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Expand your expertise in ultrasound-guided nerve blocks with Part 2 of this comprehensive tutorial series. In this video, we delve into advanced techniques, exploring brachial plexus blocks, fascia iliaca compartment blocks, and the erector spinae plane block (both in the thoracic and lumbar regions). Nerve Blocks, Pt 1 Courses The post Mastering Ultrasound-Guided Nerve Blocks Basics, Part 2 first appeared on Core Ultrasound.
Explore the Path to Becoming an EMT: Timeline, Training Requirements, and What to Expect Along the Way. Emergency Medical Technicians (EMTs) are vital members of the healthcare and emergency response system. They are often the first healthcare providers on the scene of accidents, medical emergencies, and disasters, delivering life-saving care and ensuring patients are transported […] The post How Long Does It Take to Become an EMT?
This content is for AAA members only. Please either Log In or Join! The post OSHA | Public Comment Period is Reopened for the Proposed Emergency Response Rule appeared first on American Ambulance Association.
An 87-year-old female with a history of hypertension, hyperlipidemia, chronic kidney disease stage IIIB, type 2 diabetes mellitus, and schizophrenia presented for evaluation due to sudden visual loss in her right eye, which began 12 hours before she arrived at the emergency department. She has experienced a sudden loss of vision in her right eye for more than six hours.
WEBINAR Post-Crash Care – Innovations in Managing Patient Entrapment and Extrication Hosted by NHTSAs Office of EMS on Thursday, December 19, at 1pm ET / 10am PT EMS clinicians respond […] The post Register Now: EMS Focus Webinar appeared first on American Ambulance Association.
Written by Magnus Nossen and Ken Grauer ( with Comment by Smith ) The ECG in Figure-1 was electronically transmitted by the ambulance service for evaluation. The patient is a young adult male with acute onset of palpitations. He was hemodynamically stable at the time ECG #1 was recorded. QUESTIONS: How would you interpret this ECG? What entities to consider in your differential diagnosis?
Written by Magnus Nossen and Ken Grauer ( with Comment by Smith ) The ECG in Figure-1 was electronically transmitted by the ambulance service for evaluation. The patient is a young adult male with acute onset of palpitations. He was hemodynamically stable at the time ECG #1 was recorded. QUESTIONS: How would you interpret this ECG? What entities to consider in your differential diagnosis?
St.Emlyn's - Emergency Medicine #FOAMed In October, I had the opportunity to give a talk on the ethics of Artificial Intelligence at the EUSEM Congress in Copenhagen. My focus was on the ethical implications of […] The post The Promise and Perils of Artificial Intelligence in Emergency Care: Reflections from EUSEM 2024 appeared first on St.Emlyn's.
I think ICU docs may have developed a bit of an RCT problem; not an addiction, but perhaps a dependency. It all started off fine at first. RCTs are the apex trial design, the only trial capable of proving causality. But we've taken it too far. Currently, a cluster-randomized trial is underway to study whether […] EMCrit Project by Josh Farkas.
New wave of fire tech: Biometrics and wearables Blog joseph.rey@fir Wed, 12/11/2024 - 09:52 By Gary McCarraher, Senior Public Safety Advisor, First Responder Network Authority Learn more about how FirstNet is transforming public safety communications contact your local FirstNet Authority Public Safety Advisor and sign up for our discipline newsletters.
Discover mountain safety essentials: prevention, rescue tips, first aid anche tech for a safer adventure in the Alps L'articolo Mountain Safety: prevention, injuries and Alpine Rescue proviene da Stem Ems.
In a bid to clench the win, Chris navigates a chest pain call from the Master Your Medics 100 Patient Scenarios Book! Can he put up a strong enough performance and force Spencer to enjoy Dutch Bros? Or will he be dining on Salmon Bisque? VOTE ON INSTAGRAM! THEIR FATES ARE IN YOUR HANDS! In a bid to clench the win, Chris navigates a chest pain call from the Master Your Medics 100 Patient Scenarios Book!
Heres another case from Medical Malpractice Insights Learning from Lawsuits , a monthly email newsletter for ED physicians. The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. To opt in to the free subscriber list, click here. Stories of med mal lawsuits can save lives.
Approximately 60,000 to 100,000 patients die from pulmonary embolism (PE) each year in the United States, and PE is the third leading cause of cardiovascular mortality. 1 A wide spectrum of severity exists in PE presentations, ranging from mild shortness of breath to cardiac arrest. A PE is classified into one of three categories: low risk, submassive, and massive.
Assessing for a gag reflex is a basic skill that can become important in a variety of medical settings. It is also a way to measure brain death. Medical experts, however, now caution against using the gag reflex as a primary determinant of whether to intubate or as a measure of airway health. So first responders must balance competing information and studies to make informed decisions in each individual case.
In this episode, Dr. Banerjee and I explore a protocol being trialed for pediatric patients suffering from moderate to severe traumatic brain injuries (TBI). This initiative, a collaboration with Arnold Palmer Hospital, introduces the pre-hospital administration of Keppra and 3% saline to provide treatment that the hospital would provide in the prehospital setting in hopes of optimizing patient outcomes.
