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St.Emlyn's - Emergency Medicine #FOAMed Review the top 11 trauma and resuscitation trials discussed at ICEM 2025. Expert summaries and critical appraisals from St Emlyns cover transfusion strategies, airway management, oxygenation, fibrinogen, and more. The post Top 10 trauma/resus papers for IFEM 2025 appeared first on St.Emlyn's.
In a significant legislative development for first responders across the nation, Senator Eric Schmitt (R-MO) introduced S.1247, officially titled the “Public Safety Officer Free Speech Act,” on April 2, 2025. This landmark bill aims to protect firefighters, emergency medical service providers, and law enforcement officers from workplace retaliation when they speak out about job-related safety […] The post Protecting Firefighter Free Speech: What S.1247 Means for Public Safety a
Reference: St Peter, et al. Appendicectomy versus antibiotics for acute uncomplicated appendicitis in children: an open-label, international, multicentre, randomized noni-inferiority trial. The Lancet. Jan 2025 Date: March 19, 2025 Guest Skeptic: Dr. Camille Wu is a paediatric surgeon based at Sydney Childrens Hospital where she is the Head of Department.
REBEL Rundown Key Points Decision rules help : 98% of c-spine CTs are negativerules reduce unnecessary imaging. Both NEXUS & CCR rule out >99% of serious injuries; CCR may lower imaging rates. NEXUS is simpler but excludes intoxicated patients and can’t clear midline tenderness. CCR is more validated , includes MOI, allows intoxication if alert, and can clear some with midline tenderness.
What is peer-assisted learning (PAL)? Peer-Assisted Learning (PAL) has roots in educational research dating back to 1993 when it was developed to enhance learning through collaboration. The idea was simple but powerful: students learn better when they learn together. By harnessing the benefits of peer tutoring, PAL aimed to support diverse learning needs and improve educational outcomes.
St.Emlyn's - Emergency Medicine #FOAMed Emergency departments (EDs) often seem to shift from calm to crisis in an instant. Why? This article explores ED crowding through the lens of complexity science and self-organised criticality, explaining how minor changeslike a few extra patientscan trigger disproportionate chaos. Using the sandpile analogy and concepts like power law distributions, we reveal why traditional linear models and static targets often fail to manage ED flow effectively.
St.Emlyn's - Emergency Medicine #FOAMed Emergency departments (EDs) often seem to shift from calm to crisis in an instant. Why? This article explores ED crowding through the lens of complexity science and self-organised criticality, explaining how minor changeslike a few extra patientscan trigger disproportionate chaos. Using the sandpile analogy and concepts like power law distributions, we reveal why traditional linear models and static targets often fail to manage ED flow effectively.
Paramedics are more than emergency responders. They are clinicians, caregivers, and trusted professionals who meet people in their most vulnerable moments. They are part of the fabric of our communities. And now, its time for communities across Canadaindividuals, families, paramedic services, businessesto come together and build something permanent in return.
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: Whats the Best Migraine Cocktail? Spoon Feed There was no clear choice for single-agent pain control, but chlorpromazine IV/IM was among the most effective for pain relief at two hours, and IV/IM ketorolac was among
Helen Rimington Echo basics: Key concepts Echocardiography basics and the differences between 2D imaging, M-mode, pulsed wave Doppler, continuous wave Doppler, and tissue Doppler imaging.
-Case- A 27-year-old woman comes to the ED with severe left eye pain after accidentally scratching it while removing her contact lenses. She describes a foreign body sensation, photophobia, and excessive tearing. Her vision is slightly blurry but mostly intact. On exam, you note mild conjunctival injection and she’s holding her eye closed due to discomfort.
Home About Us Podcast Blog Events #badEM Sessions21 “Heroin: Hazards, Healing, Hope” #badEM Sessions21 “First serving” #badEM19 #badEMfest18 #badEM16 Ubuntu Case Studies S2E5 – Navigating Nigerian EM – Dr Abiola Fasina-Ayoola Home About Us Podcast Blog Events #badEM Sessions21 “Heroin: Hazards, Healing, Hope” #badEM Sessions21 “First serving” #badEM19 #badEMfest18 #badEM16 Ubuntu Case Studies Blog Podcast S2E5 – Navigating Nigerian EM – Dr Abiola Fasina-Ayoola Dan 26th Ma
MedEvac: rapid medical evacuation in critical scenarios such as disasters or military operations, when every minute counts L'articolo MedEvac: medical evacuation in complex scenarios proviene da Stem Ems.
A man likely in his thirties buys $10 worth of cocaine from a Park Street dealer and then buys a bundle (ten 0.1 gram bags) of fentanyl from another for $15. He buys the fentanyl to keep withdrawal at bay and he buys the cocaine to give him the energy to collect enough cans and bottles to buy more fentanyl later in the day with a little left over for food.
