The Skeptics' Guide to EM

DECEMBER 10, 2022

DISCLAIMER: THE VIEWS AND OPINIONS OF THIS BLOG AND PODCAST DO NOT REPRESENT THE UNITED STATES GOVERNMENT OR THE US MILITARY. We mentioned x-rays were unreliable as well to rule-out a scaphoid injury. Case: A 32-year-old male construction worker presents to the emergency department (ED) after falling on his right dominant hand.

Operations 52

Operations Fractures Military Emergency Department 52

ACEP Now

AUGUST 1, 2023

8 Additionally, military branches have skilled workers with complementary skills where an existing workforce could be immediately deployed to meet these needs. military facilities. What’s clear from the emerging data: our experience as clinicians as well as our patients’ is that the system is unraveling.

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Hospitals Emergency Department Military Leadership 98

Pediatric Education

SEPTEMBER 3, 2023

He had no concerns and he was doing well in school and with his friends. He had a sprained ankle the previous year that he says was well-healed. Mandated SCT screening for certain individuals such as military recruits and US college athletes is controversial. The past medical history was positive for sickle cell trait.

Dehydration 40

Dehydration Hyperthermia / Hypothermia Pediatrics Military 40

ACEP Now

SEPTEMBER 13, 2023

We wanted to reach emergency physicians, nurses and others working in trauma as well as those at Health and Human Services and the Centers for Disease Control. as well as working closely on behalf of the association on projects with the White House and the Departments of Veterans Affairs, Defense, and Health and Human Services.

Research 45

Research EMS Academics Military 45

Pediatric Education

OCTOBER 8, 2023

The pediatrician consulted the Centers for Disease Control website for vaccine recommendations for the Congo which indicated the need for malaria prophylaxis as well as Yellow Fever and Typhoid vaccine. ” One of the US’s national military medical centers in Bethesda Maryland is named for Walter Reed.

Infectious Diseases 40

Infectious Diseases Pediatrics Military Wellness 40

The Skeptics' Guide to EM

JULY 31, 2021

Needle thoracostomy is subject to several complications compared to a tube thoracostomy primarily due to the shorter length of the needle as well as the smaller lumen, so site selection has focused on finding a short distance and a site unlikely to kink or get dislodged. Additionally,

Military 52

Military Ultrasounds EMS Wellness 52

ETM Course

MAY 3, 2017

Based on reasonable quality data from recent military (and some civilian) studies, tourniquet use for the arrest of life-threatening haemorrhage from exsanguinating limb trauma is now being advocated. This post provides some general and specific information and practical tips on tourniquet use. When should I use a tourniquet?

Military 52

Military Shock Hospitals Operations 52

Sensible Medicine

MAY 31, 2023

Her outpatient follow-up appointments were scheduled; we had reviewed her safety plan; she felt well and ready to leave the hospital. Well, for what it’s worth, I think it’s excellent. I tend to work well with adversarial, hostile, manipulative, and agitated patients. “No, I’m doing another one.

Psychiatric 80

Psychiatric Hospitals Wellness Military 80

RebelEM

MAY 25, 2023

CRYSTALLOIDS Too much crystalloid resuscitation in traumatic hemorrhagic shock can increase dilutional coagulopathy, as well as increase morbidity and mortality Bickell WH et al. The Role of Whole Blood Transfusions in Civilian Trauma: A Review of Literature in Military and Civilian Trauma. NEJM 1994. [2] Lancet Haematol 2022.

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Resuscitation Fluid Resuscitation Head Injuries Shock 145

Advanced Emergency Nursing from AENJ

MAY 3, 2014

Although told several times, the story of the development by Henning Ruben of the prototypical modern manual resuscitator, the self-refilling bag with unidirectional non-rebreathing valves which now dominate the world of resuscitation, is still not well-known. Czech Military resuscitation kit, 1969, mfr.

Resuscitation 40

Resuscitation Military Operations Emergency Nursing 40

RebelEM

MARCH 13, 2023

PMID: 22770439 Stiell IG, Nesbitt LP, Pickett W, Munkley D, Spaite DW, Banek J, Field B, Luinstra-Toohey L, Maloney J, Dreyer J, Lyver M, Campeau T, Wells GA; OPALS Study Group. Overall pooled favorable neurologic outcome: 13 studies 43.5% (95%CI 32.3-55.0) 2012 Jul 6;16(4):R117. 2008 Apr 22;178(9):1141-52.

