The Skeptics' Guide to EM

NOVEMBER 2, 2024

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.

Emergency Department 242

Emergency Department ED ALS EMS 242

REBEL EM

NOVEMBER 6, 2024

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

E-9-1-1 109

E-9-1-1 ACS OR Emergency Department 109

Chicago EMT Training

NOVEMBER 4, 2024

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

BLS 130

BLS CPR 130

American Ambulance Association

NOVEMBER 6, 2024

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.

Ambulance 130

Ambulance 130

St. Emlyn's

NOVEMBER 6, 2024

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.

ED 121

ED Emergency Department 121

NVFC

NOVEMBER 5, 2024

The National Emergency Response Information System (NERIS) launched on November 4 to modernize incident data collection and provide vital intelligence for local fire departments across the United States. NERIS is a secure, cloud-based platform developed in collaboration with the American fire service to capture all-hazards incident data and provides analytic tools for local fire and emergency service leaders in near-real time.

Emergency Response 111

Emergency Response Public Safety Firefighter EMS 111

Core Ultrasound

NOVEMBER 6, 2024

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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113

ACEP Now

NOVEMBER 7, 2024

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.

ED 97

ED OR Emergency Department Ambulance 97

Life in the Fastlane

NOVEMBER 7, 2024

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

98

98

Pulsara

NOVEMBER 7, 2024

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.

EMS 78

EMS Paramedic OR 78

American Ambulance Association

NOVEMBER 4, 2024

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.

Ambulance 130

Ambulance OR 130

ACEP Now

NOVEMBER 6, 2024

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.

Emergency Department 98

Emergency Department OR 98

Life in the Fastlane

NOVEMBER 2, 2024

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.

Emergency Department 98

Emergency Department 98

EMOttawa

NOVEMBER 7, 2024

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.

OR 76

OR 76

American Ambulance Association

NOVEMBER 6, 2024

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.

EMS 100

EMS Ambulance OR 100

ACEP Now

NOVEMBER 6, 2024

A gravid woman presents to your emergency department (ED). Before you can obtain any history, she gives birth in your waiting room. The neonate is apneic and has a heart rate of 48. How do you stabilize this patient? Neonatal resuscitation is common; 10 percent of the four million newborns in the U.S. each year will require at least some intervention. 1 However, one percent of births will require advanced interventions, including chest compressions, intubation, and medications. 2 These rare scen

Epinephrine 98

Epinephrine Emergency Department EMS OR 98

Life in the Fastlane

NOVEMBER 7, 2024

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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86

EMCrit Project

NOVEMBER 7, 2024

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

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63

ESO

NOVEMBER 5, 2024

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.

Critical Care 59

Critical Care CAD OR EMS 59

ACEP Now

NOVEMBER 7, 2024

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.

Life Support 74

Life Support BLS Advanced Life Support CPR 74

NVFC

NOVEMBER 5, 2024

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.

EMS 59

EMS OR 59

SSCOR

NOVEMBER 7, 2024

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.

EMS 59

EMS 59

Life in the Fastlane

NOVEMBER 7, 2024

Sheralyn Guilleminot and Mike Cadogan COVID-19 Resources The COVID-19 resource pack you need to keep up with the constant stream of new variants, new research, and changing guidelines!

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52

ACEP Now

NOVEMBER 8, 2024

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

Emergency Department 52

Emergency Department ED OR ALS 52

NVFC

NOVEMBER 5, 2024

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.

First Responder 52

First Responder Firefighter EMS OR 52

SSCOR

NOVEMBER 2, 2024

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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59

The FllightBridge ED

NOVEMBER 6, 2024

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

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52

ACEP Now

NOVEMBER 7, 2024

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.

ALS 59

ALS OR 59

Don't Forget the Bubbles

NOVEMBER 6, 2024

Cant get enough of Bubble Wrap? The Bubble Wrap Plus is a monthly paediatric Journal Club reading list from Professor Jaan Toelen (University Hospitals Leuven) and Dr Anke Raaijmakers (Sydney Childrens Hospital). This comprehensive list is developed from 34 journals, including major and subspecialty paediatric journals. We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research.

ALS 52

ALS ED OR EMS 52

St. Emlyn's

NOVEMBER 6, 2024

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.

ED 52

ED Emergency Department 52

The FllightBridge ED

NOVEMBER 6, 2024

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

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52

ACEP Now

NOVEMBER 8, 2024

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.

E-9-1-1 40

E-9-1-1 Emergency Medical Services Emergency Medical Technician AEMT 40

First 10 EM

NOVEMBER 4, 2024

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.

OR 62

OR EMS 62

St. Emlyn's

NOVEMBER 5, 2024

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.

Emergency Department 93

Emergency Department 93

EMDocs

NOVEMBER 6, 2024

Authors: Robert Nicholson, MD (EM Resident Physician, Carolinas Medical Center, Charlotte, NC) and Ann-Jeannette Geib, MD (EM Attending Physician, Medical Toxicologist, Carolinas Medical Center, Charlotte, NC) // Reviewed by: James Dazhe Cao, MD (@JamesCaoMD, Associate Professor of EM, Medical Toxicology, UT Southwestern Medical Center, Dallas, TX); Anthony Spadaro, MD (@TSpadaro91, Medical Toxicology Fellow, Rutgers New Jersey Medical School, Newark, NJ); Alex Koyfman, MD (@EMHighAK); Brit Long

E-9-1-1 78

E-9-1-1 ALS EMS OR 78

EMT City

NOVEMBER 4, 2024

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.

EMS 40

EMS 40

ACEP Now

NOVEMBER 7, 2024

Dr. Elizabeth Wharff was the director of emergency psychiatry at Boston’s Children’s Hospital in the late 1990s when she became concerned about what was, then, a new problem. The emergency department (ED) was frequently overwhelmed by suicidal adolescents who needed inpatient psychiatric treatment but couldn’t be admitted, because the hospital had no free beds.

ED 59

ED Emergency Department ALS OR 59