The Skeptics' Guide to EM

APRIL 26, 2025

Reference: Muldowney et al. A Comparison of Ketamine to Midazolam for the Management of Acute Behavioral Disturbance in the Out-of-Hospital Setting. Ann Emerg Med. 2025 Date: April 24, 2025 Guest Skeptic: Dr. Howie Mell received his Medical Doctorate (MD) from the University of Illinois at Chicago, College of Medicine at Rockford. Prior to that, he received a Master of Public Health (MPH) degree emphasizing Environmental and Occupational Health from the University of Illinois at Chicago, School

Emergency Medical Services 325

Emergency Medical Services OR Paramedic EMS 325

ALiEM

JANUARY 27, 2025

A 20-year-old previously healthy student-athlete female presented with a 2-week history of bilateral periorbital swelling unresponsive to steroids and anti-histamines prescribed by her PCP. The edema had been worsening, and there was a new development of throat tightening and discomfort. She denied rash, allergies, fever, URI symptoms, urinary symptoms, or new medications.

ED 273

ED OR 273

Emergency Medicine Cases

JUNE 24, 2025

In this podcast, with Dr. Thom Mayer, Dr. Carolyn Snider and Dr. Howard Ovens, on leading from the inside out, we cover foundational principles, practical habits, and transformative insights that can make any member of an ED team a more effective, compassionate, and adaptive leader. Here, you’ll find tools, philosophy, and stories that just might transform how you think about your role in the ED to make your work more satisfying, make your teams work together better and improve patient outcomes.

ED 196

ED EMS 196

JEMS

JUNE 10, 2025

Let’s shed light on the mental health crisis among EMS providers, emphasizing the high rates of PTSD, depression, anxiety and suicide within the profession.

EMS 130

EMS EMT EMT Paramedic 130

California Casualty

MAY 16, 2025

You run toward danger, answer the call in the toughest moments, and shoulder the weight of other people’s emergencies. But who looks out for you? For first responders, the toll of constant stress, trauma, and long shifts can quietly accumulate—until it erupts as burnout, anxiety, or worse.

First Responder 147

First Responder OR Firefighter 147

American Ambulance Association

JUNE 30, 2025

From the ED to the edge: How Dr. Darria Long found her rhythm — and how EMS can find theirs For many of us in EMS, the term “crazy busy” […] The post EMS1 | From the ED to the edge: How Dr. Darria Long found her rhythm — and how EMS can find theirs appeared first on American Ambulance Association.

ED 130

ED EMS Ambulance 130

Core EM

MAY 1, 2025

We dive into the recognition and management of blast crisis. Hosts: Sadakat Chowdhury, MD Brian Gilberti, MD [link] Download Leave a Comment Tags: Hematology , Oncology Show Notes Topic Overview Blast crisis is an oncologic emergency, most commonly seen in chronic myeloid leukemia (CML). Defined by: >20% blasts in peripheral blood or bone marrow.

Emergency Department 130

Emergency Department OR 130

St. Emlyn's

JANUARY 27, 2025

St.Emlyn's - Emergency Medicine #FOAMed This article explores the impact of physician-led interprofessional pre-hospital teams on survival and mortality outcomes for critically ill and injured patients. Drawing on a systematic review and meta-analysis, it examines the evidence, evaluates key benefits, and critically appraises the limitations. The discussion highlights the potential of this model to enhance pre-hospital emergency care while addressing challenges in implementation across dive

116

116

EMDocs

JUNE 18, 2025

Author: Jonathan Warren, MD (Clinical Ultrasound and EMS Fellow, Department of Emergency Medicine , Harbor-UCLA Medical Center) // Reviewed By: Steven Field, MD; Brit Long, MD (@long_brit) Case: A 56-year-old male with past medical history of CHF and ESRD presents to your hospital with respiratory distress in the setting of cough for the past four days.

