Pediatric EM Morsels
MAY 24, 2024
Evaluation of unintentional injury and trauma is one of the hallmarks of the EM and PEM physician. One of the most difficult and most satisfying parts of pediatric emergency medicine is using one’s history, exam and clinical tools to make an informed decision and spare children from unnecessary pain , uncomfortable exams, painful procedures and medical imaging.
The Skeptics' Guide to EM
MAY 18, 2024
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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American Ambulance Association
MAY 23, 2024
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.
Critical Care Scenarios
MAY 22, 2024
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!
EMOttawa
MAY 23, 2024
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.
EMergucate
MAY 21, 2024
The following ECG is given to you by your waiting room nurse who has assessed a 50-year-old man in the waiting room.
American Ambulance Association
MAY 24, 2024
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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Dr. Smith's ECG Blog
MAY 20, 2024
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.
Life in the Fastlane
MAY 18, 2024
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!
American Ambulance Association
MAY 20, 2024
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.
St. Emlyn's
MAY 24, 2024
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.
EMergucate
MAY 21, 2024
This chest x-ray if from an adult who is febrile and tachypnoeic. What can be seen?
Dr. Smith's ECG Blog
MAY 22, 2024
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
NVFC
MAY 21, 2024
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.
Unitek EMT
MAY 22, 2024
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.
SSCOR
MAY 18, 2024
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.
St. Emlyn's
MAY 22, 2024
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.
NVFC
MAY 21, 2024
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.
Pulsara
MAY 23, 2024
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.
SSCOR
MAY 23, 2024
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.
FOAMfrat
MAY 19, 2024
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!
NVFC
MAY 21, 2024
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.
Pulsara
MAY 24, 2024
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.
EMDocs
MAY 23, 2024
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
EMOttawa
MAY 20, 2024
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.
NVFC
MAY 21, 2024
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.
REBEL EM
MAY 20, 2024
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
Paramedic Chiefs of Canada
MAY 24, 2024
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.
The Overrun Podcast
MAY 23, 2024
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.
NVFC
MAY 21, 2024
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.
Handtevy
MAY 22, 2024
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.
Peter Canning
MAY 22, 2024
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%.
CanadiEM
MAY 21, 2024
You are a resident coming in to see a patient who has come into the ED complaining of a new, sudden-onset, 9/10 pain headache. You run a CT scan and rule out any hemorrhage or stroke, referring them to the Stroke Prevention Clinic for a consultation. The patient asks if they can receive a virtual appointment for the future, as they live quite far away and would much prefer it.
NVFC
MAY 21, 2024
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
FOAMfrat
MAY 21, 2024
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.
This Podcast Will Kill You
MAY 21, 2024
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.
Life in the Fastlane
MAY 19, 2024
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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