Critical Care Scenarios

APRIL 24, 2024

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

OR 285

OR 285

Emergency Medicine Cases

APRIL 23, 2024

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

EMS 260

EMS Allergic Reaction ED 260

The Skeptics' Guide to EM

APRIL 20, 2024

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

Emergency Department 194

Emergency Department Overdose ALS ED 194

Core EM

APRIL 25, 2024

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262

262

EMergucate

APRIL 23, 2024

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

EMS 130

FOAMfrat

APRIL 25, 2024

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.

Paramedic 128

Paramedic ACS EMS ED 128

First 10 EM

APRIL 22, 2024

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

EMS 130

EMergucate

APRIL 22, 2024

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

ED 130

Dr. Smith's ECG Blog

APRIL 22, 2024

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.

Coronary 110

Coronary STEMI ED OR 110

Unitek EMT

APRIL 25, 2024

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.

EMT 104

EMT EMT Emergency Medical Technician EMS 104

NVFC

APRIL 23, 2024

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

Emergency Response 108

Emergency Response OR 108

EMergucate

APRIL 22, 2024

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

EMS 130

EMS 130

Dr. Smith's ECG Blog

APRIL 24, 2024

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.

OR 106

OR 106

St. Emlyn's

APRIL 25, 2024

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.

96

96

SSCOR

APRIL 20, 2024

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.

EMS 101

EMS First Responder EMT EMT 101

EMergucate

APRIL 22, 2024

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

EMS 130

EMS 130

This Podcast Will Kill You

APRIL 23, 2024

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

OR 97

OR 97

St. Emlyn's

APRIL 23, 2024

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.

94

94

Don't Forget the Bubbles

APRIL 22, 2024

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.

OR 85

OR ALS 85

EMergucate

APRIL 23, 2024

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

EMS 130

EMS 130

Pulsara

APRIL 25, 2024

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!

82

82

The Bottom Line

APRIL 26, 2024

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?

STEMI 76

STEMI ALS OR 76

EMDocs

APRIL 22, 2024

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

ED 80

ED NARCAN ALS OR 80

EMergucate

APRIL 22, 2024

The chest x-ray shows pneumomediastinum.

EMS 130

EMS 130

REBEL EM

APRIL 22, 2024

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.

Life Support 72

Life Support ICU EMS OR 72

Paramedics World

APRIL 26, 2024

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.

Paramedic 52

Paramedic 52

EMDocs

APRIL 20, 2024

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

OR 74

OR 74

Prehospital Emergency Care Podcast

APRIL 24, 2024

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!

EMS 52

EMS 52

American Burn Association

APRIL 24, 2024

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.

52

52

Paramedics World

APRIL 26, 2024

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.

Paramedic 52

Paramedic OR 52

The Overrun Podcast

APRIL 23, 2024

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.

52

52

NVFC

APRIL 23, 2024

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.

52

52

Paramedic Chiefs of Canada

APRIL 24, 2024

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).

Paramedic 40

Paramedic 40

Paramedics World

APRIL 22, 2024

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.

Paramedic 52

Paramedic OR 52

EMS 20/20

APRIL 24, 2024

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!

40

40

NVFC

APRIL 23, 2024

Join the NVFC’s Dr. Candice McDonald, Joel Cerny, and Paul Acosta for a R&R Coffee Talk on April 27 at 2pm ET to discuss 5 Tips for Recruiting and Retaining Diverse Populations. Learn why diversity is important, how it strengthens our ability to respond effectively to emergencies, strategies for reaching out to and engaging diverse communities, and ways to ensure that your department is inclusive and welcoming to all.

52

52

FOAMfrat

APRIL 22, 2024

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.

E-9-1-1 78

E-9-1-1 ACS Paramedic Critical Care 78