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We encounter seizures commonly in the Emergency Department. While they can be dramatic and devastating, we have learned to become comfortable with the wide variety that may present in children. From the simple febrile seizure to the complex seizure, we know how to stabilize and how to evaluate. While fortunately most seizure activity is short lived, we also know that status epilepticus can be difficult to manage, and persistent seizures should make us consider specific etiologies (ex.
FOR IMMEDIATE RELEASE Contact: Samantha Hilker Director of Strategic Initiatives shilker@ambulance.org American Ambulance Association Announces 2024 Vanguard Award Winners Washington D.C. – The American Ambulance Association (AAA) is proud to […] The post 2024 Vanguard Award Winners Announced appeared first on American Ambulance Association.
Date: March 6, 2024 This is an SGEM Xtra created from a lecture I gave for the Rural Ontario Medical Program (ROMP) ICE Camp Retreat in Collingwood, Ontario last month. ROMP helps Ontario medical students & residents arrange core & elective rotations in rural Ontario. An old friend, Dr. Matt De Stefano invited me to […] The post SGEM Xtra: A Philosophy of Emergency Medicine first appeared on The Skeptics Guide to Emergency Medicine.
A 28-year-old male presented to the ED for evaluation of an injury to his right eye. While working out with an exercise band, it snapped back, hitting the patient in the right eye. He experienced blurry vision and excess eye tearing immediately after the incident occurred. The patient also developed gross blood over the front of the eye. Physical Exam Vitals : Temp 98°F, HR 73, BP (135/77), RR 16, SpO2 99% HEENT : Gross blood in the anterior portion of the right eye (grade I).
We talk about working in critical care APP leadership positions, with Jason Wieland, PA, Lead Pulmonary & Critical Care APP at WakeMed Health System in Raleigh, NC. Find us on Patreon here! Buy your merch here! We talk about working in critical care APP leadership positions, with Jason Wieland, PA, Lead Pulmonary & Critical Care APP at WakeMed Health System in Raleigh, NC.
Posterior circulation ischemia accounts for approximately 20-25% of all ischemic strokes and is a significant cause of patient disability. The diagnosis can be extremely challenging as findings are often not typically focal. Posterior strokes are misdiagnosed more than 3x more often than anterior circulation strokes.1 Similar to anterior circulation strokes, posterior strokes are most commonly […] The post Posterior Circulation Strokes appeared first on EMOttawa Blog.
WEBINAR EMS Harm Reduction and SUD Treatment Hosted by NHTSA’s Office of EMS on March 22 at 2 PM ET / 11 AM PT According to the National Harm Reduction […] The post EMS.gov Webinar | EMS Harm Reduction and SUD Treatment appeared first on American Ambulance Association.
In July 2022, a 32-year-old male with a past medical history of HIV (on antiretroviral therapy, CD4 390, viral load undetectable) presented to the emergency department with constitutional symptoms and a rash for 4-5 days. His symptoms included malaise, body aches, subjective fevers, a sore throat, tender, swollen neck glands, body rash, and irritation of his left eye.
In July 2022, a 32-year-old male with a past medical history of HIV (on antiretroviral therapy, CD4 390, viral load undetectable) presented to the emergency department with constitutional symptoms and a rash for 4-5 days. His symptoms included malaise, body aches, subjective fevers, a sore throat, tender, swollen neck glands, body rash, and irritation of his left eye.
Written by Jesse McLaren Three patients presented with acute chest pain and ECGs that were labeled by the computer as completely normal, and which was confirmed by the final cardiology interpretation (which is blinded to patient outcome) also as completely normal. What do you think? Case 1: Case 2: Case 3: Triage ECGs labeled ‘normal’ There have been a number of small studies suggesting that triage ECGs labeled ‘normal’ are unlikely to have clinical significance, and therefore that emergency phy
FOR IMMEDIATE RELEASE Contact: Samantha Hilker Director of Strategic Initiatives shilker@ambulance.org American Ambulance Association Announces 2024 EMSNext Winners Washington D.C. – The American Ambulance Association (AAA) is proud to announce […] The post 2024 EMSNext Recipients Announced appeared first on American Ambulance Association.
