The Skeptics' Guide to EM

DECEMBER 7, 2018

Date: December 6th , 2018 Reference: Perkins et al. Date: December 6th , 2018 Reference: Perkins et al. You are the first provider on scene with Emergency Medical Services (EMS) and start high-quality Cardiopulmonary Resuscitation (CPR). JAMA 2009, Hagihara et al. JAMA 2012 and Cournoyer et al.

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The Skeptics' Guide to EM

SEPTEMBER 11, 2021

Date: September 8th, 2021 Reference: Desch et al. Guest Skeptic: Dr. Stephen Meigher is the EM Chief Resident training with the Jacobi and Montefiore Emergency Medicine Residency Training Program. Date: September 8th, 2021 Reference: Desch et al. The TOMAHAWK Investigators. The TOMAHAWK Investigators.

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The Skeptics' Guide to EM

SEPTEMBER 23, 2017

[display_podcast] Date: September 19th, 2017 Reference: Cournoyer et al. Prehospital advanced cardiac life support for out-of-hospital cardiac arrest: a cohort study. display_podcast] Date: September 19th, 2017 Reference: Cournoyer et al. You need to recognize an arrest and activate your EMS system. September 2017.

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The Skeptics' Guide to EM

OCTOBER 24, 2020

Reference: Derkenne et al. Reference: Derkenne et al. You abandon your coffee order and quickly head next-door, where you are able to start cardiopulmonary resuscitation (CPR) and direct a bystander to find the store’s automated external defibrillator (AED) while waiting for emergency medical services (EMS) to arrive.

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REBEL EM

APRIL 22, 2024

Paper: Nielsen FM et al. Lower vs higher oxygenation target and days alive without life support in COVID-19. This data supports current practice of targeting a lower O2 sat. appeared first on REBEL EM - Emergency Medicine Blog. The HOT-COVID Randomized Controlled Trial.

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REBEL EM

SEPTEMBER 14, 2023

Revascularization of the culprit lesion remains one of the few established treatments though there are numerous other unproven modalities including extracorporeal life support (ECLS). Zeymer HT et al. Extracorporeal Life Support in Infarct-Related Cardiogenic Shock. References: Zeymer HT et al.

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The Skeptics' Guide to EM

SEPTEMBER 29, 2018

[display_podcast] Date: September 21st, 2018 Reference: Kawano et al. Annals of EM May 2018 Guest Skeptic: Andrew Merelman is a critical care paramedic and first year medical student at Rocky Vista University in Colorado. display_podcast] Date: September 21st, 2018 Reference: Kawano et al.

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EMDocs

JANUARY 16, 2024

Authors: Christian Gerhart, MD (EM Resident Physician, Washington University in St. Louis); Dr. Jessica Pelletier, DO (EM Attending Physician, Washington University in St. You receive a page for a cardiac arrest and take report from emergency medical services (EMS). Per EMS he was very cold to touch. Carsten L, et al.

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Critical Care Scenarios

NOVEMBER 15, 2020

Yes, temporize with supportive care while you go through the process, but do the work—find a legitimate representative or documentation of the patient’s wishes to determine what they’d want before you commit them to lengthy, aggressive life support. ” is always, ultimately, the main question of the EM provider.

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FOAMfrat

OCTOBER 28, 2023

I'm currently a board-certified cardiovascular perfusionist and maintain my paramedic certifications, working part-time at a local EMS agency. Extracorporeal Life Support Organization; Ann Arbor (MI): 2017. Extracorporeal life support: the ELSO red Book; p. Extracorporeal life support: the ELSO red book).

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EMDocs

APRIL 10, 2024

Authors: Alex Rogers, MD (EM Resident Physician, Christus Spohn/Texas A&M University School of Medicine, Corpus Christi, TX); J.D. Supportive care includes: protecting the airway if necessary, supplemental oxygen if needed, and vasopressor support if the patient is hypotensive. BMJ Case Rep. 2020;13(1):e233119.

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NAEMSP

JANUARY 5, 2023

al answered this question with a prospective observational study which showed a significantly shorter time interval to obtain tibial IO access (4.6 al confirmed that injection of a radionuclide tracer injected intraosseously reaches central circulation within a time comparable to that of intravenous injection. [7] minutes versus 5.4

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Irish College of Paramedics

SEPTEMBER 26, 2018

Helicopter EMS in Cork: a paramedicine perspective. 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.

