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In this month's EM Quick Hits podcast: Andrew Petrosoniak on the role of vasopressors in the hemorrhaging trauma patient, Megan Landes on providing HIV PEP and PrEP in the ED, Justin Morgenstern & George Kovacs on the PREOXI trial and evidence for pre-oxygenation with NIPPV before intubation in RSI, Brit Long on recognition and management of blast crisis in the ED, and Leah Flanagan & Liam Loughrey on the rise of nitrous oxide toxicity.
Reference: Knack et al. Early Physician Gestalt Versus Usual Screening Tools for the Prediction of Sepsis in Critically Ill Emergency Patients. Ann Emerg Med 2024 Date: July 25, 2024 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called www.First10EM.com Case: Your hospital is running Morbidity and Mortality (M&M) rounds after a few recent cases in which the diagnosis of sepsis was identified late, and antibiotics were delayed.
- Importance of Catheter Selection: - The catheter’s diameter and length are critical factors affecting the flow rate. - Shorter, wider catheters provide a higher flow rate, making them preferable for rapid resuscitation. - Diameter and Flow Rate: - A larger diameter increases flow rate, and this relationship is proportional to the fourth power. For instance, doubling the diameter results in a 16-fold increase in maximum flow rate. - Peripheral 16-gauge IVs can sometimes outtransfuse larger cent
St.Emlyn's - Emergency Medicine #FOAMed "Time Critical: Information Light" decision-making is vital in emergency medicine, requiring swift actions with minimal data. However, uncertainty decreases over time as more information becomes available. This model highlights the importance of making high-stakes decisions promptly, avoiding premature or delayed interventions.
Responding to Behavioral Health Emergencies Don’t Miss this Virtual Symposium, August 2, 2024 The EMS community is increasingly tasked with responding to behavioral health emergencies. The 988 suicide and crisis […] The post EMS.gov | Responding to Behavioral Health Emergencies appeared first on American Ambulance Association.
We discuss a case of ataxia in children and how to approach the evaluation of these pts. Hosts: Ellen Duncan, MD, PhD Brian Gilberti, MD [link] Download Leave a Comment Tags: Neurology , Pediatrics Show Notes Introduction The episode focuses on ataxia in children, which can range from self-limiting to life-threatening conditions. Pediatric emergency medicine specialist shares insights on the topic.
As a profession, we suck at compassion as it is trained out of us through medical school and beyond. Compassion in not simply innate; like any behaviour, it can be learned through deliberate practice. There is evidence that compassion may improve morbidity and/or mortality in patients after trauma, cardiac events, cancer, diabetes, back pain, migraine headache and other conditions, prevent physician burnout and reduces rates of medical error, reduce the rates of patient complaints and litigation
As a profession, we suck at compassion as it is trained out of us through medical school and beyond. Compassion in not simply innate; like any behaviour, it can be learned through deliberate practice. There is evidence that compassion may improve morbidity and/or mortality in patients after trauma, cardiac events, cancer, diabetes, back pain, migraine headache and other conditions, prevent physician burnout and reduces rates of medical error, reduce the rates of patient complaints and litigation
Read Statement Authors: Douglas F. Kupas*, Matt Zavadsky, Brooke Burton, Chip Decker, Robert Dunne, Peter Dworsky, Richard Ferron, DanielGerard, Joseph Grover, Joseph House, Jeffrey Jarvis, Sheree Murphy, Jerry Overton, Michael […] The post Joint Position Statement on EMS Performance Measures Beyond Response Times appeared first on American Ambulance Association.
Gestalt for sepsis? This paper hits two of my biggest pet peeves in medicine. 1) The endless emphasis on rushing to hit treatment targets in sepsis or otherwise and 2) the assumption that decision instruments must be better than basic clinical judgment. I am aware, therefore, that my interpretation is more likely to be biased, […] The post Gestalt is better than decision tools for identifying sepsis appeared first on First10EM.
Written by Willy Frick A 50 year old man with no medical history presented with acute onset substernal chest pain. His ECG is shown below. Pretty obvious anterior current of injury. This was a machine read STEMI positive OMI. Readers of this blog can easily appreciate the hyperacute T waves in the precordium, clearest in V1-V4. What would you guess is the culprit artery?
St.Emlyn's - Emergency Medicine #FOAMed Listen to the podcast recorded live at the Premier Conference 2024. The post Podcast – Button Battery Ingestion appeared first on St.Emlyn's.
Once again partnering to provide fast hydration to volunteer firefighters, DripDrop Hydration PBC and the National Volunteer Fire Council (NVFC) have donated 200,000 sticks of DripDrop electrolyte drink mix to volunteer fire departments. A total of 1,000 departments were selected at random from a pool of over 1,700 entries to receive two cases (200 16-oz sticks) each of the hydrating drink mix.
June & July Recap After exhibiting at four trade shows in June, our event schedule dropped off in July. Things will kick back into high gear again as we near the end of summer and the beginning of fall, so you'll have plenty of opportunities to catch Team Pulsara out on the road. Before we get too far ahead of ourselves, let's take a look at the past few months.