ACEP Now wishes to congratulate the medical students who matched into emergency medicine today! This year, it is estimated that only about 137 of more than 3,000 spots remained unfilled as of Monday, March 11, 2024. This is in comparison to more than 550 unmatched positions last year. While the full explanation for the rebound in emergency medicine remains unknown, one potential reason is a large increase in international medical graduate applicants this year.
A few words regarding an article highlighted in one of my daily e-mails – a report regarding the Elders Risk Assessment tool (ERA) from the Mayo Clinic. The key to the highlight is the assertion this score can be easily calculated and presented in-context to clinicians during primary care visits, allowing patients with higher scores to be easily identified for preventive interventions.
Written by Willy Frick A 67 year old man with a history of hypertension presented with three days of chest pain radiating to his back. He had associated nausea, vomiting, and dyspnea. What do you think? This ECG together with these symptoms is certainly concerning for OMI, but the ECG is not fully diagnostic, and another consideration could be acute pericarditis.
The growing EMS economic crisis is a combination of expense increases for service delivery AND the reimbursement for services provided. One of the major factors in the revenue gap for EMS as […] The post Flash Poll | Uncompensated Care in EMS appeared first on American Ambulance Association.
The National Volunteer Fire Council (NVFC) is pleased to announce the winners of its annual fire service achievement awards, which recognize fire service volunteers who have gone above and beyond in service to their department and community. The 2024 recipients are: Stephen Austin, Lifetime Achievement Award, sponsored by Lincoln Financial Group; Chief John Swan Sr., Chief James P.
People on twitter absolutely hate the concept of using a central line to resuscitate a GI bleeder. This comes up a couple times per year. I think the source of this hatred is largely two-fold: A central line alone is garbage (without a Level-1 or Belmont infuser). I'll admit that. So if you're working in […] EMCrit Project by Josh Farkas.
Written by Willy Frick A man in his early 40s with BMI 36, hypertension, and a 30 pack-year smoking history presented with three days of chest pain. It started while he was at rest after finishing a workout. He described it as a mild intensity, nagging pain on the right side of his chest with nausea and dyspnea. It woke him the next day and radiated into his back.
From GoAEROprize.com Heroes who look past danger to help people in need, Heroes to step in to be the difference between triumph and tragedy, And Heroes who use their minds to […] The post GoAERO Competition + Informational Webinar Details appeared first on American Ambulance Association.
CPRMC first in South Carolina to elevate EMS collaboration in coordinated care and response efficiency with this technology. BOZEMAN, Mont., March 13, 2024 — Pulsara, a leading communication and logistics platform that unites healthcare teams across organizations, announced the implementation of Pulsara at Carolina Pines Regional Medical Center (CPRMC) , introducing a powerful advancement in patient care coordination in South Carolina.
On March 9, 2024, the Centers for Medicare and Medicaid Services (CMS) announced the creation of the Change Healthcare/Optum Payment Disruption (CHOPD) Program. Under the CHOPD Program, CMS will make […] The post CMS Announced Medicare Accelerated and Advance Payments in Response to Change Healthcare Cyberattack appeared first on American Ambulance Association.
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: Epinephrine or Airway First in OHCA? Spoon Feed In adults presenting to EMS after OHCA, those receiving epinephrine prior to advanced airway management (AAM = supraglottic airway, SGA, or endotracheal tube) experien
The time has come to learn from the pandemic; to learn from our mistakes (and hopefully a few successes). There are many topics to choose from. In future posts, I plan to be very positive about the tremendous work done by so many colleagues. I will probably also have to write about our incredible scientific […] The post Lessons from the pandemic: Lagging indicators appeared first on First10EM.
