Izurieta M, Khamis H, Komolafe E, Marrero MA,Meja-Mantilla J, Miranda J, Morales C, Olaomi O, Olldashi F, Perel P, Peto R, Ramana PV, Ravi RR,Yutthakasemsunt S. Tranexamic Acid.

E-9-1-1 231

E-9-1-1 ALS OR ED 231

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.

E-9-1-1 102

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

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.

E-9-1-1 71

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

EMDocs

JULY 2, 2025

Background: Tianeptine is an atypical tricyclic antidepressant (Image 1 displays the structure of Tianeptine) primarily used in some European, Asian, and Latin American countries for the treatment of major depressive disorder, and is sold under the name; Coaxil TM or Tatinol TM. Shaikh, S., & Keller, E. Jackson, E.

E-9-1-1 74

E-9-1-1 Naloxone Overdose ED 74

ACEP Now

DECEMBER 17, 2024

In spring 2023, nearly 95 percent of house staff voted to unionize with the Committee of Interns and Residents (CIR), a branch of the Service Employees International Union (SEIU) and the largest and oldest house staff union in the country. Contract negotiations began in fall 2023, but progress was slow. Accessed December 9, 2024.

E-9-1-1 105

E-9-1-1 Emergency Department ALS OR 105

Don't Forget the Bubbles

NOVEMBER 27, 2024

Umana E, Mills C Norman-Bruce H, Mitchell H, McFetridge L, Lynn F, McKeeman G, Foster S, Barrett MJ, Roland D, Lyttle MD, Watson C, Waterfield T, on behalf of Paediatric Emergency Research in the UK and Ireland (PERUKI), Lancet eClinical, 2024 Who were the patients? An additional 1 ml of blood was taken for PCT from some infants.

E-9-1-1 80

E-9-1-1 Emergency Department ED Ambulance 80

ACEP Now

JUNE 17, 2025

1 The objects we choose to fill a limited space reflect a lot about the lives we lead, the way we think, what we anticipate, and what we prioritize. Gorchynski J, Karabidian E, Sanchez M. Olshansky M, DeStefano K, Khordipour E. Published January 1 2023. There is significance in the things we carry. J Emerg Med.

Emergency Department 52

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

EMDocs

JUNE 28, 2025

Vital signs revealed a BP of 136/76, HR of 88, RR of 9, SpO2 of 94% on room air, and a temperature of 97.6 Answer : Bradypnea Background: Bradypnea is defined as a decreased respiratory rate and varies by age (Table 1) 1 Hypopnea is shallow breathing that occurs during sleep 2 Etiology: Secondary to a number of causes.

EMS 78

EMS E-9-1-1 Overdose ALS 78

Don't Forget the Bubbles

JULY 1, 2025

Best wishes, Anke and Jaan 1.Reviews Feasibility and Acceptability of Recommending HPV Vaccine at Ages 9-10 Years. 2025 Jun 9. 2025 Jun 9:e2024070309. Characteristics and outcomes of children admitted to paediatric intensive care units with life-threatening pertussis infection in Great Britain 2023-2024.

E-9-1-1 93

E-9-1-1 ALS OR STEMI 93

EMDocs

MARCH 18, 2025

Episode 116: Massive Hemoptysis Definition: Hemoptysis is expectoration of blood from the respiratory tract; ranges from mild with small streaks of blood to cardiopulmonary compromise (1-5). Massive hemoptysis: no clear definition, ranges from 50 mL in a single expectoration to 100 mL in 24 hours to over 1 L in 48 hours.

E-9-1-1 70

E-9-1-1 FFP ALS Critical Care 70

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. Mar 2023; PMID: 36983218 Feissel M, et al. Apr 2023; PMID: 37009935. Oct 2013; PMID: 24079262 Gohar E, et al. Mar 2024; D erangedphysiology.com.

ALS 64

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

Dr. Smith's ECG Blog

JANUARY 13, 2025

When I saw this (presented at a conference), I immediately thought it looked like Thype 1 Brugada phenocopy (in other words, Type 1 Brugada ECG pattern ). If the QRS is prolonged, then the differential includes: 1. Criteria for Type 1 Morphology: 1. A flat ST segment will have a Corrado index greater than 1.

