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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.

BLS 264
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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.

BLS 130
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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#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
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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).

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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.