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Author : Katie Stuart MD; Washington University Emergency Medicine Residency Editors : Sarah Fabiano MD, FACEP, FAAEM & Michael DeFilippo DO You are a second-year emergency medicine resident physician doing a ride along with a helicopter-based EMS (HEMS) agency. You are dispatched to the scene of a golf cart versus tree. The air crew successfully identifies a safe landing place near where the ambulance is staged.
Objectives Emergency Medical Services clinicians are often tasked with the delivery of bad news including making death notifications and informing loved ones about the termination of resuscitations. Existing trainings for breaking bad news are based around palliative care conversations in dramatically different clinic or hospital settings. We hypothesize that pre-hospital clinicians are not receiving formal training in the skill of breaking bad news and the delivery of bad news can have harmful
The call is for a seizure. A 9-year-old boy with epilepsy falls off the couch and is observed seizing, with full tonic-clonic activity. His mom shouts for the boys older sister to call 911, and then she goes to her purse and takes out the medicine his doctor prescribed for him. She sticks the nozzle of the device in the boy’s nose and pushes the plunder.
Authors: Lloyd Tannenbaum, MD (EM Attending Physician, APD, Geisinger Wyoming Valley, PA) // 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. This week, we feature a post from Dr. Tannenbaums ECG Teaching Cases , a free ECG resource. Please check it out.
We discuss the basics of EEG in the ICU, including when to do it, selecting the appropriate study, and the basics of bedside interpretation, with Carolina B Maciel, MD, MSCR, FAAN, triple boarded in neurology, neurocritical care, and critical care EEG. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your Continue reading "Episode 86: EEGs in the ICU with Carolina Maciel" We discuss the basics of EEG in the ICU, including when to do it, selecting the appropriate study, and
Introduction Out-of-hospital cardiac arrest remains a global health problem. There is emerging evidence that the use of extra-corporeal membrane oxygenation during resuscitation [ECPR], may help to improve outcomes. Several prehospital services around the world are now able to provide on-scene ECPR. However, the early identification of patients is a key factor in enabling this level of response to OOHCA.
We all know the important role suctioning plays in airway management. Imagine treating a respiratory, trauma, or cardiac arrest patient without the aid of suction. Impossible, right? Effective nasotracheal suctioning can mean the difference between a patent and a non-patent airway. It can also mean the difference between life and death for your patient.
PCC Members, Our annual leadership Summit is less than two months away! In addition to the Summit sessions, you will have the opportunity to meet with sector partners, network with colleagues, and engage in conversations with Paramedic leaders from around the globe. A reminder to register for our upcoming Summit and reserve your guest room at our reduced rate by May 9th, 2025.
PCC Members, Our annual leadership Summit is less than two months away! In addition to the Summit sessions, you will have the opportunity to meet with sector partners, network with colleagues, and engage in conversations with Paramedic leaders from around the globe. A reminder to register for our upcoming Summit and reserve your guest room at our reduced rate by May 9th, 2025.
Chris is given the mother of all scenarios where a pediatric patients takes. well, all the medications. PLUS! We introduce the coveted DICE ROLL to spice things up! Just because Chris asks for it doesn't mean he'll get it! Luck of the draw is at play in this week's episode. VOTE ON INSTAGRAM! Chris is given the mother of all scenarios where a pediatric patients takes. well, all the medications.
OBJECTIVE: Vasopressors are critical for patients experiencing shock. This observational study aims to describe the usage of vasopressors by EMS, and to assess how vasopressor usage differs between transport and hospital environments. The information gathered in this study can help determine which vasopressors should be available in an EMS system and guide the management of patients requiring vasopressors during EMS transport.
We are in the midst of the worst overdose crisis in American history, with greater than 100,000 deaths in the last year on record. 1 Overdose is the leading cause of death among Americans 40-years-old and younger, accounting for more deaths than homicide, suicide, motor vehicle accidents, gun violence, and cancer. 2 Within emergency medicine, we bear witness to this crisis first-hand, as we care for patients with opioid use disorder (OUD) during emergencies, post-overdose, for chronic concerns d
Today on the emDOCs cast with Brit Long ( @long_brit) , we cover the Lisfranc injury. Episode 118: Lisfranc Injury What is it? The Lisfranc joint complex is a tarso-metatarsal articulation named for Jacques Lisfranc (1790-1847), one of Napoleons battlefield surgeons. A Lisfranc injury is any injury/disruption to this joint complex. Exist along a spectrum: minor subluxation to fracture and dislocation.
There appears to be wide agreement that we are not good at providing feedback in medicine. I have attended many seminars and read many papers on this topic, and despite believing this is an essential role in medical education, I still fail routinely. I have received a lot of advice. I should start by setting […] The post Providing feedback and defining excellence in medicine appeared first on First10EM.
Background: Accurate blood pressure (BP) measurement is essential in the emergency department (ED), where it serves as a key marker of hemodynamic stability and informs critical management decisions. Improper technique and incorrect cuff sizing can lead to falsely high or low readings, impacting patient care. The issue of BP cuff size has been studied in manual BP cuffs previously, but there is scant literature on automatic BP cuffs.
