EMDocs
DECEMBER 18, 2024
Authors: Kyler Osborne (EM-3 Resident Physician; Tacoma, WA); Katey DG Osborne, MD (EM Attending Physician; Tacoma, WA); Rachel Bridwell, MD (EM Attending Physician; Charlotte, NC) // Reviewed by: Alex Koyfman, MD (@EMHighAK, EM Attending Physician, UTSW / Parkland Memorial Hospital) and Brit Long, MD (@long_brit, EM Attending Physician) Welcome to emDOCs revamp!
Paramedic Chiefs of Canada
DECEMBER 19, 2024
What will we be discussing? Join us for an in-depth exploration of the innovative Preburn Project: Preventing Burnout by Predicting Compromised Wellness in EMS Workers. This session is designed for EMS directors, EMS administrators, paramedics, dispatchers, mental health professionals and researchers who are committed to improving the well-being of frontline EMS workers.
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ALiEM
DECEMBER 16, 2024
A 12-year-old male with a history of autism spectrum disorder and chronic sinusitis presented for forehead swelling. His mother reported that she noticed progressive forehead swelling for about one month. She had followed up with the patients pediatrician and ENT and was given oral cephalexin and fluticasone nasal spray which did not make any changes in his symptoms.
St. Emlyn's
DECEMBER 16, 2024
St.Emlyn's - Emergency Medicine #FOAMed The blog highlights the updated 2024 guidelines from the Royal College of Radiologists (RCR) on imaging in pediatric trauma. It emphasizes critical changes from the previous 2014 guidelines, focusing on the judicious use of imaging to minimize ionizing radiation exposure in children. Key updates include algorithms for blunt trauma, penetrating trauma, and blast injuries.
Don't Forget the Bubbles
DECEMBER 16, 2024
Over the last decade, there has been a concerning decline in childhood vaccination rates in the UK. This has been mirrored in many parts of the world. This trend, exacerbated by the COVID-19 pandemic, has led to a resurgence of vaccine-preventable diseases such as measles and pertussis. Once on the brink of eradication, these diseases now pose significant public health risks, especially to vulnerable groups like infants, young children, and the immunocompromised.
REBEL EM
DECEMBER 17, 2024
Bottom Line Up Top: There doesnt appear to be a morbidity or mortality benefit to treating fever in sepsis and fever may have a protective effect. Only treat fever if it causes the patient distress. Clinical Scenario: A 45-year-old woman presents with cough and shortness of breath. Vitals are BP 114/42, HR 138, T 102.1, Sat 93% on RA. The patient is alert and oriented and has no other complaints.
ESO
DECEMBER 16, 2024
Hospitals today face over 600 regulatory requirements, with compliance costing the healthcare industry nearly $USD 41 billion annually. It’s an administrative burden that demands extensive documentation and reporting. However,advances in data exchange are helping hospitals bridge the gap. By connecting systems and sharing information in real time, hospitals can improve the accuracy of their records, simplify compliance processes, and prioritize better patient outcomes.
Paramedicine Now brings together the best content for paramedicine professionals from the widest variety of thought leaders.
ALiEM
DECEMBER 20, 2024
A 3-year-old male with a history of severe atopic dermatitis presented for facial rash and hand pain. Mom had been applying Aquaphor and Vaseline several times a day. On the day of presentation, he woke up with a new rash over his face and hands which prompted the ED visit. He is up to date on childhood immunizations and is not prescribed any oral medications.
EMOttawa
DECEMBER 18, 2024
Methodology: 4/5 Usefulness: 2/5 McMullan JT, et al. Ann Emerg Med. 2024 Oct;84(4):363-373. doi: 10.1016/j.annemergmed.2024.04.018. Question and Methods: This out of hospital, placebo-controlled, blinded, parallel group RCT compared reduction in pain scores between Fentanyl + IN Placebo and Fentanyl with IN Ketamine. Findings: There was no significant difference in reduction of pain scores or adverse […] The post Out-of-Hospital Intranasal Ketamine as an Adjunct to Fentanyl for the Treatme
ESO
DECEMBER 18, 2024
When it comes to protecting the health of your community, the best defense is a good offense, which is why investing in prevent ion should be a big part of your strategy. After reviewing over 12 million EMS incidents that took place in 2023 , the 2024 ESO EMS Index highlights two critical areas that demand attention: Early CPR and Opioid Use Disorder (OUD).
First Responder Wellness
DECEMBER 20, 2024
Winter weather can bring about dangerous conditions. First Responders often attend emergencies on the most treacherous roads, drunk driving, or fighting fires caused by fires or heaters as the temperatures drop. Through tough and critical, winter may bring unique risks and challenges that can add what feels like a pillar of pressure. When conditions are challenging, First Responders inherently put themselves in tumultuous situations to help others.