E-9-1-1 112

E-9-1-1 ALS ICU Emergency Department 112

Paramedic Chiefs of Canada

MAY 20, 2025

PCC Members, We hope your Paramedic Services Week is off to a great start! This year’s theme, ‘We Care. For Everyone’ depicts the diverse roles that Paramedics play in an ever-changing environment, from community paramedicine to preventative healthcare, Paramedics stand ready to respond to challenges whenever they are needed. We hope that you will join us in recognizing the below themes each day of Paramedic Services week this year.

Paramedic 128

Paramedic Community Paramedicine Paramedicine Paramedicine 128

The Skeptics' Guide to EM

JUNE 7, 2025

Date: June 2, 2025 Dr. Andrew Tagg Guest Skeptic: Dr. Andrew (Andy) Tagg is an Emergency Physician with a special interest in education and lifelong learning. He is the co-founder and website lead of Don’t Forget the Bubbles. This is another SGEM Xtra that talks about what we can learn about being physicians from certain pop culture (TV and Movies).

EMS 289

EMS OR 289

ALiEM

JANUARY 13, 2025

A 55-year-old female presented with the complaint of my right eye popped out. Symptoms started approximately seven hours prior to arrival and progressive, severe pain eventually prompted her visit to the ED. This happened once 10 years ago, requiring reduction in the ED. The patient denied preceding trauma, rubbing her eyes/eye-lids, or any history of thyroid disease.

Emergency Department 169

Emergency Department ED ALS OR 169

Emergency Medicine Cases

JANUARY 7, 2025

Dr. Patricia Lee is an EM physician in Calgary, Alberta and an Assistant Professor at the University of Calgary in the Department of Emergency Medicine. She reached out to me after listening to Episode 200 How EM Experts Think Part 1 as a longtime supporter of EM Cases, to highlight the importance of recognizing challenges that female-identifying EM physicians may face before, during and after ED shifts.

EMS 298

EMS ED 298

JEMS

JUNE 6, 2025

JEMS Training JEMS Events Job Board EMS Product Center EMS Airway EMS Rig Podcasts Webcasts Subscribe Patient Care Emergency Medical Care Emergency Trauma Care Cardiac & Resuscitation Airway & Respiratory EMS Operations Flight Ambulance Operations Ground Ambulance Operations Rescue Operations EMS Equipment & Gear Mobile Integrated Health and Community Paramedicine Mental Health and Wellness EMS Training Paramedic Training EMT Training Admin/Leadership EMS Recruitment & Retention

EMS 116

EMS Mobile Integrated Health EMT EMT 116

California Casualty

APRIL 21, 2025

When the rest of the world is winding down, you’re just gearing up—saving lives, keeping streets safe, answering calls, and making sure others get the care they need.

Paramedic 130

Paramedic OR 130

American Ambulance Association

JULY 2, 2025

“Just one of the guys” no more Eight hundred words can’t capture every gasp and head-nod, but they can transmit the shockwave Danielle Thomas (COO, Lifeline Ambulance, California) and Carly […] The post EMS 1 | “Just one of the guys” no more appeared first on American Ambulance Association.

EMS 130

EMS Ambulance 130

Core EM

JANUARY 1, 2025

We discuss the recognition and treatment of necrotizing fasciitis. Hosts: Aurnee Rahman, MD Brian Gilberti, MD [link] Download Leave a Comment Tags: Critical Care , General Surgery Show Notes Table of Contents 0:00 – Introduction 0:41 – Overview 1:10 – Types of Necrotizing Fasciitis 2:21 – Pathophysiology & Risk Factors 3:16 – Clinical Presentation 4:06 – Diagnosis 5:37 – Treatment 7:09 – Prognosis and Recovery 7:37 – Take Home points Int

Critical Care 130

Critical Care ICU OR 130

High Performance EMS

JUNE 5, 2025

Many agencies simply default units that are on duty with a general “available” status whenever they are not in some active phase of a specific response. The common impression is that this is an unproductive time embodying only the cost of preparedness. Increasing pressure on limited EMS resources suggests benefits to a more detailed appreciation of the precise nature of any unit or crew in this generic status.

