Pediatric EM Morsels

OCTOBER 27, 2023

PAWPER was more accurate than EPLS (European life support formula) as well. link] Lubitz DS, Seidel JS, Chameides L, Luten RC, Zaritsky AL, Campbell FW. 2012.05.028 Silvagni D, Baggio L, Mazzi C, et al. Validation study done in Italy. Overestimated weight by >10% in most Indian children. x exp[0.02 x exp[0.02 Zaritsky, A.,

E-9-1-1 271

E-9-1-1 Emergency Medical Services Life Support ALS 271

JEMS

MARCH 31, 2025

Jasper CountySheriff's Officewill be providing advanced life support (ALS) services to theCity of Baxterfor the foreseeable future.

Advanced Life Support 52

Advanced Life Support Life Support ALS 52

The Skeptics' Guide to EM

DECEMBER 7, 2018

Date: December 6th , 2018 Reference: Perkins et al. Date: December 6th , 2018 Reference: Perkins et al. This was a before and after study to see if advanced cardiac life support (ACLS) techniques, including IV epinephrine, would improve survival to discharge. JAMA 2009, Hagihara et al.

Epinephrine 130

Epinephrine Life Support Advanced Life Support Defibrillator 130

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!

BLS 130

BLS Advanced Life Support EMT EMT 130

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.

CPR 130

CPR Life Support 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 Life Support OR 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

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 109

ED Life Support Advanced Life Support CPR 109

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 98

Coronary Life Support ALS Emergency Department 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

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 115

Naloxone OR BLS Overdose 115

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

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

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 Life Support Emergency Department 100

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

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 110

Defibrillator CPR Epinephrine Life Support 110

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 75

Life Support ICU EMS OR 75

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 95

Emergency Department ALS Life Support OR 95

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 111

EMS Ambulance FFP ICU 111

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

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 Life Support 143

Irish College of Paramedics

SEPTEMBER 26, 2018

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. 2000, Stiell et al.

Emergency Medical Technician 52

Emergency Medical Technician Paramedicine Paramedicine Advanced Life Support 52

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 105

Life Support ALS Emergency Response OR 105

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

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-9-1-1 111

E-9-1-1 Plasma Epinephrine Life Support 111

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