Sat.Nov 02, 2024 - Fri.Nov 08, 2024

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Compassionate Care for Neurodivergent Patients in the Emergency Dept.

ACEP Now

The quick-moving, high-stress practice of emergency medicine means health care professionals need to be prepared for anything. Among emergency physicians’ diverse patient populations, neurodivergent individuals represent a unique group with distinct challenges and requirements. Neurodivergence is an umbrella term that refers to a variety of neurological differences (not deficits), including autism spectrum disorder (ASD), attention deficit hyperactivity disorder (ADHD), and dyslexia, among other

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Elbow Dislocations

REBEL EM

Elbow Dislocation Definition: Disarticulation of the proximal radius & ulna bones from the humerus Epidemiology: Incidence Second most common joint dislocation (after shoulder) in adults Most commonly dislocated joint in children Accounts for 10-25% of all injuries to the elbow ( Cohen 1998 ) Posterolateral is the most common type of dislocation (80%) Demographics Most commonly affects patients between ages 10-20 years old As age increases, elbow dislocation rates tend to d

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EMS Wellness: Program Uptake and Roadblocks [2024 EMS Trend Survey]

Pulsara

Editor's Note: In August 2024, EMS1 and Fitch & Associates released their annual EMS trend survey, What Paramedics Want, proudly sponsored by Pulsara. Because the articles and advice found within contain such critical subject matter, we've elected to publish each segment one at a time here on our blog. Read, enjoy, share, and take to heart the following information brought to you by the most prestigious thought leaders in EMS.

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The NVFC First Responder Helpline is Here for You

NVFC

The end of the year is approaching, and the holiday season can bring many positives. It can also be a difficult time for emergency responders and their families. Juggling commitments at home with responsibilities at work and at the fire department can be stressful, as can responding to a neighbor’s worst day during what is supposed to be a festive, family-oriented time of year.

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Current Extraglottic Airway Devices and Prehospital Practices

ACEP Now

Airway management remains a fundamental skill for all emergency physicians. Extraglottic airway devices (EGAs) have become a widely accepted means of airway management along with rescue airway devices. We aim to clarify the role of these devices in the prehospital setting and discuss considerations surrounding the most frequently used devices in current practice.

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How ESO EHR Makes Critical Care Documentation Easier

ESO

We’re excited to announce the launch of our advanced Critical Care functionality within ESO Electronic Health Record (EHR) , designed to meet the unique demands of high-acuity healthcare environments. Developed in close collaboration with our customers, this innovative upgrade helps streamline workflows for emergency medical and critical care professionals, enabling faster and safer decision-making on the ground and in the air.

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NREMT Psychomotor Exam for BLS

Chicago EMT Training

We are ready to begin hosting psychomotor exams for BLS providers that successfully completed their written NREMT requirement. Assessments include: Medical Assessment (Neuro) Trauma Assessment (Head to Toe) Airway Management (with iGel) CPR//AED/choking for adults, pediatrics, and infants Bleeding Control (tourniquet) Penetrating Chest Trauma Spinal Motion Restriction OB Delivery Please schedule an appointment with Victor at info@chicagoemttraining.com To prepare, you can utilize our study guide

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How to Best Inspect, Protect, and Dress Wounds in the Emergency Dept.

ACEP Now

This is the second visit in two weeks for an elderly gentleman who is concerned about his legs being red and swollen. During the first visit, he was diagnosed with cellulitis and placed on cephalexin. Today, he notes worsening swelling and a blister forming near his left ankle. The pain makes it difficult for him to ambulate unassisted through his home.

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Building a Learning Culture in the ED: Why It Matters and How to Make It Happen.

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed Creating a learning culture in the emergency department (ED) fosters psychological safety, open communication, and continuous improvement. This approach supports team resilience, enhances patient care, and reduces burnout. Learn practical steps to build a strong learning culture in your ED, promoting growth and collaborative excellence in emergency medicine.

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SGEM#458: Hurt So Good –Ketamine Can Make the Hurt so Good – If used as an Adjunct to Opioids for Acute Pain in the Emergency Department

The Skeptics' Guide to EM

Date: October 29, 2024 Reference: Galili et al. Low dose ketamine as an adjunct to morphine: a randomized controlled trial among patients with and without current opioid use. AEM Oct 2024. Guest Skeptic: Dr. Neil Dasgupta is an emergency medicine physician and ED intensivist from Long Island, NY. He is the Vice Chair of the Emergency Department and Program Director of the EM residency program at Nassau University Medical Center in East Meadow, NY, the safety net hospital for Nassau County.

