Dr. Smith's ECG Blog

NOVEMBER 30, 2022

This case was provided by Spencer Schwartz, an outstanding paramedic at Hennepin EMS who is on Hennepin EMS's specialized "P3" team, a team that receives extra training in advanced procedures such as RSI, thoracostomy, vasopressors, and prehospital ultrasound. Reference on Troponins: Xenogiannis I, Vemmou E, Nikolakopoulos I, et al.

Emergency Department 52

Emergency Department E-9-1-1 Coronary STEMI 52

EMS 12-Lead

MAY 15, 2024

TCP in the ROSC Patient: False Electrical Capture at 75mA Josh Kimbrell, NRP @joshkimbre Judah Kreinbrook, EMT-P @JMedic2JDoc This is the second installment of a blog series showing how transcutaneous pacing (TCP) can be difficult and how you can improve your skills. The paramedics initially set the current at 60mA.

Epinephrine 331

Epinephrine Paramedic CPR EMT 331

EMT Training Station

FEBRUARY 11, 2024

In the realm of emergency healthcare, the terms EMS (Emergency Medical Services) and EMT (Emergency Medical Technician) are often used interchangeably, yet they represent distinct aspects of medical response and care. Though they are closely related and often work together, EMS and EMT have distinct roles, training, and responsibilities.

EMT 98

EMT EMT Emergency Medical Technician Emergency Medical Services 98

EMS 12-Lead

MARCH 30, 2024

Josh Kimbrell, NRP @joshkimbre Judah Kreinbrook, EMT-P @JMedic2JDoc This is the first installment of a blog series showing how transcutaneous pacing (TCP) can be difficult, and how you can improve your skills. We will be using redacted information from different cases where paramedics attempted TCP in the field.

CPR 312

CPR Paramedic Ambulance Defibrillator 312

EMT Training Station

MARCH 24, 2023

Tactical Emergency Medical Services (TEMS) presents an exciting and challenging career path for emergency medical technicians (EMTs) and paramedics looking to apply their skills and expertise in high-risk law enforcement environments. This was done to minimize the time between injury and treatment, ultimately saving lives.

EMT 52

EMT EMT Emergency Medical Technician Emergency Medical Services 52

Paramedics Unlimited

APRIL 19, 2018

What is the difference between ALS and BLS Medical Care? In Advanced Life support (ALS) emergencies, a “single” paramedic or ER doctor can not deliver necessary care. Paramedic treatment can, in many cases of severe medical and traumatic injuries, prevent death. Paramedics provide pain management treatment in the field.

BLS 52

BLS ALS Emergency Medical Technician Advanced Life Support 52

The Overrun

NOVEMBER 28, 2022

Whether it be at a college party or in the nursing home at 3 AM, managing an acute psychosis patient is something EMTs and Paramedics encounter with frequency during their tenure. Sources Perälä J, Suvisaari J, Saarni SI, et al. 2 Olfson M, Lewis-Fernández R, Weissman MM, et al. Arch Gen Psychiatry. 2007;64(1):19–28.

EMT 52

EMT EMT Emergency Department Paramedic 52

ECG Medical Training

DECEMBER 4, 2016

When this was first studied by Yost et al. In addition, mechanical CPR took away from the message that EMTs own CPR, which had been very successful in improving teamwork and morale in my department. Perkins GD, Lall R, Quinn T, et al. Rubertsson S, Lindgren E, Smekal D, et al. Wik L, Olsen J-A, Persse D, et al.

CPR 52

CPR E-9-1-1 Defibrillator Ambulance 52

NAEMSP

FEBRUARY 8, 2023

Campos et al) Facing highly stressful and critical situations is one of the core risk factors for EMS. Crowe RP et al) While this can be beneficial for some, it is not the solution to all stress and burnout related problems presented. of Fire/EMS professionals reporting a suicide attempt in comparison to 0.5% link] Hashmi, Muhammad.

EMS 52

EMS Emergency Medical Services EMT EMT 52

FOAMfrat

AUGUST 15, 2024

Here is the case: You are dispatched to a private residence (Paramedic/EMT crew configuration) for a female patient who gave birth at home and is now hemorrhaging. When I reflect on my EMT education (14 years ago) and my paramedic education (10 years ago), I genuinely don’t remember learning about postpartum hemorrhage (PPH).

Plasma 69

Plasma Ambulance ALS Emergency Department 69

The Overrun

DECEMBER 13, 2021

As my partners, the police, and I were carrying our patient down the stairs as fast as we safely could, the paramedics showed up, mildly annoyed that they were originally cancelled (due to the nature of the dispatch); then re-dispatched because of the code. This was what happened on my first call as an EMT. On the stairs. In the chair.

EMS 52

EMS EMT EMT BLS 52

NAEMSP

MARCH 13, 2023

An ALS crew arrives on scene to find a woman who is tachypneic, hypoxic, tachycardic, and hypotensive, with diffuse rales and rhonchi throughout her lung fields. The attending paramedics begin bag-valve-mask (BVM) ventilation, correct her hypoxia and hypotension, and subsequently intubate her on scene with ketamine and rocuronium.

EMS 52

EMS Emergency Medical Services EMT EMT 52

FOAMfrat

NOVEMBER 14, 2024

One day, I was running a paramedic fly-car and was dispatched for a sick subject withdrawing from alcohol. It’d been a busy day already, and I immediately thought I could be used far better than responding to something EMTs could and should handle on their own.

Paramedic 98

Paramedic EMT EMT Ambulance 98