The Skeptics' Guide to EM

APRIL 13, 2024

Reference: Albers GW et al. TIMELESS Investigators. Tenecteplase for Stroke at 4.5 to 24 Hours with Perfusion-Imaging Selection. NEJM Feb 2024 Date: April 12, 2024 Guest Skeptic: Dr. Vasisht Srinivasan is an Emergency Medicine physician and neurointensivist at the University of Washington and Harborview Medical Center in Seattle, WA. He is an assistant professor in Emergency […] The post SGEM#436: For the Longest Time – To Give TNK for an Acute Ischemic Stroke first appeared on The Skeptics Guid

Emergency Department 323

Emergency Department ALS OR EMS 323

Core Ultrasound

APRIL 16, 2024

We identify the presence of kidney stones using ultrasound with a pretest suspicion of kidney stones then identifying the presence or absence of hydronephrosis.

OR 190

OR 190

American Ambulance Association

APRIL 16, 2024

What is the Life-Assist Difference? Life-Assist has been serving First Responders with emergency medical products and equipment since 1977. We Offer a Personal Touch in an Automated World Our genuine […] The post Emergency Medical Products for First Responders Since 1977 appeared first on American Ambulance Association.

First Responder 130

First Responder Ambulance 130

EMergucate

APRIL 13, 2024

Answers: PH = 7.15, that is severe acidaemia HCO3 = 6.5 mmol/L, so we have metabolic acidosis. Since we have metabolic acidosis, then we need to calculate compensation and anion gap.

130

130

Critical Care Scenarios

APRIL 17, 2024

The nuts and bolts of how we produce the show. Find us on Patreon here! Buy your merch here! The nuts and bolts of how we produce the show. Find us on Patreon here! Buy your merch here!

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117

EMOttawa

APRIL 18, 2024

In this Prehospital Journal Club Recap, let us take a deep dive into the use of blood products, as well as the adjunct use of automated controlled elevation in CPR. Resuscitation with blood products in patients with trauma-related hemorrhagic shock receiving prehospital care (RePHILL): a multicentre, open-label, randomized, controlled, phase 3 trial Background The use […] The post PTM Journal Club: Blood Product and ACE-CPR use Prehospital appeared first on EMOttawa Blog.

CPR 113

CPR 113

American Ambulance Association

APRIL 13, 2024

The Department of Homeland Security (DHS) Intelligence Enterprise Homeland Threat Assessment reflects the insights from across the Department, the Intelligence Community, and other critical homeland security stakeholders. It focuses on […] The post Homeland Security | Homeland Threat Assessment 2024 appeared first on American Ambulance Association.

Ambulance 130

Ambulance 130

EMCrit Project

APRIL 15, 2024

A razor is a rule of thumb that is helpful, although it isn't always correct. In medicine we're familiar with Occam's razor (the rule of parsimony). The cutoff razor states: if a continuous variable is dichotomized using a cutoff, then values near the cutoff provide little information. A simple illustration of the cutoff razor is […] EMCrit Project by Josh Farkas.

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114

First 10 EM

APRIL 15, 2024

One of the biggest headaches in modern medicine is the apparent requirement to call busy specialists just to confirm what seems like an obvious treatment plan. In emergency medicine, this often happens when a patient needs to be admitted under one service, but with a medical problem related to another speciality. We get stuck in […] The post The Brain Injury Guidelines: Can we avoid talking to neurosurgeons?

EMS 111

EMS 111

Dr. Smith's ECG Blog

APRIL 18, 2024

Written by Jesse McLaren A 70 year old with prior MIs and stents to LAD and RCA presented to the emergency department with 2 weeks of increasing exertional chest pain radiating to the left arm, associated with nausea. The pain recurred at rest 90 minutes prior to presentation, felt like the patient’s prior MIs, and was not relieved by 6 sprays of nitro.

STEMI 108

STEMI Coronary ALS CAD 108

EMergucate

APRIL 16, 2024

This chest x-ray is from an adult patient with chest pain. What can be seen? Answer will be posted later.

EMS 130

EMS 130

ESO

APRIL 19, 2024

From April 2-5, ESO brought the hospital industry’s top thought leaders and data analysts together at Wave 2024 to share what trends they’re forecasting for the medical field along with how they’re enacting change within their own organization through the power of data-driven insights. Throughout the four-day conference, many impactful topics were discussed, and five major themes emerged. 1.

EMS 105

EMS Paramedic Critical Care STEMI 105

Unitek EMT

APRIL 17, 2024

Mastering the Essentials: Your Comprehensive Guide to Becoming a Hazardous Materials Emergency Medical Technician In the intricate and high-stakes world of emergency medical services, Hazardous Materials (HazMat) Emergency Medical Technicians (EMTs) stand out for their specialized skills in navigating the perilous and unpredictable realm of hazardous substances.

