Sat.May 24, 2025

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Canadian Paramedic Monument | Monument paramédic canadien

Paramedic Chiefs of Canada

Paramedics are more than emergency responders. They are clinicians, caregivers, and trusted professionals who meet people in their most vulnerable moments. They are part of the fabric of our communities. And now, its time for communities across Canadaindividuals, families, paramedic services, businessesto come together and build something permanent in return.

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SGEM#476: Cuts like a Knife or Antibiotics for Pediatric Appendicitis

The Skeptics' Guide to EM

Reference: St Peter, et al. Appendicectomy versus antibiotics for acute uncomplicated appendicitis in children: an open-label, international, multicentre, randomized noni-inferiority trial. The Lancet. Jan 2025 Date: March 19, 2025 Guest Skeptic: Dr. Camille Wu is a paediatric surgeon based at Sydney Childrens Hospital where she is the Head of Department.

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Self-Organised Criticality: Why your ED is like a Sand Pile

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed Emergency departments (EDs) often seem to shift from calm to crisis in an instant. Why? This article explores ED crowding through the lens of complexity science and self-organised criticality, explaining how minor changeslike a few extra patientscan trigger disproportionate chaos. Using the sandpile analogy and concepts like power law distributions, we reveal why traditional linear models and static targets often fail to manage ED flow effectively.

ED
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Journal Feed Weekly Wrap-Up

EMDocs

We always work hard, but we may not have time to read through a bunch of journals. Its time to learn smarter. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: Whats the Best Migraine Cocktail? Spoon Feed There was no clear choice for single-agent pain control, but chlorpromazine IV/IM was among the most effective for pain relief at two hours, and IV/IM ketorolac was among

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EMCrit 400 – Mind of the Resuscitationist

EMCrit Project

For EMCrit Episode 400, I do a Mind of the Resuscitationist Episode. We discuss a bunch of concepts that have been percolating through this resuscitationist's mind. #MotR We discuss: Wu Wei Tension/Relaxation BDGO and so much more EMCrit Project by Scott Weingart, MD FCCM.

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Elevating EMS Education: Insights and Innovations from Industry Leaders

JEMS

Dr. Ted Lee discusses education as part of EMS Week. The discussion features Dr. Shira Schlesinger, Dr. Navin Ariyaprakai and Dr. Maia Dorsett.

EMS
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And now for something completely different (a very difficult electrophysiology case)

Dr. Smith's ECG Blog

Written by Willy Frick "Two episodes of syncope in the past month. Only speaks French. No chest pain or shortness of breath." Figure 1: ECG That's the history I had when I reviewed this ECG. Have a look and see how many diagnostic statements and electrophysiologic phenomena you can name before reading further. This patient is uninsured and was seen in an indigent clinic, so unfortunately extensive diagnostic testing is not available.

ALS

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Pedestrian Critically Hurt After Being Hit by Honolulu (HI) Police Car

JEMS

A man in his late 20s was critically injured Thursday night after being struck by a Honolulu police officers vehicle while crossingFarrington HighwayinWaianae, according toHonolulu Emergency Medical Services.

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Two Children Rescued, Third Found Dead After Drowning at Macon (GA) Lake

JEMS

Two children were recovered alive and a third was found dead after a drowning at Lake Tobesofkee, the Bibb County Sheriffs Office said Friday.

EMS