The Good, The Bad & The Ugly Paramedic

JULY 1, 2020

As paramedics, whilst we often take great offence at being called ambulance drivers, the question is, when it’s our turn to drive, what exactly is it that we are providing? Do we fully engage in shared patient care with our attending partner, or do we switch off so that we can simply drive the ambulance and take it easy?

Ambulance Driver 52

Ambulance Driver Paramedic Ambulance OR 52

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. Out of all the things, becoming an EMT really unveiled what healthcare might truly have in store for me. Track down your immunization records and obtain a TB test.

EMT 130

EMT EMT Allergic Reaction CPR 130

High Performance EMS

JUNE 20, 2024

The documentation that is inherent in such a process also facilitates the reporting for performance reviews. Building a defensible and thoughtful set of rules for evaluating responses options in real-time levels the field by providing consistency in the decision-making process.

EMS 240

EMS First Responder Emergency Response OR 240

EMDocs

JUNE 9, 2023

We’re defining “protocol” here as a written document that provides oversight from the medical director about how to assess and treat patients. EMS Environment Ok, we’ve got the patient calmed down and gotten them into the ambulance. Was the documentation complete? That includes the patient, EMS personnel, and general public.

Emergency Medical Services 98

Emergency Medical Services EMS Emergency Department Ambulance 98

ESO

SEPTEMBER 24, 2024

Ambulance Patient Offload Time (APOT) is a new metric introduced in the 2024 ESO EMS Index that measures the duration from when an ambulance arrives at the hospital to the transfer of patient care to hospital personnel. Ambulances delayed at hospitals mean fewer resources are available for the next emergency call.

MIH 59

MIH NFPA Ambulance EMS 59

The Skeptics' Guide to EM

APRIL 24, 2021

AEM April 2021 Case: You are sitting minding your own business charting on shift when you become aware of shouting and banging from your ambulance bay. Exclusions: Prisoners or those in police custody, pregnant or breast-feeding, or with documented allergy to any study medications.

Emergency Department 100

Emergency Department ALS Ambulance ED 100

High Performance EMS

JULY 13, 2020

The NHTSA Office of EMS released a significant document last year called the EMS Agenda 2050 that was carefully crafted to set a bold vision for the next 30 years of paramedicine by clearly differentiating the focus of care from its original definition in the 1996 EMS Agenda for the Future.

EMS 100

EMS Paramedicine Paramedicine Emergency Medical Services 100

EMT Training Station

FEBRUARY 11, 2024

This preparation involves not only medical stabilization but also careful documentation of the victim’s condition and the care provided, ensuring a seamless transition to hospital-based treatment. This documentation is handed over to the hospital staff, providing them with a complete picture of the patient’s prehospital care.

EMT 98

EMT EMT Emergency Medical Technician First Aid 98

Dr. Smith's ECG Blog

JUNE 17, 2024

Written by Bobby Nicholson, MD 67 year old male with history of hypertension and hyperlipidemia presented to the Emergency Department via ambulance with midsternal nonradiating chest pain and dyspnea on exertion. Pain improved to 1/10 after EMS administers 324 mg aspirin and the following EKG is obtained at triage. What do you think?

E-9-1-1 138

E-9-1-1 ACS Emergency Department Coronary 138

Gold Cross Ambulance Service

OCTOBER 6, 2022

What qualities do we at Gold Cross Ambulance look for when we’re interviewing prospective candidates for a position on our team? We rely on our team members to be organized when they’re on a call or while they’re documenting their paperwork. first appeared on Gold Cross Ambulance Service, Inc.

EMT 52

EMT EMT Emergency Response Ambulance 52

The Good, The Bad & The Ugly Paramedic

SEPTEMBER 30, 2021

National industry insight reporting from the Australian Industry and Skills Committee suggests that, in 2019 alone, Australia wide, there were over 4,500 enrolments in ambulance and paramedic qualifications1. National Industry Insights: Ambulance and Paramedic. AHPRA's 2019/20 annual report outlines a 14.5% 2019/20 Annual Summary.

Paramedic 52

Paramedic Paramedicine Paramedicine Ambulance 52

ACEP Now

JULY 7, 2024

Sometimes there is a risk management staff member on call to support you in navigating challenging outcomes, including your immediate documentation. For me, walking outside the ambulance bay for a few breaths of fresh air or walking to brew a coffee is helpful while I reset. We are all human.

