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These are the men and women on the front lineslaw enforcement officers, firefighters, correctional officers, EMS personnel, 911 dispatcherswho routinely witness tragedy and stress in their work. A recent meta-analysis found about 26% of first responders screen positive for hazardous alcohol use (Irizar et al.,
Date: February 26th, 2019 Reference: Benger et al. JAMA 2018 Guest Skeptic: Missy Carter, former City of Bremerton Firefighter/Paramedic, currently a physician assistant practicing in emergency medicine in the Seattle area and an adjunct faculty […] The post SGEM#247: Supraglottic Airways Gonna Save You for an OHCA?
Date: October 18th, 2022 Reference: Moore et al. Resuscitation 2022 Guest Skeptic: Clay Odell is a Paramedic, Firefighter, and registered nurse (RN). Date: October 18th, 2022 Reference: Moore et al. Resuscitation 2022 Guest Skeptic: Clay Odell is a Paramedic, Firefighter, and registered nurse (RN).
Date: October 17th, 2019 Reference: Driver et al. JAMA May 2018 Guest Skeptic: Missy Carter, former City of Bremerton Firefighter/Paramedic, currently a physician assistant practicing in emergency medicine in the […] The post SGEM#271: Bougie Wonderland for First Pass Success first appeared on The Skeptics Guide to Emergency Medicine.
Date: December 21st, 2021 Guest Skeptic: Dr. Howard “Howie” Mell began his career as a firefighter / paramedic in Chicago. Reference: Grotta JC et al. Date: December 21st, 2021 Guest Skeptic: Dr. Howard “Howie” Mell began his career as a firefighter / paramedic in Chicago. Reference: Grotta JC et al.
Intensive Care Med 2021 Guest Skeptic: Missy Carter, former City of Bremerton Firefighter/Paramedic, currently a professor of Emergency Medical Services at Tacoma Community College’s paramedic program. Date: January 16th, 2022 Reference: Matchett, G. Etomidate versus ketamine for emergency endotracheal intubation: a randomized clinical trial.
David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Peer review by Dr. Stephen Smith @smithECGblog I was reviewing ECG’s in our LifeNet database and happened upon this one without any knowledge of clinical circumstances. He reported to EMS a medical history of GERD only. He left AMA and is lost to follow-up.
A 12 Lead ECG was recorded secondary to bizarre telemetry findings at bedside. From afar, there is gross tachycardia, cadence irregularities, and narrow QRS complexes that may, or may not, be Sinus in origin; and finally – a cacophony of wide complexes that might very well be ventricular in origin. Said differently, it’s a mess.
David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Peer review provided by Dr. Steve Smith @SmithECGblog I was conducting QA/QI on two very recent cases and was struck by the uniqueness of both. Moreover, he had no pertinent medical history to report in terms of CAD, HTN, HLD, or DM, for example.
David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Peer review provided by Dr. Steve Smith [link] @SmithECGblog A 72 y/o Male experiences a syncopal episode while seated. It’s reported that he regained consciousness after 30 seconds, approximately. Crew members note residual pallor and clammy skin.
David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Expert commentary provided by Dr. Ken Grauer CASE 1 An 82 y/o Male called 911 for sudden onset dizziness while at rest. Upon arrival he was found alert and oriented, and without gross distress. He denied difficulty breathing, epigastric pain, or chest discomfort.
David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Peer review provided by Dr. Steve Smith [link] @SmithECGBlog An adult female called 911 for chest discomfort and difficulty breathing. EMS found her acutely ill, mottled, dry mucous membranes, modestly hypotensive, and lethargic. Wolters-Kluwer: Philadelphia, PA.
David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Peer review and commentary by Dr. Steve Smith [link] @SmithECGblog It is early-summer, approximately 1330 hours, no cloud cover overhead, and 86 degrees with high humidity. A 59 y/o Female calls 911 for crushing chest discomfort and difficulty breathing.
1] Vigal, et al. Prehospital Emergency Care May-June 2019 “Death by Suicide- The EMS profession compared to the general public” [2] Rose, et al. But as long as all our charts are completed on time, our employers are happy. So why is this? Why do we continue to lose our friends and “second families” to suicide?
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. Firefighting and Mental Health: Experiences of Repeated Exposure to Trauma’. Jahnke, Sara A.
This was done to minimize the time between injury and treatment, ultimately saving lives. TEMS personnel were integrated with SWAT teams in various capacities, such as being embedded within the team or providing support from a safe distance. This may include managing trauma injuries, gunshot wounds, and other life-threatening conditions.
This, in isolation, isn’t bad, but when it keeps happening, the result is firefighters kicking the doors in and blasting the hose. Adverse Childhood Experiences (or ACEs, for short) are no new thing, but only in recent decades have we come to realise the scope of their impact on children and the adults they become.
million State Farm and the National Volunteer Fire Council (NVFC) teamed up to launch the Good Neighbor Firefighter Safety Program in 2024. Winona Lake (IN) Volunteer Firefighters, Inc. Winona Lake (IN) Volunteer Firefighters, Inc. Program will expand in 2025 to $1.5 See a breakdown of the 2024 grants here.
As a society, we often view firefighters as the embodiment of bravery and resilience, charging into burning buildings and facing peril head-on. The question arises: Do firefighters experience Post-Traumatic Stress Disorder (PTSD)? The question arises: Do firefighters experience Post-Traumatic Stress Disorder (PTSD)?
Volunteer firefighters are the backbone of their communities, answering the call whenever their neighbors have an emergency, said NVFC Chair Steve Hirsch. We are proud to partner with MSA and DuPont each year to help meet this need and enhance the safety of our boots on the ground firefighters.
Volunteer fire departments often struggle to find the funding they need to purchase new gear for their firefighters. This years program wraps up with three additional departments each receiving four sets of Globe turnout gear and four MSA Cairns fire helmets to provide protection to their volunteer firefighters.
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