ACEP Now

NOVEMBER 8, 2024

Emergency medical services (EMS) scope of practice is governed by the state, but national scope of practice guidelines are available for the four different EMS provider levels. I-Gel The i-gel was designed in the UK in 2003 and features a gel-style cuff that surrounds the larynx. EMS Airway Management: System Considerations.

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Airway Management EMS Hospitals Administration 40

EMDocs

DECEMBER 6, 2024

2 This requirement was ultimately removed in 2003, however iron related exposures and deaths have stayed low. In 1997, the Food and Drug Administration (FDA) mandated unit-dose packaging for all iron-containing products with more than 30 milligrams of elemental iron.

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Poisoning Fluid Resuscitation Seizures Resuscitation 94

ACEP Now

SEPTEMBER 5, 2024

Our state chapter members and leaders are uniquely positioned to follow EMRA’s lead in partnering with local EM residency programs to improve communication of ACEP’s value to EM-bound medical students and EM residents by hosting residency visits or local events relevant to our shared mission.

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Leadership PPE EMS Wellness 98

Dr. Smith's ECG Blog

FEBRUARY 6, 2024

Written by Pendell Meyers A teenager was involved in a motor vehicle collision and presented to the Emergency Department via EMS altered and potentially critically ill. 2003, May). He was intubated for altered mental status. Chest trauma was suspected on initial exam. Here is his initial ECG around 1330: What do you think? Cramer, M.

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EKG/ECG Wellness Fractures Emergency Department 116

Emergency Medicine Cases

FEBRUARY 11, 2020

Although the mortality rate in patients with Coronavirus in this outbreak is less than 1% (which pales in comparison to Ebola or SARS), historically these types of outbreaks have occured every 5-6 years (SARS 2003, HINI 2009, Ebola 2014, Coronavirus 2020), so they are somewhat predictable and we should know how to prepare for them in our EDs.

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Best Practices EMS Research PPE 52

EMDocs

JANUARY 29, 2024

Authors: Sameer Desai, MD (EM Attending Physician, University of Kentucky); Omar Abbas Ahmed Malik, MBBS (Patients’ Aid Foundation, Jinnah Postgraduate Medical Center) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University School of Medicine in St. 2003 Oct 28;61(8):1047-51. 2003 Nov;42(5):619-26.

Stroke 91

Stroke Outcomes EMS Seizures 91

PHEM Cast

DECEMBER 12, 2016

Joint Position Statement of Nat Assoc EMS Physicians and ACS Committee on Trauma. J Am Coll Surg; 2003 (1): 106-111. When should we stop resuscitative efforts after blunt traumatic arrest. Injury; 2008 (39): 967-969. Guidelines for withholding or termination of resuscitation in prehospital cardiopulmonary arrest.

Military 52

Military Resuscitation Emergency Department Documentation/Coding 52

The Skeptics' Guide to EM

OCTOBER 31, 2018

He is a deputy editor for EM: RAP and, associate editor for REBEL EM. […] The post SGEM#235: Edoxaban for Cancer Associated VTE – Would the NEJM Lie to You? He is a deputy editor for EM: RAP and, associate editor for REBEL EM. Joseph’s Regional Medical Center in Patterson, NJ.

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EMS Outcomes Wellness 52

Taming the SRU

APRIL 14, 2024

between January 1994 and December 2003, the utility of ultrasound in aiding reduction of incarcerated inguinal hernias was examined. EM@3AM: Hernia.” 8) “Ultrasound may decrease the emergency surgery rate of incarcerated inguinal hernia” by Chen et al. (1) 1) In a study performed by Chen et al. 4, 1 July 2009, p. Accessed 9 Apr.

Ultrasounds 93

Ultrasounds Emergency Department Pediatrics Radiology 93

RebelEM

MAY 11, 2023

New England Journal of Medicine 2003 , 348 (18), 1786-1795. Rezaie, MD (Twitter: @srrezaie ) The post Return Encounters in Emergency Department Patients Treated with Phenobarbital Versus Benzodiazepines for Alcohol Withdrawal appeared first on REBEL EM - Emergency Medicine Blog. O’Connor, P. DOI: 10.1056/NEJMra020617. (2)

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Emergency Department Administration Hospitals Academics 89

RebelEM

MARCH 13, 2023

Does the inclusion of patients pronounced dead on scene and the presence of a physician-based EMS organization affect the pooled mortality rate and survival with favorable neurologic outcomes for prehospital TCA? Subcategory data on EMS system type is still extremely variable, given the range of included EMS systems and regions.