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EMT Training Station

MARCH 24, 2023

By choosing a career in Tactical EMS, EMTs and paramedics can take their medical expertise to the front lines of law enforcement, ultimately helping to save lives and ensure the safety of both officers and civilians in some of the most challenging and high-risk scenarios.

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ACEP Now

MARCH 14, 2024

A 44 year-old male with unknown past medical history came by emergency medical services (EMS) to the emergency department (ED) for an electrical injury and fall from a high voltage electrical pole. Per EMS, the patient was found at the bottom of a high voltage line with diffuse burns and amputation of his left forearm. 2023 Jul 17.

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EMDocs

JANUARY 17, 2024

When emergency medical services (EMS) arrived, she was in asystole with an empty, recently full, bottle of benzonatate 100 mg capsules. When emergency medical services (EMS) arrived, she was in asystole with an empty, recently full, bottle of benzonatate 100 mg capsules. Kim I, Goulding M, Tian F, Karami S, Pham T, Cheng C, et al.

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EMDocs

JULY 3, 2023

Authors: Mikalah Ward, MD (EM Resident Physician, University of Kentucky); Susan Owens, MD (EM Attending Physician, University of Kentucky) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University in St. Avest E, Taylor S, Wilson M, et al. Dubosh NM, Bellolio MF, Rabinstein AA, et al.

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EMDocs

APRIL 22, 2024

EMS verbalized concern to EPs that an “intracranial bleed” may have precipitated the event. Advanced cardiac life support (ACLS) had been initiated and on arrival at the ED, the patient was found to have Pulseless Electrical Activity (PEA). Available from: [link] Meneveau, Nicolas, et al. 10,11 Vid 1. Chest , vol.

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REBEL EM

MARCH 13, 2023

Article : Vianen NJ et al. Does the inclusion of patients pronounced dead on scene and the presence of a physician-based EMS organization affect the pooled mortality rate and survival with favorable neurologic outcomes for prehospital TCA? Prehospital traumatic cardiac arrest: a systematic review and meta-analysis. Epub 2022 Mar 25.

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Pediatric EM Morsels

JULY 21, 2023

We had just received a young child from EMS who was post-ictal with decreased mentation. Holmes, James F et al. Conzelmann M, Hoidis A, Bruckner T , et al. In emergency medicine, we often use illness scripts and protocols to help drive our decision-making. Less than 8, intubate! Acad Emerg Med. 2016 Aug;23(8):878-84.

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ACEP Now

JULY 7, 2023

More recent literature and guidelines support the use of lidocaine as an alternative agent, and currently both are included in standard advanced cardiovascular life support. References Tsao CW, et al. Benjamin EJ, et al. Kimblad H, et al. Sakai T, et al. Kudenchuk PJ, et al. Lee YH, et al.

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Paramedics Unlimited

APRIL 19, 2018

What is the difference between ALS and BLS Medical Care? In Basic Life Support (BLS) emergencies, a single EMS provider can not deliver optimum care, such as when trying to hold direct pressure on a bleeding wound, while preparing bandages, to stop bleeding.

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FOAMfrat

MAY 17, 2024

EMS providers in the future may even encounter this technology in the field, although in my personal opinion, we are still quite a few years away from this becoming a regular occurrence outside of the hospital environment. Extracorporeal Life Support: The Elso Red Book. Extracorporeal Life Support Organization, 2023.

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NAEMSP

APRIL 19, 2023

Current AHA guidelines do not recommend routine use of calcium in cardiac arrest (Panchal, et al., Calcium acts as a vasopressor and inotropic agent (Lindqwister, et al., risk ratio >1) was 4% for ROSC, 6% for 30 day survival, and 4% for survival with a favorable neurologic outcome at 30 days (Vallentin, et al.,

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REBEL EM

DECEMBER 19, 2022

At REBEL EM, we’ve done an extensive write up that details some of the different types of DED and the electrophysiology behind it. REBEL Cast Ep113 – Defibrillation Strategies for Refractory Ventricular Fibrillation Click here for Direct Download of the Podcast Paper: Cheskes S, et al. N Engl J Med.

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REBEL EM

FEBRUARY 2, 2023

Paper: Mason JM, et al. This could have biased the results in favor of amiodarone as we’ve covered this before on REBEL EM before The IV amiodarone group required less additional HR control agents to control increased heart rate. These results were corroborated with other another study by Gritensko et al. Am J Emerg Med.

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