The Skeptics' Guide to EM

FEBRUARY 11, 2023

He confirms pulselessness, initiates CPR, gets a colleague to call 911, and intubates the patient on the floor. He arrives at the hospital 18 minutes into his arrest and his monitor shows persistent ventricular fibrillation. Background: Out-of-hospital cardiac arrest (OHCA) is something we have covered extensively on the SGEM over the years.

Defibrillator 139

Defibrillator Medical Transportation OR CPR 139

Peter Canning

AUGUST 25, 2024

What people outside of EMS do not understand is that ambulances are basically pickup trucks, and the patient and their caregiver are just riding the back of a covered pickup. They need to either invent ambulances with super specialized shocks or get rid of potholes and speed bumps.

Ambulance 93

Ambulance CPR EMT EMT 93

Chicago EMT Training

AUGUST 6, 2021

Private ambulance companies Most private ambulance companies are always hiring. Positions at ambulance companies tend to be a little more flexible especially for those with other jobs or are in school. Duties include but are not limited to stocking, cleaning, transporting patients, performing EKGs, blood draws, and CPR.

EMT 130

EMT EMT Paramedic Ambulance 130

Chicago EMT Training

JANUARY 5, 2023

A handful of students every semester procrastinate with their records which delays they ability to perform clinical rotations through the hospitals and ambulances. From great grades, volunteering, having extracurriculars, to trying to get some research published. Track down your immunization records and obtain a TB test.

EMT 130

EMT EMT Allergic Reaction CPR 130

Peter Canning

DECEMBER 26, 2023

The ambulance responded. They did CPR for a bit, and then loaded her onto a stretcher. The ambulance broke down in the driveway. Don’t hold the paramedics at fault just because the ambulance broke down. As a defense expert said, they don’t carry scales on an ambulance. The patient was in asystole.

Paramedic 52

Paramedic Ambulance Paramedicine Paramedicine 52

Utah's Paramedic and EMS Academy

OCTOBER 23, 2023

With every second counting, your ambulance races towards the scene, lights flashing and sirens blaring. Upon arrival, you quickly assess the situation and spring into action, working to save a man's life through CPR and defibrillation. As a Utah EMT, responding to a cardiac arrest call is an adrenaline rush.

EMT 52

EMT EMT Emergency Medical Technician Defibrillator 52

EMT Training Station

FEBRUARY 26, 2024

A) Start CPR, you cant use an AED on a wet patient. B) Expose the patients chest, dry off the chest, apply AED, start CPR. C) Make sure the scene is safe, expose the patients chest, dry with a towel, start CPR while your partner applies the AED D) Expose the patients chest, apply AED, Start CPR. What do you do?

EMT 98

EMT EMT CPR Ambulance 98

The Skeptics' Guide to EM

APRIL 4, 2020

Four Critical Care Controversies: * Round#1: Mechanical CPR – SGEM#136 * Round#2: Epinephrine in Out-of-Hospital Cardiac Arrest (OHCA) – SGEM#238 * Round#3: Stroke Ambulances with CT Scanners * Round#4: Bougie for First Pass Intubation – SGEM#271 Conclusion/Winner – Use EBM and the winner is the patient We appreciate Dr.

Critical Care 130

Critical Care Epinephrine CPR Ambulance 130

FOAMfrat

OCTOBER 30, 2023

Patient loaded into the ambulance. CPR started. Lucas Device CPR. EPI given 2 minutes of CPR - PEA continues EPI and Bicarbonate are given Arrives at ER. NC is placed @ 10 LPM. Another set of vitals is attempted and the patient is placed on the EMS crews cot. This is approximately 8-10 minutes after arrival). Pulse lost.

CPR 52

CPR EMS Ambulance OR 52

Mile High Ambulance

DECEMBER 11, 2014

Mile High Ambulance Provides Medical To The Denver Area Large events require on scene medical standby in case of emergency Anytime people are gathered – whether it be for a community gathering, festival, school function, or even a sporting event – having a paramedic on site is always a good call.

Advanced Life Support 52

Advanced Life Support First Aid Life Support Ambulance 52

NCOAE

NOVEMBER 13, 2021

EMTs are not just “ambulance drivers,” although that’s certainly a critical part of their occupation. For EMTs and patients, an ambulance is more than transportation to the hospital. How to stop bleeding, perform CPR, and assist breathing. Many EMTs work on a 911 emergency response ambulance. Where Else do EMTs Work?

EMT 52

EMT EMT Emergency Medical Technician Ambulance Driver 52

Paramedic Training Spot

NOVEMBER 29, 2021

Besides going over the basic lifesaving skill of Cardiopulmonary Resuscitation, or CPR, you will learn the legal side of medicine, such as HIPAA, and emergencies that bring not only the end, but a new start, to life. In fact, in 1927, the town of Belmar was one of the the first established volunteer ambulance services in the nation.

