Sat.Apr 20, 2024 - Fri.Apr 26, 2024

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Episode 73: POCUS for nephrology, with Abhilash Koratala

Critical Care Scenarios

We discuss the role of point-of-care ultrasound in evaluating the patient with kidney injury and assessing volume status, with Abhilash Koratala (@nephroP), nephrologist, Director of Clinical Imaging for Nephrology at the Medical College of Wisconsin, and champion of nephrology-focused ultrasound. Find us on Patreon here! Buy your merch here! Takeaway lessons References Episode 4 with … Continue reading "Episode 73: POCUS for nephrology, with Abhilash Koratala" We discuss the role of point-of-ca

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EM Quick Hits 56 – Nitroglycerin in SCAPE, REBOA, Diverticulitis Imaging, CRAO, Penicillin Allergy, Physician Personality

Emergency Medicine Cases

In this month's EM Quick Hits podcast: Justin Morgenstern on the first RCT of high dose nitroglycerin in SCAPE, Andrew Neill on Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) indications and evidence, Brit Long on indications for CT in suspected diverticulitis, Tahara Bhate on Central Retinal Artery Occlusion (CRAO) and diagnostic error, Matthew McArthur on penicillin allergy labels, myths and penicillin challenges, and Susan Lu on how ED physician personality influences patie

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professionals

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SGEM#437: Don’t Be Fooled by the Meds I Got, I Still Need an ESP Block – For My Rib Fractures

The Skeptics' Guide to EM

Reference: Ramesh S, Ayyan SM, Rath DP, Sadanandan DM. Efficacy and safety of ultrasound-guided erector spinae plane block compared to sham procedure in adult patients with rib fractures presenting to the emergency department: A randomized controlled trial. AEM April 2024 Date: April 19, 2024 Guest Skeptic: Dr. Suchismita Datta. She is an Assistant Professor and Director of […] The post SGEM#437: Don’t Be Fooled by the Meds I Got, I Still Need an ESP Block – For My Rib Fractures first appeared o

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PLEASE UPDATE THE RSS FEED

Core EM

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ECG of the Week 24th April 2024

EMergucate

The following ECG is from an 80-year-old man who has been referred by his GP with worsening renal failure. He has a history of atrial fibrillation with bradycardia, for which he has a pacemaker.

EMS 130
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EPIC-SR: The negative paxlovid data Pfizer has been sitting on

First 10 EM

As mentioned in my most recent review, publication bias has been a major concern when trying to decide whether to prescribe paxlovid. Pfizer rushed to publish their positive study (EPIC-HR), but refused to release the results of a second simultaneous study (EPIC-SR) that was stopped (due to futility) at the exact same time. With the […] The post EPIC-SR: The negative paxlovid data Pfizer has been sitting on appeared first on First10EM.

EMS 130
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Podcast 166 - Transcutaneous Pacing & False Capture

FOAMfrat

In this episode, we discuss a recent paper on false electrical capture and pre-hospital transcutaneous pacing by paramedics. The guests, Tom Boutilet, Josh Kimbrell, and Judah Kreinbrook, discuss their research findings and the implications for paramedics. They conducted a retrospective study and found that paramedics often mistakenly believe they have electrical capture when they do not.

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Lab case 443

EMergucate

20 year-year-old man brought to ED after a car accident. His blood pressure was 80/41 and he was unconscious. His blood gases showed the following: PH = 6.

ED 130
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Chest pain, resolved. Does it need emergent cath lab activation (some controversy here)? And much much more.

Dr. Smith's ECG Blog

A 50-something male with hypertension and 20- to 40-year smoking history presented with 1 week of stuttering chest pain that is worse with exertion, which takes many minutes to resolve after resting and never occurs at rest. It is a ssociated with mild dyspnea on exertion. At times the pain does go to his left neck. It was present on arrival at triage but then resolved before bed placement in the ED.

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Top papers podcast 2023/24. Part 2. St Emlyn’s

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed Part 2 of our podcast on top papers from 2023/24 with @EMManchester and @docb #FOAMed @stemlyns The post Top papers podcast 2023/24. Part 2. St Emlyn’s appeared first on St.Emlyn's.

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OSHA Needs to Hear from You Regarding Their Proposed Emergency Response Standard

NVFC

On February 5, the Occupational Safety and Health Administration (OSHA) published a Notice of Proposed Rulemaking (NPRM) to modernize the agency’s “Fire Brigades” standard with a proposed new “Emergency Response Standard.” This NPRM’s publication triggered the beginning of a public comment period that is scheduled to conclude June 21, 2024. Anyone, organization or individual, is encouraged to submit comments to OSHA during this this public comment period (ignore the May 6 deadline as it has been

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Imaging Case of the Week 588 Answer

EMergucate

The chest x-ray shows cardiomegaly & Oreo Cookie sign. The chest x-ray of this paediatric patient shows a massive cardiomegaly.

