Sat.Nov 23, 2024 - Fri.Nov 29, 2024

article thumbnail

What makes a T-wave Hyperacute? And: 30 Examples of Hyperacute T-waves, 10 in each of 3 myocardial territories.

Dr. Smith's ECG Blog

Pendell and I and the geniuses at Powerful Medical (Producers of the PMCardio Queen of Hearts OMI AI app ) are working on an objective, mathematical definition of hyperacute T-waves , based on real OMI outcomes and hyperacute T-wave annotation that has excellent interrater agreement (between me and Pendell), and it will end up being a logistic regression using these 3 variables: 1) area under the curve (AUC) relative to the QRS size 2) increased symmetry , as defined by time from T-wave onset to

STEMI 131
article thumbnail

How Service Dogs are Trained to Assist First Responders and Veterans

First Responders Foundation

Service dogs play an invaluable role in supporting Veterans and first responders, offering assistance that ranges from anxiety relief and refocusing in public settings to specialized tasks that help manage daily challenges, such as diabetic or cardiac alerting. Whether it’s helping a firefighter cope with trauma or aiding a police officer with mobility issues, these specially trained dogs provide a level of support that can be life-changing.

professionals

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

ECG of the week 27th November

EMergucate

The following ECG is from a 62-year-old man who presented following an MVA.

130
130
article thumbnail

Registration Open! Public Meeting on December 4 for NACCD

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post Registration Open! Public Meeting on December 4 for NACCD appeared first on American Ambulance Association.

Ambulance 130
article thumbnail

PulmCrit: How to quickly create a useful professional account in BlueSky

EMCrit Project

I discussed the reasons for migrating to BlueSky here. I've received positive feedback from several FOAMed expats who migrated to Bluesky and enjoy it there. I've also received some questions about getting started on BlueSky, so here is a brief guide to moving into MedSky. [1] Set up your account & profile This is essentially […] EMCrit Project by Josh Farkas.

124
124
article thumbnail

5 Purchasing Considerations for a Pharyngeal Suction Device

SSCOR

Preplanning is part of the job as an emergency responder. Each shift, you must be prepared to answer any type of emergency that your community throws at you, so you had better plan ahead. When it comes to your equipment, especially your pharyngeal suction device , you want a unit that will fit the needs of the community in which you work. Here are a few considerations when choosing a portable suction unit.

59
article thumbnail

Lab case 452 interpretation

EMergucate

Question 1: PH = 7.30, that is mild acidaemia. HCO3 = 18, that is low (less than 24), So we have metabolic acidosis.

130
130

More Trending

article thumbnail

Before Dawn

Peter Canning

Just before dawn on Albany Avenue. The first light just starting to appear in the east. We’re posted on the corner. Most of the night crews have headed in for crew change and the morning cars haven’t signed on yet. 924 is on their way to an asthma on Martin Street and 917 is dealing with an assault victim on Park Terrace. 931 is still out at Saint Francis.

article thumbnail

Tracheostomy Advantages and Disadvantages

SSCOR

A tracheostomy opens a direct airway into the neck. Its prevalence in long-term care is increasing, and some providers assert that early tracheostomy in mechanically ventilated patients may decrease complications and reduce morbidity.

103
103
article thumbnail

Lab case 453

EMergucate

72 year-year-old man with history of type II DM and has a single kidney. Presented with 2 weeks of diarrhoea. He has been in bed for 2 weeks. Unresponsive. Last proper meal was 2 weeks ago.

130
130
article thumbnail

Hugh T. Clements, Jr.

FirstNet Authority

Director, Community Oriented Policing Services Office, Department of Justice

52
article thumbnail

It’s almost time: the upcoming launch of NERIS Version 1

ESO

On October 29, 2024, the U.S. Department of Homeland Security, the Fire Safety Research Institute, and the U.S. Fire Administration hosted an informational webinar, NERIS Version 1: Platform Launch and National Rollout, to provide updates and timelines for the National Emergency Response Information System (NERIS). Here’s a recap of the latest news to keep your team informed.

article thumbnail

[not-on-my-shift.org] [not-on-my-shift.org] [no

not-on-my-shift

not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] New’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] New subm

40
article thumbnail

Imaging Case of the Week 607 Answer

EMergucate

There is a sliver of air under the right hemi-diaphragm.

