ALiEM
AUGUST 9, 2023
Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric lung ultrasound. Then test your skills on the ALiEMU course page to receive your PEM POCUS badge worth 2 hours of ALiEMU course credit. Take the ALiEMU PEM POCUS: Pediatric Lung Ultrasound Quiz Module Goals List indications for performing a pediatric lung point-of-care ultrasound (POCUS).
Emergency Medicine Cases
AUGUST 8, 2023
In this ECG Cases blog with Dr. Jesse McLaren we interpret 10 ECG cases and explore cardiac, metabolic and GI causes: We consider anginal equivalents, and look for ECG signs of Occlusion MI, including subacute occlusion from delayed presentations. We consider electrolyte disturbances and look for ECG signs of hyperkalemia or hypokalemia/hypomagnesemia, and we consider the differential of diffuse ST depression with reciprocal ST elevation in aVR, and false positive STEMI.
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The Skeptics' Guide to EM
AUGUST 19, 2023
Date: August 14, 2023 Reference: Ma et. al. The third Intensive Care Bundle with Blood Pressure Reduction in Acute Cerebral Haemorrhage Trial (INTERACT3): an international, stepped wedge cluster randomised controlled trial. Lancet 2023 Guest Skeptic: Dr. Mike Pallaci is a Professor of Emergency Medicine (EM) for the Northeast Ohio Medical University, and an Adjunct Clinical Professor of […] The post SGEM#413: But Even You Cannot Avoid…Pressure – Intensive Care Bundle with Blood Pressure Reductio
Don't Forget the Bubbles
AUGUST 30, 2023
The Choosing Wisely ® campaign is an initiative that promotes collaborative conversations between clinicians and families to safely avoid unnecessary and potentially harmful tests. The American Academy of Paediatrics Section on Emergency Medicine (AAP SOEM) created a list of five key recommendations for Paediatric Emergency Medicine after a structured review process and expert consensus opinion.
American Ambulance Association
AUGUST 30, 2023
This content is for AAA members only. Please either Log In or Join! The post Proposed Changes to the FLSA Overtime Exemption Salary Level appeared first on American Ambulance Association.
Core Ultrasound
AUGUST 30, 2023
Knee Aspiration/Injection Elbow Aspiration/Injection Knee Exam The post Ankle Effusion – Identification, Aspiration, Injection (5MS) first appeared on Core Ultrasound.
ALiEM
AUGUST 7, 2023
A 10-year-old male with no past medical history presents to the Emergency Department (ED) by EMS for evaluation of an injury sustained while playing tackle football. The patient was forcibly hit by another child against a tree. He complains of sharp right shoulder and chest pain that worsens with movement of his right upper extremity and he arrives wearing a sling to immobilize the arm.
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EMergucate
AUGUST 19, 2023
The chest x-ray is technically inadequate (rotated, under inspired).
Pediatric EM Morsels
AUGUST 18, 2023
When you read the Morsel on Perichonditis of the ear last week ( or perhaps the Plantar Puncture Morsel from many many many weeks ago ) you may have objected because of the mention that, when indicated, fluroquinolones are safe in children. Some of you may have thought to yourself “first the AAP allows tetracycline ( Rocky Mountain Spotted Fever ) and now they allow fluoroquinolones use in children… what next?!
American Ambulance Association
AUGUST 28, 2023
Celebrate EMS Excellence Nominations are Open Now for Vanguard & EMSNext Awards Vanguard and EMS Next honorees will be recognized at the American Ambulance Association Annual Conference & Trade Show, […] The post Nominations Open for the Vanguard Awards & EMS Next! ?? appeared first on American Ambulance Association.
Core Ultrasound
AUGUST 28, 2023
Rotator Cuff Non-Rotator Cuff Shoulder Exam Knee Exam The post Elbow effusion – Identification, Aspiration, Injection (5MS) first appeared on Core Ultrasound.
