Emergency Live

DECEMBER 14, 2023

Electric vehicles are transforming emergency response strategies The transition to hybrid and electric fleets There has recently been a significant shift towards the use of electric (EV) and hybrid vehicles in emergency response operations. A notable example is the Essex & Herts Air Ambulance Trust (EHAAT), which has completed the transition to a fully hybrid […] The post Electric Revolution in Emergency Vehicles: Efficiency and Sustainability in Service of Emergencies appeared first o

Operations 96

Operations 96

Ken Grauer, MD

DECEMBER 15, 2023

== CLICK HERE — for a V ideo presentation of this case! ( 18:00 min. ) Below are slides used in my video presentation. For full discussion of this case — See ECG Blog #392 — == The ECG in Figure-1 was obtained from a man in his 60s — who described the sudden onset of "chest tightness" that began 20 minutes earlier, but who now ( at the time this ECG was recorded ) — was no longer having symptoms.

EKG/ECG 316

EKG/ECG EMS Hospitals 316

The Trauma Pro

DECEMBER 15, 2023

I’ll spend the next two posts discussing plasma. This is an important component of any trauma center’s massive transfusion protocol (MTP). Coagulopathy is the enemy of any seriously injured patient, and this product is used to attempt to fix that problem. And now there are two flavors available: liquid plasma and fresh frozen plasma. But there is often confusion when discussing these products, especially when there are really three flavors!

Hospitals 147

Hospitals Resuscitation 147

Science Based Medicine

DECEMBER 11, 2023

A new study is making the rounds in the antivax crankosphere. The study found that the modified mRNA used in the Pfizer vaccine can cause a frame shift (to be explained) that results in the production of proteins besides the intended spike protein. The findings are, as you probably guessed, a big nothingburger compared to how they are being spun. The post Do mRNA vaccines produce harmful “junk proteins” that “gunk up” the cell and cause unintended “off-target” immune responses?

Documentation/Coding 145

Documentation/Coding 145

EMCrit

DECEMBER 10, 2023

Within the past year, two major societies have released guidelines on ARDS: the ATS (American Thoracic Society) and the ESICM (European Society of Intensive Care Medicine). Don’t be fooled by their names – both of these organizations are fundamentally international in scope. Some authors on the ATS document were from Europe, and similarly some authors […] EMCrit Project by Josh Farkas.

Documentation/Coding 132

Documentation/Coding 132

Life in the Fast Lane

DECEMBER 14, 2023

Sheralyn Guilleminot and Mike Cadogan AI Prompting Techniques 4 AI Prompting Techniques to Help You Stay Ahead in Medicine. AI prompting techniques are the key to using artificial intelligence efficiently and getting usable output.

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The Trauma Pro

DECEMBER 12, 2023

Level I and II trauma centers are frequently asked to accept patients who need a higher level of care. This necessitates an inter-hospital transfer that is subject to scrutiny by the trauma performance improvement program of both trauma centers. The practice at many centers is to bring all transfer patients in through the emergency department. But is this really necessary?

Emergency Department 162

Emergency Department Operations Hospitals Radiology 162

Dr. Smith's ECG Blog

DECEMBER 11, 2023

Occlusion myocardial infarction is a clinical diagnosis Written by Willy Frick (@Willyhfrick). Willy is a cardiology fellow with a keen interest in the ECG in OMI. A woman in her late 70s presented with left arm pain. The arm pain started the day prior when she was at the dentist's office for a root canal. Her systolic blood pressure at the dentist was over 200 mm Hg.

EKG/ECG 113

EKG/ECG Outcomes Documentation/Coding Academics 113

Emergency Live

DECEMBER 12, 2023

The crucial role of women in emergency response and post-crisis reconstruction The Rise of Women in Civil Protection Roles In recent years, there has been a significant increase in female presence in civil protection roles globally. This shift reflects a growing recognition of the value that women bring to these crucial roles, not just as […] The post Women in Civil Protection: Agents of Change and Resilience appeared first on Emergency Live.

