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You are called to a residence for a 6-month-old male who, according to the mother, has been having seizure activity. She tells you that the activity has been happening intermittently for the last week and has worsened. She also tells you that the baby has been lethargic for the previous month, hasnt been interactive, and is sleeping more than usual.
JEMS Training JEMS Events Job Board EMS Product Center EMS Airway EMS Rig Podcasts Webcasts Subscribe Patient Care Emergency Medical Care Emergency Trauma Care Cardiac & Resuscitation Airway & Respiratory EMS Operations Flight Ambulance Operations Ground Ambulance Operations Rescue Operations EMS Equipment & Gear Mobile Integrated Health and Community Paramedicine Mental Health and Wellness EMS Training Paramedic Training EMT Training Admin/Leadership EMS Recruitment & Retention
Many agencies simply default units that are on duty with a general “available” status whenever they are not in some active phase of a specific response. The common impression is that this is an unproductive time embodying only the cost of preparedness. Increasing pressure on limited EMS resources suggests benefits to a more detailed appreciation of the precise nature of any unit or crew in this generic status.
Summer break doesn’t have to mean a break from learning—especially when the world becomes your classroom! From baking up a math lesson in the kitchen to planning a dream vacation that sneaks in budgeting and geography, these teacher-approved activities turn everyday adventures into brain-boosting fun.
What if we began asking patients “what happened to you?” instead of “what’s wrong with you?” This mindset shift exemplifies the principles behind trauma-informed care. DCFEMS Behavioral Health Coordinator Ronit Reguer once again joins hosts Maia Dorsett, Hilary Gates and Rob Lawrence for a powerful, practical conversation on trauma-informed care. They discuss how this approach can improve both patient outcomes and provider wellness.
-Case- A 29-year-old man arrives at the ED after a high-speed motorcycle crash. He has a visibly deformed lower leg with exposed bone and active bleeding. His foot is cool but has a weak dorsalis pedis pulse. -Evaluation- Open fractures are orthopedic emergencies. They involve a fracture with a break in the skin and communication between the external environment and the bone.
Its a busy Friday afternoon in the emergency department. The waiting room hums with end-of-school energy sports injuries, fevers, and worried parents. In Bay 3, 14-year-old Vinh lies on the stretcher, pale and tearful. His right arm is grotesquely swollen, held protectively across his chest. Hes just come in after coming off an e-scooter fast. He wasnt wearing a helmet.
Its a busy Friday afternoon in the emergency department. The waiting room hums with end-of-school energy sports injuries, fevers, and worried parents. In Bay 3, 14-year-old Vinh lies on the stretcher, pale and tearful. His right arm is grotesquely swollen, held protectively across his chest. Hes just come in after coming off an e-scooter fast. He wasnt wearing a helmet.
2635859 A middle-aged male Immediate post-resuscitation. We were aware that ST Elevation can be a result of the low flow state in cardiac arrest, and resolve with time, but we activated the cath lab. The interventionalist stated that a transplanted heart does not have coronary disease. A chart review however, revealed the the patient had had an acute distal LAD occlusion one month prior.
By addressing institutional biases and empowering leaders to foster inclusivity, this study provides actionable insights for improving gender equality in EMS settings.
PCC Members, Thank you for participating in the election for the PCC Executive role of Secretary. We are pleased to share with you the results of the election; PCC Secretary Ontario – Mike Adair, Chief Paramedic Services County of Perth and Regional Director for Medavie Health Services A sincere thank you to all of you that nominated and voted in our PCC Elections this year.
With millions of journal articles published yearly, it is impossible to keep up. Each year, Hari and the team at PICUJournalWatch publish a Best of the Year summary of key articles in paediatric intensive care medicine ( PICUJournalWatch – Best of the Year ). In this Bubble Wrap, the PICSTAR team give you a high-impact summary of our favourites.
This was contributed by a great paramedic, Drew Williams. He now is his agency's "Clinical Improvement Analyst for STEMI performance and quality assurance.” A 30-something woman called 911 for chest pain. Medics report this: They recorded a prehospital ECG: What do you think? To me, this is an obvious proximal LAD occlusion. However, I am always surprised at how what is obvious to me, is completely missed by many other physicians.
A 36-year-old man presents with fever and rash. What is the diagnosis? Measles Pityriasis rosea Scabies Tinea corporis (See the answer here.) The post Visual Dx Question: What Is This Rash? appeared first on ACEP Now.
Care Forward includes new offerings focused on four key priorities: Expanding access to care and easing pressure on emergency departments Helping more people age where they call home Advancing safe, person-centred long-term care Supporting the health workforce These new offerings help healthcare changemakers share knowledge and apply proven solutions to improve care for more people.
Mike Cadogan Tuning Fork Tests (Weber and Rinne) The Weber and Rinne tuning fork tests differentiate conductive from sensorineural hearing loss using the principles of bone and air conduction.
Discover the roles, training, and skills of Emergency Medical Technicians in the UK and USA – a detailed guide to this essential career L'articolo Emergency medical technicians in the UK and the USA proviene da Stem Ems.