EMT 52

EMT EMT EMR Emergency Medical Technician 52

REBEL EM

SEPTEMBER 28, 2023

Primary PCI: 95.7% Stents Placed: Pharmaco-Invasive Treatment: 97.4% Primary PCI: 95.7% ECG Results: Repeat ECG 90min after tenecteplase indicated 70.3% of patients in the pharmaco-invasive treatment achieved ≥50% resolution in the lead with the greatest ST-segment elevation Median decline from 3.0 Primary PCI: 78.4% Primary PCI: 13.3%

STEMI 138

STEMI Allergic Reaction Coronary Ambulance 138

EMT Training Station

FEBRUARY 11, 2024

It focuses on essential lifesaving skills, such as CPR (cardiopulmonary resuscitation), controlling bleeding, and managing shock. This network includes more than just ambulance services; it incorporates a range of resources such as specialized medical equipment, emergency response vehicles (ambulances, helicopters, etc.),

EMT 98

EMT EMT Emergency Medical Technician Emergency Medical Services 98

The Skeptics' Guide to EM

JUNE 4, 2017

Case: A 53-year-old woman in good health is brought in by ambulance after a motor vehicle collision. She did not lose consciousness but did bump her head. Her main complaint is chest pain with difficulty breathing. She is tachycardic, tachypnic and has some mild abdominal pain. .

OR 130

OR ALS CPR ICU 130

Don't Forget the Bubbles

NOVEMBER 29, 2023

A 12-year-old male is being transported by ambulance after a road traffic accident. This is referred to as CPR I nduced C onsciousness ( CPRIC ). You are the Paediatric doctor on call and receive a call for an incoming patient to the emergency department. His name is Ben. While waiting, another call comes in.

E-9-1-1 135

E-9-1-1 Emergency Department ED CPR 135

First Responders Foundation

JULY 31, 2024

From state-of-the-art firefighting gear and advanced life-saving medical equipment in ambulances to upgraded software systems for emergency dispatch centers, each donation helps provide essential resources that might otherwise be unaffordable due to budget constraints.

First Responder 52

First Responder Public Safety Mental Health Services Firefighter 52

TIMER

JANUARY 17, 2022

An EMT official is trained to provide CPR, administer medications, wrap wounds, stabilize the neck and head injuries and even drive an ambulance. You must have a BSL certificate to prove that you can perform CPR and primary life-saving care.

EMT 40

EMT EMT Emergency Response CPR 40

The Overrun

DECEMBER 13, 2021

We moved them onto the stretcher and brought them out to the ambulance so we could start CPR and using a BVM. We can’t start CPR on the stairs! I remember as we were bringing the patient out to the ambulance to do CPR, the family was standing in the doorway. It was the scariest thing I’ve ever seen.

EMS 52

EMS EMT EMT BLS 52

NCOAE

OCTOBER 14, 2022

Emergency Room Technician: Emergency Room Technicians are often licensed EMTs who work in hospital emergency rooms (ER) versus riding in ambulance and responding to calls. More often than not, ski patrol organizations require their patrollers to have EMT credentials and CPR certification.

EMT 52

EMT EMT Emergency Medical Technician Firefighter 52

Don't Forget the Bubbles

DECEMBER 18, 2023

We might consider how long the child has been in cardiac arrest – the longer the time, particularly if there was any time without CPR, the less likely they are to regain circulation. The same goes for any ambulance staff, who may have left the resus room before the outcome was known.

CPR 131

CPR OR Ambulance 131

Paramedic Training Spot

JANUARY 20, 2022

The CPR course typically takes 4 to 8 hours to complete. With your CPR card in hand, you must then attend another course to earn an emergency medical technician certification. Some ambulance agencies provide paramedic training in house. Paramedic education can be obtained through a few different avenues. per hour in 2020.

Paramedic 52

Paramedic Emergency Medical Technician Emergency Medical Services EMT 52

ECG Medical Training

MAY 25, 2017

This is an extremely important topic especially for EMS systems that are implementing High Performance CPR , because it is very predictable that you are going to see a lot more patients with return of pulses in the field, and if you don’t have a plan, lots of things can go wrong before arriving at the hospital.

CPR 52

CPR STEMI EMS Ambulance 52

TIMER

JANUARY 20, 2022

They have to clean, maintain, and stock the ambulance and respond to 911 calls at anytime. We provide both primary and refresher EMT training and CPR and first aid classes. In this blog, we will tell you some key signs that indicate you are a suitable candidate for the job of an EMT. What are those signs? Let’s find out.

Emergency Medical Technician 40

Emergency Medical Technician EMT EMT Heart Attack 40

AmboFOAM

MAY 7, 2017

We have a large number of graduate paramedics starting with Ambulance Victoria this year, so it’s probably a good time to revisit a topic that seems to receive surprisingly little attention in an industry that relies so heavily upon it. This means that wherever possible the closest ambulance is sent to high priority cases.