ACEP Now
DECEMBER 17, 2024
Medical training is a difficult task. As residents and fellows, we move wherever the Match sends us, endure grueling hours, and sacrifice time with loved onesall in pursuit of becoming the best doctors we can be and delivering excellent patient care. But we should not have to sacrifice our own well-being in the process. In Washington, D.C., more than 450 residents and fellows employed by George Washington University (GW) spent the past 15 months fighting for our first contract.
Peter Canning
DECEMBER 19, 2024
Irked. The headline Irked me. Alzheimer’s Mortality Lowest for Taxi, Ambulance Drivers Some researchers out of Harvard Medical School did a study of over 443 occupations and found that taxi drivers and ambulance drivers had the lowest rates of dying from Alzheimer’s. Alzheimers disease mortality among taxi and ambulance drivers: population based cross sectional study Their big theory is that the brain required to navigate through busy streets provides protection in some way against A
Paramedic Chiefs of Canada
DECEMBER 19, 2024
Paramedic Chiefs of Canada (PCC) E-bulletin December 2024 PCC Leadership Summit June 10 th -12 th ,2025 Winnipeg, Manitoba Planning for the annual PCC Leadership Summit is well underway. We are pleased to offer a reduced registration rate to PCC members of $895.00 a reduction of $100.00. The Summit program provides a platform for sharing information and best practices.
California Casualty
DECEMBER 17, 2024
Balancing work and personal life during the holidays can feel like a juggling act. That’s especially true for shift workers on the front line—EMTs, nurses, police officers, and firefighters. While others are wrapping gifts or planning holiday feasts, you’re often working long shifts, answering urgent calls, or preparing for the next day’s challenges.
Dr. Smith's ECG Blog
DECEMBER 20, 2024
Written by Willy Frick with edits by Ken Grauer An older man with a history of non-ischemic HFrEF s/p CRT and mild coronary artery disease presented with chest pain. He said he had had three episodes of chest pain that day while urinating. The following ECG was obtained in the emergency department during active chest pain. ECG 1 What do you think? There is a lot going on in this ECG.
NVFC
DECEMBER 17, 2024
The National Volunteer Fire Council (NVFC) is excited to announce that registration is now open for the 2025 NVFC Training Summit , taking place June 20-21 in Salt Lake City, UT. This signature conference provides an opportunity for firefighters and EMS providers to participate in valuable classroom training, idea sharing, and networking. Three learning tracks will focus on responder health and safety, volunteer recruitment and retention, and emergency service leadership.
The Bottom Line
DECEMBER 17, 2024
Liberal versus Restrictive Transfusion in Aneurysmal Subarachnoid Haemorrhage English S. NEJM 2024 DOI:10.1056/NEJMoa2410962 Clinical Question In patients following acute aneurysmal subarachnoid haemorrhage, does a liberal strategy of blood transfusion compared with a restrictive strategy of blood transfusion reduce unfavourable neurological outcome?
Paramedics World
DECEMBER 20, 2024
Open abdomen management remains one of the most demanding challenges in trauma and acute care surgery, often requiring complex decision-making and multiple interventions. However, a paradigm shift is underway with… The post Rethinking Open Abdomen Care: How AbClo Simplifies Cases and Reduces Risks appeared first on Paramedics World.
Dr. Smith's ECG Blog
DECEMBER 16, 2024
Which patient needs a CT Scan? Case 1: 20-something woman with chest pain Case 2: 50-something man with chest pain Case 1 A 20-something yo woman presented in the middle of the night with severe crushing chest pain. It had begun 4 hours before arrival and was initially dull, but became severe and "unbearable" 2 hours prior to arrival. She was a walk-in at triage.
First 10 EM
DECEMBER 16, 2024
Antibiotic resistance is an existential problem. Optimizing sepsis care, including the appropriate length of antibiotic therapy, is an important goal. So should we be willing to allow an increase in mortality to reduce total antibiotic use, as the ADAPT-Sepsis non-inferiority design seems to imply? The paper Dark P, Hossain A, McAuley DF, Brealey D, Carlson […] The post Killer antibiotic stewardship strategy?
The Bottom Line
DECEMBER 17, 2024
High-Flow Nasal Oxygen vs Noninvasive Ventilation in Patients with Acute Respiratory Failure RENOVATE and BRICNet Authors. JAMA 2024. doi: 10.1001/jama.2024.26244 Clinical Question In adult patients with acute respiratory failure does the use of high-flow nasal oxygen compared to noninvasive ventilation reduce the rate of endotracheal intubation or death at 7 days?
