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A Cross-Sectional Analysis of ALS/ BLS Care in Low Acuity 9-1-1 Response by Geography and Insurance Status Utilizing the 2019 NEMSIS Dataset

International Journal of Paramedicine

Data were obtained from the National Emergency Services Information System (NEMSIS) database for 2019. EMS responses (n = 4,375,568) were analyzed comparing patient acuity and CMS Service level, Advanced Life Support (ALS) vs Basic Life Support (BLS), to assess for associations in acuity and CMS Service level using logistic regression.

BLS 52
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Defining Appropriate Responses in a Tiered System

High Performance EMS

Even that, however, was a step beyond the simpler model of a predetermined “ run card ” that often lacked any automated vehicle location (AVL) information at all. The very low risk calls can typically be satisfied with basic life support (BLS) capabilities. Otherwise, the nearest ALS resource will be assigned.

BLS 264
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The Broselow-Luten System

Pediatric EM Morsels

PAWPER was more accurate than EPLS (European life support formula) as well. The Broselow-Luten system was designed BY physicians, FOR physicians to make your life and pediatric resuscitations EASIER ! link] Lubitz DS, Seidel JS, Chameides L, Luten RC, Zaritsky AL, Campbell FW. Validation study done in Italy. x exp[0.02

E-9-1-1 269
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Traumatizing Patients with Trauma Activations

ACEP Now

Consent to a trauma evaluation is presumed when a patient presents as a trauma activation; implied consent applies to all life-threatening emergencies and is not unique to trauma activations. However, patients are neither knowledgeable about our opaque trauma protocols nor informed about trauma activations. Trauma is unique.

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Reference ranges of paediatric heart rate and respiratory rate

Don't Forget the Bubbles

Heart rate (HR) and respiratory rate (RR) are THE major vital signs used in Advanced Paediatric Life Support ( APLS) guidance , sepsis guidelines , and Paediatric Early Warning Scores (e.g., The controversy around what is ‘normal’ in infants’ and children’s vitals was demonstrated in a 2011 systematic review by Fleming et al.

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The ECLS-SHOCK Trial: ECPR in Infarct-Related Cardiogenic Shock

REBEL EM

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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SGEM#350: How Did I Get Epi Alone? Vasopressin and Methylprednisolone for In-Hospital Cardiac Arrests

The Skeptics' Guide to EM

Date: November 10th, 2021 Reference: Andersen, et al: Effect of Vasopressin and Methylprednisolone vs Placebo on Return of Spontaneous Circulation in Patients With In-Hospital Cardiac Arrest. However, cardiac arrest is something we regularly treat in the emergency department, and we need more high-quality data to inform our care.