Ambulance 40

Ambulance CPR Paramedicine Paramedicine 40

NAEMSP

JANUARY 5, 2023

Meyer MD Clinical Scenario You are dispatched to a 57-year-old male with a witnessed cardiac arrest and bystander CPR being performed. Your partner deploys the cardiac monitor and while CPR is continued you turn your attention to establishing vascular access. On arrival to the scene, you find the patient pulseless and apneic.

E-9-1-1 52

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

Dr. Smith's ECG Blog

OCTOBER 10, 2022

He reportedly told his family "I think I'm having a heart attack", then they immediately drove him to the ED, and he was able to ambulate into the triage area before he collapsed and became unresponsive. CPR was initiated immediately. It was reportedly a PEA arrest; there was no recorded V Fib and no defibrillation.

ACS 52

ACS CPR CAD Heart Attack 52

ACEP Now

AUGUST 15, 2023

Staff interrupt you while you’re in Room 3 with a patient you’ve placed on BiPAP, “We have an incoming patient with CPR in progress in five minutes,” the nurse says before adding, “Room 4’s family really wants to talk with you again.” and, “I hope I make it out on time to tuck my kid into bed tonight.”

ALS 90

ALS Emergency Department OR CPR 90

BoostPrep

APRIL 26, 2022

Question While performing one-person CPR on a patient, you should use a ratio for compressions to ventilation for the adult patient and a __ ratio for a child patient. Apply an AED Begin CPR Correct Incorrect Question 2 of 10 2. Provide two minutes of CPR prior to attaching the AED. Apply a nonrebreather at 15 lpm.

EMT 52

EMT EMT CPR Emergency Medical Technician 52

EMT Training Station

FEBRUARY 11, 2024

If the victim is unresponsive, CPR is initiated immediately. Our ambulances are equipped with advanced medical equipment to provide ongoing care during the journey to the hospital. Rapid Assessment and Immediate Care Once the scene is secured, we quickly assess the victim.

EMT 98

EMT EMT Emergency Medical Technician First Aid 98

The Overrun

JUNE 8, 2020

A pulse was checked, then Mr. Floyd was moved to the ambulance where resuscitation was initiated. What if the ambulance got on scene 4 minutes into the video? Be the ones who teach bleeding control, CPR, and the skills officers need to save lives. We cannot use our perch to question the actions of EMS on this call.

Paramedic 40

Paramedic EMS Ambulance CPR 40

Paramedic Training Spot

DECEMBER 8, 2021

These prerequisites include maintaining a valid EMT-B certificate or higher, successfully completing a CAAHEP-accredited education program within the past 2 years, maintaining valid CPR-BLS credentials or their equivalent, and successfully completing the cognitive and psychomotor examination portions of the NREMT-P curriculum.

Paramedic 52

Paramedic E-9-1-1 EMT EMT 52

My Paramedic Blog

FEBRUARY 27, 2014

Sometimes he just pops into my head and I re-live that night, how I found him on the highway, the mangled car lying upside down, the feeling of helplessness, the long 45minutes in the back of the swaying ambulance as I tried to comfort him, to help him, to keep him alive. I prayed the ambulance would go faster. Don’t you dare!”

Paramedicine 52

Paramedicine Paramedicine Ambulance Paramedic 52

EMT Training Station

MARCH 10, 2023

The 100-hour chronograph with memory for 30 laps/splits is a valuable feature for tracking time-sensitive medical procedures, such as CPR or medication administration. The hands of the watch glow in the dark, which is essential when working in low-light situations, such as in the back of an ambulance or during night shifts.

EMT 52

EMT EMT Paramedic EMS 52

REBEL EM

DECEMBER 19, 2022

In fact, 4000 paramedics in total were not only trained in the study protocol but also given a rigorous evaluation of their ability to perform CPR. On the topic of EMS and similar to the pilot study, there was an incredibly high amount of bystander CPR performed. Thus limiting the external validity of this paper’s findings.

Defibrillator 52

Defibrillator Paramedic CPR EMS 52

NAEMSP

MARCH 13, 2023

Upon arrival to the ambulance, the EMT notices that the patient’s heart rate is 22 bpm. They begin CPR en route to the emergency department where the patient’s rhythm deteriorates into asystole. Nearly all the crews recall difficulty seeing the cardiac monitor in their ambulances due to the monitor mount being poorly positioned.

EMS 52

EMS Emergency Medical Services EMT EMT 52

The Good, The Bad & The Ugly Paramedic

OCTOBER 31, 2020

We feel the warm glow, they feel cared for, the paramedic profession remains valued as a whole and ambulance service bills are paid without protest. An increasing number of patients now know that clinical competence comes included with the package, rather than balk at a cost comparison between ambulances and Ubers as a method of transport.

Paramedic 52

Paramedic Ambulance First Responder CPR 52