EMT 105

EMT EMT Emergency Medical Technician Emergency Medical Services 105

St. Emlyn's

APRIL 19, 2024

St.Emlyn's - Emergency Medicine #FOAMed This was a really powerful session that took us on a journey from the past, to the present and left us with a feeling of hope for the future. I’ll […] The post R-A-C-E session at RCEM CPD conference. St Emlyn’s appeared first on St.Emlyn's.

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101

EMergucate

APRIL 16, 2024

44 year old man presented to ED with fatigue and weakness. His blood gases showed the following: PH = 7.

ED 130

ED 130

ESO

APRIL 19, 2024

From April 2-5, the top fire services and EMS industry thought leaders and data analysts gathered at Wave 2024 to share what trends they’re forecasting for both fields and how they’re enacting change within their own organizations through the power of data-driven insights. Throughout the entire ESO-sponsored four-day conference, many impactful topics were discussed, and six major themes emerged.

MIH 105

MIH EMS Paramedic Firefighter 105

EMOttawa

APRIL 18, 2024

In this edition of PTM Journal Club explore the impact of bag-valve-mask ventilation as well as the use of lidocaine and/or amiodarone on the survivability of out-of-hospital cardiac arrest. Bag-Valve-Mask Ventilation and Survival From Out-of-Hospital Cardiac Arrest: A Multicenter Study Background and Objectives Around 60,000 out-of-hospital cardiac arrests (OHCA) occur in Canada each year, which […] The post PTM Journal Club: BVM Ventilation and Refractory Shock in Out-Of-Hospital Card

OR 101

OR 101

SSCOR

APRIL 18, 2024

Sooner or later, every nurse must suction a patient. For nurses who work in intensive care units or emergency care, or who support patients with spinal cord injuries, suctioning may be a daily part of the job. When suctioning becomes routine, it’s easy to lose sight of the risks. Some simple precautionary measures can both reduce risk and improve patient outcomes.

OR 100

OR 100

NVFC

APRIL 19, 2024

The National Volunteer Fire Council (NVFC) is the premier nonprofit association serving the volunteer fire, emergency, and rescue services for more than 45 years. Today, the NVFC serves as the voice of over one million volunteer firefighters and EMS personnel on the national level and provides valuable training, programs, and other resources. The NVFC seeks a highly motivated, full-time training coordinator.

Firefighter 97

Firefighter OR EMS 97

ESO

APRIL 15, 2024

Providing an in-depth analysis of the current trends and benchmarks in trauma care, the 2023 ESO Trauma Index pulls data from the nation’s largest de-identified medical database to establish best practices that help to improve patient care in these select areas. The 2023 Trauma Index reflects insights from over 968,538 hospital records from 596 hospital systems that took place between January 1st and December 31st of 2022.

ED 105

ED OR 105

Dr. Smith's ECG Blog

APRIL 14, 2024

A 56 year old male with PMHx significant for hypertension had chest pain for several hours, then presented to the ED in the middle of the night. He reported chest pain that developed several hours prior to arrival and was 5/10 in intensity. The pain was located in the mid to left chest and developed after riding his bike. There was associated fatigue when symptoms developed and mild shortness of breath at onset of chest pain however that has since resolved.

ED 96

ED OR EMS 96

St. Emlyn's

APRIL 13, 2024

St.Emlyn's - Emergency Medicine #FOAMed Our conference report from the 11th Kongress der Arbeitsgemeinschaft fur Notfallmedizin in Graz Austria in 2024. r@stemlyns Blog themes on trauma, cardiac arrest and research. #FOAMed The post 11th Kongress der Arbeitsgemeinschaft fur Notfallmedizin. St Emlyn’s appeared first on St.Emlyn's.

EMS 92

EMS 92

Pulsara

APRIL 17, 2024

EDITOR'S NOTE: The following is an excerpt from an article by Larry Beresford, originally published on EMS World on April 3rd, 2024. Check out the full article here. Telemedicine for the EMS personnel of MedStar Mobile Healthcare, a governmental EMS system in Fort Worth, Texas, is linked through an app on their Android hand-held phones, says Matt Zavadsky, MS-HSA, NREMT, MedStar’s chief transformation officer.

Ambulance 85

Ambulance EMT EMT Paramedic 85

EMDocs

APRIL 18, 2024

Here’s another case from Medical Malpractice Insights – Learning from Lawsuits , a monthly email newsletter for ED physicians. The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. To opt in to the free subscriber list, click here. Stories of med mal lawsuits can save lives.

