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St.Emlyn's - Emergency Medicine #FOAMed This article explores the impact of physician-led interprofessional pre-hospital teams on survival and mortality outcomes for critically ill and injured patients. Drawing on a systematic review and meta-analysis, it examines the evidence, evaluates key benefits, and critically appraises the limitations. The discussion highlights the potential of this model to enhance pre-hospital emergency care while addressing challenges in implementation across dive
When I started as a paramedic in Hartford in January of 1995, I was given a 100-page protocol book to memorize. There were fewer than 50 protocols in the book, along with pages for 24 medications and 8 procedures. The book was approved by the two largest hospitals in Hartford. Looking through the book today, it is truly an antiquated. For instance, there was no protocol for stroke or STEMI.
Happy New Year, and w elcome back to another edition of ESO product updates. Thanks to our new and improved feedback process, our customers have been more involved than ever in our Product Roadmap. Your input is invaluable to our team and integral to the improvements and enhancements you’ll find below. So, without further ado, here are the latest updates from ESO in Q4 2024 and whats just ahead on the horizon , all of which h as been made possible by our incredible ESO community : Content
Welcome to the first episode of the Broomedocs podcast for 2025. Justin and I are back for more nerdy goodness to make you smarter in the Resus room, or at a pub trivia night more likley… wether it is about salt correction, dissection or infection we can help you out! Listen in and learn! Or if you don’t have enough Youtube content featuring aging bearded men – you can watch over on Justin’s channel here: Airway, breathing, cellphone: a new vital sign?
We all know the key to a thorough patient assessment is to approach it systematically so that we dont become distracted (by that bleeding scalp wound) or skip steps that may yield valuable information (like listening to breath sounds). Theres a reason we are all taught head-to-toe surveys: so that we work our way through essential assessment points, avoiding a haphazard exam where key signs are missed.
Methodology 3/5 Usefulness 3/5 Connolly SJ, et al. N Engl J Med. 2024 May 16;390(19):1745-1755. Editorial: Reversing Oral Anticoagulation in Intracerebral Hemorrhage. Question and Methods: This unblinded, multicentre randomized controlled trial studied whether Andexanet improved hemostatic efficacy compared to usual care in patients with acute intracerebral hemorrhage using factor Xa inhibitors.
Antibiotic Treatment for 7 versus 14 Days in Patients with Bloodstream Infections BALANCE Investigators. NEJM 2024; DOI: 10.1056/NEJMoa2404991 Clinical Question In hospitalised patients with bloodstream infections (BSI), is antibiotic treatment for 7 days, compared to treatment for 14 days, non-inferior with respect to mortality at 90 days?
Do you change your practice when new evidence is published? Will these articles change your practice? Will you read them? Does anyone read them? I dont know, but here is another month of my reading summarized. For the regular readers, you will have noticed I have taken a few weeks off. February is also likely […] The post Research Roundup for January 2025 appeared first on First10EM.
Do you change your practice when new evidence is published? Will these articles change your practice? Will you read them? Does anyone read them? I dont know, but here is another month of my reading summarized. For the regular readers, you will have noticed I have taken a few weeks off. February is also likely […] The post Research Roundup for January 2025 appeared first on First10EM.
GEDCs Spotlight Series shares the great work that member organizations are doing in the field of geriatric emergency medicine. Through the pursuit of GEDA accreditation, implementation of meaningful QI initiatives, and provision of educational resources for clinicians, health systems that take advantage of GEDC membership are setting the standard for outstanding geriatric emergency medicine.
This content is for AAA members only. Please either Log In or Join! The post CAAS Launches ANSI-Approved CAAS Standards Version 4.0 appeared first on American Ambulance Association.
Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here!
January Recap During the first month of 2025, our teams traveled to California for the NAEMSP Annual Meeting, Florida for the Florida Fire Conference, and Alabama for the St. Dominic Neuro/Cardio CME. Pictured: Brandon Means, Danny Craven, Angie Cunningham, Anna Larson, and James Woodson at NAEMSP.
