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Article Bites #48: Clinical Care and Restraint of Agitated or Combative Patients

NAEMSP

Article Summary by Sarah Fabiano, MD, FACEP, FAAEM Kupas DF, Wydro GC, Tan DK, Kamin R, Harrell AJ 4th, Wang A. Clinical care and restraint of agitated or combative patients by emergency medical services practitioners. Prehosp Emerg Care 2021 Sep-Oct;25(5):721-3. doi: 10.1080/10903127.2021.1917736. Epub 2021 Jun 7.

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The Broselow-Luten System

Pediatric EM Morsels

Broselow-Luten Color-Coded Length-Based Weight-Estimation System: History of [Emergency Medical Services for Children] Designed by Dr. James Broselow. Dr. Broselow was family medicine but switched to emergency medicine. Emergency Medical Services for Children] “Red to Head.” One end of the tape is red with an arrow.

E-9-1-1 269
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EMS vs. EMT: Clarifying Roles in Emergency Healthcare

EMT Training Station

In the realm of emergency healthcare, the terms EMS (Emergency Medical Services) and EMT (Emergency Medical Technician) are often used interchangeably, yet they represent distinct aspects of medical response and care.

EMT 98
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The Evolution of Patient Load Balancing: The Southwest Texas Regional Advisory Council

Pulsara

During major emergencies like earthquakes, floods, or mass shootings, health resources can quickly become overwhelmed, causing breakdowns in communication and coordination. During the COVID-19 pandemic, Texas faced these challenges but improved their emergency healthcare response by implementing new systems and technologies.

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SGEM Xtra: I’m So Excited – But Don’t Call It Excited Delirium

The Skeptics' Guide to EM

The American College of Emergency Physicians ( ACEP ) defined the term in 2009 as “acute delirium (not linked to dementia or preexisting pathologies) associated with extreme physical and psychomotor agitation”. WJEM 2023 There were five key points raised in the article: Continuing lack of a clear definition for excited delirium

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Classic EM: High risk and low prevalence diseases: Blast injuries

Core EM

High risk and low prevalence diseases: Blast injuries American Journal of Emergency Medicine, 2023 Background Blast injuries stem from the instantaneous transformation of a substance from solid or liquid to gas, releasing energy in the form of heat, light, pressure, and sound. Types of Injury: Primary: Injury caused by the blast wave.

EMS 100
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EMS Naloxone Leave Behind

Peter Canning

Across the nation states are passing initiatives to allow EMS services to leave naloxone kits on scene with at risk patients, their family, friends or bystanders. Each kit contains two 4 mg Naloxone intranasal devices, and instruction card for use, a CPR face shield, and instructions on how to access services. I think 50% is not bad.