ALiEM
AUGUST 28, 2023
A 44-year-old female presented to the emergency department with the complaint of a “stone under [her] tongue.” She reported that the “stone” had been present and painless for two years. The day prior, she began experiencing pain at this site while brushing her teeth. She squeezed the area in an attempt to expel it, but this action only increased her pain.
Emergency Medicine Cases
AUGUST 22, 2023
Podcast CAMP 2023 tickets are on sale now through podcastcamp.org. Podcast CAMP the only online comprehensive course dedicated to medical education podcast production – by podcasters – for podcasters. Whether you’re a beginner or a seasoned pro, this interactive, small-group, hands-on immersive experience with Anton Helman will help you not only sharpen your technical podcasting skills, but give you valuable knowledge, tips and tricks to produce your own high quality educational and impactful po
EMergucate
AUGUST 19, 2023
The supine chest x-ray shows a lucent right lung field. There appears to be mild mediastinal shift to the left.
Critical Care Scenarios
AUGUST 16, 2023
We explore the cutting edge practice of point-of-care ultrasound of the brain, including optic nerve sheath measurement, transcranial doppler, assessing midline shift, and more, with Aarti Sarwal, neurologist and neurointensivist, director of the neurocritical care unit at Wake Forest, and director of their neurovascular lab and ultrasound courses. Find us on Patreon here!
American Ambulance Association
AUGUST 24, 2023
Thank you to American Ambulance Association Secretary @WayneJurecki for standing up for patients and #EMS providers. @NewsHour #SupportEMS #GAPBAC #AlwaysOpen #NotJustaRide [link] @EMS1 @jemsconnect @UKROBL1 @AIMHI_MIH @EMSWorldOFCL — AmericanAmbulanceAsc (@amerambassoc) […] The post PBS NewsHour | The No Surprises Act left out ground ambulances.
Core Ultrasound
AUGUST 23, 2023
Knee Aspiration/Injection Elbow Aspiration/Injection Knee Exam The post Wrist Effusion – Identification, Aspiration, Injection (5MS) first appeared on Core Ultrasound.
ALiEM
AUGUST 21, 2023
A 50-year-old male with a history of polysubstance use disorder and poorly-controlled type 2 diabetes mellitus presents with left hand pain. One week ago, the patient sustained a macerating injury of the left distal middle digit. Since that time he has experienced worsening pain throughout the digit, now associated with diffuse swelling and discoloration.
Pediatric EM Morsels
AUGUST 11, 2023
This is the 601st Ped EM Morsel ! Having authored 575 ( well, now 576 ) of them, I am often quite convinced that there are no new topics to discuss. Then July happens and we get 14 more amazing interns who help educate me and remind me that there is always more to learn. Recently, Dr. Teresa Crow encountered an important topic in children that deserves its own Morsel.
EMergucate
AUGUST 19, 2023
The chest x-ray shows right upper lobe collapse consolidation.
Emergency Medicine Cases
AUGUST 8, 2023
In this Part 1 of our 2-part podcast series on dental emergencies, with the help of Dr. Chris Nash and Dr. Richard Ngo, we tackle these atraumatic dental emergencies: infections ranging from dental caries to pulpitis and gingivitis to dental abscess, cellulitis and deep space infection, as well as acute necrotizing gingivitis, pericoronitis and dry socket.
American Ambulance Association
AUGUST 24, 2023
Congratulations to the board of the Mississippi Ambulance Alliance on the publication of their insightful op-ed in the Clarion Ledger. “Response Times” are the loudest complaint, both locally and around […] The post Clarion Ledger | Ambulance ‘response times’ miss the big picture: health outcomes appeared first on American Ambulance Association.
Core Ultrasound
AUGUST 10, 2023
Rotator Cuff Non-Rotator Cuff Shoulder Exam Knee Exam
ALiEM
AUGUST 18, 2023
A middle-aged man with a past medical history of hypertension and tobacco use disorder presented to the Emergency Department after evaluation by an ophthalmologist. He complained of ten days of a right-sided headache and three days of diplopia. He denied eye pain, pain with eye movements, photophobia, and vision loss. Physical Exam Vitals : Temp 98.4 °F (36.9 °C); BP 122/72; Pulse 90; Resp 16; SpO2 100% Neuro : Ptosis, “down and out” deviation and pupil dilation of the right eye were noted.
