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SGEM #417: Everybody’s Changing…the Reference Ranges for Pediatric Vital Signs

The Skeptics' Guide to EM

Background: We have looked at pediatric vital signs on the SGEM back in 2014 with PedEM superhero Dr. Anthony Crocco ( SGEM#98 ). Vital sign ranges from common guidelines such as Pediatric Advanced Life Support (PALS) [1] or Advanced Pediatric Life Support (APLS) [2] can differ. It seems awfully high.

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From the President’s Desk: HEMS in Cork

Irish College of Paramedics

Crewing Models: There are varying models of pre-hospital care ranging from paramedic provision of care through the mix of First Aid (Tanigawa and Tanaka 2006) Basic Life Support (BLS), immediate care, Advanced Life Support (ALS) and the many associated specialist paramedicine grades. 2014), BLS (Sanghavi et al.

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Resident Journal Review: Available Evidence Regarding Targeted Temperature Management (TTM)

AAEM RSA

For both groups, mean time to basic life support was determined to be one-minute, advanced life support started at 10 minutes, and time to ROSC at 25 minutes. Enrollees were then assigned to either TTM of 33ºC or 36ºC for 36 hours. Time to TTM was statistically significantly shorter in the IC group (2.2

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Prehospital Traumatic Cardiac Arrest: A Systematic Review and Meta-analysis

REBEL EM

The search contained terms for (1) prehospital cardiac arrest or prehospital advanced life support, and (2) injuries and trauma. Or, could the distinction be due directly to the usage of advanced prehospital medicine and intervention by the EMS physicians? The agreement rate between the authors was not reported.

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Calcium in Out-of-Hospital Cardiac Arrest

NAEMSP

However, evidence emerged in the 1980’s demonstrating that calcium chloride had no effect on return of spontaneous circulation (ROSC) rates, and in fact could be detrimental (Landry, Foran, & Koyfman, 2014). Current AHA guidelines do not recommend routine use of calcium in cardiac arrest (Panchal, et al., mEq/L (OR: 51.11; 95% CI: 3.12−1639.16;

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