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Dr. Mell is board-certified by the American Board of Emergency Medicine in both Emergency Medicine (EM) and Emergency Medical Services (EMS) Medicine. Case: Youre an experienced paramedic working a busy night shift in an urban EMS system. He is a Fellow of the American College of Emergency Physicians (FACEP).
Editor's Note: In August 2024, EMS1 and Fitch & Associates released their annual EMS trend survey, What Paramedics Want, proudly sponsored by Pulsara. Read, enjoy, share, and take to heart the following information brought to you by the most prestigious thought leaders in EMS. The question becomes: are we using them?
We’ll keep it short, while you keep that EM brain sharp. A 52-year-old male with a history of essential hypertension presents to your South Texas ED for his second visit this week complaining of indolent fever, shortness of breath, pleuritic chest pain, and a rash on his trunk and extremities. .:
The post AAA Advocates for Student Loan Forgiveness for All EMS Personnel appeared first on American Ambulance Association. This content is for AAA members only. Please either Log In or Join!
Medicare Ambulance Extender Bill Introduced in House Yesterday, March 18, Representatives Claudia Tenney (R-NY), Terry Sewell (D-AL), Cliff Bentz (R-OR), Paul Tonko (D-NY), Mike Carey (R-OH), Danny Davis (D-IL), Carol […] The post House Reintroduces Vital Medicare Extender and EMS Workforce Bills appeared first on American Ambulance Association. (..)
Well keep it short, while you keep that EM brain sharp. A 73-year-old female is brought in by EMS for abdominal pain, vomiting, and weakness for two days. She has felt bloated and nauseous for approximately 6 days and suddenly worsened last night. Up to 1/3 of adults over 60 suffer from chronic constipation.
Annals of EM 2024. Annals of EM 2024. Comparison of Nebulized Ketamine to Intravenous Subdissociative Dose Ketamine for Treating Acute Painful Conditions in the Emergency Department: A Prospective, Randomized, Double-Blind, Double-Dummy Controlled Trial. A bedside sonogram shows no significant hydronephrosis. mg/kg nebulized or 0.3
Originally published at The Pediatric EMS Podcast on March 5, 2035. This is the Pediatric EMS Podcast with the mission to provide case-based discussion with evidence-based recommendations by content experts in prehospital pediatric medicine in order to advance the care of children outside the hospital. Reposted with permission.
EM physicians should receive training in the HINTS exam, Epley, and Dix-Hallpike maneuvers. Studies have shown that patients’ descriptions of their symptoms can frequently switch between these categories every few minutes. This framework assesses literature and provides a systematic review and recommendations on a clinical subject.
Population This study occurred in an urban academic hospital with over 90,000 annual visits. Of these, 177 were mild-to-moderate DKA patients, defined as evidence of DKA (hyperglycemia, ketosis, and an anion gap) without severe features (HCO3 < 10 or arterial pH < 7.0).
Case: The Chief of Emergency Medicine (EM) at a large urban hospital recently approached the AI Committee at Unity Health, intrigued by the CMAJ article describing the apparent success of CHARTWatch in detecting early signs of patient deterioration. Background: There are many ways to define artificial intelligence.
February 6th, 2025 | 9:00 am PST (12:00 pm EST) Join us for an in-depth exploration of the innovative Preburn Project: Preventing Burnout by Predicting Compromised Wellness in EMS Workers. Key Takeaways: Insights into the characteristics of EMS workers most vulnerable to compromised mental wellness.
Sara Krzyzaniak, EM Match Advice Podcast Host and Stanford University PD, discusses key changes in the 2024 MyERAS (Electronic Residency Application Service) application that all EM applicants should know about. Take a listen to this short 14-minute, high-yield episode before submitting your application.
How do EMS clincians process the trauma they witness dailyand how can they be better supported? In this episode of The EMS Educator podcast, hosts Rob Lawrence, Hilary Gates and Maia Dorsett explore the critical topic of trauma stewardship with guest Ronit Reguer, the first behavioral health coordinator for DC Fire and EMS.
Read and Listen to the Other EM Match Advice Episodes Blog posts: [link] Author information Sara M. Have there been any surprises or changes during interview season? What should students think about in the post-interview stage? Association of American Medical Colleges. PMID: 31913827 ; PMCID: PMC6948692.
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Delayed First Medical Contact to Reperfusion Time Increases Mortality in Rural EMS Patients with STEMI. Delayed First Medical Contact to Reperfusion Time Increases Mortality in Rural EMS Patients with STEMI. Upon EMS arrival, they find the patient is sweaty with normal vital signs. AEM November 2023. AEM November 2023.
