This site uses cookies to improve your experience. To help us insure we adhere to various privacy regulations, please select your country/region of residence. If you do not select a country, we will assume you are from the United States. Select your Cookie Settings or view our Privacy Policy and Terms of Use.
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Used for the proper function of the website
Used for monitoring website traffic and interactions
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Strictly Necessary: Used for the proper function of the website
Performance/Analytics: Used for monitoring website traffic and interactions
The inspiration for the SGEM Xtra episode is the BMJ 2022 holiday article called "The 12 Days of Christmas, the Statistician Gave to Me,". Its fun to mix it up and not do a structured critical appraisal of a recent publication and have a more philosophical chat. And remember, CIs dont mean certainty!
Because the articles and advice found within contain such critical subject matter, we've elected to publish each segment one at a time here on our blog. Editor's Note: In August 2024, EMS1 and Fitch & Associates released their annual EMS trend survey, What Paramedics Want, proudly sponsored by Pulsara.
This evidence-based article helps trauma professionals make informed decisions about thoracostomy tube size, keeping patient outcomes and comfort at the forefront. However, for severe trauma or urgent settings, large-bore remains the go-to option.
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 (..)
9 As Stowers points out in his article debunking neurodiversity myths: Consider that some individuals are auditory learners, while others prefer visual methods. Neurodivergence refers to the unique way in which an individual’s brain processes and responds to certain information, differing from the typical or average brain.
Additionally, forwards and backwards reference tracing of eligible literature was performed to identify further articles. Methods A systematic literature search of the MEDLINE and Embase databases was performed between the dates of 4 th April 2024 and 11 th April 2024. Results A total of ten studies were identified.
Fluid responsiveness should always be interpreted in the context of a patient’s fluid tolerance, however, evaluation of this is beyond the scope of the current article. Consider reviewing the EMDocs article on the VEXUS exam for further information on the ultrasound guided evaluation of fluid tolerance.
Long and Koyfman (3) wrote up an excellent review article looking at multiple trials trying to figure out what medication would be best (if any) for the treatment of stable monomorphic ventricular tachycardia. Naturally you would assume that this was a large, multicenter trial, right? This was based on 11, thats not a typo, ELEVEN patients.
Case: The Chief of Emergency Medicine (EM) at a large urban hospital recently approached the AI Committee at Unity Health, intrigued by the CMAJ article describing the apparent success of CHARTWatch in detecting early signs of patient deterioration.
This article—Part One of a two-part series—examines the scope of that crisis through a research-driven lens. This article marks Part One of a two-part series. Chronic Exposure to Trauma and Compassion Fatigue Each shift brings EMS providers face-to-face with critical illness, traumatic injuries, violence, and death.
From the articles cited above, a theme begins to emerge: Early placement of the airway, along with first-pass success, are important considerations. Subsequent three-month and six-month follow-up seems to corroborate the initial data of AIRWAYS-2, with the caveat that a very low percentage of patients responded to request for follow up.
I found this article very helpful and practical, particularly for situations when a patient presents with a facial fracture and no specialist or subspecialist is immediately available. Link to article It provides valuable guidance on which injuries may not warrant emergent consultation.
According to a September 2018 article by the American Heart […] The post The 5 Basic Steps of CPR appeared first on Unitek EMT. A complete guide to life-saving CPR on adults, children, and infants Every second counts when someone experiences cardiac arrest, and the actions of a bystander can make all the difference.
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.
Results: Article selection: 3915 studies identified. 134 full-text articles were assessed for eligibility. They utilized an experienced research librarian which increases the likelihood of finding all relevant articles. Intubation performed in all settings (out-of-hospital, emergency department, ICU, and operating room).
To prepare the talk, I googled “the future of ems stroke care” and found a fascinating article, which I printed out and underlined heavily. 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. Time is Brain.
By Brian M. Light The primary goal of EMS, is to always do the best for our patients. Many new and excellent tools have emerged to make our jobs easier, and with that fantastic, expanded toolbox, it is often easy to forget the importance of basic procedures. Gastric decompression is an easy skill.
The project launched in September 2022, and since then, the project group members have responded to over 380 requests for clinical case feedback [data reviewed as of the time of writing this article, April 2025]. We have also created a ‘how-to’ guide article on the development of this project – check it out here.
I look forward to reading the completed article should they decide to publish one. “We need a lot more naloxone than ever before. Some people need 20 milligrams” I hear this or versions of it in many of the opioid task force meetings I attend around the state. Which is not to say some people arent getting 20 milligrams.
If you want to know how to create a similar project in your own Emergency Department, please read the article below! Prehospital clinicians are often the first to assess and treat critically unwell children, making crucial decisions under pressure and initiating vital interventions. e.g., ST3 + (UK equivalent).
THIS ARTICLE IS COVERING THE MEDICAL ASPECTS OF CHEMICAL SUICIDES. TRIGGER WARNING: TOPICS OF SUICIDE MAY BE HARD FOR SOME PEOPLE TO READ ABOUT. IF YOU OR A LOVED ONE NEEDS HELP, CALL 988 OR SEEK CARE AT A LOCAL EMERGENCY DEPARTMENT. REMEMBER, IF YOU ARE TREATING A SUICIDE ATTEMPT SURVIVOR, DO NOT PASS JUDGMENT.
Link to article A recent retrospective study from Japan addressed this issue and found that fewer than 1% of children achieved favorable neurological outcomes (defined as moderate disability or better at one month) when CPR exceeded 64 minutes.
6 Review of the Literature This research examines eleven articles obtained through Cornerstone University’s Miller Library and Google Scholar. 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).