A 25-year-old female with no pertinent past medical history presented to an emergency department in Massachusetts with four days of generalized malaise, myalgias, congestion, low-grade fever, and a rash behind her left knee. The patient denied cough, shortness of breath, chest pain, abdominal pain, nausea, vomiting, and diarrhea. She lives with three roommates, none of whom were sick, and she denied any other known sick contacts.
When managing hyponatremia, the primary concern (at least as far as I have always been taught) is osmotic demyelination syndrome. We are warned not to correct the sodium too quickly, because the neurologic outcome can be awful. However, demyelination is very rare, and apparently there is a lot of data that suggests correcting sodium too […] The post Big practice change coming?
St.Emlyn's - Emergency Medicine #FOAMed Explore key takeaways from the DAS 2024 meeting, including airway management in obstetrics, ethics of training, challenges in critical care, and international practices. Insights tailored for emergency and anaesthesia professionals. The post Difficult Airway Society Meeting 2024 appeared first on St.Emlyn's.
Our approach to common problems and troubleshooting: Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! Our approach to common problems and troubleshooting: * Difficulty feeding guidewires * No flash on arterial lines * Pneumothorax during subclavian lines * Difficulty inserting ET tubes during hyperangulated laryngoscopy * No response to vasopressors * High gastric residuals during tube feeds Learn more at the Intensive Care Academy!
Written by Pendell Meyers An elderly female called EMS with acute chest pain. Her vitals were within normal limits, and here is her EMS ECG: What do you think? Sinus rhythm, and QRS shows likely subtle RBBB, plus LAFB. While some STE could be expected by the large wide S wave in inferior leads, there is is STE and possibly HATW in II, III, and AVF, with reciprocal findings in aVL.
The use of thrombolytics for acute ischemic stroke may be one of the most controversial topics in emergency medicine during the last several decades. This debate recurs in multiple forums including many previous pieces in ACEP Now. 1 The reason is understandablethrombolytics in stroke is a high-risk, higher-reward treatment. If the potential for harm were absent, or if the benefit of thrombolytics was only marginal, there would be no controversy.
St.Emlyn's - Emergency Medicine #FOAMed A podcast with some of the highlights from the London Trauma Conference 2024 The post Podcast – Reflections from the London Trauma Conference 2024: Insights and Inspiration appeared first on St.Emlyn's.
We always work hard, but we may not have time to read through a bunch of journals. Its 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: What Happened to Plain Albuterol? Meet the New Combo Inhalers Spoon Feed According to a large number of RCTs, both pediatric and adult patients seem to have better asthma control with combined asthma therapy: inhaled
A 59-year-old man presented to a community Emergency Department with a one-month history of subjective fevers and dyspnea. Due to COVID-19 restrictions, he had only consulted a physician via telephone, during which he was prescribed two courses of antibiotics for presumed pneumonia. Despite treatment, his symptoms persisted. He denied any recent travel, intravenous drug use, […] The post Curious case of the HoCUS PoCUS appeared first on EMOttawa Blog.
As emergency departments (EDs) have become the focus of bottlenecks in the entire health care systemfrom insufficient inpatient beds leading to hospital boarding to dwindling access to primary carea siege atmosphere has developed. Although EDs offer around-the-clock access to highly trained physicians and a full suite of imaging and laboratory services, their very success has led to tremendous overcrowding and enormous strains on staff.
Fatal Overdoses continue to plummet nationwide. The latest CDC 12-month rolling fatal overdose averages through July 20024 are out today and they show the fatal overdoses in the USA are down 19.4% from their August 2023 rolling 12-month high. Here in Connecticut, fatal overdoses are down 26.8% from our November 2021 high. The USA overdose number is comparable to what was last reported in October and November of 2020.
What will we be discussing? The negative consequences of burnout in EMS stretch well-beyond the individual and can affect entire organizations as well as the patients served. Nevertheless, most traditional interventions aimed to reduce burnout focus on the individual and fail to address the underlying systematic causes. In this session, Dr. Remle Crowe will review the latest research and present organizational-level strategies to meaningfully reduce and prevent burnout at your EMS agency.
For decades, it seemed like the appendix would go the way of 8-track players, pagers, and the phonograph. Outdated, obsolete, not worth keeping around. Surgeons performed appendectomies like it was spring cleaning – when in doubt, cut it out. But then the tides began to turn as medicine started to question the long-held belief that the appendix is a defunct organ (on a good day) or a ticking time bomb (on a very bad one).
The Centers for Disease Control and Prevention (CDC) estimates of emergency department (ED) visits for 2022 were recently released. 1 It was the highest volume ever reported by the CDC, at 155.4 million visits, with an all-time high utilization rate of 473 visits per 1,000 populations. This visit rate puts American EDs back on the data line it has followed since World War II.
Connecticut reached its 12-month rolling fatal overdose peak in November 2021. As of June 2024, overdoses are down 24.2%. This data comes from the CDC Vital Statistics web page that tracks overdoses in all 50 states and the District of Columbia. At the end of this post is the CDC’s list of those states and the date they hit peak overdose. (Note only three states (Alaska, Nevada and Utah) continue to show a rise.
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