The Skeptics' Guide to EM
OCTOBER 5, 2024
Date: October 2, 2024 Reference: Paxton et al. Headpulse measurement can reliably identify large-vessel occlusion stroke in prehospital suspected stroke patients: Results from the EPISODE-PS-COVID study. AEM Sept 2024 Guest Skeptic: Dr. Lauren Westafer an Assistant Professor in the Department of Emergency Medicine at the UMass Chan Medical School – Baystate.
Emergency Medicine Cases
OCTOBER 1, 2024
In this ECG Cases blog we look at 5 cases of ECGs falsely labeled 'normal'. Can you spot the critical abnormality? Written by Jesse McLaren; Peer Reviewed and edited by Anton Helman. October 2024 Five patients presented with ECGs labeled ‘normal’. Can you use systematic ECG interpretation to identify the [.] The post ECG Cases 51 – ECGs falsely labeled “normal” appeared first on Emergency Medicine Cases.
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American Ambulance Association
OCTOBER 8, 2024
FOR IMMEDIATE RELEASE Contact: Tristan North tnorth@ambulance.org October 8, 2024 Senator Jerry Moran Honored with Legislative Recognition Award from the American Ambulance Association Washington, D.C. — The American Ambulance Association […] The post Senator Jerry Moran Honored with Legislative Recognition Award appeared first on American Ambulance Association.
ALiEM
OCTOBER 7, 2024
A 52-year-old female with a past medical history of hypertension and prediabetes presented to the emergency department with double vision that started one day prior to arrival. She stated that her double vision improved when she closed one eye. She denied trauma, headache, neck pain, dizziness, dysphagia, numbness, tingling, weakness, or gait instability.
EMergucate
OCTOBER 8, 2024
The following chest x-ray is from a patient with chest pain. What can be noticed? Answer will be posted later.
Critical Care Scenarios
OCTOBER 2, 2024
We chat with Noelia Bischoff, recently off orientation in the medical ICU at Johns Hopkins as a nurse practitioner, about the transition from her role as a bedside ICU nurse. Check out the Intensive Care Academy here! Find us on Patreon here! Buy your merch here! We chat with Noelia Bischoff, recently off orientation in the medical ICU at Johns Hopkins as a nurse practitioner, about the transition from her role as a bedside ICU nurse.
NVFC
OCTOBER 3, 2024
100 departments will each receive a $10,000 grant to purchase needed equipment Photo courtesy of Sejal Dave, Oronoco Fire Department. Just in time for Fire Prevention Week October 6-12, State Farm ® and the National Volunteer Fire Council have announced $1 million in grants to local volunteer fire departments. Through the State Farm Good Neighbor Firefighter Safety Program, 100 departments will each receive a $10,000 grant to obtain critical equipment that will help increase their responders’ sa
Paramedicine Now brings together the best content for paramedicine professionals from the widest variety of thought leaders.
American Ambulance Association
OCTOBER 7, 2024
FOR IMMEDIATE RELEASE Contact: Tristan North tnorth@ambulance.org October 7, 2024 Senator Jon Tester Honored with Legislative Recognition Award from the American Ambulance Association Washington, D.C. — The American Ambulance Association […] The post Senator Jon Tester Honored with Legislative Recognition Award appeared first on American Ambulance Association.
EMOttawa
OCTOBER 7, 2024
Methodology: 2.5/5 Usefulness: 3.5/5d Gaudreau-Simard M, et al. Ultrasound J. 2024 Feb 22;16(1):15. doi: 10.1186/s13089-023-00352-3. Question and Methods: The authors aimed to determine the test characteristics of point-of-care ultrasonography (POCUS) for detecting hydronephrosis in acute kidney injury. Findings: From 65 patients, POCUS had a sensitivity of 85% (95% CI 71-94%), specificity of 78% (95% CI […] The post Test characteristics of point-of-care ultrasonography in patients with ac
EMergucate
OCTOBER 3, 2024
Question 1: PH = 7.299 that is moderate acidaemia (less than 7.3), however we can argue that is mild as it is just 0.
FOAMfrat
OCTOBER 7, 2024
In this episode, we sit down with Dr. Jeffrey Jarvis , author of a fascinating paper on the impact of lights and siren (L&S) use in EMS responses. If you’re like most of us, when you hear those blaring sirens and see flashing lights, you think, “Wow, someone’s really in trouble!” But the truth, according to Dr. Jarvis’ study, might surprise you.