EMS 130
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Take the OMI Quiz and Test yourself against the Queen of Hearts

Dr. Smith's ECG Blog

Quiz The PM Cardio Queen of Hearts AI model for ECG interpretation from Powerful Medical is still in its early days. Do you think you can outperform the toddler version of the AI model? Version 2.0 will soon be available with four times the training data. The QoH groups ECGs into OMI and NOT OMI. Each category is subdivided into three levels of confidence.

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Special Episode: Dr. Deirdre Cooper Owens & Medical Bondage

This Podcast Will Kill You

The TPWKY book club is back in action, and we’re thrilled to be starting this season’s reading journey with Dr. Deirdre Cooper Owens , reproductive rights advocate, Associate Professor in the University of Connecticut history department , and award-winning author of Medical Bondage: Race, Gender, and the Origins of American Gynecology. The history of science and medicine often focuses on the achievements of wealthy, white male physicians and researchers whose names are etched on medical school b

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National Volunteer Week: Thank You Fire and Emergency Service Volunteers!

NVFC

It’s National Volunteer Week , and the NVFC extends our thanks to all of the volunteer firefighters, EMS providers, rescue workers, and support personnel who make our communities better every day. This is a great week to recognize the work of the volunteers in your department as well as plan initiatives for supporting your membership and recruiting more volunteers.

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Imaging Case of the Week 589 Answer

EMergucate

The lumbar spine x-ray shows anterior compression fracture of L1 & fracture of spinous process of T12 vertebra.

EMS 130
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Top papers podcast 2023/24. St Emlyn’s

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed This month we hacve two podcasts covering our recent posts on top 10 resuscitation papers. This blog covers the first 5 papers. Part 2 will be out later in the […] The post Top papers podcast 2023/24. St Emlyn’s appeared first on St.Emlyn's.

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4 Types of Suctioning Machines Every EMS Professional Should Know How to Use

SSCOR

Airway suctioning is a routine part of a first responder’s job. From preventing aspiration pneumonia to clearing the airway of a drowning victim, the right suction machine is an integral part of your EMS toolkit. Yet many paramedics, EMTs, and other first responders avoid suctioning the airway unless they absolutely have to.

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Dacryocystitis 

Don't Forget the Bubbles

You are called to the postnatal ward to review a 22-hour-old infant with feeding difficulties. On examination, two bluish, soft swellings are located medially to the inner canthus on both eyes. The infant is unsettled but has a mild fever. What do you do? What is dacryocystitis? Dacryocystitis is an inflammation of the lacrimal sac. This oval-shaped structure receives tear drainage from the eye and sits in a groove formed by the lacrimal bone and frontal process of the maxilla.

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Imaging Case of the Week 591

EMergucate

The following elbow x-ray is from a child with elbow pain post FOOSH injury. What can be seen?

EMS 130
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How to Become an Industrial EMT

Unitek EMT

Exploring the Path to a Career as an Industrial Emergency Medical Technician: Training, Certification, and Essential Skills Industrial Emergency Medical Technicians (EMTs) play a critical role in safeguarding the health and safety of workers in various industrial settings, such as manufacturing plants, construction sites, and oil rigs. These specialized EMTs are trained to respond swiftly […] The post How to Become an Industrial EMT appeared first on Unitek EMT.

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Pulsara Around the World - May 2024

Pulsara

April Recap With 15 events under our belt, April was the busiest trade show month for our team.possibly ever! If you didn't get the chance to connect with us last month, you'll have plenty of chances to see Team Pulsara in May as they head to ten events—including the NASEMSO Annual Meeting, where our team will speak to committees and councils, and during the Thursday Lunch & Link!

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POCUS findings of hemodynamically unstable PE with cardiac arrest

EMDocs

Authors: Joseph R. Peters, (DO, RDMS, FACOEP, FACEP, FACOI); Carolina Hartje, DO // Reviewed by: Stephen Alerhand, MD; Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Introduction There are an estimated 300,000-600,000 Americans who develop venous thromboembolisms (VTE) each year, including deep venous thromboembolisms (DVT) and pulmonary embolism (PE). 1-3 VTE is responsible for hospitalizing over 250,000 Americans every year, and there are an estimated 100,000 deaths annually associat

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Imaging Case of the Week 590 Answer

EMergucate

The chest x-ray shows pneumomediastinum.

EMS 130
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Simulation Brain Wash

FOAMfrat

Simulation allows EMS clinicians to train for scenarios they may encounter in the field. Depending on the EMS providers, these scenarios may be ones that they have already encountered or those that they have yet to see in real life. The concept is simple: put providers in a simulated environment where they can form mental models and safely learn from mistakes, and they will perform better in real life.

