ALiEM
SEPTEMBER 29, 2023
A 49-year-old male was triaged to the Fast Track area with complaints of an abrasion to the neck following an assault. The patient was attending a party with his family when “someone started shooting.” The patient believes some stucco or stone fragment from a brick wall struck him in the neck during the initial incident, but his primary concern was for his more seriously wounded family members.
First 10 EM
SEPTEMBER 25, 2023
Introduced to the world by our friend Scott Weingart, delayed sequence intubation (DSI) is often summarized as procedural sedation for the procedure of preoxygenation. (Weingart 2011, Weingart 2015) It is a brilliant concept, makes a ton of sense on paper, and anecdotally has seemed to help a number of my patients. However, any long time […] The post Delayed sequence intubation: An RCT appeared first on First10EM.
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Don't Forget the Bubbles
SEPTEMBER 23, 2023
This talk, from Clare Skinner, on music, medicine and leadership , comes from our 2022 DFTB conference in Brisbane. [link] Years ago, before I became a medical student, I heard Professor Michael Field , Associate Dean of Medical Curriculum at the University of Sydney, nephrologist, and an accomplished flautist, being interviewed about his love of music on ABC Classic FM.
Dr. Smith's ECG Blog
SEPTEMBER 27, 2023
This was written by Magnus Nossen, from Norway, with comments and additions by Smith A 50 something smoker with no previous medical hx contacted EMS due to acute onset chest pain. Upon EMS arrival the patient appeared acutely ill and complained of chest pain. An ECG was recorded immediately and is shown below. How do you interpret the ECG? ECG#1 There is a regular tachycardia with a ventricular rate of about 180 bpm.
ALiEM
SEPTEMBER 27, 2023
What well-known adverse reaction results from ingestion of the pictured mushroom? Acute hepatitis Disulfiram-like reaction with ethanol consumption Pneumonitis from inhalation of spores Seizures from glutamate agonist activity [Image from Canstockphoto] Reveal the Answer 2. Disulfiram-like reaction with ethanol consumption Coprinus atramentarius or Ink Cap mushroom is well known to cause a disulfiram-like reaction when it is consumed prior to ethanol.
American Ambulance Association
SEPTEMBER 29, 2023
Jarlicia Islandriana Scott Paramedic Pafford Emergency Medical Services Clarksdale, MS Share on Instagram | Facebook | Twitter | LinkedIn How did you come to be in EMS? I found myself […] The post EMS Profiles | Meet Jarlicia Islandriana Scott appeared first on American Ambulance Association.
Critical Care Scenarios
SEPTEMBER 27, 2023
We chat with Leon Chen about his work setting up infrastructure for clinical POCUS at Memorial Sloan Kettering. Leon is an Adult/Gerontology Acute Care Nurse Practitioner in the ICU, Clinical Program Manager of Research and Simulated Learning, and an Associate Professor at Columbia University School of Nursing. Find us on Patreon here! Buy your merch … Continue reading "Lightning rounds #32: Creating a POCUS system with Leon Chen" We chat with Leon Chen about his work setting up infrastructure f
Paramedicine Now brings together the best content for paramedicine professionals from the widest variety of thought leaders.
ALiEM
SEPTEMBER 25, 2023
66 year-old-male with a history of type 2 diabetes and hypertension presented as a transfer for rapid progression of lower extremity pain, swelling, and blue-purple discoloration of the entire limb with concern for a possible necrotizing infection. His symptoms began earlier in the day and progressed over just a few hours. He had no known thromboembolic risk factors.
American Ambulance Association
SEPTEMBER 27, 2023
This content is for AAA members only. Please either Log In or Join! The post Impact of Partial Government Shutdown on Healthcare appeared first on American Ambulance Association.
EMergucate
SEPTEMBER 26, 2023
42 year old alcoholic man, with type 2 DM. Presented with alcohol withdrawal symptoms.
Emergency Medicine Cases
SEPTEMBER 26, 2023
The EM Cases Quiz Vault is now on Anki flashcards to help you solidify knowledge of Emergency Medicine Cases podcasts. Herein lies a guide to optimize EM Cases Anki decks, download links and more. The post EM Cases Quiz Vault on Anki appeared first on Emergency Medicine Cases.
