by Al Lulla, MD (@al_lulla) and Bridgette Svancarek, MD Expert/Peer Reviewed by J. Brent Myers, MD, MPH (@bmyersmd) You arrive on scene to a cardiac arrest. Your patient is a 64 yo male found pulseless by his wife when she returned from walking the family dog. The patient’s initial rhythm was a narrow complex PEA.
Summary and analysis by Maia Dorsett, MD, PhD @maiadorsett Framing the Problem Nausea and vomiting in pregnancy is not rare, occurring in about 50% of all pregnant women. [1] Symptom onset typically occurs within four weeks of the last menstrual period and peaks at nine weeks of gestation, with the vast majority of cases
Sabina Braithwaite, MD, MPH, NRP, FACEP The current EMS Fellowship curriculum emphasizes clinical skills needed to be a competent EMS physician. In addition to medical knowledge, prehospital patient care, and systems-based practice, there are milestones for team and patient centered communication. These milestones focus on communication between EMS physician and EMS providers, EMS physician and patient,
by Richard T. Benson II, MD, Joseph Grover, MD, Jane Brice, MD, MPH Clinical Scenario: EMS is dispatched to a possible stroke patient whose last seen normal time was 1.5 hours prior to dispatch. The patient lives 15 minutes from a primary stroke center and 45 minutes from a comprehensive stroke center. The patient has
Melody Glenn, MD One by one, people start to arrive at Greasebox, a local diner in Oakland, CA, for our inaugural multidisciplinary book club session. Only a few of the faces are familiar to me — my colleagues in emergency medicine and EMS, but the rest introduce themselves as students and practitioners working in sociology
David K. Tan, M.D. Growing up, one of my favorite TV shows was “Emergency!” I suspect many of our readers with a few grey hairs share my fond memories of watching Johnny and Roy gallantly saving lives every week while receiving sage advice from Dr. Brackett and Dr. Early when they brought the patients
Daniel Kolinsky MD, Nicholas M Mohr, MD MS & Brian M Fuller, MD, MSCI Case Scenario ‘Not again,’ you think to yourself as you listen to the dispatch report. “Call for inter-hospital transport. The patient is a 58 year-old male with a recent diagnosis of pneumonia, in the ED with acute respiratory failure, and is
