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Editor's Note: In August 2024, EMS1 and Fitch & Associates released their annual EMS trend survey, What Paramedics Want, 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 brought to you by the most prestigious thought leaders in EMS.
Want CE for listening? Here’s how. Dr. Casey Patrick is the EMS medical director of Montgomery County Hospital District (Texas). As an EM physician, he shares how he decides to care for his own patients in the ED who present with rapid atrial fibrillation. He wants paramedics to ask the same question he asks: Is the rapid A-fib the primary problem or secondary to another critical condition like sepsis, PE, DKA, hypovolemia, etc?
Urine drug (or toxicologic) screens are a fairly standard tool used in addictions, psychiatry and the Emergency Department (ED), often employed to detect substance use in patients presenting with altered mental status, trauma, psychiatric or abnormal behaviour. Yet, the reliance on these screens is fraught with inaccuracies, clinical irrelevance, and significant ethical concerns, particularly from […] The post Blurred Lines: The Ethical Pitfalls of Urine Drug Screens appeared first on EMOt
Enhancing Mental Health Support for Public Safety and First Responders Lexipol , the leader in solutions that enhance performance excellence in public safety, is proud to announce a new partnership with First Responder Wellness (FRW). This collaboration aims to enhance mental health support for first responders by integrating Lexipol’s clinician and peer support training with FRW’s residential treatment services for public safety personnel in need of specialized care.
This content is for AAA members only. Please either Log In or Join! The post OSHA Emergency Response Proposed Rule Hearing Links Published appeared first on American Ambulance Association.
Medtwitter was great. We met amazing people and exchanged ideas. There were endless arguments about electrolytes and intubation. But the strength of Medtwitter was never the platform – it was the people. Twitter has been deteriorating for years. For example, the algorithm is horrific, the blocking feature has been largely removed, posts from paid users […] EMCrit Project by Josh Farkas.
The National Volunteer Fire Council (NVFC) is now accepting nominations for the following annual volunteer fire service awards: Chief James P. Seavey Sr. Health and Wellness Leadership Award, Junior Firefighter of the Year, and Junior Firefighter Program of the Year. Recognize the contributions of outstanding members of your fire department and junior firefighter program by submitting your nominations by 5pm EST on January 17.
The National Volunteer Fire Council (NVFC) is now accepting nominations for the following annual volunteer fire service awards: Chief James P. Seavey Sr. Health and Wellness Leadership Award, Junior Firefighter of the Year, and Junior Firefighter Program of the Year. Recognize the contributions of outstanding members of your fire department and junior firefighter program by submitting your nominations by 5pm EST on January 17.
The winners of the 2024 AAA Board of Directors election are listed below. Each board member’s term will begin on January 1, 2025. Please join us in thanking all candidates […] The post 2024 AAA Board of Directors Election Results appeared first on American Ambulance Association.
This week our patient is a 34yr old gentleman who presents to the ED with a 1 week history of chest pain and palpitations, his initial ECG is: His potassium and magnesium are borderline low so you …
When you think of intubation, you should automatically be thinking of suction. The two treatments go hand-in-hand; you cannot safely intubate without the aid of suction, which is why you must include a portable suction unit any time there is the possibility of intubating.
Instructions to join are below description and speakers. December 5, 2024 | 9:00 am PDT (12:00 pm EDT) There has been growing attention to the responses that emergency services provide for people, in particular, individuals with a range of mental health needs, when they are in crisis. There has been an increasing demand for paramedic services to respond to mental health-related calls, and it’s becoming even more important to respond appropriately to these calls.
James Miers and Daniel Gaetani Procedure: Radial Arterial Line Emergency Procedure: Radial Arterial Line, with a guide made in partnership with a recent publication in Emergency medicine Australasia
The Sac and Fox Tribe of the Mississippi, known as Meskwaki Nation, is the only federally recognized tribe in Iowa. The Meskwaki Police Department uses FirstNet for reliable connectivity across the reservation. FirstNet coverage helps tribal police officers communicate during everyday operations and planned events in the community, including the annual Powwow.
By Enoch Jiang Peer Reviewed “Counseled patient on diet and lifestyle.” Over the past few weeks on my Ambulatory Care rotation, this phrase has rapidly shot to the top of my internal gestalt of a prototypical.
Join Chris, Spencer AND SPECIAL GUEST **ERIC BAUER** as the team sift through a transfer that has all the bells and whistles: an intubation, a med error, a crew conflict. this one has it all! Join Chris, Spencer AND SPECIAL GUEST **ERIC BAUER** as the team sift through a transfer that has all the bells and whistles: an intubation, a med error, a crew conflict. this one has it all!
One-liner… Traumatic brain injury (TBI) is a leading cause of mortality and morbidity in paediatric populations, and fever is associated with worse outcomes. Should we aim to prevent fever, or should we cool patients? A 12-year-old boy presents with a significant head injury following a road traffic accident. At the scene, his lowest GCS was 5 (E1V2M2).
Today on the emDOCs cast with Brit Long, MD ( @long_brit) , we cover the literature on evaluation and management of primary SBP. Episode 110: Primary Spontaneous Bacterial Peritonitis Background: End-stage liver disease with cirrhosis and ascites is a major cause of death worldwide. Primary spontaneous bacterial peritonitis (SBP) is one of the most common infections in those with cirrhosis and ascites.
