Responding to Hypothermia
In our last post we looked at some of the causes of hypothermia, both typical and atypical. Then we talked a bit about the recognition of the hypothermia progression and what patients might look, feel and act like as they progress through their hypothermic condition. Now let’s look at some of the guidelines for treating our hypothermia victims. On the surface, treating hypothermia might seem deceptively simple. The treatment of mild hypothermia often is simple. Bring them in, stop the cooling and rewarm them. But as we progress into moderate and severe hypothermia, things get more complicated. Here are 12 gui...
Source: The EMT Spot - November 14, 2022 Category: Emergency Medicine Authors: Steve Whitehead Tags: EMT Source Type: blogs

Treatment of Head Injury
In our last two installments we looked at the way heads get injured and the various ways the brain tends to bleed. In this, our last installment in the head injury series, let’s take a look at basic treatment and management of the head injury patient. There are a lot of variables that need to be considered when managing a head injury patient in the prehospital environment. Your treatment will be guided by considerations like the mechanism and severity of the head injury, other associated injuries, the patients mental status and their basic stability. These are some guidelines when sizing up and prioritizing your ca...
Source: The EMT Spot - November 10, 2022 Category: Emergency Medicine Authors: Steve Whitehead Tags: EMT Source Type: blogs

17 Ways to Become an Awesome EMT
Want to become more awesome in 2022? Here are 17 places you can start: 1) Start Checking Out Your Rig Each Morning Most organizations have a policy in place that states that oncoming EMS crews should complete a thorough checkout process. The reality is that very few of us check out our rig at the beginning of each shift with the proper attention that the task deserves. We know we should, but we get caught up. The signs of an incomplete rig checker are subtle but recognizable. If you open your cabinet or kit on a call and note (for the first time) that you are low or absent a needed supply, you’re not checking o...
Source: The EMT Spot - November 7, 2022 Category: Emergency Medicine Authors: Steve Whitehead Tags: EMT Source Type: blogs

Test For Unconsciousness: The Sternal Rub
Ahhh the embattled sternal rub. Revered, reviled … the sternal rub is the Ann Coulter of medical interventions. Abrasive, annoying, loved by many, hated by many more. The subject of the usefulness of the sternal rub is bound to cause controversy in any EMS forum. In other words … it’s a great subject for The EMT Spot. Like many controversial assessments and treatments, the sternal rub (sometimes referred to as the sternum rub) got its bad-boy reputation more from its misuse than from its own shortcomings. Never-the-less, the technique does have its shortcomings. Like so many other tools, it has its...
Source: The EMT Spot - November 2, 2022 Category: Emergency Medicine Authors: Steve Whitehead Tags: EMT Source Type: blogs

The Future of Emergency Medicine: 6 Technologies That Make Patients The Point-of-Care
Car crashes, home injuries, fires, natural disasters: every minute – if not every second – spent without treatment in such cases of medical emergencies and high-risk patients could reduce the chance of survival or proper recovery. In fact, when deprived of oxygen, permanent brain damage begins after only 4 minutes, while death can occur as soon as 4-6 minutes later. In this race against time, digital health technologies that turn patients into the point-of-care could prove to be game-changers for first responders and emergency units.  From driverless cars through medical drones to artificial intelligence (...
Source: The Medical Futurist - September 29, 2020 Category: Information Technology Authors: berci.mesko Tags: Artificial Intelligence in Medicine Future of Medicine Healthcare Design Healthcare Policy Portable Medical Diagnostics Robotics Telemedicine & Smartphones digital health Health 2.0 Innovation technology emergency emergency medicin Source Type: blogs

5-step COVID: A cognitive aid for the pandemic airway
Peter Brindley 5-step COVID: A cognitive aid for the pandemic airway 5-step COVID - a cognitive aid for the pandemic airway emphasising key consideration in the intubation of COVID19 patients. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - April 12, 2020 Category: Emergency Medicine Authors: Peter Brindley Tags: LITFL 3COVID Airway Management Chris Hicks cognitive aid covid disease covid-19 covid19 Intubation jarrod mosier Peter Brindley Source Type: blogs

