Bali-Dubai a resuscitation at 30,000 feet
Emergency Live
FEBRUARY 29, 2024
Dario Zampella recounts his experience as a flight nurse Years ago, I did not imagine that my passion could merge with medicine and emergency medical care.
air-care-medications 
Lung Abscess in Children
Pediatric EM Morsels
MARCH 1, 2024
Wojsyk-Banaszak, 2018 ) Mainstay of initial therapeutic management is: ( Wojsyk-Banaszak, 2018 ; Fernando, 2022 ) Prolonged course of IV antibiotics Chest physiotherapy Patients managed with medical strategies (compared to surgical) had lower complication rates and shorter hospitalizations. Pediatr Emerg Care. Lungs do not like Fluid.
Pediatrics 
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ALiEM AIR Series | Toxicology Module
ALiEM
FEBRUARY 5, 2024
Welcome to the AIR Toxicology Module! After carefully reviewing all relevant posts in the past 12 months from the top 50 sites of the Digital Impact Factor [1], the ALiEM AIR Team is proud to present the highest quality online content related to related to toxicology in the Emergency Department. Please go to the above link.
EMS 86
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AirLink of Klamath Falls: first-level medical care in a remote community
Emergency Live
OCTOBER 24, 2023
AirLink’s H125 helicopter provides inter-facility transfers and emergency assistance in a hard-to-reach area In the picturesque eastern Oregon town of Klamath Falls, small community life meets advanced health care thanks to AirLink, an air ambulance service that connects the quiet small-town lifestyle with large-scale medical care.
EM@3AM: Pneumocephalus
EMDocs
MARCH 2, 2024
Her vitals signs include temperature of 98.8F, HR of 64, BP 133/78, and O2 saturation of 98% on room air with a respiratory rate of 18. Answer : Pneumocephalus 1-21 Background: Pneumocephalus is defined by the presence of air within the cranial cavity. On arrival, she is awake and alert and in obvious distress.
EMS 112
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Understanding the Factors that Influence Air Ambulance Prices
Ziqitza HealthCare Ltd
DECEMBER 25, 2023
Air ambulances are an effective way to transport people over the longest distances. An air ambulance price is affected by a lot of factors. In this blog, we will look into some of the factors, air ambulance rates, and even helicopter ambulance cost. Some places may have a higher demand for air ambulance services.
ALiEM AIR Series | Procedures Module
ALiEM
APRIL 14, 2023
Welcome to the AIR Procedures Module! After carefully reviewing all relevant posts in the past 12 months from the top 50 sites of the Social Media Index, the ALiEM AIR Team is proud to present the highest quality online content related to related to procedures in the Emergency Department. Please go to the above link.
EMS 98
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ALiEM AIR Series | Respiratory 2023 Module
ALiEM
OCTOBER 14, 2023
Welcome to the AIR Respiratory Module! After carefully reviewing all relevant posts in the past 12 months from the top 50 sites of the Digital Impact Factor [1], the ALiEM AIR Team is proud to present the highest quality online content related to related to respiratory diseases in the Emergency Department. Please go to the above link.
EMS 67
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Inside the Critical Emergency Response of London's Aerial Medics
Emergency Live
FEBRUARY 8, 2024
Inside the Critical Emergency Response of London’s Aerial Medics When seconds count in the realm of medical emergencies, the London Air Ambulance has become synonymous with rapid response and lifesaving care.
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ALiEM AIR Series | Infectious Disease 2023 Module
ALiEM
JULY 20, 2023
Welcome to the AIR Infectious Disease Module! After carefully reviewing all relevant posts in the past 12 months from the top 50 sites of the Social Media Index, the ALiEM AIR Team is proud to present the highest quality online content related to related to infectious diseases in the Emergency Department. Please go to the above link.
Diwali and Air Pollution: Protecting Your Respiratory Health with Ziqitza Healthcare
Ziqitza HealthCare Ltd
NOVEMBER 7, 2023
However, amidst the festivities lies a concerning issue: a significant rise in air pollution. In this blog post, we will delve into the connection between Diwali and air pollution while offering practical suggestions to minimize exposure to pollutants. This will help maintain a cleaner indoor environment.