Basic Life Support 52

Basic Life Support EMS Outcomes Resuscitation 52

Advanced Emergency Nursing from AENJ

MAY 27, 2015

If mere criminality was the only matter, there’s some cash, personal electronics, appliances, and business machines; if not merely criminal, and well-studied beforehand, there are to be had radioactive materials, drugs, toxins, chemicals, and many who would pay a ransom for the loved ones within. Dolan, Maura. Department of Homeland Security.

Federal Emergency Management Agency 40

Federal Emergency Management Agency Military Hospitals Administration 40

Advanced Emergency Nursing from AENJ

JULY 10, 2016

Gather around, for a story. … "A long time ago, before our planet went digital … Well, it wasn't quite copyist monks illuminating vellum, nor was it even Dickens's Bob Cratchit labouring with quill and ink." Thus, military necessities generated for some the social mobility and respect that gave them a leg up in the world.

Military 40

Military Emergency Nursing Stroke Wellness 40

Advanced Emergency Nursing from AENJ

NOVEMBER 20, 2014

If you think your patient is the perpetrator, he may well be an innocent, or even an off-duty or undercover officer. ET Hostile Fire Environments Murphy’s Law of Combat Operations [includes coarse military humor] Firearms in the Entertainment Industry International Movie Firearms Database Horman, GS. Do not compromise your care.

Military 40

Military Forensics Documentation/Coding Emergency Nursing 40

Advanced Emergency Nursing from AENJ

FEBRUARY 19, 2017

Other occupations, such as military, police, and fire, have come to grips with the reality of Post-Traumatic Stress Disorder in their field, but I think that Emergency Nursing doesn't yet accept the cumulative nature of the stresses in our field. Tears welled up while doing so as I thought of my own toddlers.

Emergency Nursing 40

Emergency Nursing Hospitals Military Resuscitation 40

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

Trimble, BVMs] Many physicians of this era had experience of WWII and Korean War military medicine; they were joined by younger men who used GI Bill benefits to enter medicine, and then honed their skills in Vietnam. Milestones of Modern Progress in Emergency Care: WWII and Korean War military medical experience and progress.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

Advanced Emergency Nursing from AENJ

APRIL 8, 2014

It is a curious paradox of history that Nerve Gas was the product of agricultural research by the burgeoning chemical industry in Germany in the latter 19 th and early 20 th centuries, and that modern understanding of resuscitation came from WWII military investigations (Edgar A. Bauer, Robert O. 1967 November; 14(9): 236–249.

Resuscitation 40

Resuscitation Ambulance Services Research Military 40

Downeast Emergency Medicine

APRIL 26, 2021

The primary outcome was 30-day mortality with secondary outcomes of 1-year functional neurological outcome based on GCS as well as hospital length of stay. Military application of tranexamic acid in trauma emergency resuscitation (MATTERs)study. Holmes, MD References Nishida T, Kinoshita T, Yamakawa K. J Thromb Haemost 2019;17:852-862.[

Head Injuries 52

Head Injuries Administration Outcomes Seizures 52

Advanced Emergency Nursing from AENJ

SEPTEMBER 4, 2014

It was extremely well-liked by field personnel, but virtually unknown in hospitals. However, they could be used easily and well with the assist of head-straps which were never sold as part of the complete “kit” but only as an uncataloged “spare part.” 1955 **The advancement of resuscitation within field military medicine.

Resuscitation 40

Resuscitation CPR Documentation/Coding EMS 40

EB Medicine

MAY 3, 2019

The PSS-3 assesses for depression/hopelessness and suicidal ideations in the past 2 weeks as well as lifetime history of suicide attempt. Nachi: Let’s talk first about special populations - the only one we will discuss this month is military veterans. Nachi: The next tool to discuss is the ED-Safe PSS-3. Let’s move on to the physical.

Emergency Department 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

Their focus was on developing a refined technique suitable for mass usage by the military who funded them and by the lay public. Lubricate well. With each test of group instruction, simplifications would be made to streamline to what was practical by the public and most easily remembered. Gerkin] Priceless. D., & Bair, A.

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Resuscitation Airway Management EMS CPR 40