Ambulance, CPR and ED - Paramedicine Now

Lab case 398

EMergucate

FEBRUARY 6, 2023

75 year old man was brought to ED by ambulance in VF cardiac arrest , CPR in progress. His venous blood gases showed the following PH = 7.14 pCO2 = 53 mmHg

CPR

CPR Ambulance ED

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

EMT EMT Paramedic Plasma

Dr. Elsburgh Clarke Was Among First to Specialize in Emergency Medicine

ACEP Now

JANUARY 4, 2025

I was about two months into a family practice internship when I went to visit my uncle whose neighbor happened to be an ED resident, Dr. Clarke said. Firsthand Account An ambulance bay at the LA County-USC Hospital in 1978. A cross-country move brought him to Delaware, where he served as the director of a hospital ED in Milford, Del.

ED

ED Emergency Department Ambulance CPR

Transcutaneous Pacing: Part I

EMS 12-Lead

MARCH 30, 2024

The patient is re-assessed once secured in the ambulance. The paramedics begin CPR. CPR is performed with manual compressions as no mechanical CPR device is available. Two paramedics are in the rear of the ambulance managing resuscitation (another crew had arrived and provided support with a driver). Current 85mA.

CPR

CPR Paramedic Ambulance Epinephrine

Transcutaneous Pacing: Part 2

EMS 12-Lead

MAY 15, 2024

In this call, paramedics arrived on scene to find a patient apneic and pulseless with CPR in progress by first responders (AED had an unknown unshockable rhythm). Patient had an unwitnessed cardiac arrest without bystander CPR performed. The crew transferred the patient to the ambulance and noticed weak radial pulses (BP unobtainable).

Epinephrine

Epinephrine Paramedic CPR EMT

Awake, and Paralysed: A Never Event

Don't Forget the Bubbles

NOVEMBER 29, 2023

A 12-year-old male is being transported by ambulance after a road traffic accident. A retrospective cohort analysis of the ED portion of the National Hospital Ambulatory Medical Care Survey from 2006 to 2009 in the US revealed that less than one-half of patients undergoing ETI in the ED received sedative drugs while in the ED.

E-9-1-1

E-9-1-1 Emergency Department ED CPR

Free 50 Question NREMT – Basic Practice Exam

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

EMT EMT CPR Ambulance

A man in his 30s with cardiac arrest and STE on the post-ROSC ECG

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

ACS CPR CAD Heart Attack

The Colorado Verdict

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. The woman was declared dead in the ED. 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.

Paramedic

Paramedic Paramedicine Paramedicine Ambulance

Duty to Act

The Overrun

JUNE 8, 2020

A pulse was checked, then Mr. Floyd was moved to the ambulance where resuscitation was initiated. com and gave a recap of the paramedic care provided and the ED care at transfer. 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.

Paramedic

Paramedic EMS Ambulance CPR

Unresponsive and Acidotic: OMI? Acute, subacute, or reperfused? What is the rhythm? Why RV dysfunction? Can CT scan help?

Dr. Smith's ECG Blog

APRIL 6, 2025

This case was a 69 year old male, brought in by ambulance, after being found unresponsive in bed by family earlier that day. On arrival to the ED, he was breathing spontaneously, had faint pulses, and was cool to the touch. CPR was initiated and he underwent 1 round of ACLS (CPR + 1 mg epi).

OR

OR Epinephrine CPR ED

Major Trauma – Injuries by Assault

Don't Forget the Bubbles

FEBRUARY 5, 2025

Ali, a 12-year-old male, is pre-alerted by ambulance to ED. The pre-alert from the ambulance states his GCS is 12 (E3V4M5), moving all 4 limbs with an obvious large haematoma to the back of his head. How would you prepare for the patient’s arrival to ED? Do I have emergency blood available in the ED?