Sat.Feb 15, 2025 - Fri.Feb 21, 2025

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3 Medical Suction Training Scenarios for EMS Professionals

SSCOR

As you approach your patient, you hear him snoring and notice the familiar sound of gurgling coming from his mouth. You immediately know you will be working to manage his airwayall within seconds of looking at, listening to, speaking with, and touching the patient. Remember: The first few seconds when you approach your patient will likely give you the most clinical information about your patients condition, bombarding you with information rapidly, sometimes instantaneously.

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Confirmation Hearing for Secretary of Labor Nominee to be Held on February 19

NVFC

The Senate Committee on Health, Education, Labor, and Pensions will hold a confirmation hearing for Secretary of Labor nominee Lori Chavez-DeRemer on February 19 starting at 10am ET. If confirmed by the Senate, Chavez-DeRemer would oversee the Occupational Safety and Health Administration (OSHA) and the ongoing development of their proposed Emergency Response Standard.

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How to Treat Strokes

Unitek EMT

A guide for EMTs and Paramedics in identifying and managing stroke cases in the field. According to guidelines published by the American Heart Association and American Stroke Association, before 2008, public education campaigns used the “5 Suddens” (sudden weakness, speech difficulty, vision loss, dizziness, severe headache) to help identify a stroke.

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Journal Feed Weekly Wrap-Up

EMDocs

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: New Meta-analysis Metoprolol vs Diltiazem for A-Fib with RVR Spoon Feed This systematic review of 13 studies found slightly higher rates of adverse events after administration of diltiazem versus metoprolol, when t

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The Douglas K. York Endowed Scholarship: Application Deadline is March 1

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post The Douglas K. York Endowed Scholarship: Application Deadline is March 1 appeared first on American Ambulance Association.

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Recruiters: Can You Answer These Common Volunteer Firefighter & EMS Questions?

NVFC

By Walter Campbell Recruiting in the volunteer fire and EMS world is no small task. While youre asking your prospective recruits about their motivations, time commitments, and whether they can tell the difference between a Halligan bar and a crowbar, theyre interviewing you just as much. Potential volunteers want to know if your departments culture, opportunities, and leadership align with their passions and priorities.

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Annals ECG of The Month

ACEP Now

Emergency medical services (EMS) were called to the home of a 22-year-old woman after a syncopal episode and seizure-like activity. The patient reported consuming plant needles obtained online in a suicide attempt several hours prior. On EMS arrival, the patient was alert, pulse was fluctuating between 40 and 130 beats/min, and manual systolic blood pressure was 60 mmHg.

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The Commission on Accreditation of Ambulance Services Launches ANSI-Approved CAAS Standards Version 4.0

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post The Commission on Accreditation of Ambulance Services Launches ANSI-Approved CAAS Standards Version 4.0 appeared first on American Ambulance Association.

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Single-Dose vs. Multi-Dose Epinephrine

Emergency Medicine Education

A pre-post study conducted in North Carolina compared multi-dose epinephrine with single-dose epinephrine in adult non-traumatic out-of-hospital cardiac arrest (OHCA) patients. The authors concluded that patients with bystander CPR and a shockable rhythm who received only a single dose of epinephrine had a higher survival rate to hospital discharge compared to those who did not receive bystander CPR and had multiple doses of epinephrine.

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Awake Tracheal Intubation: What You Need to Know

SSCOR

In a perfect world, a patient will be sedated before intubation, but as emergency care providers know, conditions are not often optimal and other approaches are necessary.

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Prehospital Care Research Forum Abstracts – ICoP members

Irish College of Paramedics

World Caf-Mediated Contribution of Prehospital Practitioners in Ireland to the First Official National Guidance Regarding Continuous Professional Competence Author: Shane Knox, PhD, MSc HDip, Advanced Para, MCPara, Assoc. CIPD Associate Authors: Suzanne Dunne, PhD, Colum P. Dunne, PhD IntroductionThere was no regulatory requirement for prehospital practitioners in Ireland to provide evidence of competence, or any link between competence and registration to practice.

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McGinn-White pattern

Life in the Fastlane

Mike Cadogan and Robert Buttner McGinn-White pattern McGinn and White first described the so-called S1Q3T3 pattern in five patients with acute cor pulmonale secondary to pulmonary embolism.

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Special Edition: Look at This Patient's Sats

EMS 20/20

Spencer puts Chris in the hotseat with an. anxiety call? Does Chris wind up being a big rockstar or will he never make it as a wise man? Check out @ems2020show on Instagram and VOTE! Spencer puts Chris in the hotseat with an. anxiety call? Does Chris wind up being a big rockstar or will he never make it as a wise man? Check out @ems2020show on Instagram and VOTE!

