by Adam Rieves, MD (@AdamRieves) and Brandon Bleess, MD (@BBBleess) EMS MEd Editor: Maia Dorsett (@maiadorsett) Clinical Scenario: EMS is called to the home of an elderly gentleman with altered mental status. On arrival, they find an elderly male who is muttering to himself. Per his daughter, he has had decreased oral intake and confusion
by Kevin Baumgartner, MD EMS MEd Editor: Maia Dorsett (@maiadorsett) Case: EMS is dispatched to the scene of a Motor Vehicle Accident. They arrive to find a 45 year old male who was riding his bicycle when he was hit by a car traveling at approximately 35 mph. Eyewitnesses state that the man was thrown
by Clayton Kazan, MD We all know about the various codes they call in the hospital: Code Blue, Code White, Code Pink, etc. We have even made up a few codes of our own, aka Code Brown. But, not enough of us know about Code Green. It\’s not a new name for patients on 4/20
by Zachary Hafez MD & Melissa Kroll MD expert reviewed by Hawnwan Philip Moy MD (@pecpodcast) It\’s a slow Saturday morning and you as the medical director are riding out enjoying the unusually warm 60 degree weather…in February no less! To celebrate, you decide to visit your favorite coffee shop and get the world\’s best latte.
By Clayton Kazan, MD, MS, FACEP (@clayton_kazan) The ER system is a sinking ship, EMS can be part of the solution. In the late 1960\’s, most pre-hospital care was provided by primary care physicians. As hospital care became more sophisticated and Emergency Medicine began to develop, the focus began to shift to transporting patients to
by Melody Glenn, MD It’s a Thursday evening in Oakland, and luckily, the current rain hasn’t gotten in the way of tonight’s book club at Novel Brewing, a book-themed brewery in the heart of the San Pablo corridor. I’m excited that Michael Marsh, a paramedic with decades of disaster and operational experience, and Dr. John
by Brandon Bleess, MD EMS MEd Editor: Maia Dorsett, MD PhD (@maiadorsett) Case Scenario #1 EMS is dispatched to scene of a witnessed cardiac arrest. A 54 yo male was at a family gathering when he suddenly clutched his chest prior to collapsing and becoming unresponsive. First responders arrived within 4 minutes of initial call
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,