EMOttawa
DECEMBER 18, 2024
Methodology: 3.5/5 Usefulness: 2/5 Gravel J, et al. Ann Emerg Med. 2024 Nov;84(5):490-499. doi: 10.1016/j.annemergmed.2024.05.005. Question and Methods: The authors aimed to validate the Sick Kids algorithm for distinguishing bacteremia from contaminants in pediatric ED patients with positive blood cultures. Findings: The algorithms sensitivity and specificity were 100% and 11% respectively; suspicion for osteoarticular infection, […] The post Validation of the Hospital for Sick Children A
St. Emlyn's
DECEMBER 18, 2024
St.Emlyn's - Emergency Medicine #FOAMed The holiday season, a time typically marked by joy and celebration, presents unique challenges for those working in emergency and intensive care units. This is a reminder of a podcast from 2016, where Liz Crowe discusses how to navigate the complexities of grief and gratitude during this time of year. The post Podcast – Grief at Christmas appeared first on St.Emlyn's.
American Ambulance Association
DECEMBER 20, 2024
This content is for AAA members only. Please either Log In or Join! The post Submit Comments: EMS Compact Draft Rules appeared first on American Ambulance Association.
EMergucate
DECEMBER 15, 2024
The following elbow x-ray is from an adolescent who has pain & swelling in the elbow after a fall on outstretched hand. What can be seen?
EMOttawa
DECEMBER 19, 2024
Point-of-care ultrasound (PoCUS) for lower extremity deep vein thrombosis (DVT) remains a skill with significant variability in local practice. While some physicians perform DVT scans regularly, others rarely incorporate PoCUS into their workflow. Regardless of your current practice pattern, its always helpful to refresh your knowledge with these key dos and donts of DVT PoCUS. […] The post Mastery of DVT PoCUS appeared first on EMOttawa Blog.
Pulsara
DECEMBER 20, 2024
December Recap In addition to exhibiting at three trade shows, Pulsara's SVP - Med Ops, Brandon Means, presented the session, 'Emergency Operations that Scale: Redefining How We Communicate.' at the IAEM Annual Conference & EMEX. What has Team Pulsara been up to in 2024? Take a look below at our annual Year in Review.
American Ambulance Association
DECEMBER 19, 2024
Share your insights with fellow EMS leaders surrounded by the charm and excitement of Lexingtons iconic hospitality featuring world-class dining, bourbon, and horseracing. Speaker proposal deadline extended to January 31! The post Speak at Annual 2025 in Lexington! appeared first on American Ambulance Association.
EMCrit Project
DECEMBER 14, 2024
All thing for HyperAngulated Blade Mastery EMCrit Project by Scott Weingart, MD FCCM.
ESO
DECEMBER 19, 2024
2024 has been a transformative year for ESO, marked by groundbreaking product advancements, achievements by the incredible customers we serve, and impactful data and research initiatives. Our mission to improve health and safety through the power of data has guided everything we do to support first responders and healthcare providers. Earlier in the year, we released the 2024 ESO EMS, Fire Service, and Hospital Trend Reports , which forecasted the trends ESO experts believed would shape each ind
EMergucate
DECEMBER 17, 2024
This week our case involves complications around elective cardioversion.
American Ambulance Association
DECEMBER 19, 2024
On Tuesday, Congressional Leaders released a FY 2025 Continuing Resolution (CR) to fund the Federal Government through March 14, 2025. A two-year extension through December 31, 2026 of the temporary […] The post Ambulance Medicare Add-On Extension Update appeared first on American Ambulance Association.
SSCOR
DECEMBER 14, 2024
The holiday season in the U.S. is upon us, and food, family, gifts, and much more bring us joy. Unfortunately, some unique challenges for emergency responders accompany these special days.
FirstNet Authority
DECEMBER 19, 2024
2024 FirstNet Authority Accomplishments joseph.rey@fir Thu, 12/19/2024 - 09:54 Check out some of the highlights of 2024 for the FirstNet Authority! Learn more at FirstNet.gov.
Life in the Fastlane
DECEMBER 18, 2024
Kevin Ostrowski and James Miers Procedure: Lateral Canthotomy Today we cover lateral canthotomy and cantholysis, with a guide made in partnership with a recent publication in Australasian Emergency Care
American Ambulance Association
DECEMBER 19, 2024
This content is for AAA members only. Please either Log In or Join! The post GADCS Year 1 & Year 2 Cohort Analysis Released appeared first on American Ambulance Association.
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