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On this month's EM Quick Hits podcast: Kevin Wasko on post-tonsillectomy hemorrhage management, Brit Long on assessment and management of post-CABG surgical incision infections, Anand Swaminathan on evidence, pitfalls and tips on using Bougies, Leah Flannigan on when to suspect vascular injury in patients with low energy mechanism pelvic fractures, Andrew Petrosoniak on debriefing after cases: why, when and how.
Date: October 7, 2024 Reference: Nguyen et al. Comparison of Nebulized Ketamine to Intravenous Subdissociative Dose Ketamine for Treating Acute Painful Conditions in the Emergency Department: A Prospective, Randomized, Double-Blind, Double-Dummy Controlled Trial. Annals of EM 2024. Guest Skeptic: Dr. Brendan Freeman is an emergency medicine physician, assistant professor of emergency medicine, and medical education fellow at Staten Island University Hospital.
FOR IMMEDIATE RELEASE Contact: Tristan North tnorth@ambulance.org October 10, 2024 Senator Debbie Stabenow Receives Inaugural EMS Legacy Award from the American Ambulance Association Washington, D.C. — Senator Debbie Stabenow […] The post Senator Stabenow Receives Inaugural EMS Legacy Award appeared first on American Ambulance Association.
A 5-year-old generally healthy fully immunized boy presented to the ED with worsening left ear redness, swelling, and tenderness that his family noticed the day before presentation. His family had also recently noticed an abrasion over that ear. The patient was on amoxicillin for strep throat, which was diagnosed a week before the onset of his symptoms and was improving.
The Case A 24-year-old man with no past medical or surgical history presented to the emergency department with 5 days of progressively worsening bilateral leg cramping, paresthesias, and multiple falls. The following ECG is obtained: EKG Show Details EKG Characteristics Rate 88 Rhythm Sinus Rhythm with PAC's Intervals Normal PR and QRS interval, Prolonged QTc interval (619 ms) Axis Normal ST Segments Normal Additional Features Diffuse, prominent, prolonged T-waves Diagnosis Diagnosis : Hypokalem
As many of you are aware, OSHA has published the NPRM titled the Emergency Response Rule. This rule will have substantial impacts on EMS and Fire Emergency Service Organizations should […] The post SBA Informational Session on OSHA Emergency Response Rule appeared first on American Ambulance Association.
Ultrasound-guided procedures are difficult enough just identifying the anatomy. Performing a nerve block with the ultrasound in one hand and the needle in the other hand adds extra challenges. The simplest 1-person approach involves attaching a syringe with local anesthetic directly to the end of the procedural needle. A 2-person approach involves attach the syringe to a custom tubing-needle setup such as below.
Ultrasound-guided procedures are difficult enough just identifying the anatomy. Performing a nerve block with the ultrasound in one hand and the needle in the other hand adds extra challenges. The simplest 1-person approach involves attaching a syringe with local anesthetic directly to the end of the procedural needle. A 2-person approach involves attach the syringe to a custom tubing-needle setup such as below.
Precedex (dexmedetomidine) is an alpha-2 adrenergic agonist increasingly used in critical care environments for sedation and anxiolysis. It offers a unique profile of sedation without respiratory depression, making it an attractive option in various clinical scenarios. Historically, it has been used more frequently in the ICU than in Emergency Departments, likely due to provider comfort. […] The post Is there a Precedence for Precedex in the ED?
I love toxicologists, but it’s time for someone to call them out. (I also love ranting. Let’s see if I can get myself cancelled by a group of physicians that are definitely smarter than me.) I am sick of the anti-science rhetoric. Every time a toxicologist takes the stage at a conference, or grabs the […] The post Toxicology: the excuses must stop appeared first on First10EM.
St.Emlyn's - Emergency Medicine #FOAMed This post accompanies the podcast “Simulation for Elite Team Performance,” which was recorded live at the Tactical Trauma 2024 conference in Sundsvall, Sweden. We are grateful to the organizing team […] The post Podcast – Simulation for Elite Team Performance with Andrew Petrosoniak at Tactical Trauma 2024 appeared first on St.Emlyn's.
