ACS EMS OR 
ALiEM
DECEMBER 9, 2024
This clinical image depicts erythema migrans (EM), the classic rash seen in 70- 80% of early localized Lyme disease infections. This stage is characterized by the EM rash as well as fatigue, low-grade fevers, malaise, myalgias, and lymphadenopathy. Platelets : 223 Sodium : 139 Creatinine : 0.8
REBEL EM
NOVEMBER 6, 2024
Elbow Dislocation Definition: Disarticulation of the proximal radius & ulna bones from the humerus Epidemiology: Incidence Second most common joint dislocation (after shoulder) in adults Most commonly dislocated joint in children Accounts for 10-25% of all injuries to the elbow ( Cohen 1998 ) Posterolateral is the most common type of dislocation (..)
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ALiEM
OCTOBER 30, 2024
Case A patient arrives via EMS from the bus station complaining of fever, vomiting, and back pain. The biggest change has been the gradual replacement of diacetylmorphine (heroin) by fentanyl and other synthetic opioids. Their back has worsened significantly over the past 24 hours with radiation down the left leg.
Dr. Smith's ECG Blog
DECEMBER 3, 2024
This was written by one of our fine residents, who will soon be an EMS fellow: Michael Perlmutter Case A mid-50s male came to the ED with a burning sensation that was acutely worse while at home. This dynamic change is diagnostic of ACS. This was also non-diagnostic for OMI, although the dynamic changes are diagnostic of ACS.
Don't Forget the Bubbles
MAY 19, 2025
This scarcity means that EMS clinicians have limited real-world exposure to critically ill infants and children, yet when these cases do arise, the stakes are high. Beyond the immediate resuscitation phase, the study examined how iHypoCa related to longer hospital stays, morbidity (measured by the Glasgow Outcome Scale), and even mortality.
REBEL EM
DECEMBER 23, 2024
Paper: Alwang AK, Law AC, Klings ES, Cohen RT, Bosch NA. To assess the clinical impact and relevance of these concerns, Alwang et al. performed the retrospective cohort study below ( Alwang 2024 ). Lactated Ringer vs Normal Saline Solution During Sickle Cell Vaso-Occlusive Episodes. JAMA Intern Med. 2024;184(11):1365-1372.
EMCrit Project
MAY 15, 2025
Blood sampled from existing peripheral IV cannulae yields results equivalent to venepuncture: a systematic review [ 10.1177/2054270419894817 ] Second Line 18 G Should we be placing in the AC? Future Show: Upping your IV Game Fluids Get dinged for 4, rectal temps on elderly, etc. CEN 0 Reply Peter Weinberg 8 days ago Excellent podcast.
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