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Missy is also now the director for Difficult Airway EMS course in Washington State Case: An EMS crew arrives to your emergency department (ED) with a 58-year-old female who suffered a witnessed ventricular fibrillation (VF) out-of-hospital cardiac arrest (OHCA). Background: We have covered OHCA multiple times on the SGEM.
This post will focus on the key parts of the guideline that affect ED evaluation and management. Editorial Comment : Use standard BLS/ALS measures, especially if in cardiac arrest. Top 10 Take Home Pearls 1. No NAC or ascorbic acid. COR 1, LOE C-LD. COR 2a, LOE B-NR.
BLS providers are expected to know more and do more in the evolving healthcare landscape. They explore the tendency to over-triage chest pain cases and the need for a more nuanced approach. Knowing the receiving facility and building relationships with the staff can improve patient outcomes.
Here, we present them in alphabetical order: ABC – Airway, Breathing and Circulation – “This is the Golden Rule of emergency medical professionals” AED – Automated External Defibrillator – The device that delivers electric shock to the heart of patients experiencing sudden cardiac arrest A-EMT – Advanced EMT ALS – Advanced Life Support Anaphylaxis— (..)
The EMS crew was only BLS certified, so EKG interpretation is not within their scope of practice. Isn’t it tempting to say there is T-QRS-D in the initial ECG that was done in the ED ( = E CG # 1 in Figure-4 ) ? The ambulance report says "BP continued to drop during transport and pt remained cold and clammy."
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. I didn’t see anyone on two passes, but then I heard the BLS unit radio that they’d found the patient. The association is that junkies are human trash. One day I was dispatched to an overdose.
Since she was confused, she didn’t know where his paperwork was so the BLS agency that arrived began efforts for resuscitation. Each of the people on that BLS crew are career providers. Does that mean a little more training or continuing ed? Does that mean more interaction between our doctors and our field staff?
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