Sat.May 18, 2024 - Fri.May 24, 2024

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SGEM Xtra: Yeah, Might Be All that You Get – How Ted Lasso Made Us Better

The Skeptics' Guide to EM

Date: May 13, 2024 Guest Skeptics: Dr. Rebecca Szabo is an obstetrician/gynecologist and medical educator specializing in simulation from Melbourne, Australia working at The Royal Women’s Hospital and The University of Melbourne. This is her first time as a guest skeptic on the SGEM, she has created FOAMed content through various media, including the MedEd Stuff N Nonsense Podcast.

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DOL Announces Final Rule Updating the Hazard Communication Standard

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post DOL Announces Final Rule Updating the Hazard Communication Standard appeared first on American Ambulance Association.

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TIRBO 61: How to use POCUS (our expert consensus)

Critical Care Scenarios

Brandon summarizes his recent publication describing best practices for performing POCUS. Read the paper open access at POCUS Journal. Find us on Patreon here! Buy your merch here! Brandon summarizes his recent publication describing best practices for performing POCUS. Read the paper open access at POCUS Journal. Find us on Patreon here! Buy your merch here!

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“Tranq Dope”: A New Menace

EMOttawa

The North American opioid crisis is rapidly expanding, resulting in unprecedented levels of harm and strain on the healthcare system. The opioid epidemic is not new to ED providers across the country, but the true extent of harm is quite shocking. In Canada, there has been 40,642 apparent opioid toxicity deaths and 39,435 opioid-related hospitalizations […] The post “Tranq Dope”: A New Menace appeared first on EMOttawa Blog.

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ECG of the Week May 22nd

EMergucate

The following ECG is given to you by your waiting room nurse who has assessed a 50-year-old man in the waiting room.

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Change Healthcare Next Steps for EMS Providers

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post Change Healthcare Next Steps for EMS Providers appeared first on American Ambulance Association.

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Cardiac Arrest – the 5 C’s

Life in the Fastlane

Kane Guthrie Cardiac Arrest – the 5 C’s Cardiac Arrest - the 5 C's with Cliff Reid. Causes Of Cardiac Arrest You NEVER Thought Of?! Meet The Hs & Ts & Cs!

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Imaging Case of the Week 593

EMergucate

This chest x-ray if from an adult who is febrile and tachypnoeic. What can be seen?

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EMS.gov | Commemorate National EMS Week

American Ambulance Association

NHTSA’s Office of EMS Thanks You for Making Your Communities Healthier The Office of EMS (OEMS) at the National Highway Traffic Safety Administration (NHTSA) is honoring our country’s EMS clinicians […] The post EMS.gov | Commemorate National EMS Week appeared first on American Ambulance Association.

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AFG and SAFER Reauthorization Passes the House of Representatives

NVFC

On May 8 the House of Representatives passed an amended version of S. 870, the Fire Grants and Safety Act, by a vote of 393 Yes, 13 No, and 1 present. This bill would reauthorize the Assistance to Firefighters Grants (AFG), Staffing for Adequate Fire and Emergency Response (SAFER) grants, and U.S. Fire Administration (USFA) through the end of Fiscal Year (FY) 2028 and extend the statutory sunset for AFG and SAFER though the end of FY 2030.

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JC: Serratus Anterior Plane Blocks for rib fractures in the ED. St Emlyn’s

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed JC: Review of an RCT of serratus anterior plane blocks in the emergency department for chest/rib injury. Is this now a standard of care? @stemlyns #FOAMed The post JC: Serratus Anterior Plane Blocks for rib fractures in the ED. St Emlyn’s appeared first on St.Emlyn's.

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An undergraduate who is an EKG tech sees something. The computer calls it completely normal. How about the physicians?

Dr. Smith's ECG Blog

This was sent by an undergraduate (not yet in medical school, but applying now) who works as an ED technician (records all EKGs, helps with procedures, takes vital signs) and who reads this blog regularly. Edited by Smith He also sent me this great case. A 63 year old man with a history of hypertension, hyperlipidemia, prediabetes, and a family history of CAD developed chest pain, shortness of breath, and diaphoresis after consuming a large meal at noon.

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How to Become a Search and Rescue EMT

Unitek EMT

Spotlight on the crucial role SAR EMTs play in emergency medical services. Search and Rescue (SAR) Emergency Medical Technicians (EMTs) are essential in providing emergency medical care in remote and challenging environments where traditional medical responders cannot easily reach due to terrain or accessibility. These specialized EMTs blend advanced medical skills with navigation and survival […] The post How to Become a Search and Rescue EMT appeared first on Unitek EMT.

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EMS Week: Honoring Our Past, Forging Our Future

NVFC

May 19-25 marks the 50th anniversary of EMS Week with the theme “Honoring Our Past, Forging Our Future.” The National Volunteer Fire Council (NVFC) recognizes and gives thanks to all EMS providers for the lifesaving work you do every day. As we remember the past, we look forward to a future that builds on what has come before and strives to achieve excellence for the communities we serve.