OR 98

OR ED Ambulance 98

FOAMfrat

APRIL 22, 2024

This may be something like arranging chairs to pretend you are now in a helicopter or ambulance or even expediting specific time intervals to speed up the simulation. Time Compression Educators often refer to something called a "sim-izm" when referring to things we do during a sim that is not very true to real life.

E-9-1-1 78

E-9-1-1 ACS Paramedic Critical Care 78

Handtevy

AUGUST 25, 2022

Key Findings: Demographics: Out of 422,968 ground-ambulance pediatric patients, 1,291 received ketamine. No prehospital deaths were documented. They used EMS primary impressions as a proxy for medication indication and defined effectiveness as paramedic-identified clinical improvement. received 5-10 times the recommended dose, and 1.2%

Overdose 52

Overdose EMS Emergency Department Ambulance 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. Another critical task that must be completed at every shift's start is ensuring the ambulance is stocked. Through detailed documentation, EMTs efficiently communicate with other healthcare professionals to improve patient outcomes.

EMT 52

EMT EMT Emergency Medical Technician Defibrillator 52

ACEP Now

JUNE 14, 2024

What Is the Burden of These Patients on EDs and Ambulance Providers? This results in a significant caseload for ambulance transport services that provide the bulk of patient movement. ED transfer rates vary dramatically by cohorts, increasing by nearly a factor of three for hospital-based EDs with decreasing volume (Table 2).

Emergency Department 52

Emergency Department ED Ambulance OR 52

REBEL EM

MARCH 2, 2023

Low O2 protocol: 3.1% aOR 0.96, 95% CI 0.86 4159 patients (10% of total population) had STEMI 30d Mortality: High O2 protocol: 8.8% Low O2 protocol: 10.6% aOR 0.78; 95% CI 0.63 10,218 patients (25% of total population) had NSTEMI High O2 protocol: 3.6% Low O2 protocol: 3.5% OR 1.02; 95% CI 0.83 Low O2 protocol: 3.1% aOR 0.96, 95% CI 0.86

ACS 52

ACS Coronary STEMI Ambulance 52

Paramedic Training Spot

JANUARY 20, 2022

Some states and programs also require EMT students to complete 24 to 48 hours of clinical time working in an emergency room and/or ambulance under the supervision of a certified EMT, paramedic, or registered nurse. Some ambulance agencies provide paramedic training in house. per hour in 2020.

Paramedic 52

Paramedic Emergency Medical Technician Emergency Medical Services EMT 52

Paramedic Training Spot

NOVEMBER 29, 2021

In fact, in 1927, the town of Belmar was one of the the first established volunteer ambulance services in the nation. Before this motion was passed to make the standard to have at least one EMT on a truck, there were no set rules as to what training you needed to ride on an ambulance; Rather, most agencies took anybody that was willing.

EMT 52

EMT EMT EMR Emergency Medical Technician 52

ACEP Now

JUNE 7, 2023

ED leaders worked to develop new physician documentation and coding guidelines that needed to be implemented at the beginning of 2023. About 20 percent of ED arrivals in 2022 came by ambulance, and 36 percent of those EMS patients were subsequently admitted, compared to about 14 percent of ambulatory arrivals.

Emergency Department 52

Emergency Department ED EMS Ambulance 52

NCOAE

DECEMBER 11, 2023

However, while LSBs have historically been used to attempt spinal immobilization, SMR may be achieved using a scoop stretcher, vacuum splint, ambulance cot, or other similar device to which a patient is safely secured. Both terms refer to the same concept — minimizing unwanted movement of the potentially injured spine.

OR 52

OR Emergency Medical Technician Emergency Department Emergency Medical Services 52

EMT Training Station

MARCH 10, 2023

Accurate documentation of when a drug is given is essential. Documentation is very important in EMS. However, having a watch that you are able to put in the military time will eliminate the confusion and make documentation easier. format, making it easier to quickly read and document patient records.

EMT 52

EMT EMT Paramedic EMS 52

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? But, I think we need to consider that as clinicians, we must incorporate this into our practice and documentation. It’s just not fair. What would you have done?

Paramedic 40

Paramedic EMS Ambulance CPR 40

NAEMSP

JANUARY 5, 2023

Patient factors including vascular collapse and environmental factors such as tight spaces and moving ambulances contribute to the challenge of obtaining intravenous access in the prehospital setting. [3] The role of intraosseous vascular access in the out-of-hospital environment (resource document to NAEMSP position statement).