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Ep 202 Eating Disorders: Common, Commonly Missed, Mismanaged and Misunderstood

Emergency Medicine Cases

Eating disorders have the highest mortality rate of any psychiatric illness, yet they are frequently missed in the Emergency Department as they can be elusive. Only one in 246 patients who screen positive for an eating disorder at triage have a chief complaint suggesting it. These patients dont always fit the stereotypemany appear healthy, have normal BMI, or present with vague GI, cardiac, or neurological symptoms.

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The Use of CPAP in Prehospital Care

Irish College of Paramedics

An accurate assessment maximizes CPAP's effectiveness By Kenny Navarro Arguably, airway management is one of the most important interventions provided by emergency medical service personnel. Despite the allegiance to endotracheal intubation as a gold standard of airway control, endotracheal tube placement during acute exacerbation of various respiratory conditions comes with a significant increase in complications and mortality (Keenan, Sinuff, Cook, & Hill, 2004).

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Neuroimaging Cases 008

Life in the Fastlane

Michael Gibbs MD Neuroimaging Cases 008 Intraventricular rupture of brain abscess (IVROBA). Second in our Neuroimaging case study series with Teresa Crow, Troy Carnwath, Scott DiMeo, L.

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Lightning rounds 49: The Vortex approach with Nicholas Chrimes

Critical Care Scenarios

We learn about the Vortex approach to airway management, as well as airway algorithms and mental models in general, with Vortex creator and anesthesiologist Dr. Nicholas Chrimes, anaesthetist and cofounder of the Safe Airway Society. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! References We learn about the Vortex approach to airway management, as well as airway algorithms and mental models in general, with Vortex creator and anesthesiologist Dr.

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ECG Cases 54 The Art of Occlusion MI: Scale and Proportionality

Emergency Medicine Cases

On this month's ECG Cases, Dr. Jesse McLaren explains how STEMI criteria can be false positive with large scale QRS and proportional ST elevation, or false negative with low/normal scale QRS and disproportionate ST elevation and hyperacute T waves, and that rules for subtle occlusion using proportionality can help differentiate LBBB with or without Occlusion MI, or LV aneurysm vs anterior STEMI with Q waves.

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Prehospital Management of the Pregnant Patient

Irish College of Paramedics

by Chris Colwell, MD; Paul Murphy, MA, MSHA; & Tamara Bryan, BS, EMT-P On Mar 1, 2004 A variety of anatomic and physiologic changes occur during pregnancy. In most cases, there is minimal impact on the mother's health. However, there is the possibility that EMS providers will be called to assist a pregnant female.1 Managing the pregnant patient can present unique challenges.

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Procedure: Pericardiocentesis

Life in the Fastlane

James Miers and John Mackenzie Procedure: Pericardiocentesis Emergency Procedure: Pericardiocentesis. one of the most difficult and risky emergency procedures, but one you already have the ultrasound and line skills to perform well.

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SGEM Xtra: Rock, Robot Rock – AI for Clinical Research

The Skeptics' Guide to EM

Date: February 11, 2025 Dr. Ross Prager Guest Skeptic: Dr. Ross Prager is an Intensivist at the London Health Sciences Centre and an adjunct professor at Western University. His expertise in critical care medicine is complemented by his research interests in critical care ultrasound and evidence-based knowledge translation. This is another SGEM Xtra.

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Maternal and Neonatal Outcomes Following Resuscitative Hysterotomy for OHCA. Time and survival #dogmalysis.

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed Background Resuscitative hysterotomy, also known as perimortem caesarean section, is a high-stakes, time-critical intervention performed in pregnant women who experience cardiac arrest. It’s also one of the most daunting HALO […] The post Maternal and Neonatal Outcomes Following Resuscitative Hysterotomy for OHCA.

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Assessing the Eyes

Irish College of Paramedics

BY WILLIAM E. "GENE" GANDY, JD, LP AND STEVEN "KELLY" GRAYSON, NREMT-P, CCEMT-P ON APR 5, 2011 It has been said the eyes are the windows to the soul. In emergency medicine, much can be learned from a routine eye examination. This article will review both techniques and evaluation of findings. Scenario You arrive at a local nursing home to care for a patient who has become unresponsive.

