Lithuania

-training in Lithuania is 6 years and they graduate with a masters degree with ability to practice in EMS, ED and palliative care

-EMS services only carried out by EMS personnel, not fire or police

-Ambulance types: BLS, ALS, ALS intensive care

-BLS-minor traumas, cardiac arrest if nearest, transport, psychiatric emergencies, minor medical- Can start IV and apply supraglottic airway, no meds

-ALS- Nurse and driver-paramedic- can administer medications, can interpret EKG, supraglottic devices, intubation, procedural sedation, etc.

-ALS ICU- Doctor, nurse, driver-paramedic- US, terminating CPR, invasive and non-invasive ventilation- most critically sick patients

Riot Dispersal Agents and GSW Management

-Tear gas fall under chemical weapons- designed to be an irritant that leaves no lasting damage (not always the case)

-14 cases of death from these agents, but all have been from people getting struck with the cannister (in the US)

-In Israel have had cases of people dying from chemical itself when deployed in poorly ventilated areas

-No long term studies- there are concerns for long term toxicity

-Decontamination- removing from exposure

-Copious water irrigation

-Velocity of the GSW is what determines damage- high velocity causes worse disruption

-Two types of wounds: 1. Penetrating- enters but does not leave body 2. Perforating- enters and leaves body

-ABI for concern vascular injury- <.9 needs angiography, >.9 but less than 1.0 needs obs

-71% of those with arterial injury have concomitant nerve injury

EDH

-Introduction to Dr. Syed Shah

AAEM

-Est. 1993 to advocate for EM as a specialty

-Key Issues: Advocacy, Board Certification, Corporate practice of medicine, EMTALA, Due process

-AAEM has multiple resources and benefits to include scientific conferences, podcasts, help in establishing/finding democratic groups, etc

-When thinking about your finances, replace your “buts” with “ands”- for instance “I’m about to make 300k a year AND I don’t know what to do with it”, rather than saying “…but I don’t know what to do with it”

-Think about other streams of revenue. Examples: selling a product, content creation, renting room/property

-Take inventory of your life. What does your millionaire life look like? What kind of car do you want? House? What do you want to do with your time?

-Estimate the monthly costs of these. It is likely easier for you to “live your millionaire life” than you might think, and setting these goals and visualizing them can help you in determining your pathway to them.