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The very low risk calls can typically be satisfied with basic lifesupport (BLS) capabilities. In fact, sending advancedlifesupport (ALS) providers that are in short supply to one of these calls can leave citizens exposed when a critical request is received after that resource is committed.
On November 14, 2024, ILCOR released their latest recommendations for adult and pediatric basic and advancedlifesupport. Many showed positive trends, yet because each specific area had fewer than three supporting articles, ILCOR declined to make any definitive statements about their effectiveness. The result?
Treatment of cardiac arrest and life-threatening toxicity due to poisoning often requires specialized treatments that most clinicians do not use frequently such as antidotes and venoarterial extracorporeal membrane oxygenation, in addition to effective basic and advancedlifesupport. COR 2a, LOE C-LD. COR 2a, LOE C-LD.
When I saw the ECG of this patient I saw that there was definitely something "off". Cardiac arrest was called and advancedlifesupport was undertaken for this patient. Are these ECG changes related to the CNS infection perhaps? What disease processes would you put on your list of differential diagnoses?
In 2010, the American Heart Association (AHA) revised the Advanced Cardiac LifeSupport (ACLS) guidelines to include the recommendation of using capnography to monitor end-tidal carbon dioxide (ETCO2) during cardiopulmonary resuscitation (CPR), 1 and has continued this recommendation to date. 2011;123:e236].Circulation.
12–13 These are challenging studies to draw definitive conclusions from, however they suggest that some of these post-TTM1 patients who were cooled to 36 degrees Celsius did worse, supporting the notion that there exists a subset of patients who benefit from cooling to 33 degrees Celsius. N Engl J Med. 2013;369(23):2197-206.
Tactical EMS providers must be able to recognize the signs of non-compressible hemorrhage and initiate rapid evacuation to a medical facility where definitive care can be provided. While these personnel may not be directly integrated into the SWAT team, they are on standby to provide rapid medical support in the event of an injury.
The search contained terms for (1) prehospital cardiac arrest or prehospital advancedlifesupport, and (2) injuries and trauma. Inclusion/Exclusion criteria and definitions were very specific. The OPALS Major Trauma Study: impact of advancedlife-support on survival and morbidity. 2005, 20: 265-70.
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