REBEL EM
AUGUST 30, 2023
Take Home Points Clinical presentation is very nonspecific; evaluate all patients presenting with back pain for infectious risk factors. Baseline labs should not guide diagnosis, but may assist in later management. MRI is key to diagnosis, obtain this imaging in all patients who raise clinical suspicion Patients with hemodynamic instability and neurologic compromise warrant empiric antibiotics.
EMergucate
AUGUST 15, 2023
The following chest x-ray is from an infant with increased work of breathing. What can be seen?
Critical Care Scenarios
AUGUST 30, 2023
Bryan and Brandon chat about holding down jobs, conflict resolution and interpersonal skills, and how to protect yourself as an employee. Bryan and Brandon chat about holding down jobs, conflict resolution and interpersonal skills, and how to protect yourself as an employee.
American Ambulance Association
AUGUST 23, 2023
This content is for AAA members only. Please either Log In or Join! The post EMS Workforce Quick Take: Sign-on and Referral Bonuses appeared first on American Ambulance Association.
Core Ultrasound
AUGUST 3, 2023
Basic POCUS Physics Knobology Color/Power Doppler
ALiEM
AUGUST 16, 2023
Exposure to which of the following could produce the pictured results? Carbon monoxide Lead paint Morphine Oral analgesic gel Reveal the Answer 4 – Oral analgesic gel Oral analgesic gel contains benzocaine, which is an oxidizing agent and a common cause of methemoglobinemia. The pictured cyanosis and classic “chocolate” blood are seen with this condition.
Don't Forget the Bubbles
AUGUST 9, 2023
You’ve sent some bloods on a child with lethargy. Their free T4 is normal but their TSH is raised. What does this mean? Do they have subclinical hypothyroidism? Subclinical hypothyroidism is a hormonal condition. Thyroid-stimulating hormone (TSH) serum levels are raised, while free T4 (FT4) values are normal. We’ll use some cases to think about the different causes of subacute hypothyroidism, but first, let’s explore what it is.
EMergucate
AUGUST 15, 2023
Comparison of intravenous paracetamol (acetaminophen) to intravenously or intramuscularly administered non-steroidal anti-inflammatory drugs( NSAIDs) or opioids for patients presenting with … Continue reading →
Critical Care Scenarios
AUGUST 23, 2023
When are patient outcomes your fault? When are patient outcomes your fault?
American Ambulance Association
AUGUST 23, 2023
This content is for AAA members only. Please either Log In or Join! The post 2023 Mentorship Guide for EMS appeared first on American Ambulance Association.
Core Ultrasound
AUGUST 1, 2023
Basic POCUS Physics Knobology PW and CW Doppler
ALiEM
AUGUST 14, 2023
A 64-year-old female with a history of quadriplegia and bladder rupture secondary to a motor vehicle accident two years ago, complicated by chronic indwelling suprapubic foley, presents from her skilled nursing facility with fever, oliguria, tachycardia, low blood pressure, and a change in the color of her urine. Physical Exam Vitals : T 100.4°F; HR 126; BP 105/74; RR 24 General : Pleasant but mildly confused morbidly obese female smelling strongly of urine Genitourinary : Poorly maintained indw
Don't Forget the Bubbles
AUGUST 7, 2023
Heart rate (HR) and respiratory rate (RR) are THE major vital signs used in Advanced Paediatric Life Support ( APLS) guidance , sepsis guidelines , and Paediatric Early Warning Scores (e.g., PEWS). Vital signs outside the normal range are used as a proxy for the severity of illness and are also used in evaluating the risk for serious bacterial infection or risk for sepsis in children and young people (CYP).
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