NAEMSP
JANUARY 19, 2025
Authors: Rebecca Dupree, DO and Emerson Franke, MD FAEMS FAAEM Case The dreaded scenario: youre performing high quality CPR in the field, youve successfully intubated the patient, and suddenly you hear, I found their DNR form! just as youve gotten ROSC. You manage to get in contact with family and determine the patient is enrolled in hospice. The family does not want the patient transported to the hospital.
FOAMfrat
JANUARY 21, 2025
In this episode, Alec Wilcox & I discuss ECPR eligibility & preparation. ECPR, or extracorporeal cardiopulmonary resuscitation, involves taking a patient in cardiac arrest, sucking blood from their venous system, oxygenating it externally, and then pumping it back into their arterial system. This procedure helps maintain blood circulation and oxygen delivery during cardiac arrest, serving as a bridge to further therapy.
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EMergucate
JANUARY 21, 2025
The following ECG is from a young male who has presented with intermittent palpitations. He has no significant medical history.
American Ambulance Association
JANUARY 21, 2025
The American Ambulance Association is pleased to release its 2025 State Medicaid Rate Survey. This survey sets forth the fee-for-service Medicaid rates for all 50 states. For each state, the […] The post 2025 Medicaid Rate Survey Released appeared first on American Ambulance Association.
Peter Canning
JANUARY 19, 2025
I was talking to a doctor friend about the movie Asphalt City. He mentioned the scene where the old crackhead lady was relentlessly berating the young paramedic who just sat there saying nothing, looking all burnt to hell already, not two months into the job. We talked about burnout. Burnout comes in waves, I said. When you are new and getting beat to s**t every night, it can come on hard.
SSCOR
JANUARY 18, 2025
Emergency preparedness begins with training, and sometimes training isnt easy. Here are five EMT training scenarios to increase emergency preparedness.
EM Board Bombs
JANUARY 24, 2025
-Case- A 38-year-old woman with a history of Graves’ disease arrives at your ED. Her family says she’s been “acting strange” and vomiting for the past few days, and today, she’s confused and restless. On exam, she’s febrile to 101.5F, tachycardic to145, and her blood pressure is 165/95. She’s diaphoretic, tremulous, and clearly agitated.
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Life in the Fastlane
JANUARY 23, 2025
Mark Corden Funtabulously Frivolous Friday Five 362 Funtabulously Frivolous Friday Five 362 - Just when you thought your brain could unwind, enter the medical trivia of FFFF.
EM Board Bombs
JANUARY 24, 2025
-Case- A 38-year-old woman with a history of Graves’ disease arrives at your ED. Her family says she’s been “acting strange” and vomiting for the past few days, and today, she’s confused and restless. On exam, she’s febrile to 101.5F, tachycardic to145, and her blood pressure is 165/95. She’s diaphoretic, tremulous, and clearly agitated.
EMS 20/20
JANUARY 22, 2025
Spencer fires off a devious pediatric call where Chris is forced to weight something versus nothing! Vote on Chris' performance on Instagram! Spencer fires off a devious pediatric call where Chris is forced to weight something versus nothing! Vote on Chris' performance on Instagram!
Life in the Fastlane
JANUARY 21, 2025
Parvathy Suresh Kochath, Georgina Beech, Leon Lam and Jennifer Davidson CT Case 098 A 60-year-old female with past history of lung cancer, treated with radiotherapy one year prior, has a routine surveillance CT as an outpatient.
EM Board Bombs
JANUARY 23, 2025
-Case- You’re on shift when a 22-year-old is rushed into the ED by his worried parents. His left eye is tender and swollen shut, with redness around it. They mention he’d been battling a “minor cold” over the past week, but today his fever spiked, and he started complaining of pain with eye movement. He is febrile to 102.
