article thumbnail

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.

BLS 264
article thumbnail

"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.

BLS 130
professionals

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

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.

Naloxone 115
article thumbnail

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

The Skeptics' Guide to EM

Background: Out of hospital cardiac arrest (OHCA) is something that we have covered many times on the SGEM. SGEM#64 : Classic EM Papers (OPALS Study) * SGEM#136 : CPR – Man or Machine? Unfortunately, most patients don’t receive these crucial interventions.

CPR 130
article thumbnail

SGEM#189: Bring Me To Life in OHCA

The Skeptics' Guide to EM

The classic paper on ACLS drugs is called OPALS (Ontario Pre-hospital Advanced Life Support) study and was done by Dr. Ian Stiell and team. He is also the CME editor for Academic Emergency Medicine and the associate editor for emergency medicine simulation at the AAEM MedEdPORTAL. vs. 14.6%, p<0.001).

article thumbnail

SGEM#238: The Epi Don’t Work for OHCA

The Skeptics' Guide to EM

Unfortunately, the trial failed to achieve their sample size for a variety of reasons which left it underpowered. This means there is a lack of high-quality data to rely upon in deciding whether or not to use epinephrine in OHCA situations. Reference: Perkins et al.

article thumbnail

A Cross-Sectional Analysis of ALS/ BLS Care in Low Acuity 9-1-1 Response by Geography and Insurance Status Utilizing the 2019 NEMSIS Dataset

International Journal of Paramedicine

EMS responses (n = 4,375,568) were analyzed comparing patient acuity and CMS Service level, Advanced Life Support (ALS) vs Basic Life Support (BLS), to assess for associations in acuity and CMS Service level using logistic regression. Discussion.

BLS 52