Basic Life Support 52

Basic Life Support EMS Outcomes Resuscitation 52

RebelEM

JANUARY 23, 2023

Noninferiority trials, covered here on REBEL EM , are helpful when the experimental treatment offers a distinct advantage over the standard treatment. Studies funded by pharmaceutical companies are four times more likely to have favorable results than studies from other sources (Lexchin 2003). 2004 Feb;113(2):347-52. PMID: 14767453.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Emergency Department Urgent Care 52

PHEM Cast

APRIL 21, 2021

J Trauma 2003; 54:444-453 Mort TC. Difficult prehospital endotracheal intubation – predisposing factors in a physician based EMS. Difficult prehospital endotracheal intubation – predisposing factors in a physician based EMS. Emergency tracheal intubation: complications associated with repeated laryngoscope attempts.

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Airway Management Resuscitation EMS Hospitals 40

EM Curious

JULY 24, 2015

EMS appears with a patient who just wiped out big time on the ice. Our inaugural post today: femoral nerve blocks. The Case Let's say we do a little time warp, and we are unfortunately six months into the past, stuck in the dredges of frigid winter. He's gripping his thigh with his hands, and he is screaming. Maybe he's broken his hip?

Fractures 52

Fractures Ultrasounds Emergency Department Dislocations 52

RebelEM

DECEMBER 28, 2022

Another trial suggests that two weeks of treatment performed similarly to 4 weeks (Ulleryd, 2003). Other studies in afebrile men with UTI have been observational and suggested that longer-duration therapy was not associated with any benefit (Ulleryd, 2003).

Outcomes 52

Outcomes Documentation/Coding Hospitals EMS 52

RebelEM

JANUARY 19, 2023

In 2003 a systematic review and meta-analysis found studies funded by a company are four times more likely to have favorable results than studies from other sources (Lexchin 2003). Conflicts of Interest: Rocket Medical UK provided the ambulatory pleural vent for this trial.

Outcomes 52

Outcomes Hospitals Research EMS 52

EMDocs

AUGUST 22, 2024

July-August 2003. Betancourt J, Green A, et al. Defining cultural competence: a practical framework for addressing racial.ethnic disparities in health and health care. Public Health Reports. Taira B, Kim K, Mody N. Hospital and health system-level interventions to improve care for limited English proficiency patients: a systematic review.

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Documentation/Coding Emergency Department Federal Emergency Management Agency Best Practices 100

Advanced Emergency Nursing from AENJ

NOVEMBER 20, 2014

Police officers have poor hit probability, ricochets may occur, suppressive fire may be used (“keep ‘em pinned down”), or even ‘spray and pray.” 4, April 2003 The Eddie Eagle GunSafe® Program National Rifle Association Gun Control Controversy GunFacts.Info website 119 pp pdf Lott, John R.

Military 40

Military Forensics Documentation/Coding Emergency Nursing 40

Dr. Smith's ECG Blog

MARCH 15, 2023

Emergency providers only see the “tip of the iceberg” of this huge number of AFib episodes — which consists of patients who call EMS or present to the ED with new-onset palpitations, heart failure exacerbation, acute stroke ( or other symptom related to their AFib ).

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EKG/ECG Dehydration Stroke Shock 52

Pediatric Emergency Playbook

OCTOBER 1, 2015

EMS is bringing you a child with a VP shunt, port-a-cath, trached on a vent, seizing, hypotensive, and now desaturating – ETA – 3 minutes. Clin Chest Med 24 (2003) 473– 487 Are you ready? Medicine is evolving. Before we go further, remember to assess the parent and the child as a unit. Indications for tracheostomy in children.

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Pediatrics Fractures Resuscitation Burns 40

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

It was edited by Smith CASE : A 52-year-old male with a past medical history of hypertension and COPD summoned EMS with complaints of chest pain, weakness and nausea. En route, EMS administered aspirin 325mg by mouth, but withheld nitroglycerin due to initial hypotension. N Engl J Med 2003; 348:1756-1763, 5/1/2013.

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EKG/ECG Shock Fluid Resuscitation Documentation/Coding 40

Advanced Emergency Nursing from AENJ

JULY 9, 2015

YouTube.com [Time=33’11” Presentation] EMS World. Inverse intubation beim polytrauma: indikation, technik, erfahrungen. Intensivmedizin und Notfallmedizin, 30, 426-7. McClusky, S., Koetter, K. P., & Petroianu, G. Rescuer position for tracheal intubation on the ground. Resuscitation, 56(1), 83-89. Murphy, MD, Fred Ellinger Jr.,

Airway Management 40

Airway Management Pediatrics Resuscitation Emergency Nursing 40

EMDocs

JULY 15, 2023

We’ll keep it short, while you keep that EM brain sharp. link] The post EM@3AM: Erysipelas appeared first on emDOCs.net - Emergency Medicine Education. Purulent drainage (E) is possible with many infections, including cutaneous abscesses and cellulitis, but is not typical of erysipelas. M., & Bédane, C. link] Brindle, R.,

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EMS Infectious Diseases Shock Ultrasounds 84

ACEP Now

AUGUST 1, 2023

Factoring such, an order to transfer the patient immediately by ground or air EMS is the only actual support per se these non-physicians receive. Quillen College of Medicine (2003) Response The workforce study shook the foundation of emergency medicine (EM).