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Make Your Plans to Commemorate Crash Responder Safety Week

NVFC

This year, Crash Responder Safety Week (CRSW) takes place November 18-22 with the important message, “Responders Ahead! Reduce Your Speed as You Proceed.” Every year, law enforcement, fire and rescue, EMS, public works, transportation, towing, and other responders put their lives at risk to clear the 7 million motor vehicle crashes as well as the broader range of roadway incidents such as stalled vehicles or roadway debris.

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Inhalation Injuries: The Answers You’ve Been LUNGing For

EMOttawa

Inhalational injuries are a critical yet often overlooked aspect of trauma care, with far-reaching consequences in emergency medicine. These injuries can arise from various sources, including thermal injuries from fires, recreational activities such as smoke exposure during camping or outdoor events, and chemical inhalation in both industrial and household settings.

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When Do Pediatric Ventriculoperitoneal Shunts Fail?

ACEP Now

The best questions often stem from the inquisitive learner. As educators, we love—and are always humbled—by those moments when we get to say “I don’t know.” For some of these questions, you may already know the answers. For others, you may never have thought to ask the question. For all, questions, comments, concerns, and critiques are encouraged. Welcome to the Kids Korner.

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Resuscitation Resources

Handtevy

Welcome to the Resuscitation Resources page – your comprehensive hub for essential tools, guidance, and best practices in resuscitation care. This page is designed for professionals in Dispatch, Fire and EMS, and Hospital, providing valuable links, videos, and documents to support high-quality, evidence-based resuscitation practices. In this video, Dr.

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Episode 145: Quick Hits Vol 28 No 3

Prehospital Emergency Care Podcast

PEC Podcast Episode 145: Quick Hits from Prehospital Emergency Care Journal Get ready for a rapid-fire review of the latest prehospital research! In Episode 145 of the PEC Podcast, we dive into the original research section of the Prehospital Emergency Care Journal (Volume 28, Number 3). Join our expert panel as we dissect key findings and discuss the implications for EMS practice.

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Cardiac arrest and IO

Emergency Medicine Education

I personally believe that having a secure line, whether a peripheral IV or central line, is essential for resuscitating a patient. However, this is just my opinion. A recent article in NEJM highlighted that the drug administration route—IV versus IO—matters in terms of successful resuscitation, return of spontaneous circulation (ROSC), and favorable neurological outcomes.

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Liberal or restrictive transfusion in brain injury part 2 (The TRAIN trial)

First 10 EM

It is pretty rare for the phrase “we need more research” to be immediately followed by more research, but that seems to have happened here.v On October 7 I published my post about the HEMOTION trial, looking at transfusion thresholds in traumatic brain injury, and concluding that despite being a statistically negative trial, the results […] The post Liberal or restrictive transfusion in brain injury part 2 (The TRAIN trial) appeared first on First10EM.

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Changes to NVFC Membership Dues Start January 2

NVFC

The National Volunteer Fire Council (NVFC) is the leading nonprofit membership association representing the interests of volunteer firefighters, EMS providers, and rescue personnel. The NVFC values its members and strives to offer benefits and programs that address the critical needs of the fire, emergency medical, and rescue services. In order to continue providing the best services possible for members, the NVFC is making some updates to its member dues rates.

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Podcast – Prehospital eCPR with Alice Hutin at Tactical Trauma 2024

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed At the Tactical Trauma 24 conference in Sundsvall, Sweden, St Emlyn’s hosts Iain Beardsell and Liz Crowe had the opportunity to speak with Alice Hutin, an emergency physician with Service […] The post Podcast – Prehospital eCPR with Alice Hutin at Tactical Trauma 2024 appeared first on St.Emlyn's.

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Azithromycin and Myocardial Infarction

Emergency Medicine Education

The overuse of azithromycin during COVID-19 led to several issues, including increased resistance to the medication. Initially, concerns centered around QT prolongation, but a recent retrospective study published in JACC: Advances discusses additional risks associated with azithromycin exposure, including ‘long-term subsequent MI,’ ’30-day hospital readmissions,’ and ’30-day incident heart failure among MI patients.

