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

The Skeptics' Guide to EM

Vital sign ranges from common guidelines such as Pediatric Advanced Life Support (PALS) [1] or Advanced Pediatric Life Support (APLS) [2] can differ. However, there remains variation regarding what the “normal” ranges of vital signs can be for pediatric patients.

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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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AHA and Red Cross Life Support Certifications Should Both Be Accepted

ACEP Now

For decades, only one major organization—the American Heart Association (AHA)—provided standardized training and certifications in Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS). In 2015, it introduced Basic Life Support (BLS) training and certification for EMS personnel.

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"I Need a Medic!"

Chicago EMT Training

A quick breakdown on the differences between an EMT-B(asic) and an EMT-P(aramedic) Basic Life Support (BLS) vs Advanced Life Support (ALS) So there it is. In a more rural setting, you might see EMT-I or A for intermediate or advanced. Don't get me wrong, an EMT-Bs can do A LOT. So I commend for you that.

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SGEM#189: Bring Me To Life in OHCA

The Skeptics' Guide to EM

Prehospital advanced cardiac life support for out-of-hospital cardiac arrest: a cohort study. He is also the CME editor for Academic Emergency Medicine and the associate editor for emergency medicine simulation at the […] The post SGEM#189: Bring Me To Life in OHCA first appeared on The Skeptics Guide to Emergency Medicine.

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

EMDocs

Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American Heart Association 2023 Guideline for managing cardiac arrest or life-threatening toxicity due to poisoning was recently released. This post will focus on the key parts of the guideline that affect ED evaluation and management. COR Harm, LOE B-R.

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SGEM#238: The Epi Don’t Work for OHCA

The Skeptics' Guide to EM

This was a before and after study to see if advanced cardiac life support (ACLS) techniques, including IV epinephrine, would improve survival to discharge. While there was an improvement in return of spontaneous circulation (ROSC) and survival to hospital admission there was not an increased survival to hospital discharge.