EMS 130
article thumbnail

Hugh T. Clements, Jr.

FirstNet Authority

Director, Community Oriented Policing Services Office, Department of Justice

52
article thumbnail

Methanol poisoning

Don't Forget the Bubbles

It’s a busy day in the paediatric ED. A worried parent rushes in carrying a toddler who’s just had a gulp from an unlabelled bottle in the garage. The child looks unsettled but otherwise fine—for now. “It was just a bit of the stuff we use for cleaning the car windscreen,” the parent says. You smell the faint odour of alcohol on the child’s breath A quick mental note: methanol poisoning?

Plasma 62
article thumbnail

[not-on-my-shift.org] [not-on-my-shift.org] [no

not-on-my-shift

not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-

40
article thumbnail

Imaging Case of the Week 608 Answer

EMergucate

The chest x-ray reveals sail sign.

EMS 130
article thumbnail

Fatal Overdoses and the Black Population

Peter Canning

I was giving a data presentation to the statewide Harm Reduction Advocacy Group and after reviewing the EMS data I had, I touched on the latest CDC numbers that show a 24.1% decrease in overdoses in Connecticut since November 2021 based on rolling 12-month averages with the latest 12-month period ending June 2024. After the presentation I saw in the chat a comment about white overdoses being down, but minority overdoses still rising.

article thumbnail

SGEM#461: If You’re Appy and You Know It…Do You Need a Clinical Prediction Score?

The Skeptics' Guide to EM

Date: November 13, 2024 Reference: Lee WH, et al. Study of Pediatric Appendicitis Scores and Management Strategies: A Prospective Observational Feasibility Study. Academic Emergency Medicine. Dec 2024 Guest Skeptic: Dr. Dennis Ren is a pediatric emergency medicine physician at Children’s National Hospital in Washington, DC. He’s also the host of SGEMPeds.

ED 189
article thumbnail

[not-on-my-shift.org] [not-on-my-shift.org] [no

not-on-my-shift

not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] New’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] New subm

40
article thumbnail

Imaging Case of the Week 609 Answer

EMergucate

The lateral view of ankle demonstrates an avulsion fracture above the posterior calcaneus.

EMS 130
article thumbnail

Ultrasound Guided Peripheral IVs

EMOttawa

What do you do when expert nurses tell you they can’t obtain IV access? Do you spend 20 minutes performing an invasive central line? Does your resident finally get two IO EPAs? Or do you save the day with a slick, ultrasound guided IV? Obtaining peripheral ultrasound guided IV access is not only a core […] The post Ultrasound Guided Peripheral IVs appeared first on EMOttawa Blog.

OR 128
article thumbnail

Coronary Angiography Guide by Willy Frick -- Everything you ever wanted to know about the Cath Lab

Dr. Smith's ECG Blog

Introductory Angiography Guide To find the guide later, go to the banner at the top of the blog: This blog is dedicated to improving understanding of ECGs in the context of emergency medicine. A substantial proportion of cases discussed include diagnostic angiography. Attaining expertise in angiography requires dedication and practice. What follows is an introduction to angiography -- a guide meant for people with no prior experience interpreting angiograms.

Coronary 119
article thumbnail

[not-on-my-shift.org] [not-on-my-shift.org] [no

not-on-my-shift

not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] New’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] New subm

40
article thumbnail

Imaging Case of the Week 610 Answer

EMergucate

The supine chest x-ray shows left sided deep sulcus sign (lucency diving deep into left upper quadrant) indicative of a … Continue reading →

EMS 130
article thumbnail

Lightning rounds 47: Post-op care transitions

Critical Care Scenarios

We chat about the post-op transition of care from the OR to the ICU, including questions to ask, workflows, and pitfalls. Check out the Intensive Care Academy here! Bryan’s textbook: Concepts in Surgical Critical Care Find us on Patreon here! Buy your merch here! We chat about the post-op transition of care from the OR to the ICU, including questions to ask, workflows, and pitfalls.

