Chicago EMT Training

NOVEMBER 8, 2023

A quick breakdown on the differences between an EMT-B(asic) and an EMT-P(aramedic) Basic Life Support (BLS) vs Advanced Life Support (ALS) So there it is. Most of the 911 calls are BLS rather than ALS. It's encouraging to hear that there is still interest in becoming first responders!

Advanced Life Support 130

Advanced Life Support BLS EMT EMT 130

The Skeptics' Guide to EM

JUNE 15, 2024

Reference: Jansen et al. You initiate standard, simultaneous assessment and resuscitation following the Advanced Trauma Life Support (ATLS) principles. Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta in Trauma Patients With Exsanguinating Hemorrhage: The UK-REBOA Randomized Clinical Trial.

Life Support 220

Life Support Emergency Department ALS 220

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. JAMA 2009 * Jacobs et al. Resuscitation 2011 * Hagihara et al.

Life Support 130

Life Support CPR Advanced Life Support Defibrillator 130

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.

BLS 52

BLS ALS Emergency Medical Technician Advanced Life Support 52

International Journal of Paramedicine

OCTOBER 8, 2024

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. Discussion.

BLS 52

BLS Advanced Life Support ALS Community Paramedicine 52

The Skeptics' Guide to EM

SEPTEMBER 11, 2021

Date: September 8th, 2021 Reference: Desch et al. Date: September 8th, 2021 Reference: Desch et al. The paramedics achieve return of spontaneous circulation (ROSC) after CPR, advanced cardiac life support (ALCS), and Intubation. The TOMAHAWK Investigators. first appeared on The Skeptics Guide to Emergency Medicine.

EMR 130

EMR Coronary Defibrillator Life Support 130

The Skeptics' Guide to EM

MARCH 11, 2023

Date: March 8, 2023 Reference: Smida et al. Date: March 8, 2023 Reference: Smida et al. The fire-based crew has basic life support (BLS) airway supplies including the King Laryngeal Tube, the paramedic crew carries iGel supraglottic airways (SGAs) in addition to their intubation equipment. Reference: Smida et al.

CPR 130

CPR Defibrillator BLS Paramedic 130

Pediatric EM Morsels

JULY 21, 2023

Holmes, James F et al. Conzelmann M, Hoidis A, Bruckner T , et al. Ash, Kristian et al. Performance of the Pediatric Glasgow Coma Scale Score in the Evaluation of Children With Blunt Head Trauma. Acad Emerg Med. 2016 Aug;23(8):878-84. doi: 10.1111/acem.13014. Epub 2016 Aug 1. PMID: 27197686. Academic emergency medicine 12.9

Critical Care 246

Critical Care ALS OR Life Support 246

The Skeptics' Guide to EM

OCTOBER 24, 2020

Reference: Derkenne et al. Reference: Derkenne et al. Date: October 21st, 2020 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician, creator of the excellent #FOAMed project called First10EM.com and a member of the #SGEMHOP team. AEM Oct 2020. AEM Oct 2020.

CPR 130

CPR Defibrillator Advanced Life Support Emergency Medical Services 130

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.

Life Support 136

Life Support Coronary CPR ICU 136

The Skeptics' Guide to EM

SEPTEMBER 29, 2018

[display_podcast] Date: September 21st, 2018 Reference: Kawano et al. display_podcast] Date: September 21st, 2018 Reference: Kawano et al. EMS arrives on scene and initiates high quality basic life support (BLS). Case: A 46-year-old man has a cardiac arrest at home, witnessed by family.

BLS 130

BLS Defibrillator Critical Care CPR 130

The Skeptics' Guide to EM

FEBRUARY 2, 2019

Date: January 28th, 2019 Reference: Chu DK et al. Date: January 28th, 2019 Reference: Chu DK et al. Reference: Chu DK et al. Mortality and morbidity in acutely ill adults treated with liberal versus conservative oxygen therapy (IOTA): a systematic review and meta-analysis. The Lancet 2018. The Lancet 2018. The Lancet 2018.

Life Support 130

Life Support ALS STEMI Emergency Department 130

Don't Forget the Bubbles

NOVEMBER 11, 2024

Kochanek et al. explored the evidence in a 2019 systematic review, which forms part of the Brain Trauma Foundation Guidelines, as did Utsumi et al. The guidelines by Kochanek et al. The most recent meta-analysis by Utsumi et al. 2022.01291 Kochanek PM, Tasker RC, Carney N, et al. What do the guidelines recommend?

