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SGEM#442: I’m on the Right Track Baby I Was Born This Way

The Skeptics' Guide to EM

Case: A 16-year-old nonbinary youth on testosterone blockers and oestrogen has come into your emergency department (ED) having twisted their ankle while playing soccer. You don’t see a large number of trans patients in your ED and you wonder if there might be specific recommendations that can guide your care of this adolescent.

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Thinking: Rapid A-fib

Medic Mindset

As an EM physician, he shares how he decides to care for his own patients in the ED who present with rapid atrial fibrillation. He wants paramedics to ask the same question he asks: Is the rapid A-fib the primary problem or secondary to another critical condition like sepsis, PE, DKA, hypovolemia, etc?

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SGEM#453: I Can’t Go For That – No, No Narcan for Out-of-Hospital Cardiac Arrests

The Skeptics' Guide to EM

Before attending medical school, he was a New York City Paramedic. He currently practices emergency medicine in New Mexico in the ED, in the field with EMS and with the UNM Lifeguard Air Emergency Services. Case: You are working as a paramedic, and you respond to a cardiac arrest.

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Paramedic Chiefs of Canada – Paramedicine, Mental Health, and Crisis Calls in the Community: Highlights for Leadership

FirstWatch

There has been an increasing demand for paramedic services to respond to mental health-related calls, and it’s becoming even more important to respond appropriately to these calls. Areas for practice change include alternative care options (outside of ED), response team approaches, community paramedicine, and post-care follow up.

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SGEM#438: Bone, Bone, Bone, Tell Me What Ya Gonna Do – for IO Access Location?

The Skeptics' Guide to EM

Date: April 25, 2024 Guest Skeptic: Missy Carter is a PA working in an ICU in the Tacoma area and an adjunct faculty member with the Tacoma Community College paramedic program. When emergency department (ED) staff roll her to remove her clothing her humeral intraosseous (IO) is dislodged. February 2024.

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Perspectives – Aortic Laceration in a Rural Mississippi ED: A resident’s response

EMDocs

The patient is not responsive and the paramedics cannot get a blood pressure. So I did what we as ED physicians are all so good at – I prepared. I meet the paramedics at the door. We had sent off a Type and Screen as soon as the patient arrived at the ED. We have a knife stab wound to the chest or abdomen coming.

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Podcast 166 - Transcutaneous Pacing & False Capture

FOAMfrat

In this episode, we discuss a recent paper on false electrical capture and pre-hospital transcutaneous pacing by paramedics. The guests, Tom Boutilet, Josh Kimbrell, and Judah Kreinbrook, discuss their research findings and the implications for paramedics. Prehosp Emerg Care. 2024 Mar 15:1-9. doi: 10.1080/10903127.2024.2321287.

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