Sat.Aug 24, 2024 - Fri.Aug 30, 2024

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SAEM Clinical Images Series: An Interesting Case of Ocular Trauma

ALiEM

A 27-year-old male with no past medical history presents to the Emergency Department with right eye pain. He states that approximately one week prior, he was working on a wire fence when he lost hold of a wire under tension, and it subsequently hit him in his right eye. He had immediate pain in his affected eye and was unable to see anything but light for the next three days.

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InterAtrial Block

EMS 12-Lead

David Didlake, EMT-P, RN, ACNP @DidlakeDW An early 80’s Female was transported to the ED with new-onset facial droop, slurred speech, and focal deficit. No previous medical history was reported. My colleauges and I (interventional cardiology) were asked to consult during workup. MRI Brain demonstrated Left MCA acute/subacute infarct, MCA/PCA watershed, and no hemorrhagic transformation.

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Savvik | The NEW LifePak 35 is Publicly Bid Through Savvik!

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post Savvik | The NEW LifePak 35 is Publicly Bid Through Savvik! appeared first on American Ambulance Association.

Ambulance 130
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Paediatric dental trauma

EMergucate

Dental Trauma in Paediatrics Learn about how to number children’s teeth correctly, what lateral luxation vs subluxation means, and how … Continue reading →

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SAEM Clinical Images Series: Pediatric Neck Mass

ALiEM

A 5-year-old female presented to the emergency department (ED) with a one-year history of gradually increasing anterior neck swelling. The patient had no significant past medical history. She also endorsed three weeks of cough and congestion, and one day of muffled voice. She denied difficulty swallowing, fatigue, cold intolerance, or hair and nail changes.

ACS 161
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Episode 199: Ataxia in Children

Core EM

We discuss a case of ataxia in children and how to approach the evaluation of these pts. Hosts: Ellen Duncan, MD, PhD Brian Gilberti, MD [link] Download Leave a Comment Tags: Neurology , Pediatrics Show Notes Introduction The episode focuses on ataxia in children, which can range from self-limiting to life-threatening conditions. Pediatric emergency medicine specialist shares insights on the topic.

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HR | Updated Decision on Rule Banning Non-Compete Agreements

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post HR | Updated Decision on Rule Banning Non-Compete Agreements appeared first on American Ambulance Association.

Ambulance 130

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SGEM#451: I’ve Become So Numb – Serratus Anterior Plane Blocks for Rib Fractures

The Skeptics' Guide to EM

Date: August 19, 2024 Reference: Partyka et al. Serratus Anterior Plane Blocks for Early Rib Fracture Pain Management: The SABRE Randomized Clinical Trial. JAMA Surg 2024 Guest Skeptic: Dr. Sean Baldwin is an Emergency Physician practising in Sydney, Australia in both a large tertiary emergency department and a small regional emergency department. Interests include information systems and digital health, research and education.

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NYU-Bellevue Emergency Medicine Education Fellowship (NEW!)

Core EM

Medical Education Fellowship NYU Langone’s Ronald O. Perelman Department of Emergency Medicine is excited to introduce our new fellowship, starting July 2025. The Medical Education Fellowship is designed for emergency physicians aspiring to advance their careers in medical education. This two-year fellowship provides an extensive curriculum aimed at developing skills necessary for roles such as program directors, clerkship directors, and academic leaders in the field of emergency medicine.

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PulmCrit Wee – A better classification of heart failure (HFxEF-RVxEF)

EMCrit Project

We often joke that the right ventricle is the “forgotten ventricle,” but there is a sad truth behind this joke. Recently, there has been increased recognition of the importance of right ventricle failure and systemic congestion within some circles (e.g., nephrologists and resuscitationists). However, overall the right ventricular failure continues to be commonly overlooked.

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Concussion

EMergucate

Concussion This session covers the range of symptoms experienced in concussion, what can be done to reduce the risk of … Continue reading →

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5 Minute Sono – The FAST Exam (Abdominal portion) 2024

Core Ultrasound

In this video, we walk you through the essential ultrasound techniques used in the abdominal FAST exam. Remember, the FAST exam can be used for ANY cause of fluid in the abdomen, including hemoperitoneum from abdominal trauma. 5 Min Sono Vids RUSH Exam Courses The post 5 Minute Sono – The FAST Exam (Abdominal portion) 2024 first appeared on Core Ultrasound.

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IV Access in Resuscitation

Core EM

- Importance of Catheter Selection: - The catheter’s diameter and length are critical factors affecting the flow rate. - Shorter, wider catheters provide a higher flow rate, making them preferable for rapid resuscitation. - Diameter and Flow Rate: - A larger diameter increases flow rate, and this relationship is proportional to the fourth power. For instance, doubling the diameter results in a 16-fold increase in maximum flow rate. - Peripheral 16-gauge IVs can sometimes outtransfuse larger cent

OR 100
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Serving the Whole Community: Inclusive Education and Training

NVFC

Practical tips for diversity, equity, and inclusion in your community It’s back to school time across the United States. Learning best practices apply to learners of all ages and backgrounds. Whether you’re creating presentations or training for active members, junior firefighters, potential recruits, or community education, you can implement inclusive practices to make sure everyone can take part in your fire or EMS department’s educational programs.

