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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.

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Supraglottic Airways for BLS

Peter Canning

Connecticut recently added supraglottic airways to the BLS scope of practice. That means basic EMTs (emergency medical technicians with considerably less training than paramedics) with the approval of their sponsor hospital medical director, no longer have to rely on bag-valve-mask ventilation to breathe for patients in cardiac arrest.

BLS 98
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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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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. .”

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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. This shortage has disproportionally impacted paramedics, as evidenced in the NAEMT survey results published in May of 2022. That ideal response might be within, say, 15 minutes.

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. I was a fresh paramedic with a passion to share my new found knowledge and skills. The EMS program even had an ambulance at one point.

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SGEM#340: Andale, Andale Get An IO, IO for Adult OHCA?

The Skeptics' Guide to EM

Circulation 2020 Guest Skeptic: Missy Carter is a PA practicing in emergency medicine in the Seattle area and an adjunct faculty member with the Tacoma Community College paramedic program. This was a critical appraisal of an observational study published in Annals of EM ( Kawano et al 2018 ).

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