Climate-Resistant and Environmentally Sustainable Practices
American Medical Compliance
APRIL 29, 2024
For medical practitioners and health facility administrators, this training course offers valuable insights and practical solutions for integrating sustainable practices into your professional activities. American Medical Compliance designates this activity for a maximum of 1.75 AMA PRA Category 1 Credits.
Medical Malpractice Insights: Excellent documentation supports standard of care and avoids lawsuit
EMDocs
FEBRUARY 28, 2024
Here’s another case from Medical Malpractice Insights – Learning from Lawsuits , a monthly email newsletter for ED physicians. The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. We cannot over-explain our medical decision making (MDM).
Ziqitza Healthcare Ltd – The Connection Between Winter Weather and Respiratory Health
Ziqitza HealthCare Ltd
JANUARY 1, 2024
Although the clear winter air may seem pleasant, it is often harsh and can alter breathing habits and cause respiratory conditions. We will explore the nuances of how winter weather affects respiratory health in this blog, including indoor air quality, hidden triggers, and the difficulties faced by those with illnesses like sleep apnea.
Accidental Tracheostomy Decannulation
Northwestern EM Blog
APRIL 15, 2024
Overall approximately 15% of tracheostomies will be decannulated accidentally, and in a critical care setting, 50% of airway related deaths were associated with accidental tracheostomy decannulation (1, 2). Ensure to occlude the stoma if BVM from above or close the mouth if BVM from the stoma to prevent air leakage. 2019): 109-119.
PEM POCUS Series: Pediatric Lung Ultrasound
ALiEM
AUGUST 9, 2023
Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric lung ultrasound. Take the ALiEMU PEM POCUS: Pediatric Lung Ultrasound Quiz Module Goals List indications for performing a pediatric lung point-of-care ultrasound (POCUS). On arrival, his vital signs are: Vital Sign Finding Temperature 99.7
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How To Design Your Trauma Bay
The Trauma Pro
MARCH 21, 2024
Medication dispenser. Forced air warming blanket unit. Take careful notes of flow and any glitches that arise. This may be located inside or outside of your trauma room based on the number of times it is typically needed. Procedure packs. These should be located inside the trauma bay, and clearly organized inside cabinets.
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Navigating the No Surprises Act Training for Healthcare Providers
American Medical Compliance
DECEMBER 26, 2023
Get Certified American Medical Compliance (AMC) is a leader in the industry for compliance, Billing, and HR solutions. To become certified, please visit us at: American Medical Compliance (AMC). Additionally, the NSA applies to health care practitioners, facilities, and providers of air ambulance services.
PEM POCUS Series: Soft Tissue Ultrasound
ALiEM
MAY 13, 2024
Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric soft tissue ultrasonography. Take the ALiEMU PEM POCUS: Soft Tissue Quiz Case Goals List the indications of performing a pediatric soft tissue point-of-care ultrasound (POCUS). She has had no fevers, but endorses elevated temperatures of 99 F.
Ultrasounds 64
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Annals of B Pod: Stump Appendicitis
Taming the SRU
MAY 13, 2024
No free intraperitoneal air. Acute stump appendicitis without evidence of perforation or abscess (Figure 1) HOSPITAL Course Acute Care Surgery was consulted from the ED and recommended admission for operative resection of a 3 cm remnant of the appendix. He does report having decreased oral intake associated with the pain. Nelson, B.
Ultrasounds 87
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Ensuring Safety and Comfort: 3M N95 Fit Test Training for Healthcare Providers
American Medical Compliance
JANUARY 25, 2024
Wasted Resources Improperly fitted masks may need frequent replacement, leading to increased costs and supply chain strain. 3M N95 Fit Test Training: Ensuring Proper Fit To address the crucial need for a proper fit, American Medical Compliance (AMC) provides comprehensive respirator fit test training courses for healthcare providers.
SGEM#392: Shock Me – Double Sequential or Vector Change for OHCAs with Refractory Ventricular Fibrillation?
The Skeptics' Guide to EM
FEBRUARY 11, 2023
Sean Moore is an emergency physician working in Kenora Ontario, where he is Chief of Staff at Lake of the Woods District Hospital, Northern Medical Director for the Ornge air medical transport program and associate medical director with CritiCall Ontario.