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HSP

EMergucate

HSP Learn about the most common vasculitis of childhood, when and how it presents, what complications it can cause an … Continue reading →

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Epigastric and Right Upper Quadrant pain after eating spicy food

Dr. Smith's ECG Blog

A 60-something woman with no cardiac history presented with epigastric and right upper quadrant pain after eating spicy food. She had an ECG recorded at triage: What do you think? This was sent to me without any info while I was out and about, and I looked at it on my phone. I responded: "That is a tough one. V2 is very worrisome. But no other leads are.

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Hyperbaric Oxygen for the ICU Patient

Life in the Fastlane

Caleb Lin Hyperbaric Oxygen for the ICU Patient OVERVIEW INTENSIVE CARE INDICATIONS PRACTICAL ISSUES IN CRITICAL CARE Consideration & Prior to Treatment In the Chamber A: ETT cuff to be filled with sterile water or connected to dynamic cuff inflator B: Titrate ventilation to PaCO2, note that EtCO2 is not linearly proportionate at higher pressures C: Haemodynamic shifts related to hyperoxic vasoconstriction D: Increased […]

ICU 101
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Understanding Fibromyalgia – Causes, Symptoms, Diagnosis & More

Paramedics World

Fibromyalgia is a term that often sparks curiosity and confusion. It’s a chronic condition that affects millions of people worldwide, yet many remain unaware of what it truly entails. Imagine… The post Understanding Fibromyalgia – Causes, Symptoms, Diagnosis & More appeared first on Paramedics World.

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ECG of the Week – 28th August

EMergucate

The following ECG is from a 35-year-old man who has presented with exertional dyspnoea and presyncope.

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Law and Order: Basic ABG Interpretation

FOAMfrat

Arterial blood gases (ABG) can be pretty intimidating, especially for providers who are new to critical care medicine. The principles underlying ABGs are undoubtedly complex and involve a lot of chemical reactions – all of which are very important but likely overwhelming if you’re just beginning to learn ABG interpretation. This discussion is not intended to teach you everything there is to know about acid-base balance and ABGs, but rather to provide a functional base on which to build your unde

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NIOSH Announces Project to Fit Test Respirators for Workers with Facial Hair

NVFC

The Occupational Safety and Health Administration (OSHA) requires that respirators be fit tested to the wearer’s face. However, the aim of fit testing is to achieve a tight seal to the face, and facial hair may interfere with this tight seal. For this reason, OSHA’s Respiratory Protection Standard (29 CFR 1910.134(g)(1)(i)(A)) currently prohibits employees from wearing respirators with tight-fitting facepieces, such as self-contained breathing apparatus, if there is any hair growth between the s

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Honoring Mary Kirchofer: A Lifetime of Service and Mental Health Advocacy

First Responders Foundation

The First Responders Foundation is honored to recognize Mary Kirchofer, whose tireless dedication to the mental health and well-being of first responders has made a profound impact on the Omaha Police Department (OPD) and beyond. Honoring Mary Kirchofer: A Lifetime of Service and Mental Health Advocacy A Career Dedicated to Service Mary’s journey began with her education at the University of Nebraska at both Lincoln and Omaha campuses, culminating in a Bachelor of Science degree in Social Work i

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Imaging Case of the Week 602

EMergucate

The hand x-ray is from a patient with swelling and severe pain in the fingers. What can be seen?

EMS 130
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Supraglottic Airways for BLS

Peter Canning

Connecticut recently added supraglottic airways to the BLS scope of practice. That means basic EMTs (emergency medical technicians with considerably less training than paramedics) with the approval of their sponsor hospital medical director, no longer have to rely on bag-valve-mask ventilation to breathe for patients in cardiac arrest. Bag valve mask ventilation for those not familiar, means sealing a plastic mask over a patient’s mouth with one hand firmly enough that no air escapes, and with t

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The Importance of Self-Care and Exercise for EMTs

Unitek EMT

Explore practical strategies and actionable tips that EMTs can incorporate into their daily routines to preserve their well-being. Every day, Emergency Medical Technicians (EMTs) are on the front lines, responding to calls that range from minor injuries to life-threatening emergencies. The demands of the job are relentless—physically and mentally exhausting.