E-9-1-1 52

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

ACEP Now

FEBRUARY 11, 2024

Patient C, a 27-year-old female with a history of epilepsy, taking valproate and endorsing adherence, is then brought in by ambulance for a witnessed seizure. There have been documented cases of overdose, and of note, there is no known antidote. This is her first seizure in six years.

Overdose 52

Overdose ACS Plasma ALS 52

BoostPrep

APRIL 26, 2022

Cyanosis and an increase in respiratory rate were noticed approximately five minutes before the nurse requested an ambulance. Any incident that requires two or more ambulances. What procedure should be followed when attempting to correct your documentation? Her respiratory rate is 26 per minute with adequate tidal volume.

EMT 52

EMT EMT Emergency Medical Technician CPR 52

Paramedic Training Spot

JANUARY 20, 2022

These include practicing as a traditional pre-hospital care provider working an ambulance on an Air Force installation, providing care in a military treatment facility on a number of Air Force and other military installations around the world, or in theater providing combat medical support to fighting service members.

Paramedic 52

Paramedic Emergency Medical Technician EMT EMT 52

ECG & Echo Learning

JANUARY 18, 2023

I B Ambulance personnel must be trained and equipped to identify STEMI and administer fibrinolysis if necessary. I B Designated PCI centres should provide angiography and reperfusion 24/7 without delay. I B Patients transferred to PCI centres can bypass the emergency department to undergo primary PCI without delay.

STEMI 40

STEMI Coronary OR Defibrillator 40

EMDocs

NOVEMBER 16, 2024

Posterior – Shortened, adducted, internally rotated 5,6 Anterior – Shortened, abducted, externally rotated 5,6 As with all dislocations, perform and document distal neurovascular exam before and after management. 8 Perform and document distal neurovascular exam. 5 CT if concern for occult fracture. His X-ray is shown above.

EMS 98

EMS E-9-1-1 Operating Room Emergency Department 98

Paramedic Training Spot

DECEMBER 21, 2021

EMTs typically operate in the pre-hospital setting with the standard ambulance equipment. You might wonder what a typical day looks like for an ambulance paramedic. The first order of business will be checking your ambulance to ensure that all equipment is stocked and ready to be pulled into action. an hour, in 2020.

Paramedic 52

Paramedic Emergency Medical Technician EMT EMT 52

NAEMSP

MARCH 13, 2023

Upon arrival to the ambulance, the EMT notices that the patient’s heart rate is 22 bpm. Nearly all the crews recall difficulty seeing the cardiac monitor in their ambulances due to the monitor mount being poorly positioned. This is followed by appropriate confirmation with waveform capnography and all other appropriate adjuncts.

EMS 52

EMS Emergency Medical Services EMT EMT 52

EMDocs

JULY 3, 2023

Louis); Alex Koyfman, MD (@EMHighAK); Marina Boushra, MD (EM-CCM Attending, Cleveland Clinic Foundation) Case A 62-year-old male with past medical history of hypertension (HTN), hyperlipidemia (HLD), and prior cerebrovascular accident (CVA) presents to the emergency department (ED) via ambulance.

ED 98

ED E-9-1-1 ALS OR 98

International Journal of Paramedicine

JANUARY 15, 2025

Ambulance Tasmania recently implemented prehospital thrombolysis (PHT) as part of a pharmacoinvasive strategy. Methods: This was a descriptive, retrospective cohort study of the first 30 consecutive patient encounters involving PHT for STEMI at Ambulance Tasmania from August 2021 to October 2022. minutes shorter than pre-PHT.

STEMI 52

STEMI Paramedic Ambulance Coronary 52

Dr. Smith's ECG Blog

DECEMBER 27, 2024

Documentation lists a diagnosis of "sinus tachycardia." The patient was then sent to the ED for evaluation not by ambulance but driven to the ED by his wife. The current ECG shows sinus tachycardia with old inferior infarct. Strictly speaking, the clinic ECG also had sinus tachycardia underneath the ventricular tachycardia.)

Coronary 121

Coronary Defibrillator ACS ED 121

Dr. Smith's ECG Blog

JANUARY 15, 2025

As such, the patient was placed on a heparin drip and transferred by ambulance to a cardiac cath-capable facility. html ) Despite an undetectable troponin and three normal EKGs, the nature of the patients symptoms and his positive cardiac history warranted concern for ACS.

Coronary 67

Coronary ED CAD Paramedic 67

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