You take pride in your car’s appearance—shiny, clean, and polished to perfection. But even the most careful car owner can fall victim to everyday threats that silently sabotage that showroom sparkle. From spilled coffee to sunbaked bird droppings, the dangers are everywhere. Here’s what to watch out for—and how to fight back. 1.
This content is for AAA members only. Please either Log In or Join! The post State Snap Shots to Support EMS Advocacy appeared first on American Ambulance Association.
St.Emlyn's - Emergency Medicine #FOAMed Can you perform a life-saving thoracotomy without ICU, theatre, or specialist staff? A new study from Cape Town shows it's possible and often successful even in district hospitals facing high trauma burdens. Read our latest St Emlyns review #EmergencyMedicine #TraumaSurgery #FOAMed #GlobalHealth The post Emergency Centre Thoracotomy in South Africa. appeared first on St.Emlyn's.
We chat with Dr. Michael Lanspa, intensivist and director of the Intermountain Critical Care Echocardiography Core Lab, about common pitfalls among bedside POCUS users and tricks for doing it better. Learn more at the Intensive Care Academy! Find us on Patreon here! Takeaway lessons We chat with Dr. Michael Lanspa, intensivist and director of the Intermountain Critical Care Echocardiography Core Lab, about common pitfalls among bedside POCUS users and tricks for doing it better.
Written by Pendell Meyers An elderly woman summoned EMS for generalized weakness and multiple vague complaints. She was confused and ill appearing. Here is her EMS ECG: What do you think? Without other ECGs (below), the rhythm differential could include junctional/ventricular escape, or ventricular paced rhythm (with small or filtered-out pacing spikes), or other rhythms.
For EMCrit Episode 400, I do a Mind of the Resuscitationist Episode. We discuss a bunch of concepts that have been percolating through this resuscitationist's mind. #MotR We discuss: Wu Wei Tension/Relaxation BDGO and so much more EMCrit Project by Scott Weingart, MD FCCM.
Post Traumatic Stress is exactly what it sounds like. Traumatic events cause stress on our brains, which then causes them to process the world in a light that is not congruent with the reality that we live in. The symptoms can range from total brain dissociation and panic to just general feelings of uneasiness when a trigger presents itself. As a result, treating and managing PTS is a complex, multifaceted exercise.
Gary Zhang, Andrew Robbins and Mike Cadogan Name that murmur Eponymythology: heart murmur eponyms and named cardiac murmurs. Related eponyms, the person behind their origin, their relevance today, and modern terminology.
2024 recipient: Kellog (MN) Rural Fire District Can your volunteer fire department use $10,000 to purchase equipment? Then get ready now to apply for a grant through the State Farm Good Neighbor Firefighter Safety Program! The application period is open for three days only, from June 4-6. A total of 150 volunteer fire departments will receive a grant.
Written by Willy Frick This blog has repeatedly made the point that ECGs must always be interpreted in clinical context. But sometimes just for fun we like to try to scrutinize ECGs in a vacuum. It increases the difficulty level. Look at this ECG and try to figure out what it represents. ECG 1 What do you think? _ Smith : I saw this before reading on, and was 95% certain it represented a reperfused OMI, vs. 5% for takotsubo.
May Recap May was our busiest month of the year so far. From EMS Week Conferences to Preparedness Summits to Stroke Symposiums, our teams were busy traveling to 17 shows around the States. Improving Stroke Response in Hawai'i Hilo Benioff Medical Center in Hilo, Hawai'i, adopted Pulsara to improve communication around stroke cases, uniting teams across the Big Island and the islands of Hawai'i.
Firefighters find themselves facing any number of scenarios when the tones go off. Seeing tragic events unfold on a monthly, weekly, or even daily basis can lead to long-term challenges such as post-traumatic stress disorder, anxiety, substance misuse, and depression. But these experiences can be the beginning of something extraordinary posttraumatic growth (PTG).
Written by Willy Frick "Two episodes of syncope in the past month. Only speaks French. No chest pain or shortness of breath." Figure 1: ECG That's the history I had when I reviewed this ECG. Have a look and see how many diagnostic statements and electrophysiologic phenomena you can name before reading further. This patient is uninsured and was seen in an indigent clinic, so unfortunately extensive diagnostic testing is not available.
There are many factors to consider when performing an airway assessment, and some of those factors can present obstacles for all patients and providers involved. Trauma patients require extra care and caution when receiving airway assessments, and substantial research has been done on unique risks for these patients and things providers must keep in mind when treating them.
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