ED 87

ED EMS OR 87

SSCOR

APRIL 13, 2024

Suctioning can prevent a wide range of severe complications and save lives in emergencies. But like all medical procedures, it carries some risks. One analysis found a complication rate of 38.6% in routine endotracheal suctioning, though a less invasive procedure reduced complications to 28.6%. However, small changes in technique, such as appropriately pre-oxygenating patients before suctioning, can reduce the risk of complications.

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86

Emergency Medicine Ireland

APRIL 16, 2024

Welcome back to the tasty morsels of critical care podcast. Today we cover an incredibly common inpatient issue – hypnatraemia. We’ll often find 1 or 2 of these in our high dependency unit at any given time, mainly due to the requirement for frequent testing of Na levels that seems beyond the remit of normal ward level care. The approach I describe here is neither comprehensive or especially robust but it is how I approach it.

Critical Care 74

Critical Care Plasma OR ED 74

EMCrit Project

APRIL 18, 2024

A critical care bounce back case with Mike Weinstock EMCrit Project by Scott Weingart, MD FCCM.

Critical Care 85

Critical Care 85

EMDocs

APRIL 13, 2024

Authors: Jacob Tauferner, MD (EM Resident Physician, UTSW/ Dallas, TX); Mihir Patel, MD (EM Attending Physician, Dallas, TX) // Reviewed by: Sophia Görgens, MD (EM Physician, Northwell, NY); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Alex Koyfman, MD (@EMHighAK) ; Brit Long, MD (@long_brit) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providing an expedited review of clinical basics.

EMS 81

EMS E-9-1-1 OR Emergency Department 81

Life in the Fastlane

APRIL 18, 2024

Sunayana Samantaray and Mike Cadogan Top 10 AI courses for clinicians AI is revolutionising healthcare! Here are artificial intelligence courses for doctors to help you acquire the skills you need to keep up!

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59

The Vocal CORD

APRIL 18, 2024

As I reviewed my notes from the CORD Academic Assembly, I am reminded of the initial excitement I had back in August of 2023 as a brand-new Program Manager. I applied for the CORD scholarship out of a strong desire to gain understanding of my new role as an emergency medicine residency program coordinator. In the months since taking on this role, I discovered that coordinator is one of a dozen hats those of us in this position wear every day.

EMS 59

EMS 59

EMCrit Project

APRIL 13, 2024

10 heuristics for the new Crit Care doc from Ross Prager EMCrit Project by Scott Weingart, MD FCCM.

ICU 92

ICU 92

The Bottom Line

APRIL 19, 2024

Effect of Noninvasive Airway Management of Comatose Patients with Acute Poisoning: A Randomized Clinical Trial Freund Y. JAMA. 2023. DOI: 10.1001/jama.2023.24391 Clinical Question In adults with a decreased conscious level from suspected acute poisoning, does withholding intubation versus routine practice reduce in-hospital death, and length of ICU stay and hospital stays?

ICU 57

ICU 57

American Burn Association

APRIL 16, 2024

Categories Advocacy Burn News MAC Spotlight Media Member Services Organization News Prevention Quality Care Research Return to News & Activities The recent American Burn Association (ABA) Annual Meeting in April 2024 included the induction ceremony for the newest Fellows of the American Burn Association (FABA). This ceremony honored individuals who have made significant contributions to burn care through their leadership, expertise, and service; highlighting their research and contributions

OR 59

OR 59

EMOttawa

APRIL 18, 2024

Join us in our latest Pre-Hospital and Transport Medicine Journal Club, where we take a look at the most recent and relevant literature pertaining to the use of IOs in out-of-hospital cardiac arrest, as well as the impact that pre-hospital intubation has with regards to ROSC success post resuscitative thoracotomy in individuals afflicted by out-of-hospital […] The post PTM Journal Club: ROSC following Resuscitative Thoracotomy & Tibial IO’s in Out-of-Hospital Cardiac Arrest appe

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54

Life in the Fastlane

APRIL 18, 2024

Mark Corden and Neil Long Funtabulously Frivolous Friday Five 358 Funtabulously Frivolous Friday Five 358 - Just when you thought your brain could unwind, enter the medical trivia of FFFF.

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52

Paramedic Chiefs of Canada

APRIL 18, 2024

Research 101 You are invited to participate in the pilot offering of a new “Research 101” course for a research project being led by Dr. Michelle McCarron (Saskatchewan Health Authority) and Dr. R. Nicholas Carleton (University of Regina). This course is being offered through the Canadian Institute for Public Safety Research and Treatment (CIPSRT) and has been funded through a research grant from the Canadian Institutes of Health Research (CIHR).

Public Safety 52

Public Safety OR 52

Clinical Correlations

APRIL 17, 2024

By Eric Hu Peer Reviewed “May I have the patient’s first name, last name, and medical record number?” The fellow, shooting a piercing glance at the interpreter through the wall-mounted phone, broadcasted her annoyance at the.

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