When writing this article in 2025, it is safe to say the vast majority of EMS Providers are aware of and have interacted with–knowingly or not, we’ll get to that later—patients with Autism Spectrum Disorders. In one study alone, EMR/EMT Students failed to adequately recognize or suspect autism in simulated trauma victims 87% of the time.
Manufacturer recommendations and several other PubMed articles state it is okay to perform CPR. Let's start with a: Quick Terminology Refresher Mechanical Circulatory Support Device (MCS): General term for any device that aids the heart, whether temporarily or permanently. So does this mean we cannot obtain a blood pressure?
A recent JAMA article showed that dying in the hospital led to an overall prolonged state of grief and distress for families as well as a suboptimal care for patients and families. More commonly, patients are transported to the Emergency Department (ED), where extensive conversations between ED providers and family occur.
This article will explore the factors behind the increase in measles and pertussis cases, healthcare professionals’ role in reversing these trends, and strategies to help reduce spread. The reduced coverage is particularly notable in urban areas like London , where socio-economic and cultural barriers further compound the problem.
Like all commentary preceding this, whether from individuals or organizations, this article reflects my personal perspective on the matter. Regardless of the ACGME’s ultimate decision, the often public and sometimes contentious discourse surrounding this proposal will undoubtedly leave a lasting impact.
address in the article discussed below. address in the article discussed below. Article: Chanderraj R, Admon AJ, He Y, et al. Background: Patients with sepsis are routinely treated with empiric broad-spectrum antibiotics while awaiting source identification, as recommended by the surviving sepsis campaign.2 In 2021, Buckley et.
History of Present Illness The collateral history indicates that her symptoms began one week into her journey, but medical care was inaccessible at the time. The family reports no history of food allergies, insect bites, or contact with sick individuals. The patient did not receive pre-travel prophylaxis for malaria, hepatitis A, or yellow fever.
This article is going to presume that you have been working in EMS for some time. There are some hardships that come with being on the upper end of the age range for EMS, as well as benefits. We will be going over some of the pluses and minuses of being in EMS as a middle-aged adult.
Question and Methods: This out of hospital, placebo-controlled, blinded, parallel group RCT compared reduction in pain scores between Fentanyl + IN Placebo and Fentanyl with IN Ketamine.
Dr. Smiths Google Scholar Profile Dr. Smith Articles on PubMed This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 The QRS proves it. Posted by Steve Smith at 6:29 AM Email This BlogThis! International License. Disclaimer Cases come from all over the world.
The rash started as macules on her face and soon spread to her trunk, arms, and legs, evolving into pustular, umbilicated lesions with central crusting. She reports no recent travel history or known contacts with similar symptoms but mentions that she shared a residence with multiple people, some of whom had unexplained rashes in recent weeks.
One of my former colleagues published an article about tissue oxygen changes in patients immobilized for prolonged periods. , 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. That’s it.
MPA, CEMSO, NRP The recent JEMS article by John K. 2 The article’s suggestion that midlevel providers are better suited to care for lower acuity or non-transport patients misses the mark. EMS clinicians already do this daily and do it well. 1,3 In Nudell et al. 3 The answer isn’t outsourcing; it’s investing within.
Importantly, these overdoses are often incompletely responsive to naloxone, creating confusion and concern among first responders. Medetomidine acts independently of the opioid receptors and cannot be reversed by naloxone. 2 Withdrawal from medetomidine presents a different challenge. 2,6 What About Withdrawal?
This article will review both techniques and evaluation of findings. "GENE" GANDY, JD, LP AND STEVEN "KELLY" GRAYSON, NREMT-P, CCEMT-P ON APR 5, 2011 It has been said the eyes are the windows to the soul. In emergency medicine, much can be learned from a routine eye examination.
For many people, summer is their favorite season, a time for cookouts, beach trips and other outdoor activities. However, summer also brings the risk of dangerously high temperatures and humidity. In the U.S., hundreds of people working or playing outside – even those who seem healthy – succumb to heat-related illnesses each year.
This article aims to create emergency clinician awareness of onchocerciasis as a potential cause of visual and dermatologic complaints and will highlight appropriate diagnosis and management strategies. However, recent progress in onchocerciasis research has led to an improved understanding of the immunopathology of O. 7 Approximately 14.6
years, showing that JBCR articles remain relevant and cited long after publication. The Impact Factor measures how often articles from a journal are cited in other scholarly work over a specific period. A Stronger Impact in 2024 In June 2025, JBCR’s 2024 Impact Factor rose to 1.8 from 1.5), with a 5-year Impact Factor of 2.0
Let’s be honest: most of us have had moments at work where we’ve felt hurt by something someone has said or done. Healthcare can be high-pressure and emotionally demanding. But one thing that shouldn’t come with the job is feeling belittled, underestimated, or excluded, just because of who you are. What are microaggressions? Let’s stop there.
In 2020, I wrote an article for ACEP Now about my experience establishing the specialty of emergency medicine in Norway. As the specialty of emergency medicine has grown around the world, so has IFEM. Provide a network system of centers to facilitate international cooperation in the event of national or manmade disasters.
Co-culprit is a 85% bifurcating lesion of the large LADD1 related to above LAD lesion This is an important article by Widimsky et al. Normally, RBBB would have an rSR', but old anterior infarct obliterates the inital r-wave, resulting in a QR-wave There are Q-waves in III and aVF. This is relative ST Elevation? in a vicious circle.
We organize all of the trending information in your field so you don't have to. Join 5,000+ users and stay up to date on the latest articles your peers are reading.
You know about us, now we want to get to know you!
Let's personalize your content
Let's get even more personalized
We recognize your account from another site in our network, please click 'Send Email' below to continue with verifying your account and setting a password.
Let's personalize your content