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What Every EMT Should Already Know About Basic Airway Management

SSCOR

Your BLS engine company is dispatched to a “difficulty breathing” call and your ALS rescue is still in the process of delivering their previous patient to the hospital. Dispatch is sending the next closest rescue, but the responding unit has just notified you that they are held up by a train.

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Handed this ECG from triage. What will you do?

Dr. Smith's ECG Blog

Written by Sean Trostel MD I returned to my desk after seeing a patient and saw this screening ECG sitting on my desk to be read. The patient was a man in his 80s with chief complaint listed as: "hyperglycemia, weakness, ground level fall." ECG #1 @ 15:30 What do you think? Slow, irregular rhythm - likely slow atrial fibrillation Very wide QRS measuring ~180 ms in some leads, not fitting LBBB morphology and wider than vast majority of LBBB No signs of OMI, no modified Sgarbossa criteria Peaked T

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Fake it 'Til You Make It… and other diseases you pretend to know

FOAMfrat

Many of us grew up in the age of EMS, which emphasized the need to memorize everything. You can never use a calculator; if you do not know the answer before someone thinks of the question, you will be labeled an idiot. The reality is, nothing could be farther from the truth! Are there things we need to commit to memory and know off-hand? Absolutely!

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NVFC Continues to Sound Alarm on Proposed OSHA Standard and Clarifies Impact on Non-OSHA States

NVFC

The National Volunteer Fire Council (NVFC) continues to raise awareness on the Occupational Safety and Health Administration’s (OSHA) proposed Emergency Response Standard and offer resources to help first responders take action. On February 5, OSHA published a Notice of Proposed Rulemaking (NPRM) to replace the agency’s “Fire Brigades” standard with a proposed new “Emergency Response Standard.

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What is a Yankauer Suction Catheter?

SSCOR

In 1907, otolaryngologist Sidney Yankauer revolutionized the world of medical suction with his eponymous Yankauer suction catheter. Dr. Yankauer worked at the outpatient surgery department of Mount Sinai Hospital and while there, this unassuming ENT specialist invented numerous pieces of medical equipment. Dr. Yankauer is hailed as a medical genius and admired for his prolific publishing output.

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The Evolution of Patient Load Balancing: The Southwest Texas Regional Advisory Council

Pulsara

During major emergencies like earthquakes, floods, or mass shootings, health resources can quickly become overwhelmed, causing breakdowns in communication and coordination. Hospitals may reach capacity, leaving some patients stranded without adequate care and making it difficult for family or friends to locate them. These issues are exacerbated in large-scale incidents affecting entire regions or states.

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Paediatric Emergencies Update – Noosa Day 1

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed Paediatric Stroke, Bronchiolitis, and tips and tricks for paediatric procedures The post Paediatric Emergencies Update – Noosa Day 1 appeared first on St.Emlyn's.

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NVFC Makes Recommendations to Mitigate Risks from Forever Chemicals

NVFC

A recent study conducted by the National Institute of Standards and Technology (NIST) uncovered concerning data that protective clothing worn by firefighters often contains per- and polyfluoroalkyl substances, or PFAS, chemicals that have been linked to an increased risk of cancer and other health effects. According to NIST, PFAS are used in many products because they can make things resistant to oil, water, and stains.

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ToxCard: Osmol Gap – Part 1

EMDocs

Authors: Travis Mok, MD (@tkcm01 on Threads, Emergency Medicine Resident, Rutgers New Jersey Medical School); Cynthia Santos, MD (Emergency Medicine Attending, Medical Toxicologist, Rutgers New Jersey Medical School) // Reviewed by: Anthony Spadaro, MD (@TSpadaro91, Medical Toxicology Fellow, Rutgers New Jersey Medical School, Newark, NJ); James Dazhe Cao, MD (@JamesCaoMD, Associate Professor of EM, Medical Toxicology, UT Southwestern Medical Center, Dallas, TX); Alex Koyfman, MD (@EMHighAK); Br

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Celebrating EMS Week: Honoring Our Past, Forging Our Future

Pulsara

Honoring Our Past. Forging Our Future. That's the theme of this year's EMS Week, and it resonates deeply with us at Pulsara. As we celebrate EMS Week, we’re taking a moment to reflect on the profound impact that EMS professionals have had over the past fifty years and look forward to the exciting innovations that lie ahead. Reflecting on 50 Years of Progress A lot has changed since the first national EMS Week was established by a presidential proclamation in 1974.

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Early versus Later Anticoagulation for Stroke with Atrial Fibrillation

EMOttawa

Methodology: 3/5 Usefulness: 2/5 Fischer U, et al. N Engl J Med. 2023 Jun 29;388(26):2411-2421. Question and Methods: RCT at 103 sites to compare outcomes at 30 days for early versus late DOAC initiation among patients with ischemic stroke and atrial fibrillation. Findings: Primary outcome (ischemic stroke, systemic embolism, major bleeding, vascular death) occurred in […] The post Early versus Later Anticoagulation for Stroke with Atrial Fibrillation appeared first on EMOttawa Blog.