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The Pressing Need for Ventilator Ambulance Services
Ziqitza HealthCare Ltd
JULY 23, 2023
Ventilators are used in operating rooms, emergency departments, critical care transport units, and air medical transports. Basic life support The BLS ambulances of Ambulance on Call are designed in such a way that it provides enhanced medical assistance to their clients during transportation.
Why Military Medicine?
SheMD
OCTOBER 29, 2023
When I accepted my commission into the United States Navy as a first year medical student, I was focused on the good I could do for others. I was excited to use my medical education and clinical skills to care for those who protect and defend the freedoms of the United States.
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Perspectives – Aortic Laceration in a Rural Mississippi ED: A resident’s response
EMDocs
JUNE 22, 2023
Author: Taylor Webb, MD (Emergency Medicine Resident, University of Mississippi Medical Center) // Reviewed by: Brit Long, MD (@long_brit) I am a third year Emergency Medicine chief resident at the University of Mississippi Medical Center (UMMC) and want to share one of my experiences to all medical residents and providers.
NIV for status asthmaticus
Don't Forget the Bubbles
FEBRUARY 26, 2024
On arrival, he had an oxygen saturation of 88% in air and significantly increased work of breathing. He is referred to the regional paediatric retrieval service and the local adult intensive care team come to review the child. It helps to open the airways and make it easier for air to enter the lungs thus reducing muscle fatigue.
Pediatrics 72
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Diagnostic Errors, Revisited: Where Do We Go Wrong, and How Can We Change?
ACEP Now
MAY 9, 2024
The better questions remain: Where in the process of care do the harmful errors occur? 3 In their study, patients were identified retrospectively as having suffered deterioration following admission resulting in transfer to the intensive care unit, death, or both. Of these, the authors identified 550 (23.0 6 Three cases, Hall v.
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Diagnostics and Therapeutics: Managing Pneumothorax
Taming the SRU
OCTOBER 1, 2023
Iatrogenic: PTX caused by medical procedures or interventions. Tension Pneumothorax: Arguably the most serious type of PTX in which an increasing amount of air becomes trapped in the pleural space, causing collapse of the ipsilateral lung and contralateral displacement of mediastinal structures such as the trachea [12].
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Single ventricle defects and the hunt for the best shunt
Don't Forget the Bubbles
JUNE 26, 2023
In this case-based article, we’ll talk about single ventricle defects and their management (both medical and surgical), then look at the two main shunt options during Stage 1 reconstruction. Whilst waiting for an operation, they need to be managed medically. Usually, though, they will proceed to surgery.
Operations 128
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Trick of Trade: Inflating the Esophageal Balloon of a Blakemore/Minnesota Tube without a Manometer
ALiEM
MAY 19, 2023
Another minor difference is that the gastric balloon in the Minnesota tube holds 450-500 ccs of air, while the SB gastric balloon holds 250 ccs of air [2]. Then fill the gastric balloon with 50 cc of air. Fully inflate the gastric balloon with 200 more ccs of air for a total of 250 ccs. Semin Respir Crit Care Med.
ToxCard: Anticholinergic Plant Toxicity
EMDocs
FEBRUARY 15, 2024
The patient’s vital signs include heart rate 122 bpm, blood pressure 140/85 mmHg, respiratory rate 22 breaths/min, oxygen saturation 97% on room air. The patient’s vital signs include heart rate 122 bpm, blood pressure 140/85 mmHg, respiratory rate 22 breaths/min, oxygen saturation 97% on room air. References: Nelson LS, Goldfrank LR.
Bougie: First Pass or Rescue Device?
ACEP Now
APRIL 5, 2024
Hershey Medical Center and associate editor of ACEP Now. Anaesth Intensive Care. Using a bougie with C-MAC video laryngoscopy did not improve first-attempt intubation success rates in critical care air transport. Readers should consult authoritative sources for in depth recommendations for airway management.
Workplace Violence and Mental Health in Emergency Medicine
ACEP Now
JANUARY 13, 2024
I chose emergency medicine, like so many others, to care for patients who are in their most vulnerable state. As a member of the Air Force, deployed to Afghanistan in 2011, I have seen war where I should have seen it—in a designated war zone. The medical profession cannot continue to ignore our own personal safety.
