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A Historical Overview of Early Rescue Techniques and Their Evolution Early Traces of Rescue in Prehistory The history of human rescue dates back long before the advent of modern civilization, rooted in the depths of prehistory. Archaeological excavations in various parts of the world have revealed that ancient humans already possessed the knowledge and skills […] The post The origins of rescue: prehistoric traces and historical developments appeared first on Emergency Live.
The pendulum has swung from the use of whole blood in the early 20th century, to component therapy in the 1960s, and now a gradual move toward incorporating whole blood again. More and more papers are being published, and many trauma centers are looking for ways to integrate whole blood into their massive transfusion protocols. Much of the literature has been dedicated to safety and effectiveness, but little has examined thrombotic complications from its use.
Reference: Remick KE, et al. National Assessment of Pediatric Readiness of US Emergency Departments during the Covid-19 Pandemic. JAMA Netw Open. July 2023 Date: Dec 11, 2023 Guest Skeptic: Dr. Rachel Hatcliffe is a pediatric emergency medicine attending at Children’s National Hospital in Washington, DC. Her research focuses on prehospital care of children with anaphylaxis. […] The post SGEM #425: Are You Ready for This?
Speaker: Simran Kaur, Co-founder & CEO at Tattva.Health
AI is transforming clinical trials—accelerating drug discovery, optimizing patient recruitment, and improving data analysis. But its impact goes far beyond research. As AI-driven innovation reshapes the clinical trial process, it’s also influencing broader healthcare trends, from personalized medicine to patient outcomes. Join this new webinar featuring Simran Kaur for an insightful discussion on what all of this means for the future of healthcare!
The patient is female in her 80s with a medical hx of previous MI with PCI and stent placement. She also has a hx of paroxysmal atrial fibrillation and is on oral anticoagulant treatment. She had a single chamber ICD/Pacemaker implanted several years prior due to ventricular tachycardia. The last echocardiography 12 months ago showed HFmrEF. She presented to the emergency department after a couple of days of chest discomfort.
In theory, tiered trauma centers should allow patients with lesser injuries to be treated at lower levels and more severe trauma at higher-level centers. This parallels the resource availability at those centers. In reality, many patients with injuries that seem complex (solid organ, children, and TBI) are transferred due to a “lack of comfort” in taking care of them or the perception that they may deteriorate quickly.
The Study of the Week is back after a nice holiday break. Peace to all. And Happy New Year. Subscribe now The journal LANCET Healthy Longevity now has the early lead for publishing the year’s most dubious study. The top-line result of this observational study was that use of hearing aids in adults with hearing loss was associated with a 24% lower rate of death compared with nonusers of hearing aids.
The Study of the Week is back after a nice holiday break. Peace to all. And Happy New Year. Subscribe now The journal LANCET Healthy Longevity now has the early lead for publishing the year’s most dubious study. The top-line result of this observational study was that use of hearing aids in adults with hearing loss was associated with a 24% lower rate of death compared with nonusers of hearing aids.
This is a guest post by Dr Casey Parker MBBS DCH FRACGP DDU DipRGA. I am a rural generalist with postgraduate training in primary care, paediatrics, anaesthesia and diagnostic sonology. My practice includes emergency and inpatient care in Broome Hospital in the remote Kimberley region of Western Australia. I also work in a large tertiary […] The post On the Ethical Detention of Patients in the Emergency Department appeared first on First10EM.
Written by Willy Frick I was reading ECGs in the queue, and the following tracing appeared. I frequently check the chart if I want to know more clinical context (which is crucial for accurate interpretation). But in the reading software, all I am told is that it is a 77 year old man, and that the indication is "NSTEMI." What do you think? Although not necessarily intentional, the first processing that I do when I see an ECG is to categorize as OMI or not.
Injured older adults typically sustain those injuries from blunt mechanisms. Radiographic evaluation, particularly CT scans, does not have good supporting literature to dictate which exams should be used in particular patients. There is a long-standing debate on the merits of pan-scan vs. selective scans when using CT. EAST sponsored a multicenter study to look for specific history and physical exam findings that could help direct CT evaluation.
