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Paramedics are increasingly required to assess patients and determine whether they can be safely managed at home with self-care or primary care or if they need to be transferred to the hospital. In line with HCPC requirements, paramedics must use evidence-based practice to make informed clinical decisions. This post explores the key information needed to support sound, evidence-based, and patient-centred decision-making in managing chickenpox in children.
Reference: Muldowney et al. A Comparison of Ketamine to Midazolam for the Management of Acute Behavioral Disturbance in the Out-of-Hospital Setting. Ann Emerg Med. 2025 Date: April 24, 2025 Guest Skeptic: Dr. Howie Mell received his Medical Doctorate (MD) from the University of Illinois at Chicago, College of Medicine at Rockford. Prior to that, he received a Master of Public Health (MPH) degree emphasizing Environmental and Occupational Health from the University of Illinois at Chicago, School
We dive into the recognition and management of blast crisis. Hosts: Sadakat Chowdhury, MD Brian Gilberti, MD [link] Download Leave a Comment Tags: Hematology , Oncology Show Notes Topic Overview Blast crisis is an oncologic emergency, most commonly seen in chronic myeloid leukemia (CML). Defined by: >20% blasts in peripheral blood or bone marrow.
-Case- A 54-year-old man presents to the ED with sudden, severe chest pain that began shortly after an episode of forceful vomiting. He’s diaphoretic, tachycardic, and complains of neck discomfort and shortness of breath. He says the pain radiates to his back and worsens with swallowing. On exam, you note subtle crepitus in his neck and chest wall.
How should we best acquire medical knowledge and skills so that we can easily retrieve and effectively use them in the field? Now that we are past the stressful March 31st recert deadline, hosts Maia Dorsett, Hilary Gates, Rob Lawrence delve into the issues surrounding EMS recertification and continuing education. Special guest Ethan Setnik, Chief Technology Officer at Prodigy EMS, offers unique insights into the design of learning from his perspective as a system engineer.
This week, Attorney General Pam Biondi claimed President Trump had saved 119 million lives in the first 100 days of his administration through the nation’s drug seizure activities. Later in the day, in a cabinet meeting, she claimed the number of lives saved was 258 million. This claim is based on the US seizing 22.2 million fentanyl pills in the first 100 days of 2025.
PCC Members, Paramedic Services Week is quickly approaching. This year’s theme, ‘We Care. For Everyone’ depicts the diverse roles that Paramedics play in an ever-changing environment, from community paramedicine to preventative healthcare, Paramedics stand ready to respond to challenges whenever they are needed. We hope that you will join us in recognizing the below themes each day of Paramedic Services week this year.
Whether youre performing routine suctioning during surgical procedures, suctioning a patient on a ventilator, or performing life-saving procedures to prevent or reduce aspiration, diligent suction canister management is critical to proper patient care. Particularly in the face of bird flu and other infectious diseases, your agency must work proactively to reduce the risk of transmitting disease via equipment such as suction machines.
Dr. Faroukh Mehkri walks us through a mindset-reframe for the undifferentiated crashing patient. He theorizes that the pervasive language of stay and play versus load and go has conditioned and narrowed our thinking. Dr. Mehkri describes the evidence-based, predictable & preventable pattern of patients going into cardiac arrest shortly after EMS arrival.
A regional advanced life support paramedic intercept program launched by a local fire chief last month has brought better service and quicker response times to participating towns.
In this video, Dr. Jailyn Avila walks you through how to diagnose thoracic aortic aneurysms and thoracic aortic dissection using bedside ultrasound. While the abdominal aorta often gets the most attention, aortic disease above the diaphragm is just as criticaland often harder to recognize. Early detection of thoracic aortic pathology can be life-saving, and ultrasound can play a key role in raising suspicion quickly.
A typical hospital produces about 137 terabytes of data per day, more than twice the data housed in the Library of Congress. Yet, up to 97% of hospital data are unused. But what if all that data helped you improve patient outcomes, streamline operations, and support performance initiatives? What could you achieve if you had a patient’s prearrival care information in hand when they arrived at the emergency department (ED)?
If youre working in healthcare, you’re already doing the hard work of saving lives, thinking fast, and showing up for your patients every single day. With everything on your plate, remembering when your ACLS certification expires probably isnt your top priority. Still, staying current is important, and, fortunately, its easier than you might think.
Lawyers representing Acadian Ambulance want a federal judge to dismiss a class action lawsuit filed against the company, claiming victims haven't proved they were harmed by a data breach.
View entire newsletter in your browser PSW 2025 Exclusive Sneak Peek A Photo Contest Celebrating Your Team! To mark Paramedic Services Week 2025 and its theme We Care. For Everyone. , Demers and Crestline proudly launch their annual photo contest, celebrating the dedication of paramedics across Canada. Open to all paramedic services, the contest showcases the people, vehicles, and moments that define frontline care.
