Sat.Jan 18, 2025 - Fri.Jan 24, 2025

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The Role of EMS in Palliative Extubation

NAEMSP

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.

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ECG of the Week 22nd January

EMergucate

The following ECG is from a young male who has presented with intermittent palpitations. He has no significant medical history.

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2025 Medicaid Rate Survey Released

American Ambulance Association

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.

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ECPR Eligibility and Preparation w/ Alec Wilcox

FOAMfrat

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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5 EMT Training Scenarios to Increase Emergency Patient Preparedness

SSCOR

Emergency preparedness begins with training, and sometimes training isnt easy. Here are five EMT training scenarios to increase emergency preparedness.

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Storm Warning: Recognizing Thyroid Storm in the ED

EM Board Bombs

-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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Inside the Mind of a Trauma Doc

The FllightBridge ED

Insights in to trauma care with Alert Medic 1 and Dr. Zaffer Qasim.

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More Trending

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Matthew Vaeth

FirstNet Authority

Matthew Vaeth michelle.

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Storm Warning: Recognizing Thyroid Storm in the ED

EM Board Bombs

-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.

ED 52
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Burnout

Peter Canning

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.

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CT Case 098

Life in the Fastlane

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.

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James McHenry

FirstNet Authority

James McHenry michelle.

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Eyes Wide Shut: Spotting and Stopping Orbital Cellulitis

EM Board Bombs

-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.

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Special Edition: Honey, I Shrunk the Airway

EMS 20/20

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!

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EMS - Non EMT or Paramedics - Introduction

EMT City

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.

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Benjamine Huffman

FirstNet Authority

Benjamine Huffman michelle.

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Eyes Wide Shut: Spotting and Stopping Orbital Cellulitis

EM Board Bombs

-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.

ED 52
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Podcast – Ten Second Triage with Sean Brayford Harris at Tactical Trauma 24

St. Emlyn's

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.

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Episode 84: Acute liver failure with Sergio Navarrete

Critical Care Scenarios

We discuss assessment, monitoring, medical stabilization, and when to consider transplant of the patient with acute liver failure. We are joined by Dr. Sergio Navarrete, anesthesiologist and intensivist with fellowship training in transplant anesthesia. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! Takeaway lessons References We discuss assessment, monitoring, medical stabilization, and when to consider transplant of the patient with acute liver failure.

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Travis Hull

FirstNet Authority

Travis Hull joseph.

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AAA Releases 2025 Medicare Rate Calculator

American Ambulance Association

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.

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Should we wait for troponin when the ECG does not show "diagnostic" ST Elevation?

Dr. Smith's ECG Blog

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.

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ADAPT-Sepsis: PCT or CRP Guided Antibiotic Duration

The Bottom Line

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?

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Matthew Vaeth

FirstNet Authority

Matthew Vaeth michelle.

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SGEM Xtra: This is My Fight Song – FeminEM 2.0

The Skeptics' Guide to EM

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.

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Abdominal Pain in a middle-aged patient

Dr. Smith's ECG Blog

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

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A Firefighter Cancer Awareness Month Message from a Survivor

NVFC

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.

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Firefighter & EMS Fund’s 2024 Election Efforts

Firefighters and EMS Fund

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.

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Tips For Avoiding Aspiration Pneumonia

SSCOR

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.

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Journal Feed Weekly Wrap-Up

EMDocs

We always work hard, but we may not have time to read through a bunch of journals. Its 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: When to Start Norepinephrine for Septic Shock? Spoon Feed In a meta-analysis of patients with septic shock, starting norepinephrine earlier had no mortality benefit, though heterogeneity and bias limit clinically rel

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Public safety in 2025: Rising to the challenges

FirstNet Authority

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.

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Acute Dyspnea in a Dialysis Patient. K is 6.3 mEq/L. Are ECG findings due to hyperkalemia, or even due to Type 2 MI?

Dr. Smith's ECG Blog

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.

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National Burn Awareness Week 2025: Steps to Prevent Burn Injuries Where You Live

American Burn Association

Categories Advocacy Burn News MAC Spotlight Media Member Services Member Spotlight Organization News Prevention Quality Care Research Return to News & Activities CHICAGO [Jan. 22, 2025] Burn injuries are a leading cause of accidental death and injury in the United States, with over 398,000 individuals seeking medical care for burns each year, according to the CDC.

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ToxCard: Naloxone – Pearls and Pitfalls

EMDocs

Authors: Rosa Malloy Post, MD (Emergency Medicine PGY-3, Carolinas Medical Center, Charlotte, NC); Anna Dulaney, PharmD (Clinical Toxicologist, Department of Emergency Medicine, Carolinas Medical Center, Charlotte, NC); Christopher Counts, MD (Medical Toxicology Fellow, Rutgers New Jersey Medical School, Newark, NJ) // Reviewed by: Cynthia Santos, MD (Emergency Medicine Attending, Medical Toxicologist, Rutgers New Jersey Medical School); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) C

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Enhance Your Community Risk Reduction Programs with NVFC Training

NVFC

This week (Jan. 20-26) is Community Risk Reduction Week , a time for departments to focus on how CRR strategies can make their communities and departments safer. As part of your activities this week, take these courses and webinars available in the NVFC Virtual Classroom. Your Role in Community Safety Education Whole Home Safety: Reducing Preventable In-Home Injuries and Deaths through Community Education UL 217 Smoke Alarm Standards First Line of Defense – Installing Smoke Alarms Protect

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Leprosy

Don't Forget the Bubbles

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.

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PECARN prediction rules for CT imaging of children presenting to the emergency department with blunt abdominal or minor head trauma: a multicentre prospective validation study

EMOttawa

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