In this EM Cases main episode podcast, we tackle the complexities of trauma airway management, including direct trauma to the airway. We discuss indications and timing of intubation, penetrating neck trauma, the head injured patient, the agitated patients and the soiled airway. The critical question is: when should we deviate from, delay or modify RSI, and how do we navigate the unique challenges presented by trauma airways and airway trauma?
Background: Patients with sepsis are routinely treated with empiric broad-spectrum antibiotics while awaiting source identification, as recommended by the surviving sepsis campaign.2 Vancomycin, in combination with either piperacillin-tazobactam or cefepime, is commonly used for empiric treatment in these cases. Literature comparing the two regimens has largely focused on the adverse effects of each medication, rather than on overall efficacy.
We talk about diagnosis, treatment, and subsequent care of the patient with bacterial meningitis, with Emory neurointensivist Casey Albin, MD (@caseyalbin). Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! Takeaway lessons Resources We talk about diagnosis, treatment, and subsequent care of the patient with bacterial meningitis, with Emory neurointensivist Casey Albin, MD ( @caseyalbin ).
Date: October 28, 2024 Reference: Woelfle T et al. Benchmarking Human–AI collaboration for common evidence appraisal tools. J Clin Epi Sept 2024. Guest Skeptic: Dr. Laura Walker is an Associate Professor of Emergency Medicine and the vice chair for digital emergency medicine at the Mayo Clinic. In addition to finding ways to use technology in emergency department (ED) care, she is interested in how health systems work and how patients move through the healthcare system.
In the most recent BroomeDocs podcast, we talk about an attempt to use the IM route to give cardiac arrest victims epinephrine faster. (The podcast and Research Roundups blog post might actually come out next week.) I was skeptical about the outcomes, partly because the evidence that epinephrine helps at all in cardiac arrest is […] The post IV versus IO for cardiac arrest (PARAMEDIC3 and IVIO) appeared first on First10EM.
November 14, 2024 FOR IMMEDIATE RELEASE Contact: Amanda Riordan 703-615-4492 ariordan@ambulance.org EMS Heroes Honored in Washington, DC as 2024 Stars of Life Washington, DC—This week, the American Ambulance Association (AAA) […] The post News Release | EMS Heroes Honored in Washington, DC as 2024 Stars of Life appeared first on American Ambulance Association.
Dr. Sara Alavian describes some of the challenges of providing palliative care in low-income/low resource settings and offers some simple solutions in this Global EM column. The post Global EM 6 Palliative Care in Low-Resource Settings: Challenges and Solutions appeared first on Emergency Medicine Cases.
This was texted to me by a paramedic while I was out running one day: "54 yo male chest pain started at 1pm. History of diabetes type II and stent placement in 2018. I’m seeing hyperacute T waves III, aVF, down sloping depression I and aVL. Thoughts?" What do you think? I responded: "Definite inferior OMI. And Right Ventricular. Activated the Cath Lab.
Draft MediumWednesday, November 6, 202421:43If you were to ask the internet “why are people still dying from trauma in 2024” you might beunsurprised at the…
Take Home points : Always suspect an open joint if there is a laceration, regardless of size, the lies over joint CT scan of the affected joint is widely considered to be the standard approach to evaluation but the saline load test may be useful in certain circumstances. Obtain emergency orthopedics consultation for all open joints and administer antibiotics and update tetanus in all patients REBEL Core Cast 131.0 – Traumatic Arthrotomy Click here for Direct Download of the Podcast.
Authors: Lloyd Tannenbaum, MD (EM Attending Physician, Geisinger Wyoming Valley, PA); Mai Saber, DO (EM Attending Physician, Hackensack University Medical Center, NJ); Rachel Bridwell, MD (EM Attending Physician, Charlotte, NC) // 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.
St.Emlyn's - Emergency Medicine #FOAMed Emergency medicine is shaped by our ability to respond effectively to both routine cases and extreme, high-stakes incidents. While civilian incidents dominate prehospital care, the intersection of civilian and military […] The post Podcast – Care in the Hot Zone with Claire Park at Tactical Trauma 2024 appeared first on St.Emlyn's.
I always enjoying giving a new medicine, using a new gadget or following a new procedure for the first time. I clearly remember the first time I gave Ativan on standing order, the first time I gave Cardizem, fentanyl, zofran, and ketamine, all new meds at one time. I remember the first time I did a 12-lead ECG (we didn’t have them when I started), the first time I used CPAP, the first time I used capnography, the first time I used a spinal motion restriction protocol where I didn’t h
Written by Pendell Meyers, few edits by Smith A woman in her 70s was woken from sleep by midsternal chest pain radiating to left arm with nausea. EMS arrived and recorded this ECG: What do you think? Queen of hearts explainability image. Overall High confidence OMI. Smith : this is an "Active OMI". The artery is occluded at this point in time. The ECG shows sinus rhythm, normal QRS, and signs of inferoposterolateral OMI.
We always work hard, but we may not have time to read through a bunch of journals. It’s 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: Large- or Small-Bore Chest Tubes for Hemothorax? Spoon Feed While there was concern for selection bias in a number of included studies, this systematic review and meta-analysis found that small–bore thoracostomy tub
Key details on requirements, benefits, and how to stay current in your EMT career In the fast-paced world of emergency medical services, where every second counts, staying current with the latest protocols, guidelines, and medical technologies is vital for delivering life-saving care. An EMT Refresher Course is a structured educational program designed to help Emergency […] The post What is an EMT Refresher Course?
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