Acetaminophen (APAP) overdose remains one of the most common causes of acute liver failure in the United States. While its therapeutic use is widespread and generally safe, unintentional overdoses and delayed presentations can lead to devastating outcomes. In this episode of REBEL Cast, we break down the pathophysiology, clinical course, diagnostic approach, and evidence-based management of APAP toxicityincluding when to initiate NAC, how to apply the Rumack-Matthew nomogram, and the evolving ro
JEMS Training JEMS Events Job Board EMS Product Center EMS Airway EMS Rig Podcasts Webcasts Subscribe Patient Care Emergency Medical Care Emergency Trauma Care Cardiac & Resuscitation Airway & Respiratory EMS Operations Flight Ambulance Operations Ground Ambulance Operations Rescue Operations EMS Equipment & Gear Mobile Integrated Health and Community Paramedicine Mental Health and Wellness EMS Training Paramedic Training EMT Training Admin/Leadership EMS Recruitment & Retention
A few years back, I embarked on a journalistic journey, chronicling the lives of several intrepid physicians whod traded their scrubs and stethoscopes between the United States and far-flung locales like Australia, New Zealand, the Netherlands, and even the cradle of humanity, Ethiopia. These weren’t just travelogues; they were glimpses into the diverse tapestry of global health care, each thread woven with different financing models and delivery systems.
Date: May 14, 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 an SGEM Xtra episode. The inspiration was a thread Ross posted on X: Here are 10 lessons they don't teach in medical school (but should) that I've learned the hard way ove
Is your backyard begging for a summer glow-up? Whether you’re dreaming of sunset dinners under twinkle lights, weekend BBQs with friends, or just a quiet oasis to sip your morning coffee, now’s the perfect time to turn that outdoor space into your personal slice of paradise.
JEMS Training JEMS Events Job Board EMS Product Center EMS Airway EMS Rig Podcasts Webcasts Subscribe Patient Care Emergency Medical Care Emergency Trauma Care Cardiac & Resuscitation Airway & Respiratory EMS Operations Flight Ambulance Operations Ground Ambulance Operations Rescue Operations EMS Equipment & Gear Mobile Integrated Health and Community Paramedicine Mental Health and Wellness EMS Training Paramedic Training EMT Training Admin/Leadership EMS Recruitment & Retention
Drug overdoses are a leading cause of accidental death in the United States, representing a persistent and escalating health crisis. According to recent data from the Centers for Disease Control and Prevention (CDC), overdose deaths have exceeded 100,000 annually since 2021, with approximately 75 percent involving opioidsa proportion that continues to rise. 1 Even in nonfatal opioid overdose cases, there is a significant increase in both short- and long-term mortality.
On this month's EM Quick Hits podcast: Dr. Mathew MacArther on Occipital Nerve Block, Dr. Ian Chernoff on PoCUS in Pulmonary Embolism, Dr. Hans Rosenberg on Myelopathy, Dr. Shawn Segeren on Team Resuscitation, Dr. Brit Long on Incidental Neutropenia and Dr. Kylie Booth on Peer Programs. Please help ensure continued Free Open Access of the entire EM Cases Learning System by donating here: [link] The post EM Quick Hits 65 Occipital Nerve Block, PoCUS in Pulmonary Embolism, Myelopathy, Team Resusci
A firefighter credited with bringing theNorth Andover Fire Departmentinto the modern era of emergency medicine died unexpectedly on Friday, according to Fire ChiefJohn Weirand Deputy ChiefGraham Rowe.
We discuss capacity assessment, patient autonomy, safety, and documentation. Hosts: Anne Levine, MD Brian Gilberti, MD [link] Download Leave a Comment Show Notes The Importance of Capacity Assessment Arises frequently in the ED, even when not formally recognized Carries both legal implications and ethical weight Failure to appropriately assess capacity can result in: Forced treatment without justification Missed opportunities to respect autonomy Increased risk of litigation and poor patient outc
UCHealth Memorial Hospital is Using Pulsara to Facilitate Feedback, Education, and Better Outcomes Across Organizations What if the future of emergency care wasnt just fasterbut more united? Imagine a collaborative, patient-first mindset that not only bridges the gap between EMS and hospitals, but also brings together hospitals that typically compete.
This was sent by Kirk Lufkin and was diagnosed by a Physician Assistant who works with him by the name of Danielle Hutcheson. They work in a remote hospital without PCI capability. Kirk and I graduated from residency together in 1990, and he has taken up the OMI paradigm with enthusiasm. He showed Danielle the blog and she has started reading it regularly.
Permissive hypotension (PH) is a cornerstone of most damage control resuscitation strategies as it pertains to prehospital and remote area trauma management.
Six trailblazers in public safety receive prestigious Patriot Award Press Releases michelle.fordi Wed, 06/04/2025 - 13:18 About the First Responder Network Authority The FirstNet Authority is an independent entity within the U.S. Department of Commerces National Telecommunications and Information Administration (NTIA). Created in 2012, its mission is to ensure the building, deployment, and operation of the nationwide broadband network that equips first responders to save lives and protect U.S. c
One of my partners showed me this ECG of a 60-something male with a history of MI and stent who was hypotensive with chest pain, and asked, "Steve, should I activate the cath lab?" What do you think? Normally, a patient with coronary disease, chest pain, and maximal ST depression in lead V3 has posterior OMI and, yes, the cath lab should be activated.
Neil Long The Illusion of Perfection: Part 1 Illusion of Perfection. Medicines Most Dangerous Myth. Perfection is a lie. A neurological glitch wrapped in white coats and stitched into our stethoscopes.
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