Dr. Smith's ECG Blog
SEPTEMBER 29, 2023
This case comes from Jason Winter, of The Facebook Clinical Electrocardiology ECG Page. A 60-something woman called EMS for chest pain. Here is her first prehospital ECG: What do you think? There is very low voltage in the precordial leads, with a total QRS amplitude of only 3.5 mm in V2 and 4 mm in V3. In spite of this low voltage, there is ST elevation (as measured at the J-point and relative to the PQ junction, and as measured by the computer and shown on the right), of 0.54 mm in V2 and 0.65
American Ambulance Association
SEPTEMBER 23, 2023
Jameson Fernandez Emergency Medical Technician Cataldo Ambulance Somerville, Massachusetts Share this on Instagram | Facebook | X / Twitter | LinkedIn How did you come to be in EMS? The […] The post EMS Profiles | Meet Jameson Fernandez appeared first on American Ambulance Association.
EMergucate
SEPTEMBER 26, 2023
The pelvic x-ray is from a 12 year old with hip pain following a fall onto left side while doing a cartwheel. What can be noticed?
Medgadget
SEPTEMBER 26, 2023
Researchers at the University of Texas at Austin have developed an electroencephalogram (EEG) sensor that is incorporated into a virtual reality headset. The technology can measure brain activity while someone is undergoing an immersive virtual reality experience. The device may assist in enhancing medical virtual reality interventions, such as those used to treat post-traumatic stress disorder or phobias, by revealing brain activity during different tasks or experiences that help clinicians to
Dr. Smith's ECG Blog
SEPTEMBER 26, 2023
2 middle aged males presented with chest pain. Which had the more severe chest pain at the time of the ECG? Here is the ECG of patient 1 , recorded about 2 hours after pain onset: A Massive Anterolateral STEMI/OMI Peak troponin I over 60,000 ng/L Here is the ECG of patient 2 , recorded about 2 hours after pain onset: This is OMI, but it is not STEMI Peak troponin I 440 ng/L Patient 1 at the top with the massive ST Elevation complained of 5/10 chest pain at the time the ECG was recorded.
REBEL EM
SEPTEMBER 27, 2023
Take Home Points: In the context of poisoning, a “wide QRS” is anything greater than 100 milliseconds. A newly “wide QRS”, especially with hemodynamic instability, should prompt consideration of sodium channel blockade and not ventricular tachycardia. Treatment is guided by administration of sodium-bicarbonate. Recall that the resultant alkalemia driven by sodium-bicarbonate will shift potassium intracellularly.
EMergucate
SEPTEMBER 24, 2023
The chest x-ray shows silhouetting of the right heart border.
Medgadget
SEPTEMBER 29, 2023
CraniUS , a medtech company based in Baltimore, has developed the NeuroPASS drug delivery system. The technology is designed to deliver drugs to the brain, and it can bypass the blood-brain barrier. This layer of specialized endothelium significantly restricts which drug molecules can enter the brain, normally greatly limiting treatment options for patients with brain-based disease.
EMCrit Project
SEPTEMBER 24, 2023
Do you still cringe when a dizzy patient appears on your board? If so, we need to fix that and Peter Johns is here to help! EMCrit Project by Scott Weingart, MD FCCM.
American Ambulance Association
SEPTEMBER 27, 2023
This content is for AAA members only. Please either Log In or Join! The post GAPBAC | Registration Open for Oct 31, Nov 1 Meetings appeared first on American Ambulance Association.
EMergucate
SEPTEMBER 24, 2023
The abdominal x-ray shows a radio opaque density in the right lower quadrant of the abdomen. This is an appendicolith.
Medgadget
SEPTEMBER 26, 2023
Researchers at the University of California San Francisco have developed an implantable bioreactor that may pave the way for artificial kidneys. Dialysis and kidney transplants both have significant disadvantages for patients with kidney failure, and so scientists are trying to develop a lab created kidney that would not require harsh immunosuppression or a donor kidney.
