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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.
Each state has their own challenges, as well as guidelines and laws, to practicing as an EMT, although with the National Registry becoming the norm, EMS will soon have similar protocols throughout the nation. It wasn’t until the 1970’s that EMT’s became certified, and by 1973, the modern day EMS system was established across the country.
For all the fancy changes over the year, the bottom line has always been to provide good CPR compressions and timely defibrillation. Here are some of the highlights: EMRs and EMTs may administer Naloxone IM in a dose of 0.4 Pediatric defibrillation doses should be 2j/kg, 4j/kg. mg via syringe.* micrograms/kg/min. .*
CPR is taken over by responding crews, and he is placed on a cardiac monitor/defibrillator. After several cycles of defibrillation, epinephrine, and amiodarone, the patient remains in cardiac arrest. His family has been performing bystander, and report that he suddenly collapsed just a few minutes ago. References: 1. Ramazan, K.,
This case was provided by Spencer Schwartz, an outstanding paramedic at Hennepin EMS who is on Hennepin EMS's specialized "P3" team, a team that receives extra training in advanced procedures such as RSI, thoracostomy, vasopressors, and prehospital ultrasound. She was defibrillated and resuscitated.
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