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The post EMS Focus Webinar on Tuesday, April 29 at 12 p.m. This content is for AAA members only. Please either Log In or Join! ET appeared first on American Ambulance Association.
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Dr. Casey Patrick is the EMS medical director of Montgomery County Hospital District (Texas). As an EM physician, he shares how he decides to care for his own patients in the ED who present with rapid atrial fibrillation. Here’s how. He shares with listeners how he came to the decision to remove Diltiazem from his service.
By Walter Campbell Recruiting in the volunteer fire and EMS world is no small task. While youre asking your prospective recruits about their motivations, time commitments, and whether they can tell the difference between a Halligan bar and a crowbar, theyre interviewing you just as much. How much time do I really need to commit?
Celebrating Ambulances this week @ NEMSM This week on Social we’re celebrating Ambulances We’re wanting to know what you think the most innovative change in ambulance design or care has […] The post National EMS Museum News appeared first on American Ambulance Association.
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Dr. Rohit Mohindra reviews the latest evidence in this EM Cases Journal Club. Rohit Mohindra reviews the latest evidence in this EM Cases Journal Club. The decision of whether or not to order a CT head for an older patient who falls is one I need to make on almost every shift. The Canadian CT Head Rule does not apply to older patients.
The post One Strategy for Addressing the EMS Workforce Shortage appeared first on American Ambulance Association. This content is for AAA members only. Please either Log In or Join!
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What they did: Prospective randomized controlled trial, unblinded, multicenter study Conducted from January 2017 to December 2022 Patients with confirmed PSVT were randomly assigned to receive MVM, IV Adenosine, or combined therapy. This absence of detail leaves the study open to bias. Evidence suggests that a weight-based dosing approach (0.1
Per EMS report, patient believes he has been in atrial fibrillation for 5 days, since coming down with flu-like illness with rhinorrhea, productive cough, SOB. On EMS arrival, patient's oxygen saturation was in the high 80s and improved on 4L O2 via nasal cannula. He states that he maybe missed a dose or two during recent illness.
Every April, first responders and data enthusiasts alike gather in Austin, Texas, for the annual leading EMS, fire, and hospital industry conference. Here are the five themes that were at the forefront of discussions in fire and EMS: 1. Held from April 22-25, Wave 2025 covered a variety of impressive topics throughout the week.
Chris Root is an emergency medicine and emergency medicine service (EMS) physician at the University of New Mexico, Albuquerque. Chris completed his emergency medicine residency and EMS fellowship at UNM. Before attending medical school, he was a New York City Paramedic. Your partner asks if you want to administer naloxone as well.
The post 2023 EMS Employee Turnover Study Released! This content is for AAA members only. Please either Log In or Join! appeared first on American Ambulance Association.
We’ll keep it short, while you keep that EM brain sharp. A 58-year-old female with a history of diabetes, hypertension, and chronic back pain presents to the ED with severe headache and nausea. The patient denies any trauma to the head, fevers, nuchal rigidity, changes in vision, focal weakness, paresthesia, or anticoagulation use.
Case A patient arrives via EMS from the bus station complaining of fever, vomiting, and back pain. The biggest change has been the gradual replacement of diacetylmorphine (heroin) by fentanyl and other synthetic opioids. Their back has worsened significantly over the past 24 hours with radiation down the left leg.
From the Journal of Emergency Medical Services on February 1, 2024 Why are females and individuals who identify as Black, indigenous and/or People of Color underrepresented in EMS? Knolan Rawlins, […] The post JEMS | Adapting to Survive EMS Workplace Shortages, Part I appeared first on American Ambulance Association.
Highlighted Quality Posts: Procedures Site Article Author Date Label Rebel EM Intra Articular Lidocaine vs Sedation in Shoulder Reductions Nordia Matthews, MD 30 Jan 2023 AIR EM Docs Video Laryngoscopy in the ED Cameron Jones, MD 8 Aug 2022 AIR First 10 EM Lacerations: Does closure technique matter? Please go to the above link.
Sadly, this is not an adventure story of heroic first responder actions on the scene of an emergency incident but rather about how current EMS operations are failing us and their missions. Recent annual surveys also show that over 10% of EMS clinicians will leave the field entirely each year.
The post DHS Updates the Resource Typing EMS Resources Under NIMS appeared first on American Ambulance Association. This content is for AAA members only. Please either Log In or Join!
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Date: January 11, 2024 Guest Skeptic: Dr. Chris Root is an EMS fellow in the Department of Emergency Medicine at the University of New Mexico Health […] The post SGEM#426: All the Small Things – Small Bag Ventilation Masks in Out of Hospital Cardiac Arrest first appeared on The Skeptics Guide to Emergency Medicine. Resuscitation 2023.
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