Mon.Mar 10, 2025

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Noninvasive Ventilation for Preoxygenation during Emergency Intubation

EMOttawa

Methodology: 4/5 Usefulness: 3.5/5 Gibbs KW, et al. N Engl J Med. 2024 Jun 20;390(23):2165-2177. Question and Methods:The PREOXI trial aimed to determine whether noninvasive ventilation (NIV) via BiPAP reduces hypoxemia compared to standard oxygen masks for preoxygenation in critically ill adults undergoing emergency intubation through a multicenter, randomized controlled trial.

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31 State Ambulance Associations Request Support of EMS Supplemental Payments

American Ambulance Association

March 7, 2025 Re: Medicaid Supplemental Payments for Ground Ambulance Services Dear Chair Guthrie, Ranking Member Pallone, Chair Carter, and Ranking Member DeGette, On behalf of 31 state ambulance and […] The post 31 State Ambulance Associations Request Support of EMS Supplemental Payments appeared first on American Ambulance Association.

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Diagnosing and Managing Preeclampsia in the ED: Pressure’s Rising

EM Board Bombs

-Case- A 30-year-old woman at 34 weeks gestation arrives at the ED complaining of a pounding headache, blurry vision, and swelling in her hands and face over the past few days. Her blood pressure reads 168/102 mmHg, has bilateral 2+ pitting edema of the lower extremities, and she has 3+ proteinuria on urine dipstick.

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President Jamie Pafford-Gresham on the Ambulance Medicare Extenders

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post President Jamie Pafford-Gresham on the Ambulance Medicare Extenders appeared first on American Ambulance Association.

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Apply for Drinking Water to Keep Volunteer Firefighters Hydrated During Wildfires and Emergency Response

NVFC

Proper hydration is critical to the health and safety of firefighters when responding to wildfires and other emergencies. Yet many volunteer fire departments have limited budgets, forcing them to choose between needed resources. To help combat this issue and free up department funds for other necessities, Anheuser-Busch is partnering with the National Volunteer Fire Council (NVFC) for the seventh consecutive year to donate emergency drinking water to volunteer fire departments across the country

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Chest pain and computer ‘normal’ ECG. Wait for troponin? And what is the reference standard for ECG diagnosis? Cardiologist or outcome?

Dr. Smith's ECG Blog

Written by Jesse McLaren A 50 year old presented to triage with one hour of chest pain, and the following ECG labeled normal by the computer (GE Marquette SL) algorithm. What do you think? Theres normal sinus rhythm, first degree AV block, early R wave, normal voltages. Theres hyperacute T waves in I/aVL with reciprocal inferior ST depression, diagnostic of high lateral occlusion MI.

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Staff retention in the ED

Don't Forget the Bubbles

Challenging working conditions in health services, especially in emergency departments (ED), lead to high levels of stress and burnout. This contributes to the staff retention problem recognised by professional associations such as RCEM and ACEM. As well as being a practice and policy priority, there have been repeated calls for research to better understand the problem.

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NVFC Releases 2024 Annual Report

NVFC

The National Volunteer Fire Council (NVFC) is always working for the volunteer fire, EMS, and rescue services, and 2024 was no different. Highlights from the year include: Fought for the reauthorization of the Assistance to Firefighters Grant, Staffing for Adequate Fire and Emergency Response Grant, and the U.S. Fire Administration Led the volunteer response to proposed new OSHA regulations Partnered to provide over $2 million in grants, giveaways, and scholarships to volunteer departments and e

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How to Diagnose and Manage Hypertensive Disorders in Pregnancy

ACEP Now

Youre working the night shift in a rural critical access hospital in the Midwest when a 36-year-old, 31-week primigravida patient with no known prior medical history presents with a mild headache. Initial vitals show a blood pressure (BP) of 170/115 mm Hg, which remains elevated 15 minutes later. You follow the recommended emergency department (ED) lab workup for hypertensive disorders of pregnancy, including urine protein/creatinine ratio, serum creatinine, platelet count, complete blood count,

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ACEP Approves Clinical Policy on Seizures

ACEP Now

On April 17, 2024, the ACEP Board of Directors approved a clinical policy developed by the ACEP Clinical Policies Committee on the management of adult patients presenting to the emergency department with seizures. This clinical policy was published in the July 2024 issue of the Annals of Emergency Medicine , can be found on ACEPs website , and will also be included in the ECRI Guidelines Trust , upon its acceptance.

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The Medical Director’s Role in Sexual Assault Nurse Examiner Programs

ACEP Now

You work as the medical director at a suburban, community emergency department (ED). At your monthly meeting with the chief medical officer (CMO) and chief nursing officer (CNO), they inform you of the hospitals plan to start a Sexual Assault Nurse Examiner (SANE) Program. They ask you if you would be willing to serve as the teams medical director. As expected, you have several questions.

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Can This Patient Leave Against Medical Advice?

ACEP Now

A 28-year-old man presented with agitation. He was brought in by police and was restrained because of threats of biting and hitting police. The patient refused any additional medical care and stated, I know my rights! You cant hold me against my will. When the emergency physician recommended vital signs, a history, and physical examination, the patient began hitting and biting staff, yelling obscenities, and threatening legal action.

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Emergency Physicians of the Sandwich Generation Face Unique Challenges

ACEP Now

My good friend and colleague, Dr. Sydney De Angelis, gave a great talk at the American Association of Women Emergency Physicians meeting at ACEP24. The talk was about the sandwich generation and how it affects physicians, particularly female physicians, which inspired me to write this article. For those unfamiliar, the term sandwich generation encompasses people typically in their 30s to 50s, who will most likely be sandwiched between raising their kids and helping support aging parents. 1 Somet

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Texas Hospitals Now Must Ask About Immigration Status

ACEP Now

On August 8, 2024, Greg Abbott, Governor of Texas, issued an executive order directing the Texas Health and Human Services Commission to assess costs to the Texas public hospital system imposed by the federal governments open-border policies. 1 The order directed hospitals to collect information on patients not lawfully present in the United States beginning November 1, 2024.

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