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Defining Appropriate Responses in a Tiered System

High Performance EMS

The very low risk calls can typically be satisfied with basic life support (BLS) capabilities. Given the time, a BLS crew can begin life-sustaining measures or conduct an assessment for proper hand-off to the paramedics upon arrival. If available, the supervisor is added to effectively create an ALS transport ambulance.

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Passing ‘Fast’ for ‘Appropriate’ Responses

High Performance EMS

With expected delays beyond that time limit, it may be acceptable to dispatch a BLS unit to begin care while still allowing the ALS resource to join the response from a longer distance. A Bravo request could be most efficiently served in a BLS capacity with longer response times before it would be deemed late.

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Adrenal Crisis and Addison’s Disease: What EMS Needs to Know

NAEMSP

The responding BLS crew was unable to initiate adequate resuscitation, despite signs of shock. Steroids such as methylprednisolone (Solu-Medrol) and dexamethasone (Decadron) are commonly available in ALS ambulances and are appropriate for preventing or treating adrenal crisis. These patients take exogenous steroids daily to compensate.

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Optimizing Demand Forecasts

High Performance EMS

Figure 2 Sample data demonstrating ALS (green) and BLS (blue) call volume comparisons by hour-of-the-day and day-of-the-week. It is also common for ambulances to be busy longer than an hour in our post-pandemic world. And a lack of credibility also encourages the freelancing of decisions outside of the control of your administration.

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Rock Bottom

Peter Canning

I am in the fly car and a BLS crew is in the ambulance. I don’t see anyone on two passes, but then I hear the BLS unit radio they’ve found him. They overdose behind the dumpster where I give them naloxone and put them in the ambulance. We’re dispatched to an overdose on Ashley Street. Look at yourself.

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From the President’s Desk: HEMS in Cork

Irish College of Paramedics

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. 2014), BLS (Sanghavi et al. 2000, Stiell et al.

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Concerning EKG with a Non-obstructive angiogram. What happened?

Dr. Smith's ECG Blog

The ambulance report says "BP continued to drop during transport and pt remained cold and clammy." The EMS crew was only BLS certified, so EKG interpretation is not within their scope of practice. EMS obtained the following vital signs: pulse 50, respiratory rate 16, blood pressure 96/49. Fortunately, that is exactly what happened.

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