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March 7, 2025 Re: Medicaid Supplemental Payments for Ground Ambulance Services Dear Chair Guthrie, Ranking Member Pallone, Chair Carter, and Ranking Member DeGette, On behalf of 31 state ambulance and […] The post 31 State Ambulance Associations Request Support of EMS Supplemental Payments appeared first on American Ambulance Association.
-Case- A 30-year-old woman at 34 weeks gestation arrives at the ED complaining of a pounding headache, blurry vision, and swelling in her hands and face over the past few days. Her blood pressure reads 168/102 mmHg, has bilateral 2+ pitting edema of the lower extremities, and she has 3+ proteinuria on urine dipstick.
Methodology: 4/5 Usefulness: 3.5/5 Gibbs KW, et al. N Engl J Med. 2024 Jun 20;390(23):2165-2177. Question and Methods:The PREOXI trial aimed to determine whether noninvasive ventilation (NIV) via BiPAP reduces hypoxemia compared to standard oxygen masks for preoxygenation in critically ill adults undergoing emergency intubation through a multicenter, randomized controlled trial.
St.Emlyn's - Emergency Medicine #FOAMed This epiode of the St Emlyns Podcast features Dr. Dan Dworkis discussing high-performance teams, excellence in crisis, and how emergency clinicians can continuously improve under pressure. The post Podcast – High Performing Teams with Dan Dworkis at Tactical Trauma 24 appeared first on St.Emlyn's.
Proper hydration is critical to the health and safety of firefighters when responding to wildfires and other emergencies. Yet many volunteer fire departments have limited budgets, forcing them to choose between needed resources. To help combat this issue and free up department funds for other necessities, Anheuser-Busch is partnering with the National Volunteer Fire Council (NVFC) for the seventh consecutive year to donate emergency drinking water to volunteer fire departments across the country
The treatment of patients with pulmonary embolism (PE) has evolved substantially over the past few decades. Many patients with PE can be discharged directly from the emergency department (ED). Advanced therapies such as catheter-directed treatments (CDT) are now available in many centers, and anticoagulants such as low-molecularweight heparins (LMWH) and direct oral anticoagulants (DOACs) have been developed, which obviate the need for frequent laboratory monitoring and dose titration in many pa
Reference: Pessano S, et al. Positioning for lumbar puncture in newborn infants. Cochrane Database Syst Rev. December 2023 Date: February 7, 2025 Dr. Lauren Rosenfeld Guest Skeptic: Dr. Lauren Rosenfeld is a PGY-3 emergency medicine resident at George Washington University. She is also a new podcast host for Emergency Medicine Residents Association (EMRA) Cast Series.
Challenging working conditions in health services, especially in emergency departments (ED), lead to high levels of stress and burnout. This contributes to the staff retention problem recognised by professional associations such as RCEM and ACEM. As well as being a practice and policy priority, there have been repeated calls for research to better understand the problem.
Challenging working conditions in health services, especially in emergency departments (ED), lead to high levels of stress and burnout. This contributes to the staff retention problem recognised by professional associations such as RCEM and ACEM. As well as being a practice and policy priority, there have been repeated calls for research to better understand the problem.
Authors: Lloyd Tannenbaum, MD (EM Attending Physician, APD, Geisinger Wyoming Valley, PA); Scott Mitsko, PharmD (Emergency Pharmacy Resident, Geisinger Wyoming Valley); Molly Rinkevich, PharmD (Emergency Pharmacy Resident, Geisinger Wyoming Valley) // Reviewer: Brit Long, MD (@long_brit) Hello and welcome back to ECG Pointers, a series designed to make you more confident in your ECG interpretations.
You work as the medical director at a suburban, community emergency department (ED). At your monthly meeting with the chief medical officer (CMO) and chief nursing officer (CNO), they inform you of the hospitals plan to start a Sexual Assault Nurse Examiner (SANE) Program. They ask you if you would be willing to serve as the teams medical director. As expected, you have several questions.
Your garage is more than just a place to park your car. It’s a space brimming with potential—whether as a storage haven, a home gym, or even a workspace. But if it’s cluttered, outdated, or simply an afterthought, it might not be adding as much value to your home as it could.