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CMS National Rural Health Day Webinar

American Ambulance Association

Register now for our upcoming National Rural Health Day webinar The Centers for Medicare & Medicaid Services Office of Minority Health (CMS OMH) invites you to celebrate National Rural Health […] The post CMS National Rural Health Day Webinar appeared first on American Ambulance Association.

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5 Min Sono: The VExUS Score (2024)

Core Ultrasound

In this Five Minute Sono video we provide a streamlined, step-by-step walkthrough on how to accurately conduct the VEXUS Score, perfect for clinicians who are already familiar with its purpose and clinical applications. IVC VTI Courses The post 5 Min Sono: The VExUS Score (2024) first appeared on Core Ultrasound.

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November 8, 1895

Life in the Fastlane

Mike Cadogan November 8, 1895 On November 8, 1895 Wilhelm Röntgen, chair of physics at Würzburg, noted an unusual phenomenon, that would change the world of medicine

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A Chat with Native American Emergency Physicians

ACEP Now

Native American emergency physicians make up 0.1 percent of physicians in U.S. emergency departments, according to research published in 2020 in Annals of Emergency Medicine. Three Native American emergency physicians in Oklahoma—three of five in the state—discussed with ACEP Now their approach to health care and how their careers in medicine began.

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CMS Finalizes the Productivity Adjustment, Adds Prehospital Blood Transfusion to ALS2

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post CMS Finalizes the Productivity Adjustment, Adds Prehospital Blood Transfusion to ALS2 appeared first on American Ambulance Association.

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EMCrit RACC Lit Review – October/November 2024

EMCrit Project

All the RACC Literature Goodness for November 2024 EMCrit Project by Scott Weingart, MD FCCM.

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Waiting Room Medicine

Life in the Fastlane

Mike Cadogan Waiting Room Medicine With exponential Emergency Department over-crowding and spiraling waiting times, the Utopian College has produced a series of guidelines to assist fondling members.

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AHA and Red Cross Life Support Certifications Should Both Be Accepted

ACEP Now

For decades, only one major organization—the American Heart Association (AHA)—provided standardized training and certifications in Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS). This changed in 2019 when the American Red Cross rolled out a suite of courses that teach the same science and skills in a more learner-centered way.

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IV Fluid Conservation Briefing Now Available

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post IV Fluid Conservation Briefing Now Available appeared first on American Ambulance Association.

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How a Decreased Level of Consciousness Can Lead to a Respiratory Emergency

SSCOR

There are many medical and traumatic causes for a decreased level of consciousness, any of which can lead to a respiratory emergency. A thorough patient assessment and quick diagnosis, followed by aggressive treatment, can prevent the patient's condition from deteriorating. But even optimal care cannot stave off every respiratory complication.

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Funtabulously Frivolous Friday Five 361

Life in the Fastlane

Mark Corden Funtabulously Frivolous Friday Five 361 Funtabulously Frivolous Friday Five 360 - Just when you thought your brain could unwind, enter the medical trivia of FFFF.

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Training Notes: Take Feedback Like a Pro

The FllightBridge ED

Theres no shortage of tips out there for instructors that are aimed at improving giving feedback.

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Announcing the National EMS Documentation Survey

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post Announcing the National EMS Documentation Survey appeared first on American Ambulance Association.

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Four Common Pediatric Respiratory Emergencies and Preventing Complications

SSCOR

Pediatric emergencies are always a bit unsettling. Fortunately, children make up a minority of our patients, but when these emergencies occur, it can be stressful—for the patient, for the patient’s family, and for you, the responder.

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Building a Learning Culture in the ED: Why It Matters and How to Make It Happen.

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed Creating a learning culture in the emergency department (ED) fosters psychological safety, open communication, and continuous improvement. The post Building a Learning Culture in the ED: Why It Matters and How to Make It Happen. appeared first on St.Emlyn's.

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Training Notes: Take Feedback Like a Pro

The FllightBridge ED

There’s no shortage of tips out there for instructors that are aimed at improving giving feedback.

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EMS third party billing companies what percentage is average for revenue collected

EMT City

I am interested in what the average % paid to third party billing companies for EMS billing. We are in a rural area of Virginia. 10% seems high.

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