Mon.Apr 21, 2025

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EMS Keeps Watching ‘Honorable But Broken.’ EMS Needs to Watch ‘A Beautiful Mind.’

JEMS

EMS must move beyond burnout narratives like Honorable But Broken and embrace economic realities, as shown in A Beautiful Mind.

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EM Quick Hits 64 Whole Blood Transfusions, Calcium Before Diltiazem in Afib, Thoracotomy Pearls, Uterine Casts, OMI Scale & Proportionality

Emergency Medicine Cases

In this month's EM Quick Hits podcast: Zafar Qasim & Andrew Petrosoniak on whole blood transfusion in trauma, Justin Morgenstern on calcium pre-treatment to prevent diltiazem-induced hypotension, Kiran Rikhraj on dynamic LV outflow tract obstruction, Anand Swaminathan on resuscitative thoracotomy, Andrew Tagg on uterine casts, and Jesse McLaren on scale & proportionality in occlusion MI ECG interpretation.

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Player, Coach Killed After WA Community College Softball Team Bus Involved in Head-On Crash

JEMS

A player and coach on theUmpqua Community Collegesoftball team were killed Friday after the team's van was involved in head-on crash inCoos County, Ore., theOregon State Policereported.

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The Power of Talking Plainly

Don't Forget the Bubbles

Take a moment to appreciate the irony. We spend so much time learning a new language during medical training that it grants us access to an exclusive club. That language gets fine-tuned through more training and further specialization. At the same time, as we sit through standardized patient or observed structured clinical examinations, we are often evaluated and critiqued based on the clarity of the language we use to communicate with our patients.

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Call 911 for Heart Attack or Stroke Symptoms, or Just Drive to the ER? What Doctors Say You Should Do

JEMS

You're having chest pain, or you fear that your spouse is having a stroke and you're thinking of just driving to a hospital instead of calling 911. What do emergency department doctors think of that plan?

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An elderly patient with shortness of breath and near syncope

Dr. Smith's ECG Blog

Written by Pendell Meyers An elderly patient experienced a week of shortness of breath on exertion, with acute worsening including near syncope and severe fatigue. She called EMS, who recorded this ECG on the way to the hospital: What do you think? On arrival at the Emergency Department, she appeared critically ill, and had severe hypotension but was alert and oriented and able to follow commands.

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Waterville (ME) Fire Officials Urge Funding Eight New EMS Workers for Additional Ambulance

JEMS

WithNorthern Light Inland Hospital'splan to close its emergency departmentMay 27and the hospital,June 11,Waterville'sambulances will be taking more patients toMaineGeneral Medical CenterinAugusta.

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Ulster Town Officials Work to Establish Ambulance Tax District

JEMS

Town officials will start gathering information needed for a proposed townwide ambulance district.

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Research Roundup for April 2025

First 10 EM

I took a few months off. (Well, not so much off, but as stuck in other EBM rabbit holes.) I am sure some were happy for the empty inbox, but if you enjoy nerdy conversation about subpar medical research, this is your luck day. Yeah, I guess you could give calcium. Or you could just […] The post Research Roundup for April 2025 appeared first on First10EM.

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Israeli Army Disciplines Officers in Ambush on Gaza Ambulances

JEMS

An Israeli investigation into thekillings of 15 Palestinian medics last month in Gazaby Israeli forces said Sunday it found a chain of professional failures and a deputy commander has been fired.

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emDOCs Videocast: EBM Update – Initiating Therapy for Asymptomatic Hypertension

EMDocs

Welcome to the emDOCs Videocast please subscribe to our YouTube channel. These videos will cover post summaries, take homes on clinical condition, and EBM/guideline literature updates. Today we focus on providing a prescription for patients with asymptomatic hypertension (HTN) from the ED setting. Article #1: Todd BR, Xing Y, Zhao L, et al. Antihypertensive prescription is associated with improved 30-day outcomes for discharged hypertensive emergency department patients.

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