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Open and Ongoing Peer Review: A New Model for Scientific Research

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed Is it time to rethink peer review? Delve into the pros and cons of this crucial process in scientific research. Is open peer review a better option for the future? @richardbody has tried it and we think he likes it. @stemlyns #FOAMed The post Open and Ongoing Peer Review: A New Model for Scientific Research appeared first on St.Emlyn's.

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In: Dexamethasone, Out: Prednisone

EM Literature of Note

Move over ketamine and TXA, there’s another medication gradually approaching do-it-all darling status in Emergency Medicine: dexamethasone. Sore throats? Croup? Headaches? Non-specific aches? Well, yes to all of the above, in the appropriate clinical context – But, most prominently, as featured in this brief report, for asthma – particularly childhood asthma.

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Pulsara Around the World - September 2024

Pulsara

AUGUST RECAP With five trade shows under our belt in August, it's safe to say the summer lull is over. Our events schedule for September will take our teams to the EMS World Expo, Texas EMS Evolution, and more! See below for the customer success stories we published in August and where you can find and connect with Team Pulsara in September. Celebrating Customer Success and Innovation We continued our coverage of the webinar Streamlining Crisis Response: A Deep Dive into MCIs and Large Events.

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How to Properly Clean A Portable Suction Device

SSCOR

Ask any emergency responder and they'll tell you the critical role portable suction plays in maintaining airway patency. No other tool can remove blood, vomit, or sputum from the airway, or allow you to visualize the cords before intubation.

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Speed Bumps Bad

Peter Canning

I-TEAM: EMS union concerned speed bumps hurt patients. An EMS union in Cleveland was concerned enough about a municipal plan to add more speed bumps to the city streets that they went to the city council to let them know that speed bumps cause harm to patients in pain. They said, while they appreciated the need to slow traffic, slowing cars down was probably best accomplished by law enforcement (pilling people over and issuing tickets) and only as a last resort, by adding speed bumps.

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WoodmenLife: A Legacy of Patriotism and Support for First Responders

First Responders Foundation

The First Responders Foundation is proud to honor Denise M. McCauley, President & CEO of WoodmenLife, along with the entire WoodmenLife organization, for their unwavering commitment to patriotism and their steadfast support of first responders across the nation. WoodmenLife: A Legacy of Patriotism and Support for First Responders A Tradition of Service Since 1890 Founded in Omaha in 1890, WoodmenLife has a long history of providing financial security to its members and giving back to communi

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Tips for Managing Sleep-Related Back Pain

Paramedics World

Sleep-related back pain can disrupt your rest and negatively impact your overall well-being. If you find yourself waking up with back discomfort or experiencing pain throughout the night, addressing the… The post Tips for Managing Sleep-Related Back Pain appeared first on Paramedics World.

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Tracheostomy Secretions Management

SSCOR

Tracheostomies are increasingly common , particularly in long-term skilled nursing facilities and intensive care units, which means all medical providers must master tracheostomy secretion management. Tracheostomy reduces cough strength , lowers subglottic pressure, and weakens sensations in the pharynx and larynx.

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Step Inside the Boulder FirstNet Lab

FirstNet Authority

Step Inside the Boulder FirstNet Lab michelle.fordi… Thu, 08/29/2024 - 09:03 The Boulder FirstNet Lab is where we demonstrate state-of-the-art technology designed for public safety’s needs. Visitors can see a demonstration of FirstNet’s quality of service, priority and preemption; learn more about deployable cell sites; test the network in simulated congested environments; and get a sample of what the next 5-20 years will bring for public safety communications technology.

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Vagal Maneuvers in ACLS: A Practical Approach to Saving Lives

NHCPS Save a Life

Whether dealing with a fast heartbeat or a more complex arrhythmia, these vagal maneuvers offer a quick, non-invasive way to manage your patient’s condition. In the medical tech-dependent emergency medicine environment, it’s easy to forget about some of the practical solutions you have at your disposal. The simplest solution is often the best, and knowing […] The post Vagal Maneuvers in ACLS: A Practical Approach to Saving Lives appeared first on SaveaLife.com.

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Navigating Amyloidosis: Diagnosis, Treatment, and Prognosis

Paramedics World

Amyloidosis might not be a household name, but it’s a condition worth knowing about. Imagine your body producing an abnormal protein that can accumulate in various organs, disrupting their function… The post Navigating Amyloidosis: Diagnosis, Treatment, and Prognosis appeared first on Paramedics World.

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Election Safety: Risk Assessment and Preparation Webinar

FirstWatch

Link to Register coming soon The upcoming presidential election will be a wild adventure for our country. In addition to deciding our vote, those of us in emergency services need to prepare for all kinds of election-related disruption. During this webinar, Bill Ott, the Cybersecurity Strategist for FirstWatch, will address: Cybersecurity Threats Polling Place Safety Election-Related Violence Post-Election Unrest Foreign Interference Voter Intimidation and Harassment Our Data Analyst, Valerie Pop

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