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112

EMDocs

DECEMBER 11, 2023

Authors: Genevieve Pentecost, MD (@genpentecost, Emergency Medicine Resident, Washington University School of Medicine in St Louis) and Aaron Lacy, MD (@AaronLacyMD, Assistant Professor of Emergency Medicine, Washington University School of Medicine in St Louis) // Reviewed by: Jamie Santistevan, MD (EM Physician, Presbyterian Hospital, Albuquerque, NM); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Introduction Welcome back to ECG Pointers from emDOCS.

EKG/ECG 108

EKG/ECG Emergency Department Academics Operations 108

Sensible Medicine

DECEMBER 11, 2023

This one hits at the heart of my field—the ablation of atrial fibrillation. Current thinking holds that the way to ablate AF is to electrically isolate the muscle bundles going in and out of the pulmonary veins. Think of it as building an electric fence around the pulmonary veins. We use different energy sources to ablate the tissue. This is a picture I made in 2012.

Operations 107

Operations Hospitals 107

Don't Forget the Bubbles

DECEMBER 11, 2023

Adverse Childhood Experiences (or ACEs, for short) are no new thing, but only in recent decades have we come to realise the scope of their impact on children and the adults they become. ACEs can broadly be defined as traumatic events occurring before age eighteen. What counts as an ACE is open for interpretation, with the official domains liable to change.

Wellness 104

Wellness Research Outcomes Shock 104

Dr. Smith's ECG Blog

DECEMBER 13, 2023

This middle aged patient presented with chest pain: What do you think? There is VERY low voltage. There is some ST Elevation, but it is MINIMAL. But look how small the QRS is!! Let's stretch out the QRS vertically so it is not so tiny: On upper left is the original. On the right are the precordial leads stretched vertically, so that the QRS is not tiny.

EKG/ECG 101

EKG/ECG COPD Wellness Outcomes 101

ACEP Now

DECEMBER 11, 2023

The wave of increasing hospital closures and service line cutbacks continues to sweep the U.S. A recent article documents 56 additional U.S. hospitals that are closing clinical departments or ending or reducing services. Cited are issues of “shoring up finances,” “staffing shortages,” or “focusing on more in-demand services” as driving forces. 1 This adds to the over 640 (mostly rural) hospitals that recently failed financial stress tests and are adjudged to be at imminent risk of closing. 2 Of

Hospitals 98

Hospitals Administration Documentation/Coding Research 98

Emergency Live

DECEMBER 14, 2023

From Ancient Battles to Modern Rescue Techniques Ancient Origins and Developments in War The roots of first aid are deeply intertwined with history, closely linked to wartime contexts. The earliest traces of practices resembling first aid can be found in Greek ceramics from 500 B.C., depicting scenes of wound bandaging. The “capsarii” in the Roman […] The post The Dawn of First Aid: A Historical Journey appeared first on Emergency Live.

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98

SheMD

DECEMBER 10, 2023

Trying to figure out what kind of doctor you should become? Wondering what specialty you should choose? Then SheMD's Why Specialty Series is perfect for you! We're bringing you female physicians sharing WHY they chose their specialty. Today's post is on why Dr. Kuwik chose the Med-Peds! For years, my family and friends were confused every time they heard about me seeing an adult patient.

Pediatrics 98

Pediatrics EKG/ECG Wellness Psychiatric 98

Dr. Smith's ECG Blog

DECEMBER 9, 2023

A 50-something had syncope while driving. He was belted and it was low speed. He had a prehospital ECG. He was ambulatory at the scene. He has a history of STEMI and heart failure. The medics stated he had been nauseated and diaphoretic, but he did not have any chest pain or SOB. They recorded a prehospital ECG: What do you think? I read this blinded, with no clinical information, and read it as inferior OMI.

EKG/ECG 97

EKG/ECG Seizures Wellness EMS 97

Science Based Medicine

DECEMBER 15, 2023

Does Dr. Scott Atlas *really* believe it's unconscionable when a society uses its children as shields for adults? The post Dr. Scott Atlas: “To Me, It’s Unconscionable When a Society Uses its Children as Shields for Adults.” first appeared on Science-Based Medicine.