John Mackenzie and Amanda Beech Procedure: Speculum examination Emergency Procedure: Speculum examination, how (and when) to find the cervix in the emergency department.
For paediatric ED doctors who come from a paediatric training background, dealing with agitated adolescents can be stressful. There is so much more to managing the agitated adolescent than just drugs, but sometimes sedation is necessary. As we are not used to sedating children in this way, choosing drugs and doses can be difficult. In paediatric emergency care, addressing the challenge of adolescent agitation is a complex and evolving task.
From AI to New Healthcare Solutions, What to Expect The Importance of CES for Technological Innovation The CES (Consumer Electronics Show) 2024, considered one of the largest events in the technology sector, will be held from January 9 to 12 in Las Vegas, USA, and will represent a crucial moment for companies aiming to establish […] The post CES 2024: technological innovation meets in Las Vegas appeared first on Emergency Live.
Airway assessment and protection are of paramount importance during trauma care. Airway management is even more challenging in the prehospital environment, where lighting and patient positioning may be suboptimal, and injuries or policies may prohibit orotracheal intubation. A variety of devices have been developed to make airway control simpler and faster.
Today on the emDOCs cast, we have a special guest, Alexis Koda, core faculty at the Nazareth Emergency Medicine Residency program in Philadelphia, PA. Alexis takes us through marine ingested poisons and infections. Episode 92: Marine Ingested Poisons and Infections Scombroid Pathophysiology: Fish from family Scombroidae Tuna , mackerel, skipjack, bonito Dark-meat fish Herring, bluefish , anchovy, sardine, amberjack, black marlin, and mahi mahi Histidine decarboxylase produces histamine and hista
Mark Corden and Neil Long Funtabulously Frivolous Friday Five 355 Funtabulously Frivolous Friday Five 355 - Just when you thought your brain could unwind, enter the medical trivia of FFFF.
Join the Forefront of Disaster Response: Insights and Innovations at Disasters Expo USA 2024 Emergency Live announces collaboration with Disasters Expo USA, the leading event mitigating the world’s most costly disasters, curated for professionals looking to source the solutions helping our communities prepare, respond and recover from disasters to the best of our ability.
Focused abdominal sonography for trauma (FAST) has been a mainstay of rapid diagnosis for many years. The extended FAST exam (eFAST) adds an examination of the thoracic cavities to the basic exam. The sensitivity and specificity of FAST have mostly been determined. However, there is much less literature outlining the accuracy of the eFAST. The group at Vanderbilt performed a prospective, observational study on the ability of the eFAST exam to detect pneumothorax specifically.
Bottom Line Up Top: In patients with infectious processes that are stable for discharge home, there is no role for giving a first dose of antibiotics IV in the ED. Clinical Scenario: A 45-year-old woman with hypertension presents with a productive cough and fever. Her vitals are: HR 115, BP 120/80, Temp 102.8, O2 Sat 99% on RA, RR 18. A CXR demonstrates a right middle lobe opacity.
Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American Heart Association 2023 Guideline Updates for 2023 were just published. This post will focus on the key parts of the guideline that affect ED evaluation and management. Major Updates Avoid routine use of calcium in patients with cardiac arrest. Calcium is associated with harm but is still necessary in certain situations (hyperkalemia, calcium channel blocker overdose) (Level 3 recommendation: no benefit).
A new era of air rescue vehicles is taking flight, driven by innovations and technological changes Revolution in the Air Rescue Sector The air rescue sector is experiencing a phase of significant growth and innovation. The demand for air ambulance services is on the rise, driven by the need to swiftly transport critical patients and […] The post The evolution of air rescue vehicles: technology and sustainability appeared first on Emergency Live.
Smaller blood-collection tubes to reduce red blood cell transfusion (STRATUS trial) Cumulatively, daily labs on hospitalized patients deplete substantial volumes of blood, almost all of which is wasted. The 4 to 6 mL of blood drawn per standard tube is a legacy of older equipment: modern testing machines only need <0.5 mL per sample, and the rest is discarded.
violence against healthcare workers - vascular access - SCAD - subtle ischemia on ekg - alcohol withdrawal - panorex - community corner R4 Capstone: violence against healthcare workers WITH dr. wosiski-kuhn Nearly half of emergency physicians report being physically assaulted at work 85% of emergency physicians believe that the rate of violence experienced in emergency departments has increased over the past five years, with 45% indicating it has greatly increased.
Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American Heart Association (AHA) and Neurocritical Care Society (NCS) released their 2023 Scientific Statement on the critical care management of post ROSC patients. This post covers the key components, with each section starting with the key takeaway followed by the scientific statements.
A Detailed Guide for Aspiring EMS Helicopter Pilots First Steps and Training To become an Emergency Medical Services (EMS) helicopter pilot, it is essential to hold a commercial helicopter pilot’s license, which requires a Federal Aviation Administration (FAA) second-class medical certificate, although some employers may require a first-class certificate.
Transfusion Decisions in Severe Anaemia Reducing child mortality remains high on the global health agenda. It’s important we think about ways and means to do this with both population-based and targeted approaches. Let’s take the humble blood transfusion – used in emergency departments across the globe and playing a key role in critical care. Severe anaemia is a common and life-threatening cause of hospital admission in children in sub-Saharan Africa. 8% die in hospital, with a further 12% dying
I was reviewing ECGs for a study, and came across this one, and was able to get all the clinical information: What do you think? The Queen diagnosed "OMI with high confidence" due to the ST Elevation in V1-V3. Smith interpretation: This is highly likely to be due to extreme right heart strain and is nearly diagnostic of pulmonary embolism. Let me tell you about her hospitalization, discharged 1 day prior, but it was at another hospital (I wish I had the ECG from that hospitalization): The patien
From Disease Identification to Assessing Bodily Functions What Is PET and How Does It Work? Positron Emission Tomography, commonly known as PET, is a medical imaging technique that uses a radioactive tracer to show how organs and tissues function in real-time. Unlike other imaging techniques such as CT or magnetic resonance imaging, PET focuses on […] The post PET scan: a revolutionary diagnostic test appeared first on Emergency Live.
You may not immediately see the connection between running ultramarathons in the mountains and leading a product innovation team, but to Jon Tanner, Product Leader, the parallels are obvious. Both involve setting ambitious goals, overcoming obstacles, and finding fulfillment in testing limits. The post Igniting Human Understanding: Jon Tanner appeared first on NRC Health.
A 49-year-old female with a past medical history of recurrent diverticulitis initially presented with one month of shortness of breath and a minor nonproductive cough for which she was started on doxycycline by her primary care provider. She then developed a rash on her chest, upper back, and face. Antibiotics were switched to amoxicillin and azithromycin.
In acutely ill adults (ED / ICU) does the administration of cefipime or piperacillin-tazobactam (pip-taz) result in an increased incidence of AKI or death by day 14?
From Birth to Modernization of Emergency Services Introduction The Italian territorial emergency service, known simply as “118,” has revolutionized the management of healthcare emergencies in Italy. Its development and evolution reflect a radical shift in emergency management, from the era of basic ambulances to technological modernization.
r4 case follow up - r1 clinical knowledge: interstitial lung disease - halo - pediatric simulation - pediatric small groups r4 case follow up WITH dr. yates Psychiatric emergency department visits are on the rise in the United States, with roughly 15-19% of all ED visits associated with mental health diagnoses Roughly twenty percent of patients presenting with psychosis have a secondary cause Work up should be determined by the history and physical and may need to be broad, but all patients shou
Case A 74-year-old man presents with five days of fever and urinary incontinence. He has a history of diabetes mellitus type 2. Vital signs are: blood pressure, 117/68; heart rate, 89; resting heart rate, 16; temperature, 37.7 degrees C (99.9 degrees F). On physical examination, he is confused and incoherent. What is the best management of this condition?
Understanding Magnetic Resonance Imaging, Its Purpose, and Procedure Introduction to Magnetic Resonance Imaging Magnetic Resonance Imaging (MRI) is a medical imaging technique used in radiology to create detailed images of the body’s anatomy and physiological processes. MRI scanners utilize strong magnetic fields, magnetic field gradients, and radio waves to generate images of the body’s organs […] The post Magnetic resonance imaging: a comprehensive guide appeared first on Eme
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