EMDocs

DECEMBER 1, 2024

Definitive diagnosis is often made using serologic testing , typically by detecting a fourfold rise in antibody titers between acute and convalescent samples. PCR tests are also available but not widely used due to sensitivity issues.

E-9-1-1

ACEP Now

NOVEMBER 8, 2024

9 Here are some of the key conditions that are considered neurodivergent and that emergency physicians are likely to encounter: Autism Spectrum Disorder (ASD): Although the definition of autism has changed over time, in general, it refers to a group of complex developmental brain disorders.

Emergency Department

Don't Forget the Bubbles

JULY 21, 2025

Ensuring a seamless transition between handover and definitive care is critical to achieving a good outcome. Following stabilisation, these patients will require operative intervention for definitive care. Having received the pre-alert, you have briefed the team, allocated roles, and prepared the resuscitation bay.

Emergency Department

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 (..)

E-9-1-1

ACEP Now

MAY 9, 2025

It is historically the “definitive airway” and, in the setting of cardiac arrest, a successfully placed and confirmed endotracheal tube connected to a well-managed ventilator removes the bulk of airway and breathing concerns from the Basic Life Support (BLS)/ Advanced Cardiovascular Life Support (ACLS) algorithms.

Paramedic

The Skeptics' Guide to EM

DECEMBER 28, 2024

Exclusions: Patients unable to consent, non-English speakers, prisoners, acutely psychotic patients, critically ill patients, those suffering from dementia and those without a definitive diagnosis of OUD.

Emergency Department

EMDocs

NOVEMBER 14, 2024

Here’s what we saw: Rate: Really, really fast, approaching 300 Rhythm: Irregular, definitely not sinus Axis: Probably extreme left axis, also likely not clinically useful Intervals: Wide QRS complexes, no obvious P waves Morphology: Oscillating pattern of QRS complexes, extremely concerning ECG! Did you read it?

EMS

The Bottom Line

JUNE 27, 2025

Journal of Hepatology Association of central capillary refill time with mortality in adult trauma patients: a secondary analysis of the crash-2 randomised controlled trial data Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Dorsal Digital Nerve Block Versus Ultrasound-Guided Selective Peripheral Nerve Block for Finger Analgesia: (..)

Emergency Department

EMDocs

APRIL 25, 2025

Minimize On-Scene Time and Focus on Rapid Transport: Definitive care for traumatic cardiac arrest requires hospital-level interventions ; therefore, providers should avoid unnecessary scene delays and focus on rapid transport while continuing interventions en route.

EMS

The Skeptics' Guide to EM

NOVEMBER 16, 2024

One definition of AI is a computer system capable of performing tasks that typically require human intelligence, such as pattern recognition, decision-making, and language processing. The Chief of EM wants to be sure that any new system they introduce will enhance workflow and not add to clinicians’ cognitive burden.

ICU

EMDocs

NOVEMBER 13, 2024

Definition: SBP is an infection of the peritoneal ascitic fluid without an intra-abdominal focus of infection. Episode 110: Primary Spontaneous Bacterial Peritonitis Background: End-stage liver disease with cirrhosis and ascites is a major cause of death worldwide.

E-9-1-1

EMDocs

JULY 7, 2025

Definitions: BDGO : Bad Decision, Good Outcome BTGO : Bad Technique, Good Outcome False reinforcement of poor habits if outcomes are favorable despite errors B. Real-World Risk: Learners may believe they did the procedure correctly just because the result was successful C.

STEMI

EMDocs

NOVEMBER 16, 2024

The 2018 Definition of Periprosthetic Hip and Knee Infection: An Evidence-Based and Validated Criteria. Emergency Department closed reduction of dislocated THR: the REDDTHR Prospective Multi-centre Study. 2024 Sep;34(5):633-640. doi: 10.1177/11207000241251696. Epub 2024 May 31. PMID: 38817115. Parvizi J, Tan TL, Goswami K, et al.

EMS

Don't Forget the Bubbles

JUNE 10, 2025

To support this, the team developed a case definition for what constitutes a significant case. These cases often involved critical care, multiple specialist teams, and more complex diagnoses or prognoses. As a result, they required more detailed and considered feedback for the submitting prehospital clinician.

E-9-1-1

Don't Forget the Bubbles

OCTOBER 28, 2024

Surprisingly, there are different definitions of paediatric major haemorrhage, with no single agreed-upon definition. Many of these definitions are not useful in acutely bleeding children as they require measuring the amount of blood that was lost or transfused over prolonged periods. What is major haemorrhage?

Frozen Plasma

Don't Forget the Bubbles

APRIL 28, 2025

Once at the Emergency Department , a structured handover should be given, ensuring a swift transition to resuscitation and definitive care. Continuous monitoring en route to detect deterioration. Bottom Line Transmission Uncertainty: The scientific understanding of chickenpox transmission and communicability remains incomplete.

Paramedic

Dr. Smith's ECG Blog

DECEMBER 3, 2024

Realizing that no definitive diagnosis of the nature of the conduction block referred to in description of today's case can be made without seeing the actual ECG rhythm strips — I'll suggest that statistical odds that the type of AV block seen was Mobitz I ( and not Mobitz II ) are well over 90-95%.

ED

Irish College of Paramedics

FEBRUARY 15, 2025

Qualitative analyses were performed using NVivo (version 10).

Paramedic

JEMS

JUNE 23, 2025

As the front line of the healthcare system, EMS delivers time-sensitive care in moments of crisis, bridging the gap between life-threatening events and definitive treatment. It is essential to ensure that cost reports are meticulously documented, auditable, and aligned with allowable cost definitions under federal law.