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DanGer Shock – Microaxial Flow Pump in Infarct-Related Cardiogenic Shock

The Bottom Line

Microaxial Flow Pump or Standard Care in Infarct-Related Cardiogenic Shock Møller JE et al. 2024. NEJM. DOI: 10.1056/NEJMoa2312572 Clinical Question In adults presenting with STEMI and cardiogenic shock does the use of a microaxial flow pump (Impella CP) compared to standard care reduce death from any cause at day 180?

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How Much O2 Is Right in COVID?

REBEL EM

Background: Hypoxemic respiratory failure is a frequent complicating feature of severe COVID-19 infection. Early in the pandemic, extensive efforts were made to identify the best approach to oxygenation in this group of patients. Best practices settled on aggressive use of non-invasive ventilation (NIV) and delaying invasive mechanical ventilation (IMV) where feasible.

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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. 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: Should We Use New Duke Criteria for Infective Endocarditis? Spoon Feed This external validation compared the 2023 Duke-International Society for Cardiovascular Infectious Diseases Diagnostic (ISCVID) Criteria aga

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Raising an Autistic Child: Is Homeschooling the Better Alternative?

Paramedics World

Taking care of a child with autism is no easy task. Regardless of the parenting challenges presented, you still want what’s best for your autistic child. Hence, you will do… The post Raising an Autistic Child: Is Homeschooling the Better Alternative? appeared first on Paramedics World.

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Ep. 140 National Assessment of EMS Performance

Prehospital Emergency Care Podcast

Dr. Maia Dorsett and our newest PEC Podcast member, Dr. Rachel Stemerman, explore the manuscript A National Assessment of EMS Performance at the Response and Agency Level with the authors Michael Redlener MD Medical Director of Emergency Medicine Mount Sinai West & Remle Crowe PhD Director of Clinical and Operational Research at ESO Click here to download it today!

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Western Region Burn Conference —June 19–21 in Lake Tahoe

American Burn Association

Categories Advocacy Burn News MAC Spotlight Media Member Services Organization News Prevention Quality Care Research Return to News & Activities After a long absence, thanks to Covid, the Western Region Annual Meeting is making a comeback! We are excited to announce the revival of this program and its debut in Lake Tahoe, Nevada, June 19–21. Wednesday, June 19th will be dedicated to an ABLS course, registration and a welcome reception with our attendees and vendors.

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Episode 109: Dr. Ken Milne, Small BVMs, and Nitroglycerine

The Overrun Podcast

In this episode, Dr. Ken Milne discusses two studies related to emergency medicine. The first study examines the use of small adult ventilation bags in out-of-hospital cardiac arrest. The study found that small bags were associated with a lower rate of return of spontaneous circulation (ROSC) compared to standard bags. However, this was an observational study and more research is needed to draw definitive conclusions.

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How Both Your Body and Mind Can Change as a Result of Addiction

Paramedics World

Addiction is usually caused by drug or substance abuse. The condition is complex and could significantly affect a person’s body and mind. Addiction is also a disease, and like any… The post How Both Your Body and Mind Can Change as a Result of Addiction appeared first on Paramedics World.

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Promote Roadway Safety in Your Community

NVFC

April is Distracted Driving Awareness Month, and now is a great time to remind your community to stay alert when driving, avoid distractions, and slow down and move over when passing emergency scenes. Utilize these videos and find additional resources from EndDD.org and ResponderSafety.com. Also make sure your responders are best prepared to manage a roadway incident.

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PCC – Notice of Annual General Meeting

Paramedic Chiefs of Canada

Dear PCC members: The Annual General Meeting of the Paramedic Chiefs of Canada has been scheduled for the following: Date: Wednesday June 5th, 2024 Time: 4:15 p.m. Location: Quebec City Convention Center 1000 Bd René-Lévesque E, Québec, QC G1R 5T8 Room: 2000A Purpose: To consider the following matters: 2024 Election Results – Randy Mellow, Past President Presidents Report – Kevin Smith, President Treasurer’s report – Gerry Schriemer Adjournment Click here to download notice (PDF).

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T is for Terrible Manners

EMS 20/20

N is for neuro symptoms, S is for stroke, and U is for uncaring agency that needs a reality check. What do you do when a responding agency is responding angrily? Listen and find out! N is for neuro symptoms, S is for stroke, and U is for uncaring agency that needs a reality check. What do you do when a responding agency is responding angrily? Listen and find out!

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Beyond the Pain: Navigating Your Wisdom Teeth Removal Experience

Paramedics World

Wisdom teeth extraction is a common dental procedure that many undergo to prevent or address oral health issues. This article aims to provide a comprehensive overview of the process, from… The post Beyond the Pain: Navigating Your Wisdom Teeth Removal Experience appeared first on Paramedics World.