The Skeptics' Guide to EM
DECEMBER 23, 2023
Date: December 12, 2023 Reference: OCFP News. More Than Four Million Ontarians Will Be Without a Family Doctor by 2026. Nov 7, 2023 Guest Skeptic: Dr. Mahaleh Mekalai Kumanan attended Dalhousie University for her undergraduate studies, Master of Health Administration degree and medical school before completing her residency at the University of Western Ontario.
EMCrit Project
DECEMBER 28, 2023
Setting PEEP and Righting the RV in ARDS with Matt Siuba EMCrit Project by Scott Weingart, MD FCCM.
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Dr. Smith's ECG Blog
DECEMBER 27, 2023
Written by Willy Frick A man in his 50s with a history of hypertension, dyslipidemia, type 2 diabetes mellitus, and prior inferior OMI status post DES to his proximal RCA 3 years prior presented to the emergency department at around 3 AM complaining of chest pain onset around 9 PM the evening prior. He described it as severe, sharp, and substernal with associated nausea, vomiting, chills, and diaphoresis.
American Ambulance Association
DECEMBER 29, 2023
This content is for AAA members only. Please either Log In or Join! The post VA Issues Notice on Delay of Special Modes of Transportation Final Rule appeared first on American Ambulance Association.
High Performance EMS
DECEMBER 27, 2023
Improvement of your deployment operations requires that you understand where your services will be needed and how to get the available units into the most suitable positions. Then, once you are prepared to respond, it is also critical that only the most appropriate assignments are made for each request to preserve your ability to respond to the next call as well.
EMergucate
DECEMBER 26, 2023
The following chest x-ray is from a toddler taken post choking episode. What can be seen?
First 10 EM
DECEMBER 25, 2023
Throughout the length of my career, we have consistently heard that less is more when it comes to blood transfusions (outside of the critically ill requiring massive transfusion, where the message, correct or not, has been the exact opposite). This has been aided by the rise of intravenous iron, giving us an alternative effective option […] The post The MINT trial: liberal or restrictive transfusion in MI appeared first on First10EM.
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Critical Care Scenarios
DECEMBER 27, 2023
The core disorders of critical care are mostly syndromes, not diseases. What should this mean to us? The core disorders of critical care are mostly syndromes, not diseases. What should this mean to us?
EMergucate
DECEMBER 23, 2023
The abdominal CT slice shows a grossly distended suprapubic mass, which in this case was from hematometra.
Dr. Smith's ECG Blog
DECEMBER 26, 2023
I was reading ECGs on the system and saw this one, and instantly knew the probable ECG diagnosis: What do you think? I went to the patient's chart: Elderly woman with stuttering chest pain and SOB, and dizziness. What do you think now? This is a very typical ECG for Hypertrophic Cardiomyopathy. I sent it to our EKG Nerdz group and Jesse McLaren replied: "Apical HOCM" It reminded me of many other cases I have seen, such as this one: Left Bundle Branch Block with Less Than 1 mm of Concordant ST El
REBEL EM
DECEMBER 27, 2023
Take Home Points: Know clinical (cold extremities, oliguria, confusion, dizziness, narrow pulse pressure) and laboratory markers (metabolic acidosis, elevated creatinine, lactic acidosis) of hypoperfusion. An elevated lactate is a danger sign and requires explanation. Norepinephrine is a great first line vasopressor in Cardiogenic shock. Dobutamine is useful for inotropic support in Cardiogenic shock.
EMOttawa
DECEMBER 28, 2023
Trauma is the leading cause of child and youth mortality globally (1). Pediatric trauma is a high acuity but low frequency event (2). Trauma is children is 7 times less frequent in comparison to the adult population (2). There is a well-documented correlation amongst EMS and adult ED physicians who provide less pediatric care to […] The post Pediatric Traumatic Cardiac Arrest appeared first on EMOttawa Blog.
EMergucate
DECEMBER 23, 2023
The chest x-ray shows left pleural based opacity protruding into the lung field with a reverse D appearance.
Don't Forget the Bubbles
DECEMBER 25, 2023
Interpreting Research Outcomes with a Little Bathroom Humour You have learned a method for how to read a research paper , and now you are faced with a bunch of outcomes. There are primary, secondary, composite , and safety outcomes. What are these outcomes? What should you focus on? The researchers should have specified a clear research question or aim.
Dr. Smith's ECG Blog
DECEMBER 29, 2023
Written by Jesse McLaren A previously healthy 50 year-old presented with 24 hours of intermittent exertional chest pain, radiating to the arms and associated with shortness of breath. It was ongoing on arrival in the emergency department. Below is the old ECG (on top) and then new ECG (on bottom). What do you think? There is normal sinus rhythm, normal conduction, normal axis, and tall precordial voltages with J waves from early repolarization.
Ambulance Driver Files
DECEMBER 29, 2023
That’s what two hours of killing yourself in the pool gets you. Weighed in at the doctor’s office this morning at 334.4 pounds, down 14.3 pounds from my weigh-in on November 13. Even better, BP was 106/60 and resting heart rate was 58.Got two shots of Dr. Wonder’s Miracle Knee Lube (TM) and made plans.