The National Volunteer Fire Council (NVFC) is pleased to announce it has received a $740,000 Supplemental Public Sector Training (SPST) grant from the U.S. Pipeline and Hazardous Materials Safety Administration. The SPST program provides funding to national nonprofit fire service organizations, which then train instructors to provide training to public-sector hazmat responders or those tasked with responding to accidents and incidents involving hazardous materials.
Editor's Note: In August 2024, EMS1 and Fitch & Associates released their annual EMS t rend 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.
October 24, 2024 FOR IMMEDIATE RELEASE Contact: Amanda Riordan 703-615-4492 ariordan@ambulance.org EMS Heroes To Be Honored in Washington, DC as 2024 Stars of Life Washington, DC—This November, the American Ambulance […] The post News Release | EMS Heroes To Be Honored in Washington, DC as 2024 Stars of Life appeared first on American Ambulance Association.
St.Emlyn's - Emergency Medicine #FOAMed Should we use AP or AL pad position first for defibrillation in VF/VT cardiac arrest. Critical appraisal of an observational study in JAMA suggests a better outcome with AP, but there are many biases in this study. #FOAMed @stemlyns The post JC: AP or AL pad position for first choice shock in VF? appeared first on St.Emlyn's.
To improve volunteer first responders’ access to high-quality online education, the National Volunteer Fire Council (NVFC) has partnered with Columbia Southern University (CSU) for the 16th year to award two NVFC members scholarships to CSU. Each scholarship will cover up to 60 credit hours towards any one of CSU’s online degree programs. This year’s recipients are Levi Robbins of Pleasant Hill, OH, and Ellen Yarborough of Wallingford, PA.
Anyone working in patient care knows how important oropharyngeal suctioning is to maintaining airway patency. Not only does it remove bodily fluids (blood, mucus, saliva, and vomit) from the airway, but it also allows visualization of the vocal cords during intubation—a crucial step in establishing an advanced airway.
This content is for AAA members only. Please either Log In or Join! The post New in the Savvik Store: Propper appeared first on American Ambulance Association.
Stiff person syndrome, like many rare diseases, does not get nearly the same amount of screen time or name recognition that other, more common diseases do. For many people, Celine Dion’s announcement of her diagnosis with the condition in 2022 marked the first time they had heard of it. This limited awareness surrounding stiff person syndrome marks just one of the many challenges keeping this disease and other rare disorders in the dark.
Safe and adequate personal protective equipment is essential to firefighters performing at their best. However, many volunteer fire departments lack the resources to purchase new gear, leaving them to function with old, torn, and non-compliant equipment. To help combat this issue, the National Volunteer Fire Council (NVFC) has partnered with MSA Safety and DuPont Personal Protection to award 13 volunteer fire departments with new turnout gear and helmets in 2024.
A new space race has launched — this time in the cellular world. The FirstNet Authority’s Jeff Bratcher and Pat Schwinghammer, AT&T’s Mohammad Baig, and Gypsum Fire Chief Justin Kirkland discuss what satellite-to-device services could mean for public safety live at 5x5: The Public Safety Innovation Summit.
Time to Register: NEMSAC Meeting November 6-7, 2024 The National EMS Advisory Council (NEMSAC) will host a hybrid meeting on Wednesday, November 6, 2024, at 1:00 pm ET, and Thursday, […] The post Register now: NEMSAC November Meeting appeared first on American Ambulance Association.
Everything you need to know about the education, licensing, job outlook, and earning potential of RNs. Nursing is one of the most fulfilling and impactful careers in healthcare, offering the opportunity to make a direct difference in patients’ lives. As a nurse, you provide essential care, emotional support, and health education, helping individuals and families […] The post Your Complete Guide to Becoming a Registered Nurse appeared first on Unitek EMT.
