EMergucate

AUGUST 12, 2020

A 65 year old female is brought to ED via ambulance on a priority 1. According to the paramedics the patient has taken an overdose of benzodiazepines and alcohol. Her GCS is 3 and the team is prepa…

Overdose 100

Overdose Ambulance Paramedic ED 100

EMergucate

FEBRUARY 1, 2022

A 65 year old female is brought to ED via ambulance on a priority 1. According to the paramedics the patient has taken an overdose of benzodiazepines and alcohol. Her GCS is 3 and the team is prepa…

Overdose 100

Overdose Ambulance Paramedic ED 100

EMergucate

FEBRUARY 2, 2022

A 65 year old female is brought to ED via ambulance on a priority 1. According to the paramedics the patient has taken an overdose of benzodiazepines and alcohol. Her GCS is 3 and the team is prepa…

Overdose 100

Overdose Ambulance Paramedic ED 100

The Good, The Bad & The Ugly Paramedic

SEPTEMBER 30, 2021

Priorities are changing in prehospital care, with many paramedics now questioning career commitment for the future. 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.

Paramedic 52

Paramedic Paramedicine Paramedicine Ambulance 52

Dr. Smith's ECG Blog

NOVEMBER 2, 2015

The first (and only) ED ECG is here: QTc 386. A prospective analysis of consecutive adult patients presenting to an urban/suburban two paramedic ambulance service fromJuly 15, 2006, to August 15, 2007, who have diagnostic ECGs for STEMI. A second ECG was done prior to arrival at the ED. Most ST elevation is resolved.

Paramedic 52

Paramedic STEMI ACS Ambulance 52

Dr. Smith's ECG Blog

MARCH 1, 2024

He was unconscious for 8 minutes and slowly awoke in the ambulance, complaining of nausea only. The tachycardia was gone by the time paramedics arrived. First ED ECG is Wellens' (pain free). First responders found him to be very tachycardic , confused, perserverating and with no memory of the event. There was tongue biting.

First Responder 109

First Responder ED Ambulance Paramedic 109

The Overrun

JANUARY 23, 2023

We know instinctively that the years of running calls, driving incessantly, long hours posted, and inherent risks of being a paramedic or EMT will get us back in the end. It’s something called the flow state, and I think it’s the reason we keep doing what we do; whether you work a saute station in New York City or an ambulance in Arkansas.

Paramedic 52

Paramedic EMT EMT EMS 52

The Overrun

NOVEMBER 2, 2018

Ed Bauter We’ve all been there. The AIRWAYS2 trial included four separate ambulance services in the UK, and is the largest data set we have available thus far. The design of the study allowed the paramedics to use discretion when placing an airway in the patients that were introduced to the study. What’s the right airway to use?

ED 52

ED Paramedic OR Ambulance 52

ACEP Now

OCTOBER 9, 2023

The other night I stood in the trauma bay, listening to rain patter against the automatic doors, awaiting an ambulance. The doors slid open and above the rain I heard a woman yelling repeatedly in mixed English and Dari, “No, I do not consent,” while paramedics relayed their concern for a spinal injury after she fell down concrete steps.

Heart Attack 126

Heart Attack Life Support Emergency Department Ambulance 126

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

Peter Canning

JANUARY 19, 2025

He mentioned the scene where the old crackhead lady was relentlessly berating the young paramedic who just sat there saying nothing, looking all burnt to hell already, not two months into the job. One told a frequent patient whose MO was dramatically faking seizures in public places to walk the hell away from the ambulance.

EMT 52

EMT EMT Ambulance Paramedic 52

EMS 12-Lead

JUNE 1, 2022

David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Peer review provided by Dr. Steve Smith [link] @SmithECGblog A 72 y/o Male experiences a syncopal episode while seated. Chou’s Electrocardiography in Clinical Practice (6th ed). He is due for a cardiologist appointment in five days. & Knilans, T.

Coronary 130

Coronary ALS ED ACS 130

Peter Canning

DECEMBER 26, 2023

Many years ago I was asked if I wanted to be an expert witness/consultant in court cases involving paramedics. One of the reasons I declined was because I wrote a blog about being a paramedic that included descriptions of calls where things didn’t go as they do on TV (or as the public might expect). The ambulance responded.

Paramedic 52

Paramedic Ambulance Paramedicine Paramedicine 52

Don't Forget the Bubbles

JUNE 30, 2023

Grabbing a pristine white table napkin to apply pressure to the wound, Ranulf’s class teacher and expedition leader called the ambulance as chaos descended on the restaurant. All you know, back in ED, is that the ETA is 10 minutes, and there is a single stab wound to the chest. Back in ED with Ranulf, and pack two has gone through.

E-9-1-1 139

E-9-1-1 FFP Plasma Emergency Department 139

EMT Training Station

FEBRUARY 26, 2024

In order to assist intubation, a paramedic may utilize Sellick's maneuver. A) Return to your ambulance and call clear. D) Return to your ambulance, move to a safe location, and notify the police. He refuses to be transported by you stating, he does not want to pay for an ambulance ride. What do you do? What do you do?