When somebody is sick or injured in and around Birmingham, Alabama, several options exist for care. But only one has received ACEPs Emergency Department Accreditation Program (EDAP) stamp of approval. The University of Alabama at Birmingham is the first EDand only for nowto attain this accreditation. UAB was notified in late February of this achievement after several months of navigating the process and supplying information to back up the vision and prove it meets the requirements.
Authors: Steven Wright, MD (EM Resident Physician, UTSW – Dallas, TX); Christopher Wright, MD (Attending Physician, Pediatric Emergency Medicine, University Hospitals Rainbow Babies & Childrens; Assistant Professor of Pediatrics, Case Western Reserve University) // Reviewed by: Sophia Grgens, MD (EM Physician, BIDMC, MA); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Welcome to EM@3A
There’s nothing quite like prom and graduation season—the photos, the dresses and tuxes, the flowers, the celebrations. But while your teen may be focused on finding the perfect outfit or planning the after party, you’re likely thinking about something else entirely: their safety on the road.
This content is for AAA members only. Please either Log In or Join! The post Savvik is Giving Away Gloves from DASH Medical! appeared first on American Ambulance Association.
When transporting a critically ill patient, its easy to focus only on the medical emergency. But ambulance crashes are common more than 6,500 ambulance crashes occur each year, claiming an average of 33 lives annually. Ambulance safety depends on taking proactive steps to mitigate risk in the event of a crash.
Neuroleptic Malignant Syndrome (NMS) and Serotonin Syndrome (SS) are relucatantly covered on this week's show EMCrit Project by Scott Weingart, MD FCCM.
This content is for AAA members only. Please either Log In or Join! The post U.S. Department of Transportation (DOT) published a Request for Information (RFI) Input Requested! appeared first on American Ambulance Association.
An initiative using aerial drones to deliver defibrillators, EpiPens and other medical supplies to local emergency scenes has been cleared for a test run.
FOR IMMEDIATE RELEASE Demers Ambulances 65 Years of Continuous Growth and Global Leadership FOR IMMEDIATE RELEASE Crestline Coach Celebrates 50 Years of Manufacturing Excellence and Growth
terrubke disease and chronic EKG with negative trops taken to lab anyway 4005563 Saphenous vein graft to the obtuse marginal occluded at the aortic anastomosis site LIMA to the LAD the LIMA itself is a well matured 3-1/2 mm conduit that is anastomosed to the totally occluded LAD Collaterals to the RPDA and RPL a are less vigorous than what they were on angiogram from 2024
This isn’t a full blog post, but just an opportunity to share a resource that I think many people will find valuable. In most pediatric resuscitations, I feel very comfortable standing with the Broselow tape in my hand for dosing. If it isn’t on the Broselow, I probably have time to look it up. The […] The post Pediatric transfusion dosing appeared first on First10EM.
By Allison Tu Peer Reviewed Once a death sentence, HIV/AIDS is now a treatable and preventable disease. Pre-exposure prophylaxis (PrEP) has been a game-changer in HIV prevention since the FDA approved emtricitabine/tenofovir.
We explore the expanding field of Geriatric Emergency Medicine. Hosts: Ula Hwang, MD Brian Gilberti, MD [link] Download Leave a Comment Tags: Geriatric Show Notes Key Topics Discussed Importance and impact of geriatric emergency departments. Optimizing care strategies for geriatric patients in ED settings. Practical approaches for non-geriatric-specific EDs.
The Paramedic Chiefs of Canada (PCC) recognizes National Public Safety Telecommunicators Week April 13-19th, 2025. We would like to thank all telecommunications professional and recognize the crucial role they play in providing patient care and keeping our communities safe. Your dedication to your profession is commendable and we appreciate your service serving communities across the country.
A man in his early 30s was walking when he developed central chest pain which was non-radiating, then had a syncopal event with bowel incontinence, and when he woke up he had ongoing chest pain. Notes never having symptoms like this before, pain is so severe its causing SOB. He called 911. Medics recorded a BP of 79/52 with pulse of 47. They recorded this ECG: Obvious inferior STEMI/OMI What else?
The final hours of JEMS @ FDIC are ticking away at the Indianapolis Convention Center, as emergency medical service professionals engage in a last round of critical training and networking.
Public Safety Answering Points: The Backbone of Emergency Communications Blog michelle.fordi Thu, 04/17/2025 - 12:48 By Jennifer McIntyre, 9-1-1/Emergency Communications Subject Matter Expert, 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.
St.Emlyn's - Emergency Medicine #FOAMed Recorded at the London Trauma Conference 2024, Peter Brindley discusses social media, artifical intelligence (AI) and how those working in medicine can (and must) navigate this new world. The post Podcast – Social Media and Artifical Intelligence in Medicine with Peter Brindley at LTC appeared first on St.Emlyn's.
On October 17, 2013, 27-year-old Philisha Sutherland was found at home by her parentslethargic, weak, and slurring her speech. EMS transported her to Sault Area Hospital, where she was assessed by the attending emergency physician, Dr. Booth. Dr. Booth performed a neurological assessment. She checked motor function, coordination, and speechfinding no ataxia, no facial droop, […] The post Law and Disorder: Navigating medicolegal Issues (Part 1) appeared first on EMOttawa Blog.
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