The basics of Long-Term Ventilation (LTV) in children
Don't Forget the Bubbles
MAY 22, 2023
Recent advances in Neonatal and Paediatric Intensive Care have improved the survival of children with complex conditions. He also needs oxygen – normally, he’d just be on air. The LTV Team Children on long-term ventilation have complex and varying underlying medical conditions that need input from multiple teams.
Radiology 98
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Case Report: EMS Says Flail Chest, But Is It?
ACEP Now
MAY 4, 2023
His vital signs were within normal limits except for a respiratory rate of 23 with a room air pulse oxygen in the upper 90s. The patient was placed on oxygen for his dyspnea, administered pain medication, and was taken for computed tomography (CT). He denied syncope, head trauma, or any other complaints.
EMS 52
52 
EM@3AM: Brainstem Strokes
EMDocs
MAY 11, 2024
A 74-year-old female with a past medical history of hypertension, diabetes, recent basilar artery stent placement with a 20 pack-year smoking history presents to the ED via EMS for altered mental status and episodes of apnea. We’ll keep it short, while you keep that EM brain sharp.
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SGEM #401: Hey Ho! High Flow vs Standard Oxygen Therapy for Hospitalized Children with Respiratory Failure
The Skeptics' Guide to EM
APRIL 22, 2023
JAMA 2023 Guest Skeptic: Dr. Michael Falk is a Pediatric Emergency Medicine attending at Mount Sinai Medical Center […] The post SGEM #401: Hey Ho! He is interested in simulation and medical education. Despite your interventions, he continues to breathe rapidly with an oxygen saturation of 89% on room air.
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SGEM#433: Breathe – Simple Aspiration vs. Drainage for Complete Pneumothorax
The Skeptics' Guide to EM
MARCH 23, 2024
Am J Respir Crit Care Med. Am J Respir Crit Care Med. Case: A 25-year-old female medical student presents with right chest pain and dyspnea. This is defined as air in the pleural space between the lung and the chest wall with no obvious precipitating factor. Reference: Marx et al. Reference: Marx et al.
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SAEM Clinical Images Series: Wolf in Sheep’s Clothing
ALiEM
NOVEMBER 6, 2023
Physical Exam Vitals : BP 135/71; HR 52; Temp 98°F; RR 18; SpO2 100% on room air General : Tired appearing CV : 2+ peripheral pulses. Crit Care Nurse. Author information Sylvia Sontheimer, MD Resident Physician Boston Medical Center | The post SAEM Clinical Images Series: Wolf in Sheep’s Clothing appeared first on ALiEM.
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2023 ACEP Elections Preview: Meet the President-Elect and Council Officer Candidates
ACEP Now
AUGUST 1, 2023
Fundamentally, I believe every patient coming to an emergency department is best served by care delivered by board certified emergency physicians. On functionally useless in real time to patient care on-call rosters, these same physician assistants and/or nurse practitioners may be “backed up” by physicians.
Air Care Series: Epoprostenol/VELETRI: a Skybridge to Somewhere?
Taming the SRU
MAY 3, 2023
Ultimately, on the cusp of deterioration, the patient was deemed most appropriate for transfer to a medical intensive care unit (MICU) at a large academic hospital via helicopter emergency medical services (HEMS). With time, the patient serially progressed down the various levels of medical care.
Wellness 52
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Grand Rounds Recap 2.7.24
Taming the SRU
FEBRUARY 23, 2024
This might be giving IV pain medications to complement local anesthesia for a particularly painful area or using regional anesthesia like a femoral nerve block or superficial cervical plexus block. Consider starting more goals of care discussions in the emergency department, not just for patients who are actively dying.
Pediatrics 68
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SGEM#332: Think Outside the Cardiac Box
The Skeptics' Guide to EM
MAY 29, 2021
Date: May 20th, 2021 Guest Skeptic: Dr. Robert Edmonds is an emergency medicine physician in the Air Force in Dayton, Ohio, and a University of Missouri-Kansas City residency alumni from 2016. Journal of Trauma and Acute Care Surgery. This SGEM episode was recored live for the Truman Medical Centers Multidisciplinary Trauma Conference.
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