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Defining Appropriate Responses in a Tiered System

High Performance EMS

Dispatching the right unit to an EMS call was much simpler when all resources had the same capabilities and a response time was the primary measure of success. The very low risk calls can typically be satisfied with basic life support (BLS) capabilities. It was a matter of determining which crew was available closest to the scene.

BLS 264
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Supraglottic Airways for BLS

Peter Canning

Connecticut recently added supraglottic airways to the BLS scope of practice. Well, hooray for all the Emergency EMS medical Control Doctors who eventually agreed and passed this proposal. I know at my hospital where I am the EMS coordinator, we will grant approval to those EMS services that want to let their EMTs do this skill.

BLS 98
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Adrenal Crisis and Addison’s Disease: What EMS Needs to Know

NAEMSP

However, a recent survey revealed that many patients with adrenal insufficiency are hesitant to give themselves their injections, and many Emergency Medicine and EMS Clinicians are unaware of the appropriate treatment for this condition. The responding BLS crew was unable to initiate adequate resuscitation, despite signs of shock. .”

EMS 122
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SGEM#231: You’re So Vein – IO vs. IV Access for OHCA

The Skeptics' Guide to EM

Annals of EM May 2018 Guest Skeptic: Andrew Merelman is a critical care paramedic and first year medical student at Rocky Vista University in Colorado. Annals of EM May 2018 Guest Skeptic: Andrew Merelman is a critical care paramedic and first year medical student at Rocky Vista University in Colorado.

BLS 130
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How it all Started

Chicago EMT Training

We got in touch with someone on campus that shared a passion for EMS, and he was the key to legitimizing the program through the Environmental Health and Safety Office. The EMS program even had an ambulance at one point. We continued providing non-transport BLS to events on campus. His first cohort had 17 students.

EMT 130
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Passing ‘Fast’ for ‘Appropriate’ Responses

High Performance EMS

One of the more challenging issues that has become as endemic as the disease itself is the recruitment and retention of EMS professionals. With expected delays beyond that time limit, it may be acceptable to dispatch a BLS unit to begin care while still allowing the ALS resource to join the response from a longer distance.

BLS 130
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What Every EMT Should Already Know About Basic Airway Management

SSCOR

Your BLS engine company is dispatched to a “difficulty breathing” call and your ALS rescue is still in the process of delivering their previous patient to the hospital. Dispatch is sending the next closest rescue, but the responding unit has just notified you that they are held up by a train.

BLS 105