The Occupational Safety and Health Administration (OSHA) will hold a public hearing on their controversial proposed Emergency Response Standard beginning on November 12. Last week OSHA sent out acknowledgement emails to those who submitted a Notice of Intention to Appear (NOITA). The email indicated that specific information about the designated time to testify at the hearing will be emailed within the next couple weeks.
We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: Hypertensive Crisis Averted…New AHA Statement on Asymptomatic Hypertension Spoon Feed This article emphasizes the difference between hypertensive emergency and asymptomatic elevated blood pressure (BP); while hypert
Pharmaceutical development is all about the blockbuster drug. Many of our brightest minds are research scientists and bioinformaticians working at translating in vitro discoveries to improving the lives of human kind. Many of our brightest minds are also working to ensure, even if their drug candidates are – say – a little flawed, there’s a clinical trial design, trial implementation, and post-approval marketing plan to maximize return to shareholders.
Practical tips for diversity, equity, and inclusion in your community October is Breast Cancer Awareness Month. While anyone can get breast cancer, the disease predominantly effects women. Like men, female firefighters are at an increased risk of a variety of cancers and other reproductive health issues; they also face other physical and behavioral health issues.
Around 1.4 million people living with a life-limiting illness receive care from hospices in the United States annually. To optimize the quality of life for patients in hospice and palliative care settings, healthcare providers must be knowledgeable about the unique breathing problems and airway emergencies these patients experience, along with the best methods for airway management and treatment.
Olivia, 7, has been brought to the emergency department. Over the last couple of weeks, Olivia has been having episodes of rapid blinking and grimacing. They only occur when she’s awake. She does not lose awareness, and her activities are not impaired. Olivia feels she can stop them from happening, but she feels better if she lets them happen. She is otherwise completely well.
We are excited to introduce the dedicated individuals who form the backbone of our organization. Each month, we will spotlight different board members, offering insights into their backgrounds, interests, and unique perspectives. Through these introductions, we hope you will appreciate the expertise and vision driving CORD’s mission forward. Stay tuned to get to know the leaders shaping our future!
International collaboration in the firefighting community is vital for enhancing skills, sharing knowledge, and fostering global relationships. The exchange of ideas and experiences between countries not only improves individual skill sets but also strengthens collective responses to emergencies. The National Volunteer Fire Council (NVFC) recognizes the importance of these connections and actively participates in international activities, showcasing a commitment to advancing training and network
Live at 5x5: Public Safety Advancements Around the Globe 2024 joseph.rey@fir… Fri, 10/25/2024 - 09:34 Recorded live at 5x5: The Public Safety Innovation Summit, this dynamic panel features leaders with expertise leading international public safety broadband network deployments. Their conversation delves into operational challenges, technological advancements, and opportunities for cross-border collaboration.
Dr. Steiner will be speaking at the following: Trucking Company Representatives- Earn your 2 hour Reasonable Suspicion Certification The Midwest Center for Traffic Safety is hosting the Midwest Trucker’s Association at our annual conference. Besides presentations on how commercial vehicle crashes are investigated, we will host the FMCSA mandated “Reasonable Suspicion Training” This presentation will satisfy 49 CFR Part 382.603's requirement to have Reasonable Suspicion training for Supervis
The National Institute for Occupational Safety and Health (NIOSH) has launched a new online resource center to better protect firefighters as well as to identify and prevent new and emerging hazards in the fire service earlier and faster. The Center for Firefighter Safety, Health, and Well-being serves as a central point for engaging with the broad spectrum of NIOSH’s firefighter research, resources, and knowledge.
St.Emlyn's - Emergency Medicine #FOAMed Should we use AP or AL pad position first for defibrillation in VF/VT cardiac arrest. Critical appraisal of an observational study in JAMA suggests a better outcome with AP, but there are many biases in this study. #FOAMed @stemlyns The post AP or AL pad position for first choice shock in VF? appeared first on St.Emlyn's.
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