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Emergency Live

DECEMBER 14, 2023

Environmental Crisis Exacerbates Health Challenges in Indigenous Communities A Forgotten Crisis: Drought in the Amazon The Amazon Rainforest, known for its biodiversity and vitality, is facing an unprecedented water crisis. Indigenous peoples, guardians of this forest, are experiencing desperate conditions. The prolonged drought has led to a shortage of potable water, food, and medicine, jeopardizing […] The post Water Emergency in the Amazon: Indigenous Peoples' Struggle for Survival

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96

PDC Healthcare

DECEMBER 12, 2023

In the fast-paced world of healthcare, precision and accuracy are vital in preventing medical errors and providing the highest quality of patient care. Seemingly small but pivotal elements in this are Patient ID Bands and Medical Labels. Connecting patients to treatment plans and medication, they play a crucial role in ensuring the right patient receives […] The post Ensuring Patient Safety: The Crucial Role of Quality Patient ID Wristbands and Labels appeared first on connectID - PDC Heal

Patient Safety 94

Patient Safety 94

First 10 EM

DECEMBER 11, 2023

Welcome back to another edition of the research roundup, where we discuss an eclectic collection of articles selected through the rigorous process of whatever I happened to find most interesting in my recent reading (with a couple suggestions from Dr. Casey Parker). The BroomeDocs podcast version can be found here: [link] Our poorly managed hospitals […] The post Research Roundup (December 2023) appeared first on First10EM.

Research 91

Research Hospitals Pediatrics EMS 91

RebelEM

DECEMBER 13, 2023

Take Home Points: Carbon monoxide is a colorless, odorless, and tasteless gas that results from incomplete combustion of any carbon containing product. Exposure often occur unintentionally from indoor use of gas powered generators, camp stoves, or faulty home heaters. The symptoms of mild, acute exposure are non-specific and can be confused with a variety of other disease processes including common viral syndromes.

Poisoning 90

Poisoning EMS 90

Emergency Live

DECEMBER 12, 2023

Profession Flight Nurse: My Experience Between Technical and Humanitarian Commitment with AIR AMBULANCE Group When I was a child I was asked what I wanted to be when I grew up: I always answered that the I wanted to be an airplane pilot. I was intrigued by flight, by the speed of these incredible flying […] The post Human and Technical Experience in Saving Lives in the Sky appeared first on Emergency Live.

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96

Medagadget

DECEMBER 11, 2023

Researchers at the University of Waterloo in Canada have developed plant-based microrobots that are intended to pave the way for medical robots that can enter the body and perform tasks, such as obtaining a biopsy or performing a surgical procedure. The robots consist of a hydrogel material that is biocompatible and the composite contains cellulose nanoparticles derived from plants.

Research 86

Research 86

St. Emlyn

DECEMBER 14, 2023

St.Emlyn's - Emergency Medicine #FOAMed I was recently reviewing the traumatic brain injury audits of a local trauma service and was surprised to see that just over a third of patients were a result of … JC: Are e-scooter injury patterns different and does it matter? St Emlyn’s Read More » The post JC: Are e-scooter injury patterns different and does it matter?

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84

EM Ottawa

DECEMBER 14, 2023

In part 1 of this series, we focused on the physiologic and hemodynamic consequences of aortic stenosis, as well as management in atrial fibrillation and procedural sedation. In this part, we will focus on the management of decompensated aortic stenosis with heart failure, and the approach to PoCUS. To remind you of the case we […] The post The Way is Shut: Aortic Stenosis Part 2 appeared first on EMOttawa Blog.

Wellness 83

Wellness Shock 83

Emergency Live

DECEMBER 13, 2023

Stellantis Launches EVAS to Enhance Emergency Response Safety The Birth of EVAS: A Step Forward in Rescue Safety The world of emergency services is evolving with the introduction of new technologies aimed at improving the safety of both rescuers and citizens. A recent example of this evolution is the Emergency Vehicle Alert System (EVAS) launched […] The post Road Safety Revolution: Innovative Emergency Vehicle Alert System appeared first on Emergency Live.