ACEP Now
SEPTEMBER 28, 2023
The emergency medicine workforce is an important issue with ramifications for physicians relocating or retiring, medical students considering the specialty, and graduating residents seeking their first jobs. In August 2021, an article published in the Annals of Emergency Medicine projected a surplus of more than 7,800 emergency physicians in 2030 based on multiple scenarios, including patterns of supply and demand for emergency physicians at that time. 1 The workforce in emergency medicine is c
Dr. Smith's ECG Blog
SEPTEMBER 24, 2023
This is written by Magnus Nossen, with some edits by Smith This ECG diagnosis will be obvious to the majority of the readers of this blog. It is not obvious for the majority of doctors or even cardiologists. A 50 something male was seen in the emergency room due to typical chest pain. The pain had started the same day about two hours prior to medical contact.
EMergucate
SEPTEMBER 24, 2023
The chest x-ray shows an incidental finding of right sided aortic arch.
Medgadget
SEPTEMBER 29, 2023
Researchers at Pohang University of Science & Technology in South Korea have developed a durable strain sensor that can detect complex body movements. The technology will be useful for patients undergoing physical rehabilitation, allowing physical therapists to assess their movements in significant detail and measure progress. Conventional strain sensors are often affected by heat and humidity, making them less durable as a wearable, and they typically detect only biaxial strain, providing l
Don't Forget the Bubbles
SEPTEMBER 27, 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.
EMDocs
SEPTEMBER 27, 2023
Author: Micaela LaRose, MD (Emergency Medicine Resident, San Antonio, TX) // Reviewed by: Summer Chavez, DO, MPH, MPM (Attending Physician, University of Houston); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Policy Playbook returns to emDOCs with a concise summary of the latest developments in emergency medicine-related health policy over the summer months.
EMergucate
SEPTEMBER 25, 2023
Answers: PH = 7.24 that is moderate acidaemia. HCO3 = 16 mmol/L, so we have metabolic acidosis. Next, we need to calculate the anion gap and the compensation.
Medgadget
SEPTEMBER 29, 2023
Researchers at Oxford University have developed a tiny battery that can power small implantable devices, such as drug delivery technologies. The new battery is inspired by the ionic gradients that electric eels use to generate electricity. It involves tiny droplets of a conductive hydrogel that are placed near each other. Each droplet has a different ionic concentration, meaning that ions will flow from high concentration droplets to low concentration droplets.
University of Maryland Department of Emergency Med
SEPTEMBER 23, 2023
The role of exercise in patients with asthma is complicated. Asthma symptoms can worsen or be triggered by physical activity. This can.
Prehospital Emergency Care Podcast
SEPTEMBER 29, 2023
Every day, our EMS clinicians utilize protocols to guide medical care. These protocols are based on the latest evidence in prehospital care. However, keeping up with current evidence remains a challenge. In this podcast, we interview Dr. Christian Martin Gill & Dr. Rebecca Casche on their manuscripts: Recommendations for Improving the Quality of Prehospital Evidence-Based Guidelines & 2022 Systematic Review of Evidence-Based Guidelines for Prehospital Care Click here to download i
NHCPS Save a Life
SEPTEMBER 29, 2023
CPR training or cardiopulmonary resuscitation is a lifesaving skill that everyone should learn, and high school students are no exception. Teaching CPR to high school students goes beyond just preparing them for emergencies. It equips them with valuable life skills that can have a lasting impact. The incidence of sudden cardiac arrest among teenagers and […] The post Why High School CPR Training Matters appeared first on SaveaLife.com.
First Responders Childrens' Foundation
SEPTEMBER 27, 2023
New York, Sept. 26 … First Responder’s Children’s Foundation (FRCF) is pleased to announce that Christina Rehkop, Director of Community Relations at Devon Energy , has joined its board of directors. The Oklahoma-City-based company is a leading U.S. producer of energy resources. Ms. Rehkop has a broad background in strategic planning, nonprofit governance, public relations, and event planning.
University of Maryland Department of Emergency Med
SEPTEMBER 28, 2023
Kids eat everything (except perhaps carefully prepared and balanced meals). While button battery ingestions are feared, there is more to worry about. Magnet in.
NCOAE
SEPTEMBER 26, 2023
The suicide rate among emergency medical service (EMS) professionals rose a shocking 38 percent since 2009, according to a study published in the Western Journal of Emergency Medicine. But as shocking as that statistic is, it should come as no surprise. As an emergency medical technician (EMT) or paramedic, you typically work a five-day rotation of 12-hour shifts (days or nights).
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