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Defining Appropriate Responses in a Tiered System

High Performance EMS

Dispatching the right unit to an EMS call was much simpler when all resources had the same capabilities and a response time was the primary measure of success. The very low risk calls can typically be satisfied with basic life support (BLS) capabilities.

BLS 264
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Best Case Ever 52 – Pediatric Hypothermia Cardiac Arrest

Emergency Medicine Cases

In anticipation of EM Cases Episode 90 on the Pediatric Advanced Life Support (PALS) guidelines with the lead author Dr. Allan DeCaen and Dr. Anthony Crocco, Dr. DeCaen tells his Best Case Ever showing us the value of orchestrated team work and a great example of the saying, "they're not dead until they're warm and dead".

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EMS vs. EMT: Clarifying Roles in Emergency Healthcare

EMT Training Station

In the realm of emergency healthcare, the terms EMS (Emergency Medical Services) and EMT (Emergency Medical Technician) are often used interchangeably, yet they represent distinct aspects of medical response and care. Though they are closely related and often work together, EMS and EMT have distinct roles, training, and responsibilities.

EMT 98
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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. As EMS leaders, its our responsibility not only to examine the research ILCOR uses, but also to critically evaluate the studies that dont make the final cut. By now, you can see the pattern.

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SGEM#306: Fire Brigade and the Staying Alive App for OHCAs in Paris

The Skeptics' Guide to EM

You abandon your coffee order and quickly head next-door, where you are able to start cardiopulmonary resuscitation (CPR) and direct a bystander to find the store’s automated external defibrillator (AED) while waiting for emergency medical services (EMS) to arrive. SGEM#64 : Classic EM Papers (OPALS Study) * SGEM#136 : CPR – Man or Machine?

CPR 130
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SGEM#189: Bring Me To Life in OHCA

The Skeptics' Guide to EM

Case: You are the medical director of an EMS system in a large city deciding on whether to respond to all out of hospital cardiac arrests (OHCA) with ACLS capabilities, or if resources should be directed to those candidates for extracorporeal CPR. You need to recognize an arrest and activate your EMS system.

CPR 130
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SGEM#238: The Epi Don’t Work for OHCA

The Skeptics' Guide to EM

You are the first provider on scene with Emergency Medical Services (EMS) and start high-quality Cardiopulmonary Resuscitation (CPR). Jenn Doyle is a paramedic educator at Middlesex-London Paramedic Service. Case: A 51-year-old man experiences a cardiac arrest on the street. He is unsuccessfully shocked.