EMS

ALiEM

OCTOBER 28, 2024

Case Question: What is the definitive management for a nephroblastoma? The definitive management of a Wilms tumor is a multidisciplinary approach, with primary nephrectomy followed by a tailored chemotherapy regimen as the gold-standard treatment in the US. Pediatric abdominal structures commonly overlap.

ED

Don't Forget the Bubbles

DECEMBER 16, 2024

The clinical case definition for pertussis is broadly consistent worldwide, with key features including paroxysmal coughing, post-tussive vomiting, inspiratory whoop, apnoea, and a cough lasting at least two weeks. Studies examining the sensitivity and specificity of this case definition highlight its limitations. Int J Infect Dis.

E-9-1-1

JEMS

JULY 23, 2025

Maskingis the common psychological definition for camouflaging one’s identity, personality traits, and other traits deemed “undesirable” to the general population. 11 An average lifespan of only 36.2 12 Likely directly attributed to an exponentially higher childhood mortality rate than the general population.

E-9-1-1

REBEL EM

NOVEMBER 11, 2024

independence of the instrument from unmeasured confounders), which cannot be definitively proven in an observational study. Instrumental Variable Assumptions Cannot Be Proven : The validity of the instrumental variable analysis relies on several assumptions (e.g., Comorbidity Index : Higher in the cefepime group (median 2 vs. 1).

E-9-1-1

EMDocs

JANUARY 6, 2025

Cholera Case Definitions and Diagnosis.; 2020;38:A73-A82. doi:10.1016/j.vaccine.2019.07.099 2019.07.099 Centers for Disease Control and Prevention (U.S.). Zinc Treatment. Published online November 14, 2022. Accessed February 27, 2024. link] Centers for Disease Control and Prevention (U.S.). Accessed October 15, 2024.

ED

JEMS

JUNE 11, 2025

There are definite challenges though, as you can’t use an AEMT to transport a patient who is on a monitor.” “An In the EMD (emergency medical dispatch) world, they often count as BLS.” AEMTs, he points out, can be very useful for transporting a patient who has an IV from one facility to another.

AEMT

JEMS

AUGUST 1, 2025

The time between a traumatic event and definitive treatment is critical in the severely injured trauma patient. How many minutes matter: Association between time saved with air medical transport and survival in trauma patients. Boland S, Lu L, Silver DS, Byrd T, Guyette FX, Brown JB. J Trauma Acute Care Surg. 2025;98: 890–898.

E-9-1-1

ACEP Now

AUGUST 4, 2025

1,2 This definition bears remarkable resemblance to the concept of ED “crowding,” which ACEP defines as occurring “when the identified need for emergency services exceeds available resources for patient care in the ED, hospital, or both.” In other words, an event in which the ability to provide safe and timely care is exceeded by demand.

ED

JEMS

JUNE 20, 2025

First 911 calls have definitely changed. Evolution of Trauma Calls Car crashes have definitely changed in the last two decades. Changes in 911 Calls All photos provided by the author, unless noted. Let us start with a history of what has changed in EMS and then what may be coming.

Mobile Integrated Health

JEMS

JUNE 6, 2025

By intervening with blood on scene, teams can “buy quality time” for definitive surgical care and drastically alter patient trajectories. Gwenny celebrates the broader adoption of blood transfusion in aeromedical and, increasingly, ground EMS programs.

Critical Care

Dr. Smith's ECG Blog

NOVEMBER 11, 2024

The small-but-definitely-present initial q wave in lead V2 ( within the dotted RED circle in Figure-1 ) is not a normal finding with this RBBB considering that there definitely is a typical triphasic ( rsR' ) QRS complex in neighboring lead V1.

OR

Dr. Smith's ECG Blog

JANUARY 31, 2025

Grauer Note: Having now observed literally hundreds of cases in numerous international ECG-internet Forums of deWinter- like T waves in patients with new cardiac symptoms many ( if not most ) of these cases do not fit the strict original definition of "deWinter T waves" in that fewer than all 6 chest leads are often involved J-point ST depression (..)

STEMI

International Journal of Paramedicine

JANUARY 15, 2025

These situations are especially common in rural or austere environments as long transport times require EMS clinicians to maintain adequate hemodynamics until arrival at a trauma center for definitive care.

Emergency Medical Technician

Handtevy

DECEMBER 23, 2024

Many showed positive trends, yet because each specific area had fewer than three supporting articles, ILCOR declined to make any definitive statements about their effectiveness. For this update, ILCOR examined 31 studies spanning six areas of interest. The result?

Advanced Life Support

FOAMfrat

JANUARY 21, 2025

Identifying ECMO Candidates Early ECMO can serve as a vital bridge to definitive treatment for patients in cardiac arrest, especially those with shockable rhythms such as ventricular fibrillation (V-Fib) or ventricular tachycardia (V-Tach).

CPR

EMDocs

NOVEMBER 25, 2024

[link] Differential Diagnosis Dermatologic manifestations Hypersensitivity reaction Food allergy Filariasis Ocular manifestations Loa loa infection Vitamin A deficiency Diagnosis The diagnosis of onchocerciasis typically requires tissue biopsy; thus, it is unlikely that the definitive diagnosis will be made in the emergency department.

E-9-1-1

ACEP Now

JUNE 30, 2025

The CDC removed it from its TBI surveillance definition in 2016 to avoid overestimating this injury because of its broad nature. However, this code is still commonly used in administrative billing claims data, even when documentation reflects a more specific diagnosis. The widespread use of the S09.90

Emergency Department

Broome Docs

JANUARY 27, 2025

These results are not definitive, but considering the rarity of demyelination, and the magnitude of the mortality results, this should probably influence clinical practice until we get the proper RCTs. WOMAN are so negative WOMAN-2 Trial Collaborators.

ED