Bottom Line Up Top: Blood gas electrolytes closely correlate with serum measurements and can be used under most circumstances to guide clinical care. Clinical Scenario: A 62 year old woman with a history of HTN, ESRD on MWF dialysis presents to the Emergency Department with generalized weakness. Her vital signs are HR = 82, BP 153/72, O2 Sat 95%, Temp 98.7.
Research in JACEP Open , ACEPs peer-reviewed open access journal, features a map of the United States to show which emergency departments have round-the-clock coverage by a board-certified emergency physician. Nothing is shocking at first glance, said emergency physician and research co-author Deborah Fletcher, MD, FACEP. Large patches of land, stretching east-to-west from Minnesota to Wyoming and north-to-south from North Dakota to Kansas reveal little or no physician coverage 24/7.
G’day and welcome to another instalment of the Journal Club with Dr Justin Morgenstern. This month we cover some diltiazem papers, a few on airway hacks, some population studies and discuss some nerwer management options for big PEs, and kids seizures. Unfortunately, we had soe technical glitches which means that the usual video / Youtube version will not be available – so you will have to stare at a picture of Justin as you listen to the chat!
Clinical Bottom Line TNK was non-inferior to tPA for excellent outcomes (mRS 01 at 90 days) High proportion of mild strokes may introduce spectrum bias, making non-inferiority easier to demonstrate Slightly more TNK patients treated within 3 hours could affect results No difference in mortality, bleeding, or serious adverse events Findings support TNK as an alternative to tPA Introduction The American Heart Association and the European Stroke Organization have updated their guidelines to recomm
Nothing throws a wrench in your day like the sudden thump-thump of a flat tire. But instead of panicking or waiting for roadside assistance, imagine confidently pulling over, grabbing your tools, and getting back on the road in no time.
This content is for AAA members only. Please either Log In or Join! The post EMS Week Op-Ed Writing Structure Guide & Checklist appeared first on American Ambulance Association.
Medical professionals must be sure that all lifesaving equipment is operational when needed, with protocols that dictate equipment inspections and checks. Some checks must be done at the beginning of each shift, and some are scheduled on a less frequent basis.
The woman charged withthe murder of Kansas City(MO) Firefighter-Paramedic Graham Hoffmanallegedly tried to drive away in the ambulance after thefatal stabbing.
This content is for AAA members only. Please either Log In or Join! The post EMS Focus Webinar on Tuesday, April 29 at 12 p.m. ET appeared first on American Ambulance Association.
In our weekly eNow from Sunday, April 27, 2025, we mistakenly labeled an article as Ketamine for Seizures. The link provided did not go to that article, which is available HERE. ACEPs Clinical Policy on the management of seizures can be found HERE. The post Correction on Article appeared first on ACEP Now.
Memorial services forKansas Cityfirefighter-paramedicGraham Hoffman, who wasfatally stabbed while working an overtime shift Sunday, will take place Friday, theKansas City Fire Departmentannounced.
Home About Us Podcast Blog Events #badEM Sessions21 “Heroin: Hazards, Healing, Hope” #badEM Sessions21 “First serving” #badEM19 #badEMfest18 #badEM16 Ubuntu Case Studies S2E4 – Resuscitating Nursing – Dr Meghan Botes RN PhD Home About Us Podcast Blog Events #badEM Sessions21 “Heroin: Hazards, Healing, Hope” #badEM Sessions21 “First serving” #badEM19 #badEMfest18 #badEM16 Ubuntu Case Studies Blog Podcast S2E4 – Resuscitating Nursing – Dr Meghan Botes RN PhD Dan 28th April
Periodic reminder theres lots of content over at our new home on evidencetriage.com Such great hits as: Run A Marathon And Drop Dead Paxlovid Spiralling Into Total Disutility Can Dr. Oz Really Replace Your Doctor With AI? The Bluejepa EAGLEs Have Landed and many others!
Its a typical Friday night in emergency department (ED) the kind where the corridor feels more like a game of Tetris than a functioning workspace. Youve already reviewed three wheezers, two toddlers with gastro, and a teenager with abdo pain, ?appendix. Youre halfway through your coffee when you get asked to see Sophie, a 2-year-old brought in with a fever and reduced intake.
Chris gives Spencer a maze with no end. or a maze with too many endings? Can Spencer pull his patient out of jeopardy and save the day? Or will he miss a vital intervention that leads to a dead end? Chris gives Spencer a maze with no end. or a maze with too many endings? Can Spencer pull his patient out of jeopardy and save the day? Or will he miss a vital intervention that leads to a dead end?
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