St.Emlyn's - Emergency Medicine #FOAMed What is the impact of physician-led interprofessional pre-hospital teams on survival and mortality outcomes for critically ill and injured patients. The post JC: Do physician led prehospital teams improve outcomes? appeared first on St.Emlyn's.
-Case- A 34-year-old extremely active man is rushed to the ED by EMS after a gnarly mountain biking crash. EMS was kind enough to place a cervical collar en route to your ED. He’s wincing, clutching his neck, and every movement sends a jolt of pain shooting down his arms. He says, “I tried getting up after the crash, but my arms felt weak and tingly.
Georgina Beech, Leon Lam, Jennifer Davidson and Parvathy Suresh Kochath CT Case 099 A 20-year-old male presents with a tender midline neck mass which has developed over the preceding few days. He is systemically well.
Artificial intelligence in healthcare is transforming patient care, improving efficiency, and making healthcare systems more accessible L'articolo Artificial Intelligence in Healthcare: Innovations and Care Models proviene da Stem Ems.
Chris and Spence try and figure out what's real and what's not on a call where an altered man wounds up getting taken to the way wrong place. The result? Not good. Not good at all. Chris and Spence try and figure out what's real and what's not on a call where an altered man wounds up getting taken to the way wrong place. The result? Not good. Not good at all.
Today on the emDOCs cast with Brit Long ( @long_brit) , we cover immune checkpoint inhibitors and adverse events. Episode 113: Immune Checkpoint Inhibitor Adverse Events Several cancers (melanoma, non-small cell lung cancer, renal cell carcinoma, hepatocellular carcinoma, others) suppress the innate T-lymphocyte function by activating checkpoint signals.
Long, physically demanding hours coupled with life-and-death decision-making can lead to more than just burnout for first responders. Nearly 22% of all fire service members are expected to experience PTSD at some point in their careers. Due to this, protecting your team members wellbeing should be a top priority for EMS agencies and fire departments alike, right up there with their physical safety.
A 20-year-old previously healthy student-athlete female presented with a 2-week history of bilateral periorbital swelling unresponsive to steroids and anti-histamines prescribed by her PCP. The edema had been worsening, and there was a new development of throat tightening and discomfort. She denied rash, allergies, fever, URI symptoms, urinary symptoms, or new medications.
On this month's EM Quick Hits podcast: Anand Swaminathan on optimizing RSI medication timing, Brittany Ellison ED boarding challenges in older patients and solutions to ED crowding and flow, Dave Jeromeon managing prolonged tourniquet application, Nour Khatib and Phil Gillick on a rural peer support case, Jesse McLaren on ECG reciprocal changes in acute coronary occlusion, and Melody Ngon practical nutrition tips for shift workers.
Date: January 9, 2025 Reference: White et al. Evidence of questionable research practices in clinical prediction models. BMC Med 2023 Guest Skeptic: Dr. Jestin Carlson is the Program Director for the AHN-Saint Vincent EM Residency in Erie Pennsylvania. He is the former National Director of Clinical Education for US Acute Care Solutions and an American Red Cross Scientific Advisory Council member.
Written by Magnus Nossen The ECG below was obtained from 50-something male with a history of hypertension and tobacco use. The patient contacted the ambulance service after he experienced sudden onset chest pain and diaphoresis that had started 20 minutes prior. The ECG below ECG was recorded on the scene. What is the cause of the ECG changes here? How will you manage this patient?
A 60-year-old African American female without a past medical history presented to the emergency department with a complaint of a “hard, yellowish brown, growth” on her right upper abdomen. The patient reported that it had been present and slowly enlarging over a two-year period and was now causing pain when it “snags on clothing” Additional Images Physical Exam Skin : 9.5 cm, firm, curved, exophytic, keratotic, tumor protruding from the right upper abdominal wall.