UHU 100

UHU Ambulance Unit Hour EMS 100

St. Emlyn's

JANUARY 2, 2025

St.Emlyn's - Emergency Medicine #FOAMed This feasibility study described the delivery of ECMO CPR (ECPR) for the first time in the UK The post Pre Hospital Extracorporeal CPR (ECPR) in the UK: The Sub30 study appeared first on St.Emlyn's.

CPR 141

CPR Critical Care 141

Dr. Smith's ECG Blog

JANUARY 31, 2025

Written by Magnus Nossen The ECG below was obtained from 50-something male with a history of hypertension and tobacco use. The patient contacted the ambulance service after he experienced sudden onset chest pain and diaphoresis that had started 20 minutes prior. The ECG below ECG was recorded on the scene. What is the cause of the ECG changes here? How will you manage this patient?

STEMI 121

STEMI Coronary ALS OR 121

ACEP Now

JANUARY 5, 2025

Its 4 a.m., and youre three hours from the nearest tertiary care center. A young woman, 13 days post-tonsillectomy, comes into your rural emergency department (ED) coughing up blood. On exam, you see bright red blood trickling down her left tonsillar fossa. Her vital signs are normal, except for a heart rate of 115 bpm. Its going to take time to get her to a tertiary center.

Operating Room 98

Operating Room Epinephrine ALS ED 98

The Skeptics' Guide to EM

MAY 3, 2025

Reference: Umana E, et al. Performance of clinical decision aids for the care of young febrile infants: A multicenter prospective cohort study.eClinicalMedicine Lancet December 2024 Date: March 6, 2025 Dr. Demetris Athanasiou Guest Skeptic: Dr. Demetris Athanasiou is a paediatric registrar based in London and enrolled in the PEM MSc program through Queen Mary University in London.

ALS 205

ALS ED Emergency Department OR 205

ALiEM

JANUARY 10, 2025

A 3-month-old male with no past medical history was brought to the emergency department for evaluation of newly asymmetric pupils. The infant appeared to be asymptomatic per parents, without any behavior changes or associated symptoms noted. The patients mother noticed her sons left pupil was dilated and unresponsive to light the morning of presentation.

ALS 161

ALS Emergency Department OR EMS 161

Emergency Medicine Cases

JANUARY 7, 2025

In this Part 2 of our 2-part podcast series on How EM Experts Think with Dr. Reuben Strayer, Dr. Mike Betzner and Dr. Scott Weingart we dive deep into the nuances of practicing smarter, faster, and better in the ED. We answer questions like: How should we employ hypothetico-deductive reasoning in our daily practice of Emergency Medicine? How can we best streamline thorough data gathering for each case so that we don't miss key data points?

EMS 258

EMS ED OR 258

Core Ultrasound

MAY 1, 2025

In this video, Dr. Jailyn Avila walks you through how to diagnose thoracic aortic aneurysms and thoracic aortic dissection using bedside ultrasound. While the abdominal aorta often gets the most attention, aortic disease above the diaphragm is just as criticaland often harder to recognize. Early detection of thoracic aortic pathology can be life-saving, and ultrasound can play a key role in raising suspicion quickly.

130

130

California Casualty

JUNE 19, 2025

Ever dreamed of snapping a selfie in front of Dunder Mifflin in Scranton or standing where Walter White once stood in Albuquerque? With a little imagination (and a full tank of gas), a road trip inspired by your favorite TV show can feel like stepping straight into the screen.

OR 243

OR 243

American Ambulance Association

JUNE 26, 2025

Recorded June 2025 During the 2025 American Ambulance Association Annual Conference & Trade Show in Lexington, KY, Prodigy’s Rob Lawrence chatted with AAA President Jamie Pafford-Gresham about the 535 Plan […] The post Prodigy Talk | AAA President Jamie Pafford-Gresham on 535 Plan appeared first on American Ambulance Association.