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95

Science Based Medicine

DECEMBER 13, 2023

Pulsed EMF for microcirculation is dubious on every level. The post Another EMF Scam first appeared on Science-Based Medicine.

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98

ECG Guru

DECEMBER 10, 2023

Why is this a high-grade AV block? If at least 3 P-waves are not conduced and there is nominal AV conduction before and after, this can be considered a high-grade AV block. In this Holter strip, P1, P2 and all P-waves from P6 onwards are conducted, albeit with a prolonged PR interval (first-degree AV block). P3, P4, P5 are not conducted. A junctional escape beat is seen before P5.

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80

The Skeptics' Guide to EM

DECEMBER 9, 2023

Date: November 20, 2023 Reference: Jones et al. Time to reflect on open-label placebos and their value for clinical practice. PAIN October 2023 Guest Skeptic: Dr. Caitlin Jones is a Postdoctoral Research Associate at Sydney University’s institute for Musculoskeletal Health. Her research evaluates the benefits and harms of treatments for musculoskeletal conditions with a particular […] The post SGEM Xtra: Open Label Placebo first appeared on The Skeptics Guide to Emergency Medicine.

Research 74

Research Outcomes Wellness 74

Emergency Live

DECEMBER 15, 2023

Donauwörth – 82 H145M Helicopters from Airbus for Advanced Operations in Germany The German Armed Forces and Airbus Helicopters have signed a contract to purchase up to 82 H145M multi-role helicopters (62 firm orders plus 20 options). This is the largest order ever placed for the H145M and consequently the largest for the HForce weapon […] The post Airbus Helicopters and German Armed Forces sign largest contract for H145Ms appeared first on Emergency Live.

Operations 93

Operations 93

EMDocs

DECEMBER 14, 2023

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. To opt in to the free subscriber list, click here. Stories of med mal lawsuits can save lives.

Hospitals 71

Hospitals Patient Safety Operations Wellness 71

EMCrit

DECEMBER 15, 2023

Bariatric operations and how they go bad EMCrit Project by Scott Weingart, MD FCCM.

Operations 91

Operations 91

NRC Health

DECEMBER 13, 2023

In a recent engaging and thought-provoking webcast, NRC Health hosted two healthcare leaders for a patient-provider conversation on trust, empathy, and human-centered care. Dr. Geeta Nayyar, MD, MBA, and Patient Advocate Cheryl Marker explored patients’ pressing questions and concerns about their experiences with physicians and healthcare systems. The post Reimagining Healthcare: A patient-provider conversation on trust, empathy, and human-centered care appeared first on NRC Health.

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Emergency Live

DECEMBER 15, 2023

Revolution in Thermal Camera Monitoring: Boson+ CZ 14-75 Module Integrates Advanced Zoom and Accuracy Advanced Thermography Technology Teledyne FLIR, a leader in the field of thermography, recently announced the launch of a breakthrough innovation: the Boson+ thermal camera module with a continuously variable (CZ) zoom lens from 14 mm to 75 mm. This development represents […] The post Innovation in Thermography: The New Boson+ CZ 14-75 Module from Teledyne FLIR appeared first on Emergency

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EMDocs

DECEMBER 9, 2023

We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: Early or Delayed Intubation in Critically Ill Patients? Spoon Feed Advanced statistics emulating clinical trial protocols from an ICU database did not identify consistent differences in 30-day mortality when ICU pat

Pediatrics 66

Pediatrics 66

Ziqitza HealthCare Ltd

DECEMBER 14, 2023

As we approach the end of another year, it’s the perfect time to reflect on the choices we’ve made and consider how we can make positive changes in the coming year. One crucial aspect often overlooked in this reflection is our health. In the chaos of our busy lives, it’s easy to neglect routine health check-ups. This blog aims to shed light on the significance of regular health examinations, emphasizing the importance of making health a priority.

Ambulance Services 52

Ambulance Services Wellness 52