EMergucate
DECEMBER 23, 2023
The foot x-ray shows punched out lesions with overhanging edges at the head of 5th metatarsal.
FOAMfrat
DECEMBER 28, 2023
Brittany Grandfield, BSN, RN, CFRN, CEN, Flight Nurse. Ok, here we go… Lots of controversy over the recent article titled, “Comparing Intubation Success Between Flight Nurses and Flight Paramedics in Helicopter Emergency Medical Services”, published by the Air Medical Journal in their November/December 2023 issue. I can’t tell you how many comments on social media remarked that this article “should have never been published,” “useless,” or comments comparing the “number” of paramedic intubation
Pulsara
DECEMBER 27, 2023
November & December Recap We made it! In just a few days, we'll be ushering in a new year. What has Team Pulsara been up to in 2023? Before we dive into our annual Year in Review, let's look at what the team was up to in November and December. In addition to exhibiting at ten trade shows, Pulsara's SVP - Strategic Accounts, Corey Ricketson , and Sr.
Don't Forget the Bubbles
DECEMBER 27, 2023
Sonia Twigg gave this talk at our 2022 DFTB conference in Brisbane. Unlocking the Power of Clinical Debriefing Let’s dive into a crucial aspect of healthcare — clinical debriefing. Dr. Sonia Twigg, a pediatric Emergency Physician, shares insights into the significance of debriefing, particularly focusing on “hot debriefs.” The Need for Debriefs Recognizing their Importance In the realm of healthcare, the significance of clinical debriefing cannot be overstated.
NHCPS Save a Life
DECEMBER 24, 2023
Cardiac arrest is a critical medical emergency that demands a coordinated and efficient response to maximize the chances of patient survival. Recognizing the need for standardized and evidence-based guidelines for in-hospital cardiac arrest (IHCA), the International Liaison Committee on Resuscitation (ILCOR) has developed a comprehensive set of recommendations known as the “Ten Steps Toward Improving […] The post ILCOR’s Latest Updates: 10 Steps to Improve Cardiac Arrest Outcom
Peter Canning
DECEMBER 24, 2023
This is an old Christmas story I wrote years ago, that I often repost on Christamas. Fifteen on the Scale It’s Christmas eve. We get called to one of the local nursing homes for rib pain. The room number sounds familiar. As we wheel our stretcher through the lobby, “Good King Wencelous” plays through the speakers. Gently shone the moon that night, thou the frost was cruel.
SSCOR
DECEMBER 23, 2023
One of the most stressful emergency calls a paramedic will encounter is a child who can’t breathe. Pediatric emergencies are stressful enough; in the case of an obstructed airway, stress levels can go through the roof.
Paramedics World
DECEMBER 23, 2023
Art is one of the most important ways students learn, no matter what age they are. From children, we’re drawn to coloring, drawing, and otherwise creating things from our imaginations.… The post Art Therapy: It Can Heal More Than You May Think appeared first on Paramedics World.
First Responders Childrens' Foundation
DECEMBER 28, 2023
Multi-Year Partnership Commences with Campaign to Assist First Responder Families Impacted by the 2023 Hawaii Wildfires and the Launch of a Scholarship for Future Entrepreneurs NEW YORK, NY / JUPITER, FL (December 28, 2023) – First Responders Children’s Foundation (FRCF), a national 501(c)(3) nonprofit, today announced a partnership with the No. 5 ranked golfer in the world Patrick Cantlay – and the Patrick Cantlay Foundation – to raise awareness and funds to support first responder families acr
The EMS Show
DECEMBER 24, 2023
Mike and Ritu are joined by EMS Attorney and Consultant Steve Wirth of Page, Wolfberg & Wirth to discuss the ramifications of the guilty verdict of the 2 Colorado Paramedics in the Elijah McClain criminal proceeding. Video can be found on the EMS Show YouTube channel as well as the Facebook page.
Dr. Smith's ECG Blog
DECEMBER 24, 2023
Written by Pendell Meyers A woman in her 20s with connective tissue disorder and history of aortic root and valve repair presented with palpitations. Here is her triage ECG: What do you think? Atrial flutter with 2:1 conduction. The atrial flutter rate is approximately 200 bpm, with 2:1 AV conduction resulting in ventricular rate almost exactly 100 bpm.
Paramedics World
DECEMBER 23, 2023
Life coaching is a profoundly rewarding profession for individuals passionate about empowering others to reach their full potential. However, embarking on the journey to become a successful life coach can… The post The Road to Success: Navigating the Path to Becoming a Life Coach appeared first on Paramedics World.
Peter Canning
DECEMBER 26, 2023
Many years ago I was asked if I wanted to be an expert witness/consultant in court cases involving paramedics. I declined. One of the reasons I declined was because I wrote a blog about being a paramedic that included descriptions of calls where things didn’t go as they do on TV (or as the public might expect). I imagined being cross-examined by an attorney.
The EMS Show
DECEMBER 24, 2023
Mike and Ritu are joined by EMS Attorney and Consultant Steve Wirth of Page, Wolfberg & Wirth to discuss the ramifications of the guilty verdict of the 2 Colorado Paramedics in the Elijah McClain criminal proceeding. Video can be found on the EMS Show YouTube channel as well as the Facebook page.
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