Broome Docs
OCTOBER 6, 2024
Welcome to a special edition of the Journal Club with Justin. This month we recorded live with a bunch of fantastic Broome junior doctors. Justin gate-crashed our local journal club to share his approach to “reading a paper” ( Video version here) and then we dived into a bunch of new papers… and one really old one. Thanks to Drs Emily Wishart, Josh Briotti and Will Arnott who were brave enough to join the chaos and unscripted nerd fest that we put on every month or two.
Life in the Fastlane
OCTOBER 7, 2024
Jeremy Rogers and Mike Cadogan Blood Gas Interpretation The blood gas is used to rapidly assess ventilatory function and identify acid-base disorders – and will also generally provide point-of-care testing of a number of values such as electrolytes, blood glucose and haemoglobin.
American Ambulance Association
OCTOBER 8, 2024
This content is for AAA members only. Please either Log In or Join! The post CISA | Hurricane Milton Access Coordination Request appeared first on American Ambulance Association.
Dr. Smith's ECG Blog
OCTOBER 3, 2024
This was sent to me from Sam Ghali ( @EM_Resus ) with no other information. I assumed it was a patient with acute chest pain. "What do you think, Steve? Real or just fake?" What do YOU think? It has some inferior ST elevation with some reciprocal ST depression and inverted T in aVL. This usually indicates inferior OMI. My answer: "Fake: pretty certain, but not 100% certain.
EMergucate
OCTOBER 7, 2024
An 8yr old female presents with heart palpitations, she is hemodynamically stable and talking to you.
The Curious Clinicians
OCTOBER 2, 2024
Why does gabapentin cause edema? The medication lists of many older adults require some scrolling to get from top to bottom. In fact, the lists are often so lengthy and complicated that it’s difficult to discern what conditions a patient doesn’t have. One reason for this unwieldiness is a phenomenon known as the “ prescribing cascade ,” in which the side effects of one medication require treatment with another, and so on.
REBEL EM
OCTOBER 2, 2024
Take Home Points Toxic alcohols generally refer to methanol and ethylene glycol as these substances pose significant metabolic derangement and end-organ damage. Patient who present shortly after ingestion will simply look inebriated – no different than ethanol intoxication. At this point, patients will have an elevated osmolar gap and little to no anion gap.
NVFC
OCTOBER 8, 2024
The NVFC mourns the loss of life and devastating impact caused by Hurricane Helene, and we grieve for the responders who died while protecting their communities. When a disaster strikes, volunteer firefighters and emergency personnel are quick to respond – risking their safety to protect and assist others. At the same time, many of these responders are also impacted by these disasters, having their homes damaged or destroyed while they are out protecting their neighbors.
American Ambulance Association
OCTOBER 7, 2024
On Hold: Dire delays at hospital ERs create long waits for ambulance crews, put patients at risk National data shows delayed EMS crews frequently wait an hour or more before […] The post InvestigateTV | Dire delays at hospital ERs create long waits for ambulance crews appeared first on American Ambulance Association.
SSCOR
OCTOBER 5, 2024
Pediatric intubation is a frightening scenario for a parent. Thanks in part to differences in children’s airway anatomy , they are more vulnerable to respiratory distress. Your agency must offer regular training on pediatric intubation because the pediatric airway is smaller, more difficult to access, and more susceptible to injury. Knowledge is no substitute for experience, so take every opportunity to practice pediatric intubation.
Dr. Smith's ECG Blog
OCTOBER 8, 2024
This was sent to me by a reader who wishes to remain anonymous. A lady in her 60s came to the ER with chest discomfort and shortness of breath. She had a history of previous anterior MI treated by primary PCI to the proximal LAD. The first EKG is from 2:30 PM on the day of presentation to the ER. Smith : To me this is a blatantly obvious acute anterior OMI.
EMCrit Project
OCTOBER 5, 2024
When you need to temporize orbital compartment syndrome, there is markedly easier way than Lateral Cantholysis EMCrit Project by Scott Weingart, MD FCCM.
St. Emlyn's
OCTOBER 9, 2024
St.Emlyn's - Emergency Medicine #FOAMed Day one report of the Annual Scientific Conference of the Royal College of Emergency Medicine #RCEMASC #FOAMed @stemlyns The post RCEM ASC 2024. appeared first on St.Emlyn's.
NVFC
OCTOBER 8, 2024
The National Volunteer Fire Council (NVFC) and First Alert have partnered to create a series of online courses to equip first responders with the knowledge and resources to educate residents and make their communities safer and better prepared for emergencies. In honor of Fire Prevention Month and thanks to support from First Alert, these courses are available free of charge to the fire and emergency services community in October.
American Ambulance Association
OCTOBER 7, 2024
This content is for AAA members only. Please either Log In or Join! The post Employee Voting Rights Overview with Scott Moore, Esq. appeared first on American Ambulance Association.