ICU 117
article thumbnail

GLP-1A toxicity: What do emergency clinicians need to know about drugs like Ozempic® and Wegovy®?

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed GLP-1A toxicity: What do emergency clinicians need to know about drugs like Ozempic® and Wegovy®? #FOAMed @stemlyns Greg Yates takes through a paper reporting overdoses in US practice. The post GLP-1A toxicity: What do emergency clinicians need to know about drugs like Ozempic® and Wegovy®? appeared first on St.Emlyn's.

Overdose 114
article thumbnail

[not-on-my-shift.org] [not-on-my-shift.org] [no

not-on-my-shift

not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-

40
article thumbnail

Threading the Needle: Bougie-First Intubation

REBEL EM

Background: In 2018, the BEAM Trial, a small single-center randomized clinical trial, conducted in the emergency department at Hennepin County Medical Center, demonstrated that bougie use significantly increased the first-attempt intubation success rate compared to the endotracheal tube with stylet (98% vs 87% (absolute difference, 11% [95% CI, 7% to 14%]). 1 Conversely, the 2021 BOUGIE trial—a larger, multicenter randomized clinical trial conducted by the same investigators—found no significant

article thumbnail

Cook Safely This Week: Protect Yourself and Your Loved Ones from Burn Injuries

American Burn Association

Categories Advocacy Burn News MAC Spotlight Media Member Services Member Spotlight Organization News Prevention Quality Care Research Return to News & Activities FOR IMMEDIATE RELEASE Contact: Susan Urbanczyk Senior Manager, Marketing and Communications American Burn Association urbanczyk@ameriburn.org ameriburn.org Cook Safely This Week: Protect Yourself and Your Loved Ones from Burn Injuries CHICAGO [Nov. 26, 2024] —

OR 105
article thumbnail

Podcast – Bad Behaviour in Teams with Liz Crowe at Tactical Trauma 2024

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed In this podcast, Liz Crowe discusses the effect bad behaviour has on teams and ultimately patient safety. The post Podcast – Bad Behaviour in Teams with Liz Crowe at Tactical Trauma 2024 appeared first on St.Emlyn's.

109
109
article thumbnail

[not-on-my-shift.org] [not-on-my-shift.org] [no

not-on-my-shift

not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] [no’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] [not-on-my-shift.org] New’ not-on-my-shift.org has posted a new item, ‘[not-on-my-shift.org] New submission from Conta’ not-on-my-shift.org has posted a new item, ‘New submission from Contact

40
article thumbnail

5 Minute Sono – Sonosite LX Machine Basics

Core Ultrasound

In this video tutorial, we provide a detailed guide to operating the Sonosite LX ultrasound machine. Designed for both beginners and those familiar with ultrasound technology, this demonstration will walk you through the essential features and functions of this device. You’ll learn how to power it on, optimize image quality, navigate the user interface, save and review images, and utilize its advanced settings to improve your workflow. > The post 5 Minute Sono – Sonosite LX Machine Basics

100
100
article thumbnail

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: Could Paralyzing Before Sedatives Increase First Pass Success? Spoon Feed This study utilized Bayesian analysis and found that when paralytic medications were administered before sedatives during ED intubation, the

ED 96
article thumbnail

The First10EM monthly wrap-up for autumn 2024

First 10 EM

The First10EM monthly wrap up is a place for me to share updates about the website, about my academic life, and also interesting content, such as books, podcasts, and other FOAMed, that I have encountered in the prior month (or now quarter). Obviously the format means the focus is mostly on content I have found, […] The post The First10EM monthly wrap-up for autumn 2024 appeared first on First10EM.

OR 82
article thumbnail

Recent MI at another facility. Now back in the ER with chest pain

Dr. Smith's ECG Blog

Written by Willy Frick A young woman with a history of paroxysmal nocturnal hemoglobinuria presented with acute substernal chest pain. Five days prior, she had a similar presentation to a different hospital. She underwent coronary angiography which showed thrombotic occlusion of an RPL branch s/p aspiration thrombectomy. The report describes heavy plaque in the proximal RCA by IVUS, but no lesions in the previously occluded RPL branch and no stent was deployed.