EMT City
JANUARY 18, 2025
Hello, Let me start by saying that I am not an EMT or Paramedic, although I would love to be one. However, I do own and operate an emergency medical transport business where I am on call 14 hours a day, 7 days a week, 365 days of the year. My company specializes in emergency transport of blood and human organs to hospitals, medical facilities, and labs across 4 different states.
St. Emlyn's
JANUARY 21, 2025
St.Emlyn's - Emergency Medicine #FOAMed Learn more about the Ten Second Triage tool in this interview recorded at Tactical Trauma 24. The post Podcast – Ten Second Triage with Sean Brayford Harris at Tactical Trauma 24 appeared first on St.Emlyn's.
EM Board Bombs
JANUARY 23, 2025
-Case- You’re on shift when a 22-year-old is rushed into the ED by his worried parents. His left eye is tender and swollen shut, with redness around it. They mention he’d been battling a “minor cold” over the past week, but today his fever spiked, and he started complaining of pain with eye movement. He is febrile to 102.
American Ambulance Association
JANUARY 24, 2025
On December 23, 2024, CMS posted a revised version of the CY 2025 Ambulance Fee Schedule Public Use Files on its website. These files contain the Medicare allowed amounts for […] The post AAA Releases 2025 Medicare Rate Calculator appeared first on American Ambulance Association.
Dr. Smith's ECG Blog
JANUARY 24, 2025
Written by Willy Frick A 52 year old man with hypertension, dyslipidemia, and seropositive rheumatoid arthritis (a risk factor for CAD) presented with acute substernal chest pressure with diaphoresis which woke him from sleep just after midnight. He said it felt like "someone ripped [his] heart out." Ominous. While walking into the ED, the patient had an episode of "dizziness" causing him to fall onto his stomach.
The Bottom Line
JANUARY 24, 2025
ADAPT-Sepsis: PCT or CRP-guided Antibiotic Duration for Patients with suspected Sepsis Dark et al. JAMA Dec 9 2024. doi:10.1001/jama.2024.26458 Clinical Question For critically ill adults with suspected sepsis, does a procalcitonin (PCT) guided or C-reactive protein (CRP) guided antibiotic discontinuation prompt, compared with usual care, reduce the total duration of antibiotics without increasing all-cause 28-day mortality?
The Skeptics' Guide to EM
JANUARY 18, 2025
Date: January 7, 2025 Dr. Dara Kass Guest Skeptics: Dr. Dara Kass is an emergency medicine physician, public health leader, and advocate passionate about equity and healthcare reform. She founded FemInEM, promoting gender equity in emergency medicine, and champions organ donation reform after donating part of her liver to her youngest son. Dr. Kass is dedicated to expanding reproductive healthcare access and educating the public on healthcare policy.
Dr. Smith's ECG Blog
JANUARY 18, 2025
I was texted this case by Ankur Kalra , an interventional cardiologist at the University of Indiana. He also did his cardiology fellowship at my institution, Hennepin County Medical Center. He runs the Parallax podcast, and he inteviewed me on that Podcast this year. He says the podcast had over 3000 downloads and "It's our season 6 topper" Here it is: Ep 121: OMI/NOMI: A Paradigm Shift in Myocardial Infarction Diagnosis With Dr Stephen Smith By the way, also don't miss this new OMI review artic
NVFC
JANUARY 21, 2025
Application period for 2025 program opens in February Each year, MSA Safety and DuPont Personal Protection partner with the National Volunteer Fire Council (NVFC) to provide Globe turnout gear and MSA fire helmets to volunteer fire departments in need. In 2024, 13 volunteer fire departments across the U.S and Canada each received four new sets of turnout jackets, turnout pants, and helmets to help increase the safety of their responders.
SSCOR
JANUARY 23, 2025
You are called to the nursing home to treat a patient choking. Upon arrival, you are rushed to the room of an elderly man who has suffered three previous strokes, resulting in limited mobility and significant speech impairment. Fortunately, the patient is no longer choking. Swift action on the part of the staff prevented an airway obstruction, and the patient is now resting comfortably.