ALS 116

ALS Life Support Critical Care OR 116

EMT Training Station

FEBRUARY 11, 2024

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

EMT EMT Emergency Medical Technician Emergency Medical Services 98

Don't Forget the Bubbles

AUGUST 7, 2023

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.

Life Support 98

Life Support Advanced Life Support ALS Emergency Department 98

ACEP Now

OCTOBER 9, 2023

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.

Heart Attack 126

Heart Attack Life Support Emergency Department Ambulance 126

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.

Defibrillator 98

Defibrillator OR ALS Epinephrine 98

Critical Care Scenarios

MARCH 29, 2020

Resources References * How to monitor anticoagulation during ECMO: Saifee NH, Brogan TV, McMullan DM, et al. Monitoring Hemostasis During Extracorporeal Life Support. Consider leaving the Impella if there are any lingering concerns. 2020;66(2):230–237.

Critical Care 100

Critical Care Life Support ALS OR 100

Don't Forget the Bubbles

JUNE 30, 2023

Mazur P, Kosinski S, Podsiadlo P, et al.: Extracorporeal life support rewarming rate is associated with survival with good neurological outcome in accidental hypothermia. Meert et al. American Thoracic Society, 2020 Mazur P, Kosinski S, Podsiadlo P, et al.: Meert et al. The “sweet spot” is between 0.5-2⁰C

CPR 145

CPR Life Support Critical Care ALS 145

The Skeptics' Guide to EM

NOVEMBER 13, 2021

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. JAMA Sept 2021. Vasopressin and Methylprednisolone for In-Hospital Cardiac Arrests first appeared on The Skeptics Guide to Emergency Medicine.

Epinephrine 100

Epinephrine Critical Care Emergency Department Life Support 100

EMDocs

OCTOBER 9, 2023

Adrenal crisis is a rare but life-threatening manifestation of adrenal insufficiency that is precipitated by abrupt steroid cessation after chronic use. References 1) Liu D, Ahmet A, Ward L, et al. 6) Wyckoff MH, Greif R, Morley PT, et al. 6) Wyckoff MH, Greif R, Morley PT, et al. Allergy Asthma Clin Immunol. Circulation.

ED 82

ED Life Support Advanced Life Support CPR 82

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. References Patel KK, Young L, Howell EH, et al. 2016.1509

ICU 100

ICU Life Support Emergency Department ED 100

EMDocs

NOVEMBER 6, 2023

Treatment of cardiac arrest and life-threatening toxicity due to poisoning often requires specialized treatments that most clinicians do not use frequently such as antidotes and venoarterial extracorporeal membrane oxygenation, in addition to effective basic and advanced life support. COR 2a, LOE C-LD. COR 2a, LOE C-LD.

Naloxone 94

Naloxone OR Overdose BLS 94

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. Advanced interventions include proning (both on NIV and IMV) and extracorporeal mechanical oxygenation (ECMO).

Life Support 74

Life Support ICU EMS OR 74

EMDocs

JANUARY 16, 2024

Carsten L, et al. Extracorporeal Life Support in Accidental Hypothermia with Cardiac Arrest—A Narrative Review. Hypothermia outcome prediction after extracorporeal life support for hypothermic cardiac arrest patients: The HOPE score. Monika BM, Martin D, Balthasar E, et al. 2009;338:b2085. Resuscitation.

Defibrillator 85

Defibrillator CPR Epinephrine Life Support 85

FOAMfrat

MAY 17, 2024

Extracorporeal Life Support: The Elso Red Book. Extracorporeal Life Support Organization, 2023. As always, I welcome any feedback, questions, comments, or suggestions for future blog posts. You can reach me at bcress@foamfrat.com Brian Cress, CCP, LP, FP-C, NRP References: Brogan, Thomas V., Lich, Bryan V., Mark Brown.

Life Support 98

Life Support OR ALS EMS 98

ACEP Now

DECEMBER 6, 2024

Advanced cardiac life support protocol was initiated, and the patient was intubated. Traditional Advanced Cardiovascular Life Support (ACLS) medications, namely epinephrine, have been known to exacerbate coronary vasospasm. References Prinzmetal M, Kennamer R, Merliss R, et al. Magid DJ, Aziz K, Cheng A, et al.