EMT 98

EMT EMT CPR Ambulance 98

NCOAE

SEPTEMBER 26, 2023

As an emergency medical technician (EMT) or paramedic, you typically work a five-day rotation of 12-hour shifts (days or nights). In the following sections, I offer advice for EMTs and paramedics, their supervisors, and the public. The person needs the skills or equipment used by paramedics or EMTs.

EMS 52

EMS EMT EMT Allergic Reaction 52

FOAMfrat

AUGUST 15, 2024

Here is the case: You are dispatched to a private residence (Paramedic/EMT crew configuration) for a female patient who gave birth at home and is now hemorrhaging. When I reflect on my EMT education (14 years ago) and my paramedic education (10 years ago), I genuinely don’t remember learning about postpartum hemorrhage (PPH).

Plasma 69

Plasma Ambulance ALS Emergency Department 69

The Overrun

JUNE 8, 2020

By all accounts, the paramedics who were summoned to the scene of George Floyd’s death did their job. 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. There are more. What would you have done?

Paramedic 40

Paramedic EMS Ambulance CPR 40

Dr. Smith's ECG Blog

AUGUST 9, 2018

This case was sent by Lou B, a paramedic and RN. Ambulated to ambulance for eval. He writes: "We were dispatched to a 58 yo male who had been out in the sun for 2-3 hours as a mailman. He stated he almost passed out, and bystanders called 911. They gave him water with salt, as he thought he was dehydrated."

E-9-1-1 52

E-9-1-1 STEMI Coronary Ambulance 52

Peter Canning

JANUARY 15, 2024

When I started as a paramedic, others told me about the junkies and addicts I would encounter. Both EMS and the ED were not welcoming places for them. I was in the paramedic fly car and a BLS crew was in the ambulance. The stigma of being an “addict” implies that person is to blame for their actions.

Overdose 52

Overdose BLS EMT EMT 52

ACEP Now

JULY 7, 2023

Case A 91-year-old Russian-speaking female on dual-antiplatelet therapy presented to the ED via ambulance with a left-sided nosebleed. EMS placed her on non-rebreather at 10 L per minute due to the significant amount of bleeding through the nose, and brought her to the ED. References Prekker ME, et al. Crit Care Med.

Emergency Medical Services 45

Emergency Medical Services ALS EMS OR 45

The Overrun

MAY 18, 2020

Signs entering ambulance bays around the US, and the world for that matter; point out in no uncertain terms that “HEROES WORK HERE”. Nor does it improve ED throughput, ICU stay, acuity, or a half-dozen other measurements. Since the entry of COVID-19, EMS has noticed a difference. People wave. And that’s wrong.

EMS 52

EMS Firefighter Paramedicine Paramedicine 52

Dr. Smith's ECG Blog

OCTOBER 7, 2019

When the paramedics arrived, they obtained a 12 lead ECG and confirmed the unstable vital signs. They did not have an ultrasound on the ambulance (some local crews are starting to utilize POC limited US in our service areas). When the physicians approached him, he was ashen, diaphoretic, and appeared in shock.

STEMI 40

STEMI EMS Coronary ALS 40

ACEP Now

DECEMBER 7, 2024

As emergency departments (EDs) have become the focus of bottlenecks in the entire health care systemfrom insufficient inpatient beds leading to hospital boarding to dwindling access to primary carea siege atmosphere has developed. The majority do not require any additional resources on the part of the ED.

Ambulance 98

Ambulance EMT EMT EMS 98

FOAMfrat

NOVEMBER 21, 2024

Increasing cabin temperatures in your aircraft or ambulance might be uncomfortable for you, but important to your patient’s survival. upon ED arrival incur mortality rates of up to 3-5x that of patients without coagulopathy. EMS Tactical Paramedic Lethal Triad.” Current literature suggests that patients with INR > 1.2

ICU 119

ICU Emergency Department OR Ambulance 119

Dr. Smith's ECG Blog

JANUARY 15, 2025

Pretty impressive for someone who has not yet attended med school, or even been a nurse or paramedic yet. He was worked up non-emergently in the ED with pain recurring and resolving multiple times during his stay. As such, the patient was placed on a heparin drip and transferred by ambulance to a cardiac cath-capable facility.

Coronary 68

Coronary ED CAD Paramedic 68

Dr. Smith's ECG Blog

OCTOBER 27, 2024

This was submitted by a paramedic, Hailey Kennedy A late 50s male called 911 following 2 hours of chest pain that started while working at his desk. The paramedic thought it was LAD OMI, but wasn't certain. The cath lab was deactivated by cardiologist on arrival at ED because it was "not a STEMI". Pain was decreased to 2/10.

STEMI 121

STEMI ED Coronary EMS 121

FOAMfrat

NOVEMBER 14, 2024

One day, I was running a paramedic fly-car and was dispatched for a sick subject withdrawing from alcohol. I arrived before the ambulance and walked into this typical suburbia house, met by a lovely woman in her 40s who had clearly been crying. In: Chabner BA, Knollmann BC, eds. Available from: [link] Mihic SJ, Harris RA.

Paramedic 98

Paramedic EMT EMT Ambulance 98