Firefighters and EMS Fund
JANUARY 20, 2025
The 2024 election was one of the biggest elections in American history. In addition to electing a new President, voters also chose new representation for local positions and voted yes or no on ballot initiatives that- more often than not- impact their lives more than the national races. While these local ballot items rarely get […] The post Firefighter & EMS Funds 2024 Election Efforts appeared first on Firefighters and EMS Fund.
FirstNet Authority
JANUARY 23, 2025
Public safety in 2025: Rising to the challenges Blog joseph.rey@fir Thu, 01/23/2025 - 15:23 By Joe Wassel, Executive Director and CEO, 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. Follow us on Twitter , Facebook , Instagram , and LinkedIn for the latest FirstNet Authority updates.
NVFC
JANUARY 21, 2025
January is Firefighter Cancer Awareness Month, a time that has a deep meaning to me as a firefighter cancer survivor. It serves as a reminder of what I and so many of my brother and sister firefighters have gone through, and the urgency in which we need to take action to reverse current trends and prevent future generations and their families from suffering through this diagnosis.
Dr. Smith's ECG Blog
JANUARY 21, 2025
I was reading ECGs on the system and saw all of these, from one patient. I read them without clinical context and looked at the clinical context later. A 70-something dialysis patient presented and coronary disease had missed dialysis and then presented with acute onset of shortness of breath. He denied chest pain. There was mild hypoxia prehospital, lowest saturation 90%, On arrival, BP was 140/84, pulse 122, O2sat 100% and the patient had increased work of breathing.
Don't Forget the Bubbles
JANUARY 20, 2025
Leprosy, also known as Hansen’s disease, is a chronic infectious disease caused by Mycobacterium leprae. It primarily affects the skin, peripheral nerves, upper respiratory tract, and eyes. The disease is named after Dr. Gerhard Armauer Hansen, who discovered the causative bacterium in 1873. Leprosy has been recognized and documented for thousands of years, historically surrounded by severe social stigma and misconceptions.
EMOttawa
JANUARY 20, 2025
Methodology: 3/5 Usefulness: 3/5 Holmes JF, et al. Lancet Child Adolesc Health. 2024 May;8(5):339-347. Question and Methods:This prospective multicenter cohort study sought to validate the PECARN intra-abdominal injury and traumatic brain injury rules in order to help reduce the inappropriate use of CTs in the emergency department. Findings:The validation cohort demonstrated a sensitivity of 100% […] The post PECARN prediction rules for CT imaging of children presenting to the emergency de
FirstNet Authority
JANUARY 22, 2025
Intersection of tech and safety: Firefighter wearables for cardiac events Blog joseph.rey@fir Wed, 01/22/2025 - 11:25 By First Responder Network Authority (FirstNet 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.
EMT First Aid
JANUARY 22, 2025
Winter brings beautiful snowy landscapes, but it also poses significant risks to our health. Prolonged exposure to cold weather can lead to hypothermia and frostbite, both of which can be life-threatening if not addressed quickly. Understanding the symptoms, first aid steps, and how to prevent these conditions is essential for staying safe during the colder months.
NVFC
JANUARY 21, 2025
January is Firefighter Cancer Awareness Month, and you can answer the call to help reduce cancer in the fire service by joining the National Firefighter Registry (NFR) for Cancer. It only takes 5 minutes to get started and is one thing you can do to help researchers at NIOSH learn more about the relationship between firefighting and cancer. This can ultimately help reduce cancer among firefighters for generations to come.
This Podcast Will Kill You
JANUARY 21, 2025
Everyones got a favorite disease movie. Whats yours? Does it feature zombies like 28 Days Later (2002), or is it more grounded in reality, like Contagion (2011)? Does it end with a glimmer of hope or with a dose of despair? Who are the bad guys and who are the good guys? From the early days of disease movies like Panic in the Streets (1950) to more recent films like Little Joe (2019), these movies have provided endless entertainment, excitement, and opportunities to examine society itself.
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