EMDocs
OCTOBER 2, 2024
Authors: Lloyd Tannenbaum, MD (EM Attending Physician, Geisinger Wyoming Valley, PA); Mai Saber, DO (EM Attending Physician, Hackensack University Medical Center, NJ); Rachel Bridwell, MD (EM Attending Physician, Charlotte, NC) // Reviewer: Brit Long, MD (@long_brit) Hello and welcome back to ECG Pointers, a series designed to make you more confident in your ECG interpretations.
Dr. Smith's ECG Blog
OCTOBER 1, 2024
== MY Comment , by K EN G RAUER, MD ( 8/30 /2024 ): == I was sent the ECG shown in Figure-1 — knowing only that the patient was being seen in the ED ( E mergency D epartment ). How would you interpret this tracing? Figure-1: The initial ECG in today's case. MY Initial Thoughts: In my experience — all-too-many emergency providers fail to appreciate the potential contribution that a brief ( 1-to-2 line ) history may convey when interpreting arrhythmias.
First 10 EM
OCTOBER 7, 2024
How much blood people need in their body is an ongoing question. Physicians have moved beyond the days of removing blood from their patients, but we still aren’t totally sure when we are supposed to put blood back in. Most studies suggest we should transfuse less, but there are specific populations who, at least theoretically, […] The post Liberal or restrictive transfusion in brain injury (The HEMOTION trial) appeared first on First10EM.
Unitek EMT
OCTOBER 7, 2024
Be prepared for anything with these critical supplies. In life, emergencies can arise when least expected. From minor injuries like scrapes and cuts to more serious incidents such as broken bones or heavy bleeding, having the right tools on hand can make a world of difference. While professional medical help is crucial, there are situations […] The post The 20 Essential Items for Building a First-Aid Kit appeared first on Unitek EMT.
Don't Forget the Bubbles
OCTOBER 7, 2024
Electrical injuries can range from something minor that needs no medical input to tetany of respiratory muscles through to cardiac arrest secondary to dysrhythmia (VF, VT or asystole). Up to 5% of burns occur secondary to electrical injuries, and this rises to 27% in developing countries. There are two periods of peak incidence in children – under six years and adolescents aged between 13-18 years.
American Ambulance Association
OCTOBER 7, 2024
National Emergency Medical Services Advisory Council; Solicitation of Applications NHTSA is soliciting applications for appointment to the DOT’s NEMSAC. The purpose of NEMSAC is to serve as a nationally recognized […] The post NEMSAC | Applications Open appeared first on American Ambulance Association.
Pulsara
OCTOBER 3, 2024
EDITOR'S NOTE: This article originally appeared on FireRescue1.com. Special thanks to our guest author, Courtney Levin, for EMS1 BrandFocus Staff. Photo courtesy of Colorado Springs Fire Department: Mark Warth, fire medical program coordinator at Colorado Springs Fire Department, shares the specific benefits the department has experienced since implementing Pulsara. __ The saying “practice makes perfect” is a little misleading.
Dr. Smith's ECG Blog
OCTOBER 6, 2024
This patient had the onset of chest pain 24 hours before arrival to the ED. An ECG was recorded immediately at triage and, at this hospital, the Queen of Hearts is routinely used to determine cath lab activation. Here is that ECG: Original ECG What do you think? There is ST depression maximal in V1-V4, which is diagnostic of posterior OMI. There is some ST Elevation and slightly hyperacute T-wave in V6.
EMDocs
OCTOBER 5, 2024
Authors: Devin Morris, MD (EM Resident Physician, UT Southwestern – Dallas, TX); Samia Farooqi, MD (Assistant Professor, UT Southwestern – Dallas, TX) // Reviewed by: Sophia Görgens, MD (EM Physician, BIDMC, MA), Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providing an expedited review of clinical basics.
EM Literature of Note
OCTOBER 9, 2024
This exploration of LLMs in the emergency department is a bit unique in its conceptualization. While most demonstrations of generative AI applied to the ED involve summarization of records, digital scribing, or composing discharge letters, this attempts clinical decision-support. That is to say, rather than attempting to streamline or deburden clinicians from some otherwise time-intensive task, the LLM here taps into its ability to act as a generalized prediction engine – and tries its hand at p
FirstNet Authority
OCTOBER 8, 2024
Preplanning in the path of totality: FirstNet Authority supports public safety during eclipse Blog michelle.fordi… Tue, 10/08/2024 - 09:03 By Bruce Fitzgerald, Senior Public Safety Advisor, FirstNet Authority To learn more about how FirstNet is helping public safety and the emergency management community to leverage innovative public safety communications, sign up for the Emergency Management Take with Bruce Fitzgerald.
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