Ambulance 130

Ambulance Emergency Medical Technician EMS 130

JEMS

JUNE 25, 2025

JEMS Training JEMS Events Job Board EMS Product Center EMS Airway EMS Rig Podcasts Webcasts Subscribe Patient Care Emergency Medical Care Emergency Trauma Care Cardiac & Resuscitation Airway & Respiratory EMS Operations Flight Ambulance Operations Ground Ambulance Operations Rescue Operations EMS Equipment & Gear Mobile Integrated Health and Community Paramedicine Mental Health and Wellness EMS Training Paramedic Training EMT Training Admin/Leadership EMS Recruitment & Retention

Mobile Integrated Health 98

Mobile Integrated Health EMT EMT Community Paramedicine 98

Firefighters and EMS Fund

MAY 26, 2025

In a significant legislative development for first responders across the nation, Senator Eric Schmitt (R-MO) introduced S.1247, officially titled the “Public Safety Officer Free Speech Act,” on April 2, 2025. This landmark bill aims to protect firefighters, emergency medical service providers, and law enforcement officers from workplace retaliation when they speak out about job-related safety […] The post Protecting Firefighter Free Speech: What S.1247 Means for Public Safety a

Public Safety 113

Public Safety Firefighter Emergency Medical Services First Responder 113

St. Emlyn's

JULY 3, 2025

St.Emlyn's - Emergency Medicine #FOAMed Recognise and treat drug-induced hyperthermia fast. Learn how early sedation and rapid cooling can save lives in this ED-focused clinical review. The post JC: Illicit Drug Induced Hyperthermia: A Time-Critical Toxicological Emergency appeared first on St.Emlyn's.

ED 110

ED Critical Care 110

American Burn Association

JANUARY 14, 2025

Categories Advocacy Burn News MAC Spotlight Media Member Services Member Spotlight Organization News Prevention Quality Care Research Return to News & Activities CHICAGO [Jan. 14, 2025] In the aftermath of the devastating New Years Eve fireworks explosion in Honolulus Salt Lake neighborhood, which overwhelmed Hawaiis burn care capacity, and the ongoing challenges posed by the recent California wildfires, the American Burn Association (ABA) recognizes the extraordinary efforts of burn care

OR 105

OR 105

EMCrit Project

JUNE 7, 2025

Pediatric front-of-neck-access is something we all dread to even think about. We might think we can retreat to the cognitive ease of needle based techniques, but they fail!! And if the kiddo is EMCrit Project by Scott Weingart, MD FCCM.

109

109

The Skeptics' Guide to EM

APRIL 5, 2025

Reference: Sax DR, et al. Emergency Severity Index Version 4 and Triage of Pediatric Emergency Department Patients. JAMA Pediatrics, October 2024 Date: February 12, 2025 Dr. Brandon Ho Guest Skeptic: Dr. Brandon Ho is a graduating pediatric emergency medicine fellow at Childrens National Hospital in Washington DC and soon to be attending physician at Seattle Children's.

Emergency Department 210

Emergency Department ED ALS OR 210

ALiEM

JANUARY 6, 2025

A 32 year-old male with PMH significant for opioid use disorder, a prior admission in 2021 for left-sided empyema s/p thoracotomy and decortication, gas bacteremia, and tricuspid endocarditis presented for a left leg wound. The patient reported a wound to his left leg that had become larger over the past 5 months. The pain worsened today, prompting him to come to the emergency department for evaluation.

NARCAN 141

NARCAN Overdose Naloxone Emergency Department 141

Emergency Medicine Cases

FEBRUARY 18, 2025

Eating disorders have the highest mortality rate of any psychiatric illness, yet they are frequently missed in the Emergency Department as they can be elusive. Only one in 246 patients who screen positive for an eating disorder at triage have a chief complaint suggesting it. These patients dont always fit the stereotypemany appear healthy, have normal BMI, or present with vague GI, cardiac, or neurological symptoms.

Emergency Department 244

Emergency Department EMS ED OR 244

EMergucate

MAY 27, 2025

Today’s ECG is from a 75yr old male patient.

EMS 130

EMS 130

California Casualty

MAY 22, 2025

Summer is here, and our four-legged friends are ready to make the most of it—soaking up the sun, chasing butterflies, and joining us for backyard barbecues and beach days.

200

200