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A prehospital protocol for geriatric agitation

International Journal of Paramedicine

Approximately 10% of geriatric patients (adults over the age of 65) transported via ambulance will have a mental status altered from baseline, otherwise known as delirium. ED-based protocols have already been created to aid in the treatment of patients with this condition.

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The Effect of Paramedics in Emergency Department Triage on Ambulance Patient Offload Times

International Journal of Paramedicine

Background : Emergency Department (ED) overcrowding limits patient care in the prehospital and hospital system. A program was implemented to decrease the time to patient handoff from EMS arrival to ED staff, also known as the delivery interval and total turnaround interval.

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Prehospital Use of Ketamine Versus Midazolam for Sedation in Acute Severe Agitation

International Journal of Paramedicine

Methods: This is a retrospective cohort study of agitated patients with an initial Richmond Agitation-Sedation Scale (RASS) score of at least 3, who were sedated and transported by ambulance to Hartford Hospital. IM ketamine resulted in deeper sedation without increasing intubation rate.

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The Reality of Ramping for Student Paramedics

The Good, The Bad & The Ugly Paramedic

Those drawn towards more mobile, emergent, autonomous roles found their place in paramedicine. 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.

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The Colorado Verdict

Peter Canning

So you are an expert on paramedicine, but isn’t it true that you yourself are guilty of (long list of failures)…” They still wanted me, so I then sent them a blog post titled “ Your Hono r” which detailed a call I was on where I dropped a patient and one where I found myself with an empty oxygen tank. The ambulance responded.

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EMS WEEK 2020: Aftermath

The Overrun

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.

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