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A 26-year-old male with a past medical history of eczema presented to the Emergency Department with a rash for two days. The patient stated he first noticed a rash on his right arm that rapidly spread to his face, chest, and left arm. He reported having similar rashes before but never to this extent. The patient stated he was given Bactrim and amoxicillin about one month ago for another rash, though he was unsure of the diagnosis.
Authors: Grant Gerstner, DO (EM Resident Physician, San Antonio, TX); Kyle Smiley, MD (EM Resident Physician, San Antonio, TX) // Reviewed by: Sophia Görgens, MD (EM Physician, BIDMC, MA); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Alex Koyfman, MD (@EMHighAK) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providing an expedited review of clinical basics.
St.Emlyn's - Emergency Medicine #FOAMed Uncover the truth about alcohol poisoning. Find out how toxic alcohols can be ingested accidentally or intentionally and the serious consequences they can have with a focus on Emergency medicine management. #FOAMed @stemlyns The post Toxic alcohol poisoning: What do we know about fomepizole, methanol and ethylene glycol?
On November 21, 2024, the HHS Office of the Inspector General (OIG) issued Advisory Opinion 24-09. The opinion relates to a proposal by a municipal ambulance service to begin billing […] The post HHS OIG Issues Favorable Advisory Opinion on Ambulance Treatment-in-Place appeared first on American Ambulance Association.
A Guide to the Various Levels of EMT Certification, Including Education, Training, and Testing Requirements The National EMS Scope of Practice Model defines “scope of practice” as the set of activities a licensed individual is legally authorized to perform. It not only distinguishes the roles of professionals from those of a lay person but also […] The post The 4 Levels of EMT Certification appeared first on Unitek EMT.
Emergencies do not stop for the holidays, and neither do First Responders. As a public safety professional, working through the holidays while trying to maintain your family life, personal health, and social life may feel like juggling more than you can handle. As a result, you may find yourself attending more to one over the other, leading you to feel off balance.
The OSHA Emergency Response Team shared an update on the Emergency Response Rulemaking Process on Friday, December 6, 2024. The update can be read below. AAA President, Randy Strozyk, provided […] The post OSHA’s Emergency Response Rulemaking Update appeared first on American Ambulance Association.
The OSHA Emergency Response Team shared an update on the Emergency Response Rulemaking Process on Friday, December 6, 2024. The update can be read below. AAA President, Randy Strozyk, provided […] The post OSHA’s Emergency Response Rulemaking Update appeared first on American Ambulance Association.
The holidays can be stressful for first responders and their families, but the NVFC has resources to help. The NVFC First Responder Helpline provides counseling, resources, and referrals to assistance for a range of issues, including stress management, family conflict, anxiety, relationships, financial or legal concerns, child or elder care, and more.
Quantitative End-Tidal CO2 (ETCO2) was in vogue for a while, and seemingly some centres adopted it as standard of care, while others found that it did not make a significant clinical impact so it fell out of style and left to ‘practitioner preference’ With increasing experience and use, we have mounting evidence to do a […] The post Quantitative End-Tidal CO2 – the New Scoop appeared first on EMOttawa Blog.
This content is for AAA members only. Please either Log In or Join! The post VICTORY: BOI Blocked, Top Small Business Issues, and More! appeared first on American Ambulance Association.
By some definitions, you could call former Maryland state legislator Dan Morhaim, MD, FACEP, a retired emergency physician. He thinks of it as re-deployed. Dr. Morhaim spent more than two decades in the Maryland House of Delegates, fighting for legislation to protect health care workers and patients before his final legislative term ended in 2019. His health care focus included hospital efficiency, physician and patient satisfaction, and emergency department (ED) wait times, as well as a host of
This content is for AAA members only. Please either Log In or Join! The post OSHA’s Emergency Response Rulemaking-Update appeared first on American Ambulance Association.
A 45-year-old male with a history of chronic obstructive pulmonary disease (COPD), asthma, amphetamine and tetrahydrocannabinol (THC) use, and coronary vasospasm presented to triage with chest pain. During initial assessment, an ECG was obtained and revealed ST-segment elevation (STE) in the inferior leads with ST depression anteriorly. FIGURE 1. Initial ECG demonstrating inferolateral ST segment elevation and anteroseptal depression, just prior to cardiac arrest.
Chris Nickson ICM Clinical Refresher Course Returning to the clinical coalface after a prolonged absence is inherently challenging. The good thing is there are courses that can help you get back in the swing of things.