This content is for AAA members only. Please either Log In or Join! The post President Jamie Pafford-Gresham on the Ambulance Medicare Extenders appeared first on American Ambulance Association.
Spyke, the self-loading stretcher from Stem EMS, is the ideal solution for transport trnsport, combining safety and practicality L'articolo Spyke: the Self-Loading Stretcher with predictive maintenance and intercheangeable modules proviene da Stem Ems.
A 28-year-old man presented with agitation. He was brought in by police and was restrained because of threats of biting and hitting police. The patient refused any additional medical care and stated, I know my rights! You cant hold me against my will. When the emergency physician recommended vital signs, a history, and physical examination, the patient began hitting and biting staff, yelling obscenities, and threatening legal action.
Written by Jesse McLaren A 50 year old presented to triage with one hour of chest pain, and the following ECG labeled normal by the computer (GE Marquette SL) algorithm. What do you think? Theres normal sinus rhythm, first degree AV block, early R wave, normal voltages. Theres hyperacute T waves in I/aVL with reciprocal inferior ST depression, diagnostic of high lateral occlusion MI.
This content is for AAA members only. Please either Log In or Join! The post Stop Overpaying on Supplies You’re a Savvik Member! appeared first on American Ambulance Association.
Each year, the number of active shooter incidents seems to climb. Hardly a week goes by without a broadcast reporting a gun-wielding assailant leaving behind a trail of victims. In 2023 alone, the Federal Bureau of Investigation designated 48 active shooter incidents. There were 50 in 2022.
Satonofuji Hisashi has been a career sumo wrestler since 1996. He is no champion wrestlerin fact, he is far from it. His highest attained rank was in the Makushita division in 2005, the third highest of six sumo divisions. Traditionally, the most elite wrestlers sat in a curtained area at the arenamakushita did not and the name thus translates to below the curtain.
Spyke, the self-loading stretcher from Stem EMS, is the ideal solution for transport trnsport, combining safety and practicality L'articolo Spyke: the Self-Loading Stretcher with predictive maintenance and intercheangeable modules proviene da Stem Ems.
James Miers and John Mackenzie Procedure: Central Venous Catheter (IJV) Emergency Procedure, instructions and discussion: Internal Jugular (IJV) Central Venous Catheter placement
As hospital boarding, increased emergency department (ED) volumes, and complexity of patients have increased, so have wait times. Some physicians now coin themselves waiting room medicine specialists as departments schedule a physician in triage or attempt to evaluate patients in whatever spaces might be available. After years of training to fully undress a patient for an exam at ABEM General Hospital, patients may now routinely be treated in street clothes sitting in a hallway chair.
On this month's EM Quick Hits podcast: Stephen Freedman on pediatric bloody diarrhea, S-TEC and hemolytic uremic syndrome, Justin Morgenstern on the evidence for IM epinephrine in out of hospital cardiac arrest, Matthew McArther on recognition and ED management of dengue fever, Andrew Petrosoniak on imaging decision making in trauma in older patients, Brit Long & Michael Gotlieb on recognition and management of TTP.Please consider a donation to EM Cases to help ensure continued Free Open Acc
Imagine a garden that thrives with minimal water—no constant sprinklers, no wilting plants, just pure, effortless beauty. Drought-tolerant landscaping isn’t just a smart choice for water conservation; it’s a low-maintenance way to create an outdoor oasis.
100 Club Frontline Convention First Responders Wellness Center was present with intern Jesse Arvisu and VP Chicago FOP Mike Mette. 100 Club had some great speakers, and we all learned how to help first responders.