E-9-1-1 77

E-9-1-1 OR STEMI ALS 77

EMDocs

MARCH 24, 2025

1 Over the decades, HIV has transitioned from being a terminal illness to a manageable chronic condition for many individuals due to improved knowledge in the diagnosis and treatment of the disease globally. million (1 million1.7 million (1 million1.7 HIV-1 is more widespread and virulent, driving the global pandemic.

E-9-1-1 81

E-9-1-1 ALS ED OR 81

EMDocs

FEBRUARY 22, 2025

Answer : CSF Leak Epidemiology: CSF leaks are broken into three main causes Craniofacial trauma: approximately 80% of cases 1 3% of blunt head and 9% of penetrating head trauma patients have CSF leaks Basilar skull fractures commonly occur with CSF leaks (up to 30%) Iatrogenic: approximately 16% of cases 1 3.8% Epub 2021 Sep 9.

E-9-1-1 63

E-9-1-1 EMS Plasma OR 63

EMDocs

JUNE 14, 2025

A) Cirrhosis B) Portal vein thrombosis C) Splenic abscess D) Splenic hematoma E) Splenic infarction Correct answer: B The spleen resides intraperitoneally within the posterior portion of the left upper quadrant, behind the stomach and adjacent to the lower ribs (9–12). Question: What is the diagnosis?

E-9-1-1 99

E-9-1-1 EMS ALS ED 99

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

MAY 31, 2025

Physical exam: Appears thin with dry mucous membranes Abdomen is soft, nondistended, and mildly tender diffusely Ulcers present on the uvula and soft palate Labs: WBC 21 10 9 /L, HGB 7.1 2002;15(1):79-94. 2019;2019:1-16. g/dL, MCV 67 fl, PLT 849,000/uL, ESR 39 mm/hour, CRP 6.4 mg/L, Na 132 mEq/L, K 2.7 mEq/L, Cr 0.5

E-9-1-1 74

E-9-1-1 EMS ALS Emergency Department 74

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

This Podcast Will Kill You

JULY 1, 2025

FDA “Color additives in Foods” current as of 07/06/2023 [link] Arnold, L. 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). Kitchin, E.,

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. 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. Viral symptoms, then acute chest pain and this ECG. A young woman with epigastric pain. ECG Crochetag. Atrial fibrillation?

E-9-1-1 52

E-9-1-1 STEMI Coronary CPR 52

This Podcast Will Kill You

JULY 8, 2025

American Psychological Association, 2023. Recommendations from the 2023 international evidence-based guideline for the assessment and management of polycystic ovary syndrome. Human reproduction, 33(9), pp.1602-1618. ” Journal of clinical medicine 12.19 (2023): 6120. Stener-Victorin, E., Chicano-Gálvez, E.,

E-9-1-1 56

E-9-1-1 OR 56

Pediatric EM Morsels

OCTOBER 27, 2023

Initially tested in Johannesburg, South Africa: 1 month old to 12 years old Broselow predicted within 10% of weight in 63.6% Available at: [link] (Accessed: 26 October 2023). Available at: [link] (Accessed: 27 October 2023). 2007-2902 Wells M, Coovadia A, Kramer E, Goldstein L. 2020;13(1):9. x exp[0.02

E-9-1-1 274

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

Pediatric EM Morsels

SEPTEMBER 22, 2023

Negative E-FAST and no signs of long bone injuries should raise concern for neurogenic shock in the hypotensive trauma patient with suspected spinal injury. Alpha 1 agonists are necessary to maintain appropriate blood pressure. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. 2011;46(9):1771. 5 th Edition.

E-9-1-1 307

E-9-1-1 Epinephrine ALS ED 307

ALiEM

NOVEMBER 1, 2023

Iron toxicity treated with deferoxamine Background Deferoxamine is the treatment for severe iron toxicity [1]. Deferoxamine 1] Initial dosing starts at 5 mg/kg/hr intravenously. 1, 3, 4] Hypotension is generally the rate-limiting factor for the infusion rate. McGraw-Hill Education; 2019 Madiwale T, Liebelt E. 2023 May 22.

E-9-1-1 161

E-9-1-1 ALS ED OR 161

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

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! 2023 Aug;171:111644. Epub 2023 Jul 6. 2020 Sep;38(9):1943. Load gauze onto Magill forceps.

E-9-1-1 293

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