Coronary 52

Coronary Life Support ALS Emergency Department 52

EMDocs

JUNE 22, 2024

Treatment is supportive with respiratory therapy, critical care, inotropic therapy, and cardiac life support. If AFE occurs during labor, immediate delivery is recommended. ” Obstet Gynecol 123(2 Pt 1): 337-348. link] Society for Maternal-Fetal Medicine. Electronic address, p. ” Am J Obstet Gynecol 215(2): B16-24.

EMS 96

EMS Ambulance FFP ICU 96

Don't Forget the Bubbles

NOVEMBER 27, 2023

Although historically used quite frequently, dopamine is no longer recommended by advanced life support guidelines for septic shock unless adrenaline/noradrenaline are unavailable. link] Owen VS, Rosgen BK, Cherak SJ, et al. Available at [link] Walker SB, Conlon TW, Zhang B, et al. Published Online First: 02 August 2023.

Advanced Life Support 143

Advanced Life Support ED ALS OR 143

FOAMfrat

JULY 3, 2024

If they are not already there, get ALS-level care to the patient as soon as possible. According to the CDC (Centers for Disease Control, 2023) some respiratory exposures can result in the long-term development of “reactive airway dysfunction syndrome (RADS)” This is a type of chemical induced asthma and is a life-long condition.

Life Support 106

Life Support ALS Emergency Response OR 106

REBEL EM

MARCH 13, 2023

Article : Vianen NJ et al. The search contained terms for (1) prehospital cardiac arrest or prehospital advanced life support, and (2) injuries and trauma. References: Grasner JT, et al. The OPALS Major Trauma Study: impact of advanced life-support on survival and morbidity. PMID: 16128477 Tran A, et al.

Advanced Life Support 52

Advanced Life Support Life Support E-9-1-1 EMS 52

NCOAE

AUGUST 12, 2022

Here, we present them in alphabetical order: ABC – Airway, Breathing and Circulation – “This is the Golden Rule of emergency medical professionals” AED – Automated External Defibrillator – The device that delivers electric shock to the heart of patients experiencing sudden cardiac arrest A-EMT – Advanced EMT ALS – Advanced Life Support Anaphylaxis— (..)

EMS 52

EMS EMT EMT Emergency Medical Technician 52

EMDocs

AUGUST 22, 2023

PMID: 26447854 Godwin SA, Burton JH, Gerardo CJ, et al. PMID: 28395927 Panchal AR, Berg KM, Hirsch KG, et al. PMID: 28395927 Panchal AR, Berg KM, Hirsch KG, et al. PMID: 26821648 Hemnes AR, Newman AL, Rosenbaum B, et al. Ann Emerg Med. 2017;70(5):758. Circulation. 2019;140(24):e881-e894. BMC Emerg Med.

Emergency Department 68

Emergency Department ALS Life Support OR 68

AAEM RSA

JANUARY 21, 2021

In 2010, the American Heart Association (AHA) revised the Advanced Cardiac Life Support (ACLS) guidelines to include the recommendation of using capnography to monitor end-tidal carbon dioxide (ETCO2) during cardiopulmonary resuscitation (CPR), 1 and has continued this recommendation to date. Jin X, Weil MH, Tang W, et al.

Life Support 40

Life Support Advanced Life Support ALS CPR 40

FOAMfrat

OCTOBER 28, 2023

Extracorporeal Life Support Organization; Ann Arbor (MI): 2017. Extracorporeal life support: the ELSO red Book; p. Extracorporeal life support: the ELSO red book). You can reach me at bcress@perfusiondynamics.org Brian Cress, CCP, LP, FP-C, NRP References: Brogan T.V., MacLaren G., In: 5th edition.

Life Support 52

Life Support Paramedic CPR OR 52

EMDocs

APRIL 10, 2024

Supportive care includes: protecting the airway if necessary, supplemental oxygen if needed, and vasopressor support if the patient is hypotensive. For patients who in cardiac arrest standard Advanced Cardiac Life Support (ACLS) should be initiated. doi:10.1136/bcr-2019-233119 Neal JM, Barrington MJ, Fettiplace MR, et al.

E-9-1-1 93

E-9-1-1 Plasma Epinephrine Life Support 93

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

E-9-1-1 52

E-9-1-1 Advanced Life Support Epinephrine Life Support 52