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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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Passing ‘Fast’ for ‘Appropriate’ Responses

High Performance EMS

As more agencies move from exclusive ALS capabilities to tiered responses, there must also be a growing concern with ensuring the most appropriate resources are responding to each call. A Bravo request could be most efficiently served in a BLS capacity with longer response times before it would be deemed late.

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Adrenal Crisis and Addison’s Disease: What EMS Needs to Know

NAEMSP

The responding BLS crew was unable to initiate adequate resuscitation, despite signs of shock. Steroids such as methylprednisolone (Solu-Medrol) and dexamethasone (Decadron) are commonly available in ALS ambulances and are appropriate for preventing or treating adrenal crisis.

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Optimizing Demand Forecasts

High Performance EMS

Figure 2 Sample data demonstrating ALS (green) and BLS (blue) call volume comparisons by hour-of-the-day and day-of-the-week. It is also common for ambulances to be busy longer than an hour in our post-pandemic world. Notice the similarity in daily patterns although total volume (represented by 90th percentile) is unique.

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From the President’s Desk: HEMS in Cork

Irish College of Paramedics

Crewing Models: There are varying models of pre-hospital care ranging from paramedic provision of care through the mix of First Aid (Tanigawa and Tanaka 2006) Basic Life Support (BLS), immediate care, Advanced Life Support (ALS) and the many associated specialist paramedicine grades. 2000, Stiell et al. 2004, Jayaraman et al.

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Concerning EKG with a Non-obstructive angiogram. What happened?

Dr. Smith's ECG Blog

The ambulance report says "BP continued to drop during transport and pt remained cold and clammy." The EMS crew was only BLS certified, so EKG interpretation is not within their scope of practice. EMS obtained the following vital signs: pulse 50, respiratory rate 16, blood pressure 96/49.

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EMS vs. EMT: Clarifying Roles in Emergency Healthcare

EMT Training Station

This network includes more than just ambulance services; it incorporates a range of resources such as specialized medical equipment, emergency response vehicles (ambulances, helicopters, etc.), A Comprehensive Network of Care EMS encompasses a wide array of services and personnel dedicated to delivering emergency medical care.

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