Nutella® is shining a light on those who spread positivity in their local communities through “Stacks for Giving Back.” In partnership with the NVFC, Nutella is awarding five $5,000 grants to volunteer fire departments to help them secure the necessities they need to best serve their communities. Learn more and apply for a chance to be selected. In addition, you can nominate a local fire department for a chance to win a pancake breakfast kit to help pull off their next fundraiser.
From the Centers for Medicare & Medicaid Services on March 9 The Centers for Medicare & Medicaid Services (CMS) is continuing to monitor and assess the impact that the cyberattack […] The post CMS Statement on Continued Action to Respond to the Cyberattack on Change Healthcare appeared first on American Ambulance Association.
From Basic Training to Specialized Care: Your Path to Becoming a Pediatric EMT Pediatric Emergency Medical Technicians (EMTs) occupy a critical position within the emergency medical services (EMS) spectrum, delivering urgent care to the youngest and often most vulnerable patients—children. This specialized branch of emergency care requires a unique blend of skills, knowledge, and emotional […] The post How to Become a Pediatric EMT appeared first on Unitek EMT.
For volunteer fire departments lacking the budget and resources to provide adequate drinking water for their wildland firefighters, Anheuser-Busch’s Emergency Drinking Water for Wildland Firefighters program , a partnership with the National Volunteer Fire Council (NVFC), has been a lifeline. Since 2019, the program has annually awarded canned drinking water to departments in need.
FirstNet Connects Rural Colorado First Responders Blog michelle.fordi… Tue, 03/12/2024 - 10:18 By David Faulkner, Senior Public Safety Advisor, First Responder Network Authority Learn more about how FirstNet is transforming public safety communications — contact your local FirstNet Authority Public Safety Advisor and sign up for our discipline newsletters.
Your suction machine is an unassuming but key ingredient in your emergency preparedness kit, allowing you to help patients remain comfortable, reduce their risk of serious airway complications, and – in some cases – save their lives.
I recently spoke with Ramon W. Johnson, MD, MBA, who is currently the president of the American Board of Emergency Medicine (ABEM). He joined me for our annual conversation between ACEP Now and ABEM to answer some questions from practicing emergency physicians. Our conversation has been edited for space and clarity. Dr. Dark: Our profession is composed of over 44,000 ABEM certified emergency physicians, about 96 percent of whom are EM residency trained.
How sure are you? Think back to the last time someone asked you a difficult question regarding a patient on shift. How sure were you about your decision? Was there a clear-cut right or wrong answer? And after making your decision, how sure were you that the answer you made was the correct one? REBEL Reflections Episode 5: Thinking in Bets – Making Better Decisions When You Don’t Have All the Facts Click here for Direct Download of the Podcast Think back to the last time someone asked
When it comes to maximizing the benefits of your magnesium supplements, understanding the role of chelation is key. Chelation is the process of forming a stable bond between a metal… The post Decoding Chelation: Understanding Its Role in Magnesium Supplements appeared first on Paramedics World.
In the realm of emergency medicine, innovation and persistence are crucial. A recent case has highlighted the extraordinary potential of a novel intervention: triple-sequential defibrillation. This groundbreaking technique was used to save the life of a 24-year-old male who experienced an out-of-hospital cardiac arrest with refractory ventricular fibrillation.
A 20-year-old man presents to the emergency department (ED) directly from the scene of a fall from a bicycle, where he lost balance and landed on his outstretched hand. He complains of pain both in the palm of his hand and in the wrist. Sound familiar? We see 2.6 million hand and wrist injuries annually in the United States and when we miss an occult or subtle injury it can be very morbid for our patients and not uncommonly leads to litigation. 1,2 For every patient who presents to the ED with a
Bottom Line Up Top: Pretreatment is ineffective and unnecessary as it does not significantly reduce the risk of serious adverse reactions to contrast. Pretreatment should not delay imaging required for definitive diagnosis. Clinical Scenario: A 65 year-old woman presents with shortness of breath. Her vitals are notable for tachycardia and mild hypoxia, but she is otherwise hemodynamically stable.
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