Discover how Global EM principles can be applied to rural medicine in North America. Dr. Arjun Sithamparapillai challenges misconceptions about Global Health sustainability, and highlights the critical role of teamwork, adaptability, and equity in underserved communities. Perfect for EM professionals balancing family, career, and a passion for global impact.
St.Emlyn's - Emergency Medicine #FOAMed In this podcast, explore how Dr. Matt Hoopers concept of "compassionate resuscitation" integrates palliative care principles into emergency medicine, focusing on quality end-of-life care for patients, families, and providers. The post Podcast – Compassionate Resuscitation with Matt Hooper at LTC appeared first on St.Emlyn's.
Written by Hans Helseth A 34 year old man with no known medical history presented to the ED after an hour of chest pain. He described the pain as a mid sternal "burning sensation" and rated it 8.5 out of 10 at onset, but on presentation to the ED, reported that the pain had improved to 4.5. His first EKG is shown below, with a lead II rhythm strip: EKG 1, 1645 A provisder who is looking for STEMI would not see much in this EKG.
As interview season wraps up, medical students across the country are preparing their rank lists for the upcoming Match. EM Match Advice podcast host, Dr. Sara Krzyzaniak (Stanford EM Program Director) recently sat down with Dr. Melissa Parsons (University of Florida College of Medicine – Jacksonville EM Program Director), to discuss the match process from both program and applicant perspectives.
Authors: Michael Sperandeo, MD (Assistant Professor, Dept of Emergency Medicine, Long Island Jewish Medical Center, Associate Program Director EMSL Medical Simulation Fellowship, Zucker School of Medicine at Hofstra/Northwell); Sophia Grgens, MD (EM Physician, BIDMC, MA) // Reviewed by: Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Brit Long, MD (@long_brit); Alex Koyfman, MD (@EMHighAK) Welcome to EM@3AM, an emDOCs series designed to foster your wo
The PQRST wave is a component of an electrocardiogram (ECG or EKG) reading. It provides information about the heart’s function. In many ways, the PQRST wave is the heart’s signature, which provides insight into its function and health. Understanding the PQRST wave meaning is critical to knowing what to do when someone is facing a […] The post PQRST Wave Explained: ECG Interpretation Made Easy for Beginners appeared first on SaveaLife.com.
Written by Magnus Nossen and Ken Grauer You are shown the ECG that appears in Figure-1 obtained from an 80-something year old man. Other than sinus rhythm What else do you see in this tracing? Note: The ECG in Figure-1 was initially recorded using the Cabrera Format ( See Comment by Dr. Grauer at the bottom of the page in the October 26, 2020 post for review of the Cabrera Format ).
Why do we worry about Pseudomonas in diabetic foot infections? One of the age-old challenges of medicine is deciding which infections to suspect in which patients based on which risk factors. Everything from whether a patient has an artificial joint to if their cat recently scratched them can be meaningful when making a diagnosis. Some of the associations make intuitive sense someone in Burundi is more likely to get malaria than someone in Buffalo.
-Case- A 34-year-old extremely active man is rushed to the ED by EMS after a gnarly mountain biking crash. EMS was kind enough to place a cervical collar en route to your ED. He’s wincing, clutching his neck, and every movement sends a jolt of pain shooting down his arms. He says, “I tried getting up after the crash, but my arms felt weak and tingly.
In the world of emergency and prehospital medicine, Ketamine is the ultimate multi-tool of medicationspain relief? Check. Sedation? Check. Bronchodilation? Check. Seizure coverage? Check. Journey into a dissociative state? Check. It's no wonder emergency medicine is drooling over this drug. Unfortunately, so are some of our patients. While ketamines versatility makes it an MVP, it does harbor some interesting side effects like hypersalivation.
I never thought that I would come out of blogging retirement. Didn’t have anything else to say. But a rant has been brewing for a long time now, building to dangerous levels. If I don’t get it out now, I’m liable to give myself a rupture, and then I’d have to wear a truss, and I don’t need that. Nobody needs that. I’ve been largely desk-bound for the last 6 months or so, which I have to say I don’t love – my happy place is out on the road looking a
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