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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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Traumatizing Patients with Trauma Activations

ACEP Now

Throughout the Advanced Trauma Life Support manual, a mere three sentences relate to the murky ethics of trauma consent: “Consent is sought before treatment, if possible. In life-threatening emergencies, it is often not possible to obtain such consent. Advanced Trauma Life Support: Student Course Manual.

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EM@3AM: Amniotic Fluid Embolism

EMDocs

A 37-year-old G5P4 at 33 weeks presents to the ED after being brought in by ambulance. She had a precipitous delivery while the ambulance was pulling in. According to EMS, she was in labor at home and delivered the newborn shortly after they had loaded her into the ambulance. RR 28, SpO2 89% on 6L NC. Electronic address, p.

EMS 111
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EMS vs. EMT: Clarifying Roles in Emergency Healthcare

EMT Training Station

This could range from basic life support, typically managed by EMTs, to more advanced life support provided by paramedics and other medical specialists. EMTs, for example, are trained in basic life support, while paramedics receive more advanced training, including in pharmacology, cardiology, and trauma care.

EMT 98
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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.

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IV versus IO: Does your Site of Access Matter in Cardiac Arrest?

NAEMSP

Patient factors including vascular collapse and environmental factors such as tight spaces and moving ambulances contribute to the challenge of obtaining intravenous access in the prehospital setting. [3] 1] Table from Hamam et al. 9] Figure from Clemency et al. 3] Table from Tan et al. minutes versus 5.4 minutes). [5]

E-9-1-1 52
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REBEL Cast Ep113: Defibrillation Strategies for Refractory Ventricular Fibrillation

REBEL EM

REBEL Cast Ep113 – Defibrillation Strategies for Refractory Ventricular Fibrillation Click here for Direct Download of the Podcast Paper: Cheskes S, et al. In most cases, prehospital cardiac arrests often necessitate a second ambulance crew simply to assist with compressions, patient transfer or medication administration anyway.