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Bills Relating to PSOB Benefits and Volunteers’ Usage of UAS Advance

NVFC

On May 16 two important pieces of legislation relevant to the volunteer fire service advanced through Congress. The first is the 2024 Federal Aviation Administration (FAA) Reauthorization bill (P.L. 118-63), which was signed into law. The second is S. 930, the Honoring Our Fallen Heroes Act , which passed the Senate Judiciary Committee. Section 926 of P.L. 118-63 will make it easier for volunteer fire departments to use tethered drones.

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Rosh Review My EMCert Monthly Question

REBEL EM

A 67-year-old woman with a history of atrial fibrillation on apixaban presents to the ED for epistaxis that began 30 minutes ago. Her bleeding is difficult to control with direct nasal pressure and topical agents but resolves with silver nitrate cauterization. Her vital signs are within normal limits. How should this patient’s apixaban be managed? Administer a one-time dose of intravenous vitamin K Administer andexanet alfa Bolus 1 unit of prothrombin complex concentrate Give intravenous tranexa

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[ANNOUNCEMENT] PCC Joint Statement on EMS Performance Measures Beyond Response Times

Paramedic Chiefs of Canada

PCC Members, The Paramedic Chiefs of Canada (PCC) is pleased to announce the release of a Joint Statement on EMS Performance Measures Beyond Response Times. This position document was developed in collaboration with various partner agencies and associations across North America and is intended to inform, advocate, and advance the framework for paramedic systems performance measures.

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Episode 110: EMS WEEK with Dr. Zaffer Qasim

The Overrun Podcast

Summary In this episode, Dr. Zaf Qasim discusses advances in medical resuscitation and the future of cardiac arrest care. The conversation covers topics such as compression-only CPR, the controversy surrounding head-up CPR, the use of band and piston-driven devices, and the potential of extracorporeal cardiopulmonary resuscitation (eCPR). The importance of good dispatch and patient selection is emphasized as key factors in improving outcomes.

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Serving the Whole Community: Mental Health in Your Neighborhood

NVFC

Practical tips for diversity, equity, and inclusion in your community First responders are consistently exposed to a variety of traumatic experiences on calls and though these events can certainly affect a first responder’s mental wellbeing, often these traumatic calls can be met with resiliency. Because first responders are aware that they may respond to traumatic calls throughout their careers, they can prepare and train in a way that most members of a community experiencing a traumatic event

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Handtevy Pediatric Readiness: Full List of Resources

Handtevy

Access Pediatric Readiness Resources Are you ready to enhance your organization’s pediatric readiness? Download our comprehensive resources for the Prehospital Pediatric Readiness Project and ensure your team is equipped with the latest guidelines, training materials, and best practices to provide exceptional care for children. These tools are designed to support EMS professionals in delivering high-quality pediatric emergency services.

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Overdose Deaths Decline Nationwide

Peter Canning

Drug overdose deaths are down 3.1% nationwide according to the latest figures from the CDC. 107,543 people died of drug overdoses in 2023 down from 111,029 in 2022. Here in Connecticut, drug overdose deaths have been decreasing for the last two years (down 14% in 2023 from the 2021 high). Preliminary data I have seen from the first four months of 2024 suggests they are on pace to fall another 4%.

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Podcast 168 - Procedure Preppers (Needle Decompression) w/ Dr. Aho

FOAMfrat

Dr. John Aho discusses needle decompression and the procedure's indications, techniques, and potential pitfalls. He emphasizes the importance of high clinical suspicion and the limitations of external signs in diagnosing tension pneumothorax. The conversation also covers the choice of needle insertion sites, the use of ultrasound, and the need for proper training and practice.

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Last Chance! Apply for Gear through MSA and DuPont’s Globe Gear Giveaway

NVFC

The deadline to apply for four sets of turnout gear and four helmets through MSA and DuPont’s Globe Gear Giveaway is June 1. A total of 52 sets of gear and helmets will be awarded to 13 volunteer fire departments in 2024. To be eligible, departments must be over 50% volunteer, serve a population of 25,000 or less, be legally organized in the U.S. or Canada, and the person applying or department chief must be a member of the NVFC.

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Episode 140 Nipah virus: Of Fruit and Bats

This Podcast Will Kill You

What does it take to make the WHO’s list of high priority pathogens of pandemic potential? Ask Nipah virus. Extremely deadly with a wide host range and no effective treatments or vaccine (yet), Nipah virus has certainly earned its place on this list. In this episode, we explore where this virus came from, how it can make us so very sick, and the 1998 outbreak in peninsular Malaysia that put Nipah virus on the map.

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Network Five: LGBTQIA+ Identity & Healthcare.

Life in the Fastlane

Pramod Chandru Network Five: LGBTQIA+ Identity & Healthcare. Network Five Emergency Medicine Journal Club Episode 29 reviewing papers on LGBTQIA+ identity and healthcare!

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The College of Remote and Offshore Medicine Foundation and FlightBridgeED Announce Strategic Alliance

The FllightBridge ED

FOR IMMEDIATE RELEASE The College of Remote and Offshore Medicine Foundation and FlightBridgeED, LLC Announce Strategic Alliance [Pretty Bay, Malta & Bowling Green, KY, USA]…

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