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Fusariosis

Life in the Fastlane

Chris Nickson Fusariosis CCC entry for fusariosis / Fusarium infections (infectious disease)

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Shaving Time Off Your Next Trip To The Cath Lab

FOAMfrat

Whether your program is primarily 9-1-1, interfacility transport (IFT), or a combination of both, the likelihood of being responsible for the safe and expeditious transport of a STEMI patient is high for anyone in the out-of-hospital care setting. Minutes matter with critical interventions such as percutaneous intervention (PCI), and when time is of the essence for these patients, there are a few things that are probably not in your protocol that you can do to save time during handoff to the Cat

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Podcast – Moral Injury with Caroline Leech at Tactical Trauma 24

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed The St Emlyns podcast delves into moral injury in healthcare with Dr. Caroline Leech. Learn how repeated exposure to ethical dilemmas leads to distress and explore strategies to mitigate its impact on clinicians. The post Podcast – Moral Injury with Caroline Leech at Tactical Trauma 24 appeared first on St.Emlyn's.

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Keep Your Eye on the Ball: Assessing & Managing Eye Injuries in the Field

Irish College of Paramedics

Bruce Evans, MPA, NREMT-P | From the August 2008 Issue | Sunday, August 17, 2008 JEMS Couse Objectives >>Review the anatomy and physiology of the eye. >> Describe the prehospital assessment and management of eye injuries. >> Discuss injury prevention as it relates to the eye. Engine 94 and Rescue 94 respond to a popular sports complex known for housing large softball tournaments.

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Case Report: Murine Typhus Presents as Severe Pneumonia and Sepsis

ACEP Now

A 29-year-old Hispanic American man with no significant medical history presented to the emergency department (ED) with a progressively worsening respiratory and systemic illness. His symptoms had begun two weeks prior, initially as a mild cough, congestion, and shortness of breath. About one week later, he started experiencing generalized body aches, nausea, and vomiting.

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Venous Congestion in Pediatric Critical Care

Don't Forget the Bubbles

Two-liner A look at the evolving concept of venous congestion and the haemodynamic assessment in critically ill children and adults. The literature exploring its nuances continues to grow in adults but remains poorly understood in paediatric populations.[1] Fred is a 3-year-old boy who presents to the emergency department. He was previously healthy and presented with a 3-day history of cough, fevers, low appetite, and decreased energy.

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Is Diastolic Blood Pressure the New Resuscitation Target

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed This week I read a great article in the EMJ by Dan Horner and Rich Carden on new resuscitation targets. notably the use of diastolic blood pressure. DBP is the […] The post Is Diastolic Blood Pressure the New Resuscitation Target appeared first on St.Emlyn's.

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The General Paramedic Physical Exam

Irish College of Paramedics

[link] This site offers interesting reading from a different country. The general exam listed at the link above. This site is written and maintained by Marc Colbeck. I am a paramedic instructor who worked as a Critical Care Paramedic in Toronto EMS (Canada) for 13 years. Currently I work in the Middle East, teaching paramedicine. I have an undergraduate degree in Health Sciences (Pre-Hospital Care) and am completing an MA.

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What factor determines final diagnosis of STEMI vs. NSTEMI? Is it ST Elevation? Occlusion? or Something else? What?

Dr. Smith's ECG Blog

The answer is at the bottom, and illustrated by this case. Written by Willy Frick A man in his mid 30s with type 1 diabetes presented with two days of midsternal and epigastric pain, described as both "sharp" and squeezing." There was associated nausea, vomiting, and dyspnea. He said the pain was worse with supination and improved with upright posture.

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ECG Pointers: Pacemakers, Magnets, and Hiding Under the Charge Nurse’s Desk

EMDocs

Authors: Lloyd Tannenbaum, MD (EM Attending Physician, 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.

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Residency Spotlight: The University of Utah Emergency Medicine Program

ACEP Now

What does your program offer that residents cant get anywhere else? The University of Utah Emergency Medicine program offers exceptional training due to our large catchment area and rotations at both rural/underserved sites and two Level 1 trauma centers. We support our residents individual journeys and know no two residents are the same. We offer elective time in both PGY2 and PGY3 years to allow residents to further customize their training experience.

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Become a member

Irish College of Paramedics

[one_half] Why join ICoP? We welcome all Practitioners to use the ICoP as a platform for the development of paramedicine and the pre-hospital emergency care profession. ICoP is for all registered practitioners and those allied professionals with an interest in pre-hospital care.

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After seeing this ECG, are there any medications you would consider giving?

Dr. Smith's ECG Blog

Written by Willy Frick A man in his 50s with COPD presented with dizziness and hypotension. He had worked overnight the night before and presented to the hospital after his shift. His first recorded blood pressure was 88/53 mm Hg. Here is his presenting ECG: What do you think? The ECG shows sinus rhythm. The T waves are suspiciously symmetric, but not hyperacute looking.

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Are You In Charge, Or Are You In Command?

Pulsara

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.

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