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Clarion Ledger | Ambulance ‘response times’ miss the big picture: health outcomes

American Ambulance Association

Congratulations to the board of the Mississippi Ambulance Alliance on the publication of their insightful op-ed in the Clarion Ledger.

Ambulance 130
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Transcutaneous Pacing: Part 2

EMS 12-Lead

The crew transferred the patient to the ambulance and noticed weak radial pulses (BP unobtainable). Crew notifies the received ED of an incoming post-arrest patient and notes a sinus bradycardia on their monitor, as seen in Figure 2. Pacing was continued in the ED, with identical settings. Several learning points here.

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Head injury, ED Anaesthetics Simulation

EMergucate

Simulation report 2/2/23 Interdisciplinary SIM ED/ Anaesthetics Summery: Head injury requiring intubation post agitation and seizure, ambulance called by police … Continue reading →

ED 100
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Transcutaneous Pacing: Part I

EMS 12-Lead

The patient is re-assessed once secured in the ambulance. Two paramedics are in the rear of the ambulance managing resuscitation (another crew had arrived and provided support with a driver). On ED arrival ROSC is achieved. The crew starts with placing the patient on the monitor, and they notice a heart rate of 60.

CPR 312
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SGEM#414: The SQuID Protocol

The Skeptics' Guide to EM

The SQuID protocol (subcutaneous insulin in diabetic ketoacidosis): Impacts on ED operational metrics. The SQuID protocol (subcutaneous insulin in diabetic ketoacidosis): Impacts on ED operational metrics. However, the ICU is full and the patient will likely be boarding in your ED for a bit before coming upstairs.

ICU 276
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How to Best Inspect, Protect, and Dress Wounds in the Emergency Dept.

ACEP Now

The pain makes it difficult for him to ambulate unassisted through his home. About three percent of emergency department (ED) visits are due to skin and soft tissue infections, but data are lacking on the contribution of chronic wounds to this number. Today, he notes worsening swelling and a blister forming near his left ankle.

ED 97
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SGEM#291: Who’s Gonna Drive you to…the ED – with Lights & Sirens?

The Skeptics' Guide to EM

Is Use of Warning Lights and Sirens Associated With Increased Risk of Ambulance Crashes? This is Bob’s eleventh visit […] The post SGEM#291: Who’s Gonna Drive you to…the ED – with Lights & Sirens? Is Use of Warning Lights and Sirens Associated With Increased Risk of Ambulance Crashes? Annals of Emergency Medicine.

ED 100