The House of Representative’s Education and the Workforce Committee’s Subcommittee on Workforce Protections held a hearing on July 24 titled “Safeguarding Workers and Employers from OSHA Overreach and Skewed Priorities.” Chief Tim Bradley, a National Volunteer Fire Council (NVFC) director from North Carolina, testified on the NVFC’s behalf. In his testimony, Bradley stated that the NVFC appreciates the Occupational Safety and Health Administration’s (OSHA) efforts to promote our mutual goal of e
You can tell a lot in the first few seconds of patient contact. Your initial survey begins the moment you step on scene. For example, there’s that “difficulty breathing” call that comes in the wee hours of the morning to an assisted-living residence you’ve responded to on countless occasions.
The following ECG is from a 67-year-old man who presents with dizziness and fatigue. He has a past history of ischaemic heart disease, hypertension and hypercholesterolaemia.
We share our grand new project, the Intensive Care Academy, an online, video-based, subscriber-only educational platform. Check it out at icu101.com! We share our grand new project, the Intensive Care Academy, an online, video-based, subscriber-only educational platform. Check it out at icu101.com !
Welcome to our comprehensive guide on everything you need to know about cancer. From understanding its symptoms and diagnosis to exploring treatment options and lifestyle changes, this blog post aims… The post The Complete Guide to Cancer: Facts and Resources appeared first on Paramedics World.
$500,000 in grants will be awarded by State Farm ® in collaboration with the NVFC The application period is now open for the inaugural State Farm ® Good Neighbor Firefighter Safety Program. State Farm has teamed up with the National Volunteer Fire Council (NVFC) to award $500,000 in grants to local volunteer fire departments. A total of 50 departments will each receive a $10,000 grant to obtain critical equipment to enhance the safety and effectiveness of their responders.
Welcome to our comprehensive guide on Human Immunodeficiency Virus (HIV), a topic that is crucial for understanding and raising awareness about this important health issue. Whether you’re looking to educate… The post HIV Made Simple: Facts and Awareness appeared first on Paramedics World.
On July 16, the National Volunteer Fire Council (NVFC) submitted its public comments regarding the Occupational Safety and Health Administration’s (OSHA) proposed Emergency Response Standard. View the NVFC’s comments here. The public comment period on the proposed standard concluded on July 22. OSHA will hold a virtual public hearing on the proposed standard in November and is now accepting written requests to testify.
St.Emlyn's - Emergency Medicine #FOAMed "Time Critical: Information Light" decision-making is vital in emergency medicine, requiring swift actions with minimal data. However, uncertainty decreases over time as more information becomes available. The post Optimal Timing for Life-Saving Procedures in Critical Care: Finding the Goldilocks Moment appeared first on St.Emlyn's.
Social media headlines and evolving literature have highlighted the abysmal life expectancy of emergency room doctors. For example, Dr. Ken Milne, the creator behind The Skeptics Guide to Emergency Medicine, recently shared this post on sobering life-expectancy data for ER physicians. In this post, we delve into the contributing factors to the increased mortality […] The post Is Shift Work Shortening your Life?
Welcome to our comprehensive guide on Attention-Deficit/Hyperactivity Disorder (ADHD)! If you’ve ever wondered what exactly ADHD is, how it’s diagnosed, or what treatment options are available, you’re in the right… The post Inside ADHD: Insights and Strategies for Success appeared first on Paramedics World.
How EMTs are bridging gaps in healthcare for the homeless. In cities across the United States, over 580,000 people experience homelessness on any given night, with many facing severe healthcare challenges that go largely unmet, according to the U.S. Department of Housing and Urban Development’s (HUD) Annual Homeless Assessment Report (AHAR) to Congress (2020).
Don’t miss events at APCO 2024 Blog joseph.rey@fir… Thu, 08/01/2024 - 09:48 By Jennifer McIntyre, 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. Follow us on Twitter , Facebook , Instagram , and LinkedIn for the latest FirstNet Authority updates.
I recently saw some inquiries on social media asking for more information on the claims that the Slishman traction splint can be used on a patient who has both a femur and pelvic fracture. This conversation also came up on shift a few days ago, so I reached out to the inventor, Dr. Sam Slishman, and asked if he could write a short article on the thought process and physics behind this claim.
Are you tired of the pounding pain, sensitivity to light, and nausea that come with migraines? You’re not alone. Migraines affect millions of people worldwide, impacting their quality of life… The post Cracking the Code: The Complete Guide to Migraines appeared first on Paramedics World.
Cultivating EMS Educators: The Role of Mentorship In this episode, we dive into the intersecting worlds of EMS education and mentorship with guest Jonathan Jenkins, a seasoned EMS educator. As a surprise, we’re also joined by Mike Taigman, a renowned expert in EMS and healthcare improvement and mentor to many. Together, they explore the critical role of mentorship in developing new EMS educators, sharing insights, personal stories, and practical advice.
By Johain Ounadjela Peer Reviewed I still remember filling out the application form for my driver’s license at the Redwood City, California Department of Motor Vehicles. I was 16 years old and ready to zoom around.
GEDC’s System Spotlight Series shares the great work that member organizations are doing in the field of geriatric emergency medicine. Through the pursuit of GEDA accreditation, implementation of meaningful QI initiatives, and provision of educational resources for clinicians, health systems that take advantage of GEDC membership are setting the standard for outstanding geriatric emergency medicine.
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