The Skeptics' Guide to EM

APRIL 27, 2024

She is also the local director of the difficult airway EMS course at Washington State. Case: EMS arrives with a 58-year-old woman who suffered an out-of-hospital cardiac arrest (OOHCA). Despite that weak evidence, placement of IO in OOHCA has become a routine procedure for many EMS providers. Prehospital Emergency Care.

ICU 231

ICU Defibrillator Paramedic CPR 231

The Skeptics' Guide to EM

JULY 22, 2023

NEJM 2023 Guest Skeptic: Dr. Jeff Jarvis is the Chief Medical Officer and System Medical Director for the Metropolitan Area EMS Authority in Fort Worth, Texas, also known as MedStar. Jeff Jarvis is the Chief Medical Officer and System Medical Director for the Metropolitan Area EMS Authority in Fort Worth, Texas, also known as MedStar.

Emergency Medical Services 245

Emergency Medical Services Defibrillator CPR EMS 245

ESO

DECEMBER 18, 2024

After reviewing over 12 million EMS incidents that took place in 2023 , the 2024 ESO EMS Index highlights two critical areas that demand attention: Early CPR and Opioid Use Disorder (OUD). The importance of early CPR The earlier CPR is performed, the better the outcome. Gender disparities were also found.

Naloxone 52

Naloxone CPR Overdose Defibrillator 52

The Skeptics' Guide to EM

JANUARY 9, 2021

JAMA 2020 Guest Skeptic: Mike Carter is a former paramedic and current PA practicing in pulmonary and critical care as well as an adjunct professor of emergency medical services […] The post SGEM#314: OHCA – Should you Take ‘em on the Run Baby if you Don’t get ROSC? CPR is currently in progress with a single shock having been delivered.

EMS 130

EMS Emergency Medical Services CPR Critical Care 130

The Skeptics' Guide to EM

OCTOBER 24, 2020

You abandon your coffee order and quickly head next-door, where you are able to start cardiopulmonary resuscitation (CPR) and direct a bystander to find the store’s automated external defibrillator (AED) while waiting for emergency medical services (EMS) to arrive. Unfortunately, most patients don’t receive these crucial interventions.

CPR 130

CPR Defibrillator Advanced Life Support Emergency Medical Services 130

REBEL EM

JUNE 29, 2023

Back on June 1 st , 2023, Swami wrote a blog post on REBEL EM titled, The CT FIRST Trial, Should We Pan-CT After ROSC? REBEL EM Blog, June 1, 2023. Back on June 1st, 2023, Swami wrote a blog post on REBEL EM titled, The CT FIRST Trial, Should We Pan-CT After ROSC? Below you will find some of the points we discussed.

CPR 145

CPR ICU EMS ALS 145

Dr. Smith's ECG Blog

SEPTEMBER 11, 2024

Here is the case: Report from EMS was witnessed syncope, his son did CPR, but the patient had pulses when EMS arrived. When the patient arrived in the ED, he was still hypotensive in 70s, slowly improving with EMS fluids. Hope you’re doing well! How excited would you have been about this case?"

EMS 114

EMS CPR ED Coronary 114

Chicago EMT Training

OCTOBER 13, 2021

Next steps include submitting a copy of your NREMT certificate, CPR card, and (in IL) a completed personal history statement ( found here ) to the EMS coordinator associated with your EMT Training program. First of all, congratulations! I'm sure you walked out of there not knowing whether you passed or failed. We've been there.

EMT 130

EMT EMT CPR EMS 130

The Skeptics' Guide to EM

SEPTEMBER 23, 2017

Case: You are the medical director of an EMS system in a large city deciding on whether to respond to all out of hospital cardiac arrests (OHCA) with ACLS capabilities, or if resources should be directed to those candidates for extracorporeal CPR. You need to recognize an arrest and activate your EMS system.

CPR 130

CPR Life Support Advanced Life Support Defibrillator 130

The Skeptics' Guide to EM

SEPTEMBER 29, 2018

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

BLS Defibrillator Critical Care CPR 130

The Skeptics' Guide to EM

AUGUST 14, 2021

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). Date: August 12th, 2021 Reference: Daya et al. Reference: Daya et al.

BLS 130

BLS CPR Paramedic ALS 130

The Skeptics' Guide to EM

MARCH 11, 2023

He is a former New York City paramedic and this summer will be starting fellowship training in EMS medicine at UNM. A fire company is on scene providing high-quality cardiopulmonary resuscitation (CPR) and has defibrillated twice with an automated external defibrillator (AED). Reference: Smida et al.

CPR 130

CPR Defibrillator BLS Paramedic 130

The Skeptics' Guide to EM

MARCH 2, 2019

Case: EMS arrive to your emergency department with a 68-year-old man post cardiac arrest patient. It required multiple attempts which caused several prolonged interruptions in CPR. Key to survival is high-quality CPR and early defibrillation. They had a difficult time getting a definitive airway pre-hospital.