Written by Magnus Nossen, with edits by Smith The patient in today's case is a 70-year-old farmer. He has a history of coronary artery disease and a STEMI two years prior that was treated with primary PCI. He contacted EMS due to acute onset chest pain and feeling unwell and fatigued. He was given ASA and sublingual NTG and taken to the ED. At the time of this initial ED ECG, his symptoms were improving ECG #1 on admission to the ED The patient was not seen quickly in the ED as it was a busy shi
Spinal cord injuries are devastating events. In the U.S., most are the result of automobile collisions, but falls, penetrating injuries, and blunt trauma can also cause injury to the spinal cord, leading to a respiratory emergency. It is estimated that there are more than 18,000 spinal cord injuries each year in the U.S. When the injuries involve the cervical vertebrae, specifically the midsection (C3 through C5), they can disrupt the phrenic nerve, which controls the movement of the diaphragm,
Carpal tunnel syndrome can cause significant pain and disability, and in some cases, a rapid ultrasound-guided release can provide immediate relief in the emergency department. In this video, we walk you through a step-by-step approach to performing ultrasound-guided carpal tunnel release. Carpal Tunnel Exam Wrist Effusion Courses The post 5 Minute Sono Carpal Tunnel Release (2025) first appeared on Core Ultrasound.
To prepare for the new National Emergency Response Information System (NERIS) rollout, the Fire Safety Research Institute (FSRI), part of UL Research Institutes, in collaboration with the Department of Homeland Security Science and Technology Directorate (DHS S&T), and the United States Fire Administration (USFA), hosted several webinar sessions.
Written by Hans Helseth Hans is an EKG tech who is applying to medical school. EKG interpretation skills have little to do with one's level of education. In fact, much of what passes for EKG education can actually harm one's interpretation skills. A 62 year old man with hyperlipidemia presented to a rural emergency department with 7 hours of 3/10 chest pain.
Editor's Note: In October 2024, FireRescue1 released their annual digital edition, Fire Command Ready: Build Your Command Confidence , 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.
What would you say if I were to ask you to describe how the heart gets its oxygenated blood? Would you describe the major coronary arteries and the areas of the heart they feed? Would you describe the aortic valves role in the matter? Can you picture yourself describing WHY the coronaries fill mostly during diastole?Like the rest of the body, the heart requires a constant supply of freshly oxygenated blood.
How did ultrasound become a cornerstone of emergency medicine? What ultrasound skills should an emergency physician in Canada possess? And with the rise of handheld devices and AI-driven diagnostics, where is PoCUS in emergency medicine headed? Here, we are going to explore the evolution of PoCUS, from its origins to its projected future. First, we […] The post Echos of the Future: PoCUS in EM appeared first on EMOttawa Blog.
Content Warning: This episode includes mentions of miscarriage, pregnancy loss, pregnancy complications, traumatic birth experiences, and other potentially disturbing topics related to childbirth, pregnancy, and the postpartum period. With this and the next three episodes, were delivering a four-part series on pregnancy, trimester by trimester. We start our series with a tour through the history of the pregnancy test: how and when did these sticks with the two blue lines become the everyday at-h
We may all reach a point in our lives when carrying a particular burden becomes too unbearable. Yet upon reaching this point, we may find that we are hesitant to tell anyone we are struggling or that we need help. For many reasonsincluding not wanting to let go of control, feeling ashamed, feeling needy, or not wanting to be rejectedwe often don’t know the best way to ask for the help we need.
MCI Collaboration w/ ATECMS & Travis County Star FlightMass casualty incidents (MCIs) are challenging scenarios that require precise coordination, rapid response, and strategic thinking. Austin, Texas, presents a unique case study in handling such emergencies, blending urban preparedness with rural responsiveness.
The National Volunteer Fire Council (NVFC) is always working for the volunteer fire, EMS, and rescue services, and 2024 was no different. Highlights from the year include: Fought for the reauthorization of the Assistance to Firefighters Grant, Staffing for Adequate Fire and Emergency Response Grant, and the U.S. Fire Administration Led the volunteer response to proposed new OSHA regulations Partnered to provide over $2 million in grants, giveaways, and scholarships to volunteer departments and e
Designed for trauma professionals by trauma professionals, ESO Patient Registry is an incredibly intuitive tool made to simplify patient data collection. Currently a year into its rollout, ESO Patient Registry is not only built by those with industry know-how, it is continuously being improved upon. By applying what we learned over the last year, the ESO team has worked tirelessly to improve the product itself, along withthe onboarding process and product support.
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