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SGEM#241: Wake Me Up Before You Go, Go – Using the HOUR Rule

The Skeptics' Guide to EM

He is alert and oriented times three with normal vital signs by the time he arrives in the emergency department. They concluded: “For patients treated in the ED for opioid overdose, an observation period of one hour is sufficient if they ambulate as usual, have normal vital signs and a Glasgow Coma Scale of 15”.

Naloxone 130
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SGEM#207: Ahh (Don’t) Push It – Pre-Hospital IV Antibiotics for Sepsis.

The Skeptics' Guide to EM

Prehospital antibiotics in the ambulance for sepsis: a multicentre, open label, randomised trial. Guest Skeptics: Jay Loosley is the Superintendent of Education at Middlesex-London Paramedic Service. Jenn Doyle is a paramedic educator at Middlesex-London Paramedic Service. The Lancet Nov 2017. The Lancet Nov 2017.

Paramedic 100
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PEM Currents – Agitation in Children – Episode 4: Safe prehospital transport

EMDocs

There are protocols in place that assist highly trained Emergency Medical Service providers in assuring that agitated children are safely transported to their destination. EMS Environment Ok, we’ve got the patient calmed down and gotten them into the ambulance. In today’s episode, we’re taking our show on the road.

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The Role of Ridesharing in Emergency Medicine

AAEM RSA

Schreyer, MD CMQ FAAE Originally published: Common Sense January/February 2021 The advent and broad availability of ridesharing services, such as Lyft and Uber, are changing the way patients access medical services, and emergency departments (EDs) are taking notice. Academic Emergency Medicine. 2019.10.013.

EMR 52
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Reasons for Calling EMS

International Journal of Paramedicine

Background: Frequent callers of emergency medical services comprise a disproportionate percentage of emergency department visits. This study aims to describe reasons for calling 911 and healthcare services among frequent callers in Ontario. This might free up ambulance services for more urgent calls.

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The Reality of Ramping for Student Paramedics

The Good, The Bad & The Ugly Paramedic

In years gone by, joining the world of emergency medical services meant a high turnover of patients, among a daily mix of unpredictable emergencies. The medically minded individuals seeking ongoing patient contact found a vocation in medicine, mental health, nursing, midwifery and allied health professions.

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From the President’s Desk: HEMS in Cork

Irish College of Paramedics

The recent discussions regarding the crew composition of the proposed Helicopter Emergency Medical Services (HEMS) in Cork require comment from paramedicine. Depending where you are in the world an ambulance is staffed by varying numbers and differing practitioner qualifications. Irish Journal of Paramedicine.