CPR 130

CPR Firefighter Paramedic Epinephrine 130

The Skeptics' Guide to EM

DECEMBER 25, 2021

Case: An EMS crew arrives at the home of a 68-year-old suffering from a witnessed out-of-hospital cardiac arrest (OHCA). Bystander CPR is being performed. The paramedics performed high-quality CPR and follow their ACLS protocol. The paramedics performed high-quality CPR and follow their ACLS protocol.

Epinephrine 130

Epinephrine CPR ALS Emergency Department 130

ECG Medical Training

DECEMBER 4, 2016

Cardiac Care Show – Episode #1: Mechanical CPR Hello, and welcome to the Cardiac Care Show. In today’s episode I’d like to talk about mechanical CPR, which is a frequent topic of conversation in the Resuscitation group on Facebook and the #FOAMed community on Twitter. So, mechanical CPR is a no-brainer, right?

CPR 52

CPR E-9-1-1 Defibrillator Ambulance 52

EMT Training Station

FEBRUARY 11, 2024

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. Though they are closely related and often work together, EMS and EMT have distinct roles, training, and responsibilities.

EMT 98

EMT EMT Emergency Medical Technician Emergency Medical Services 98

The Skeptics' Guide to EM

MAY 20, 2023

Case: You are working at the community emergency department (ED) when you receive a call from the local Emergency Medicine Service (EMS) team that they are bringing a 2-year-old boy who had a cardiac arrest at home. They started cardiopulmonary resuscitation (CPR) until EMS arrived.

CPR 130

CPR ALS Emergency Department EMS 130

The Skeptics' Guide to EM

DECEMBER 7, 2018

You are the first provider on scene with Emergency Medical Services (EMS) and start high-quality Cardiopulmonary Resuscitation (CPR). Jenn Doyle is a paramedic educator at Middlesex-London Paramedic Service. Case: A 51-year-old man experiences a cardiac arrest on the street. He is unsuccessfully shocked. Reference: Perkins et al.

Epinephrine 130

Epinephrine Life Support Advanced Life Support Defibrillator 130

REBEL EM

NOVEMBER 20, 2023

Early expeditious definitive hemorrhage control is a major focus in trauma resuscitation. Patients with torso hemorrhage present a clinical conundrum often requiring interventional radiology or surgery, both of which take time to mobilize. 2 Despite these recommendations there are no randomized clinical trials to help guide practice until now.

OR 91

OR Emergency Medical Technician CPR Emergency Medical Services 91

Chicago EMT Training

AUGUST 6, 2021

Duties include but are not limited to stocking, cleaning, transporting patients, performing EKGs, blood draws, and CPR. So when it comes time to renewing your certification or license, you'll have to directly correspond with the IDPH rather than an EMS Coordinator within a system. It opens many doors in various industries.

EMT 130

EMT EMT Paramedic Plasma 130

The Skeptics' Guide to EM

SEPTEMBER 11, 2021

Guest Skeptic: Dr. Stephen Meigher is the EM Chief Resident training with the Jacobi and Montefiore Emergency Medicine Residency Training Program. Guest Skeptic: Dr. Stephen Meigher is the EM Chief Resident training with the Jacobi and Montefiore Emergency Medicine Residency Training Program. The TOMAHAWK Investigators.

EMR 130

EMR Coronary Defibrillator Life Support 130

REBEL EM

SEPTEMBER 19, 2022

Background: There are only two interventions that have been proven in the medical literature to improved outcomes in cardiac arrest: high-quality CPR and early defibrillation. Head Up (HUP) CPR may be the next critical improvement. Head Up (HUP) CPR may be the next critical improvement. Resuscitation 2022; 179: 9-17.

CPR 52

CPR Defibrillator EMS Epinephrine 52

Handtevy

MARCH 14, 2018

911 is called and EMS professionals are 7 minutes away. The post Pediatric High Performance CPR appeared first on Handtevy. Kids in Arrest Should be Treated Like Adults in Arrest A 2-year-old boy has been pulled out of the pool limp and lifeless after a 6-minute submersion.

CPR 52

CPR Epinephrine Critical Care EMS 52

The Overrun

JULY 5, 2019

They carry the same CPR card in their wallets as I do, they readily use the brains between their ears, so why are we made to perform futile efforts on a patient who didn’t want the help to begin with? A clinically primitive mindset; no heartbeat bad, CPR good, liability avoided. The days of technicians in this field are over.

CPR 52

CPR OR BLS EMT 52

Peter Canning

SEPTEMBER 10, 2024

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.