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Emergency Department EMS Critical Access Hospitals 98

EMDocs

FEBRUARY 12, 2024

Authors: Rachel Kelly, MD ( EM Resident Physician, Stony Brook University Hospital); Robert Nocito, MD (EM Attending Physician, Stony Brook University Hospital) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University in St. 2003 Aug;10(8):836-41. PMID: 9546014. (35) Acad Emerg Med.

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Emergency Department Resuscitation COPD Shock 98

Intensive Blog

MARCH 13, 2024

Whilst acknowledging not all centres who provide ECMO are registered with ELSO 3 , an analysis of this dataset showed that in 2003 there were < 50 ECPR runs reported in total 4. Ten cases were analysed with a median time of EMS call to ECMO blood flow > 3L being 50 minutes.

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CPR Resuscitation Hospitals Outcomes 130

EMDocs

JULY 19, 2023

2003 Oct 30;349(18):1731-7. Ten Things Physicians and Patients Should Question. link] Clarkson TW, Magos L, Myers GJ. The toxicology of mercury–current exposures and clinical manifestations. N Engl J Med. doi: 10.1056/NEJMra022471. PMID: 14585942. Rafati-Rahimzadeh M, Rafati-Rahimzadeh M, Kazemi S, Moghadamnia AA.

Poisoning 84

Poisoning Fluid Resuscitation Administration Seizures 84

Dr. Smith's ECG Blog

APRIL 8, 2015

in 2010 EM Clinics of North America (full text link) For an Exhaustive Review of Syncope and its full management outside the ED environment, go to the 2009 European Society of Cardiology Guidelines (full text pdf). Academic Emergency Medicine, 2003 Volume 10, Number 5 539-540. Eur Heart J 2003 May; 24:811-19. Quinn et al.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

RebelEM

DECEMBER 4, 2024

JACC 2003; 41: 255-62. Acad EM 2010; 17: 408-15. Ann of EM 2011; 58: 517-20. Rezaie, MD (Twitter/X: @srrezaie ) The post REBEL Core Cast 132.0 – Recent-Onset AFib appeared first on REBEL EM - Emergency Medicine Blog. Ann Emerg Med 2015; 65(5): 532-9. PMID: 25701296 Chevalier P et al.

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Emergency Department Stroke EMS Shock 83

RebelEM

FEBRUARY 28, 2025

leaving the nail in place and just trephinating for drainage) ( Seaberg 1991 , Roser 1999 , Batrick 2003, Dean 2012 ). 2003 Jan;20(1):65. appeared first on REBEL EM - Emergency Medicine Blog. Though there arent large trials, the existing evidence supports conservative management (i.e. Emerg Med J. 2012;17(1):151-4.

Outcomes 52

Outcomes Pediatrics Emergency Department EMS 52

RebelEM

FEBRUARY 7, 2024

Sheridan (2003). Rezaie, MD (Twitter/X: @srrezaie ) The post REBEL Core Cast 117.0 – Infections of Pregnancy appeared first on REBEL EM - Emergency Medicine Blog. References: Abbrescia, K. “Complications of second and third trimester pregnancies.” ” Emerg Med Clin North Am 21 (3): 695-710, vii. Mulik (2007).

Sepsis 91

Sepsis Shock Hospitals Ultrasounds 91

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

We’ve heard, or been through, tales of early EM when BNTI was the fall-back for awkward intubations before EM could claim credentialing for RSI. Ontario EMS Nasal Tracheal Intubation Video on the YouTube Channel of Ontario EMS. Should EMS Use Nasotracheal Intubation? Paralysis doesn’t open every oral cavity.

Resuscitation 40

Resuscitation Airway Management EMS CPR 40

Taming the SRU

JULY 24, 2024

Use pacesetting to get quick results from a highly motivated and competent team Use coaching to help an employee improve performance and develop long-term strengths Social EM Grand Rounds: Interpersonal and community violence WITH drs. Can an airway assessment score predict difficulty at intubation in the ED?

Domestic Violence 52

Domestic Violence Leadership Ultrasounds Academics 52