A trauma call with a complicated patient and a ship that desperately needs a captain. Does the crew get it together or is it the end of the world as we know it? A trauma call with a complicated patient and a ship that desperately needs a captain. Does the crew get it together or is it the end of the world as we know it?
The American Ambulance Association (AAA) is pleased to announce its 2025 Board of Directors. These experienced mobile healthcare leaders bring passionate commitment to shaping the future of EMS policy. 2024 […] The post 2025 American Ambulance Association Board of Directors Announced appeared first on American Ambulance Association.
As voters across the country braced for uncertainty heading into Election Day 2024, emergency physicians could rest assured that the National Emergency Medicine Political Action Committee (NEMPAC) was looking out for their best interests. Although ACEP members have differing opinions on issues that drove voters to the polls, most agree on the pressing challenges facing emergency medicinepatient boarding, workplace violence, defending emergency medicine against insurer bad practices, and creating
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This content is for AAA members only. Please either Log In or Join! The post 12 Days of Savvik Giveaway! appeared first on American Ambulance Association.
What does your program offer that residents cant get anywhere else? We see a high volume of critically ill patients within our department (approximately 210,000 visits per year). Our catchment area is extensive, including all of Delaware and portions of Maryland, New Jersey, and Pennsylvania. Our three campuses that we work at are within 35 minutes of each other and provide a diverse patient population.
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This content is for AAA members only. Please either Log In or Join! The post Manchin and Collins Introduce Senate TIP Bill appeared first on American Ambulance Association.
A 46-year-old female with a prior medical history of asthma presented to the emergency department with shortness of breath and wheezing. After three DuoNeb treatments and 16 mg of dexamethasone, her wheezing improved; however, she continued to report shortness of breath on exertion. Given the persistent symptoms, a cardiac point-of-care ultrasound was obtained.
Merry Christmas and Season’s Greetings! With millions of journal articles published yearly, it is impossible to keep up. An international team joining DFTB Bubble Wrap from Aghia Sophia Childrens Hospital ED , Athens, Greece, tell us what is new in thepaediatric literature Led by Spyridon Karageorgos, a Paediatrician enthusiastic about Paediatric Emergency Medicine, reducing antibiotic use in paediatric patients, and Medical Education.
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On this month's EM Quick Hits podcast: Ross Prager on TEE in cardiac arrest, Justin Morgenstern on nebulized ketamine for analgesia in the ED, Hans Rosenberg & Krishin Yadav on standardizing cellulitis management, Mathew McArther on latest studies on subcutaneous insulin protocols in DKA, Jennifer C. Tang on documenting differential diagnoses medicolegal tips.
Date: November 10, 2024 Reference: Couper et al. The Paramedic 3 Trial: A randomized clinical trial of drug route in out-of-hospital cardiac arrest. October 31, 2024 NEJM Access to the SGEM Podcast episode at this LINK. Guest Skeptic: Missy Carter is a PA currently practicing in critical care after having attended the University of Washington's MEDEX program.
Rashes are, as we know, a common complaint in the pediatric ER and one of the most difficult things to diagnose ( in my opinion ). Many of them look the same and distinguishing between what is a benign rash vs something sinister can always be a challenge. As we sort through the potential concerning ailments, it is also good to keep in mind the stereotypic causes of mild pediatric rashes.
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In this month's ECG Cases Jesse McLaren takes us through 6 cases highlighting important mirror concepts in ECG interpretation including: which leads are reciprocal to each other, how to identify which is the main ST/T change and which is the mirror, reciprocal changes highlighting subtle inferior, lateral and posterior OMI, ST elevation in aVR as a mirror to widespread ST depression and more.
Read this in your browser December 6, 2024 New Funding Available for Rural Health Care Services Outreach Program Apply by January 27, 2025 The Rural Health Care Services Outreach […] The post Rural Health Grants Available | Technical Assistance Webinar December 11 appeared first on American Ambulance Association.
The Case An 88-year-old woman with a history of dementia, major depressive disorder, and hyperlipidemia presented to the ED via EMS after a near syncopal episode. She was running to catch the bus to visit her husband in the hospital when she developed acute onset shortness of breath, nausea,vomiting, and near loss of consciousness. The following ECG was obtained: Initial vitals: BP 85/52, HR 62, RR 22, Temp 98.4F, SpO2 92% on RA EKG Show Details EKG Characteristics Rate 66 Rhythm Normal Sinus Rh
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