Naloxone 52

Naloxone EMS Overdose Emergency Medical Services 52

The Skeptics' Guide to EM

APRIL 4, 2020

Date: April 4th, 2020 It has been just over a year since Dr. Salim Razaie (REBEL EM) and I stepped into the ring for a boxing matched theme debate in Sydney, Australia. Date: April 4th, 2020 It has been just over a year since Dr. Salim Razaie ( REBEL EM) and I stepped into the ring for a boxing matched theme debate in Sydney, Australia.

Critical Care 130

Critical Care Epinephrine CPR Ambulance 130

Don't Forget the Bubbles

JUNE 19, 2024

A proportion of the patients who were initially missed using the CDR were found to actually have risk factors documented in EMS reports or the medical record. CASP checklist for Clinical Prediction Rule (CPR) studies Is CPR clearly defined? What is the problem? What did previous studies show? What were the results?

CPR 124

CPR Operating Room OR Emergency Department 124

The Skeptics' Guide to EM

DECEMBER 2, 2017

SGEM#64 : Classic EM Papers (OPALS Study) * SGEM#136 : CPR – Man or Machine? He is currently deployed, practicing emergency medicine in an undisclosed location. DISCLAIMER: The views and opinions of this podcast do not represent the United States Government or the US Air Force.

CPR 100

CPR Defibrillator ALS Emergency Response 100

Critical Care Scenarios

MAY 24, 2023

No-flow time without CPR should be very brief (witnessed is best), but low-flow time (with CPR) can actually be very long and still have good outcomes with ECPR. Mechanical CPR devices help by reducing energy in the room and reducing movement of the lower body; if not present, assign someone to manually stabilize the pelvis.

CPR 100

CPR ED EMS OR 100

Dr. Smith's ECG Blog

JULY 25, 2024

They started CPR. EMS arrived and found him in Ventricular Fibrillation (VF). This patient was witnessed by bystanders to collapse. He was defibrillated into VT. He then underwent dual sequential defibrillation into asystole. After 1 mg of epinephrine they achieved ROSC. sodium bicarbonate. Then assume there is ACS.

Defibrillator 124

Defibrillator Coronary Epinephrine ACS 124

EMDocs

JANUARY 16, 2024

Authors: Christian Gerhart, MD (EM Resident Physician, Washington University in St. Louis); Dr. Jessica Pelletier, DO (EM Attending Physician, Washington University in St. You receive a page for a cardiac arrest and take report from emergency medical services (EMS). Per EMS he was very cold to touch.

Defibrillator 109

Defibrillator CPR Epinephrine Life Support 109

The Skeptics' Guide to EM

NOVEMBER 16, 2019

NEJM Oct 2019 Guest Skeptic: Dr. Laura Melville (@lmelville535) is an emergency physician in Brooklyn, New York, is a part of the New York ACEP Research Committee, ALL NYC EM, and is the NYP-Brooklyn Methodist Resident Research Director. Case: A 59-year-old woman comes is brought into your emergency department (ED) by EMS in cardiac arrest.

CPR 100

CPR ALS ICU EMS 100

ACEP Now

JANUARY 4, 2025

The specialty, he said, spoke to his interest in surgery and EMS in a way that family medicine did not. A closer look, though, also shows the technology of the daya bulky, two-way radio for communicating with EMS, metal gurneys, glass saline bottles, and portable ECG monitors the size of a small shopping cart. Click to enlarge.)

ED 52

ED Emergency Department Ambulance CPR 52

REBEL EM

JUNE 1, 2023

Bystander CPR, a known predictor of good outcomes, was more common in the SDCT cohort than in the standard care cohort. appeared first on REBEL EM - Emergency Medicine Blog. Design: Prospective, observational, before and after implementation of a protocol study. Excluded: Obvious cause for OHCA prior to SDCT or on hospital arrival.

Coronary 145

Coronary Defibrillator CPR ALS 145

Dr. Smith's ECG Blog

JULY 9, 2024

His family started CPR and called EMS, who arrived to find him in ventricular fibrillation. 15 minutes after EMS arrival, after at least 6 defibrillations, the patient achieved sustained ROSC. Written by Pendell Meyers A man in his 50s was found by his family in cardiac arrest of unknown duration.

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Defibrillator STEMI CPR EMS 116

NCOAE

AUGUST 12, 2022

Today we’re taking a more serious look at language, this time highlighting the terminology used by members of the Emergency Medical Service (EMS) community. The post Most EMS Terminology Comes Down to Initials, Abbreviations and Acronyms appeared first on National Center for Outdoor & Adventure Education.

EMS 52

EMS EMT EMT Emergency Medical Technician 52

The Overrun

DECEMBER 13, 2021

We moved them onto the stretcher and brought them out to the ambulance so we could start CPR and using a BVM. But all of us in EMS will see this in their time as a clinician. We can’t start CPR on the stairs! I remember as we were bringing the patient out to the ambulance to do CPR, the family was standing in the doorway.

EMS 52

EMS EMT EMT BLS 52