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Defining Appropriate Responses in a Tiered System

High Performance EMS

The very low risk calls can typically be satisfied with basic life support (BLS) capabilities. In fact, sending advanced life support (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.

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The Guidelines Graveyard: What gets chosen, what gets buried?

Handtevy

On November 14, 2024, ILCOR released their latest recommendations for adult and pediatric basic and advanced life support. 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?

professionals

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2023 AHA Update on Management Cardiac Arrest or Life-Threatening Toxicity Due to Poisoning

EMDocs

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 advanced life support. COR 2a, LOE C-LD. COR 2a, LOE C-LD.

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A 20-something woman with cardiac arrest.

Dr. Smith's ECG Blog

When I saw the ECG of this patient I saw that there was definitely something "off". Cardiac arrest was called and advanced life support 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?

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Resident Journal Review: End-Tidal Carbon Dioxide Monitoring in Cardiopulmonary Resuscitation

AAEM RSA

In 2010, the American Heart Association (AHA) revised the Advanced Cardiac Life Support (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.

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The Science on Targeted Temperature Management

ACEP Now

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.

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How to Become a Tactical EMT: Uncover the Path to High-Intensity Emergency Care

EMT Training Station

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.

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