Covid19 airway management: better care through simulation
Dr Chris Nickson Covid19 airway management: better care through simulation Editor’s note: Health services around the world are faced with the challenge of preparing for the impact of Covid19 on their communities as we all prepare for a potential global pandemic. I, like many others, see a great role for simulation in process development and testing and see Covid19 as a prime example of how […] (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - March 10, 2020 Category: Emergency Medicine Authors: Dr Chris Nickson Tags: Simulation Airway Management albert chan coronavirus covid19 hong kong Intubation novel prince of wales hospital Source Type: blogs

COVID-19 airway management: better care through simulation
Dr Chris Nickson COVID-19 airway management: better care through simulation Dr Albert Chan from shares practical tips & resources for using simulation for Covid19 airway management based on the Hong Kong experience. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - March 10, 2020 Category: Emergency Medicine Authors: Dr Chris Nickson Tags: Simulation Airway Management albert chan coronavirus covid19 hong kong Intubation novel prince of wales hospital Source Type: blogs

Airway management
Dr Oliver Flower Airway management Adam Rehak provides practical pearls about managing the unexpected difficult airway; emphasising the importance of effective teamwork with the Vortex approach and the DAS guidelines. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - February 13, 2020 Category: Emergency Medicine Authors: Dr Oliver Flower Tags: Anaesthesiology Clinical Crit Care Resuscitation Adam Rehak Airway Management Vortex Vortex approach Source Type: blogs

Pre-hospital Resuscitation – Road to Resus 1
Dr Oliver Flower Pre-hospital Resuscitation – Road to Resus 1 Pre-hospital Resuscitation - Road to Resus 1. Ashley and Reuben use a panel of experts to examine some of the major pre-hospital resuscitation controversies including Pre-hospital intubation and blood transfusion. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - December 9, 2019 Category: Emergency Medicine Authors: Dr Oliver Flower Tags: Clinical Crit Care SMACC19 Airway Management Blood Transfusion Bougie Communication Critical Care Medicine Emergency Medicine Human Factors Pre-Hospital prehospital sepsis Steroids trauma assessment Source Type: blogs

Road to Resus 1: Pre-hospital Resuscitation
Dr Oliver Flower Road to Resus 1: Pre-hospital Resuscitation Pre-hospital Resuscitation - Road to Resus 1. Ashley and Reuben use a panel of experts to examine some of the major pre-hospital resuscitation controversies including Pre-hospital intubation and blood transfusion. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - December 9, 2019 Category: Emergency Medicine Authors: Dr Oliver Flower Tags: Clinical Crit Care SMACC19 Airway Management Blood Transfusion Bougie Communication Critical Care Medicine Emergency Medicine Human Factors Pre-Hospital prehospital sepsis Steroids trauma assessment Source Type: blogs

RAGE Session: Resuscitology Case – Oncology Patient in Resus
Dr Chris Nickson RAGE Session: Resuscitology Case – Oncology Patient in Resus Cliff Reid, Geoff Healy, and Chris Nickson discuss a fictionalised case from the Resuscitology course: "Oncology Patient in Resus", including airway management and failure of video laryngoscopy, and the challenges of resuscitation in the context of potentially terminal illness. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - October 9, 2019 Category: Emergency Medicine Authors: Dr Chris Nickson Tags: RAGE Resuscitation Airway Management oncology resuscitationists awesome guide to everything Video Laryngoscopy Source Type: blogs

Tactical Emergency Medicine a Possible Career Path for EPs
​The value and importance of our specialty branching out into tactical emergency medicine are not widely discussed, but it can be rewarding to work with law enforcement. Tactical emergency medicine has expanded rapidly over the past two decades. The American College of Emergency Physicians even has an active tactical emergency medicine section. (http://bit.ly/2Dt1spl.) Its goal is to provide a forum for emergency physicians with interest or expertise in tactical medicine and to share information with the college and other organizations. Fellowships in tactical emergency medicine have been developed as part of ac...
Source: M2E Too! Mellick's Multimedia EduBlog - June 1, 2019 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

LITFL Review 339
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Welcome to the 339th LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chunk of FOAM. Readers can subscribe to LITFL review RSS or LITFL review EMAIL subscription The Most Fair Dinkum Ripper Beauts of the Week First10EM featu...
Source: Life in the Fast Lane - July 9, 2018 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: LITFL review LITFL R/V Source Type: blogs