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

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?

EMS 130

EMS Emergency Medical Services CPR Critical Care 130

The Skeptics' Guide to EM

JULY 3, 2021

When paramedics arrived, they found him to be in […] The post SGEM#336: You Can’t Always Get What You Want – TTM2 Trial first appeared on The Skeptics Guide to Emergency Medicine. When paramedics arrived, they found him to be in cardiac arrest, with ventricular fibrillation on the monitor.

Paramedic 130

Paramedic Defibrillator ALS OR 130

International Journal of Paramedicine

OCTOBER 8, 2024

The aim of this study was to compare mean ventilation rates, singular tidal volume and one-minute volume of asynchronous ventilations between the SMART BVM, the more traditionally used Adult BVM, and the Paediatric BVM during an out-of-hospital cardiopulmonary resuscitation simulation amongst a group of novice paramedicine students. 10–12 BPM).

Paramedicine 97

Paramedicine Paramedicine Defibrillator Paramedic 97

The Skeptics' Guide to EM

SEPTEMBER 11, 2021

The paramedics achieve return of spontaneous circulation (ROSC) after CPR, advanced cardiac life support (ALCS), and Intubation. Defibrillation is the treatment of choice in these cases but does not often result in sustained ROSC ( Kudenchuk et al 2006). She has a history of hypertension and non-insulin dependent diabetes mellitus.

EMR 130

EMR Coronary Defibrillator Life Support 130

EMS 12-Lead

MARCH 19, 2023

David Didlake Acute Care Nurse Practitioner Firefighter / Paramedic (Ret) @DidlakeDW Expert contribution by Dr Robert Herman @RobertHermanMD @PowerfulMedical (Chief Medical Officer) An adult male called 911 for new-onset epigastric burning. To which the lead paramedic replied, “Not cardiac; his symptoms are atypical. Is this OMI?

Coronary 130

Coronary STEMI Paramedic Defibrillator 130

EMS 20/20

JULY 28, 2021

A Paramedic shoulders the weight of a hectic call. Sedation, Intubation, Ventilation, Defibrillation, Exasperation. A Paramedic shoulders the weight of a hectic call. Sedation, Intubation, Ventilation, Defibrillation, Exasperation. all the ations are present in this weeks absolutely epic episode!

Defibrillator 40

Defibrillator Paramedic 40

ECG Medical Training

JUNE 11, 2016

Paramedics attempt a postural modification to the Valsalva maneuver as described in the REVERT Trial. Additional Treatments Defibrillation pads were applied. However, this was a beyond the comfort level of the treating paramedics, especially since the patient continued to feel breathless. There are no visible P-waves.

Paramedic 52

Paramedic Defibrillator ALS Emergency Department 52

EMS 12-Lead

AUGUST 22, 2022

We can, therefore, put down the defibrillation pads, set aside the amiodarone, and look further at the ECG. Paradoxically, though, the third green arrow identifies a QRS that is more narrow than the RBBB complexes surrounding it. Question 2: What explains the conduction abnormalities?

E-9-1-1 130

E-9-1-1 Coronary ALS ICU 130

Peter Canning

JANUARY 14, 2024

Our sponsor hospital, like all sponsor hospitals in Connecticut, requires their paramedics to have these certifications current. For all the fancy changes over the year, the bottom line has always been to provide good CPR compressions and timely defibrillation. Pediatric defibrillation doses should be 2j/kg, 4j/kg.

CPR 52

CPR Naloxone EMT EMT 52

The EMS Educator

NOVEMBER 20, 2021

From who says prayers for patients to paramedics using marijuana to which suctions sucks better, conducting research and learning about our profession makes us all better. From who says prayers for patients to paramedics using marijuana to which suctions sucks better, conducting research and learning about our profession makes us all better.

EMS 40

EMS Paramedicine Paramedicine Defibrillator 40

NCOAE

AUGUST 12, 2022

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— (..)

EMS 52

EMS EMT EMT Emergency Medical Technician 52

First Responders Foundation

JULY 31, 2024

These brave individuals—firefighters, police officers, EMTs, and paramedics—rely not only on their training and dedication but also on the support they receive from their communities. Similarly, funds can help purchase new defibrillators for paramedics, ensuring they have access to reliable equipment during critical life-saving moments.

First Responder 52

First Responder Public Safety Mental Health Services Firefighter 52

NCOAE

MARCH 8, 2021

Recognizing the Difference Between EMTs, AEMTs, and Paramedics The National Registry of Emergency Medical Technicians (NREMT) — that’s the leading certification agency in the U.S. Advanced EMT: Advanced EMTs have higher level assessment skills and are permitted to administer about 20 different medications depending on their state license.

EMT 52

EMT EMT Emergency Medical Technician AEMT 52

Dr. Smith's ECG Blog

FEBRUARY 13, 2023

Written by Jesse McLaren Two 70 year olds had acute chest pain with nausea and shortness of breath, and called paramedics. But these ECGs were from the same patient: #1 on paramedic arrival and #2 thirty minutes later. Thankfully this patient’s second ECG met STEMI criteria, so paramedics brought them as a code STEMI.

STEMI 52

STEMI Paramedic Coronary ALS 52

Paramedic Training Spot

NOVEMBER 29, 2021

When paramedics respond to emergencies, they may have someone in the back of their vehicle with an oxygen mask on who seems fine sitting down, but could pass out when they stand up and start walking around. Note that vital signs are not always taken when a patient is in a stressful situation. It’s not because of the pay.

EMT 52

EMT EMT Paramedic Ambulance 52

EMS 12-Lead

MARCH 30, 2024

We will be using redacted information from different cases where paramedics attempted TCP in the field. The paramedics begin CPR. Two paramedics are in the rear of the ambulance managing resuscitation (another crew had arrived and provided support with a driver). Notice how the paramedic relied on manual pulse palpation.

CPR 312

CPR Paramedic Ambulance Defibrillator 312

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

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. Learning Points: 1.

Emergency Department 52

Emergency Department E-9-1-1 Coronary STEMI 52

The Skeptics' Guide to EM

MARCH 2, 2019

JAMA 2018 Guest Skeptic: Missy Carter, former City of Bremerton Firefighter/Paramedic, currently a physician assistant practicing in emergency medicine in the Seattle area and an adjunct faculty […] The post SGEM#247: Supraglottic Airways Gonna Save You for an OHCA? Key to survival is high-quality CPR and early defibrillation.

CPR 130

CPR Firefighter Paramedic Defibrillator 130

EMT Training Station

FEBRUARY 11, 2024

EMS encompasses various professionals such as EMTs, paramedics, nurses, and even emergency physicians, depending on the severity of the situation. This could range from basic life support, typically managed by EMTs, to more advanced life support provided by paramedics and other medical specialists. and highly trained professionals.

EMT 98

EMT EMT Emergency Medical Technician Emergency Medical Services 98

Paramedics Unlimited

APRIL 19, 2018

In Advanced Life support (ALS) emergencies, a “single” paramedic or ER doctor can not deliver necessary care. EMTs provide comfort care, including treating minor wounds, scrapes, blisters, and burns; and they assist paramedics by providing basic life support, to enable paramedics to focus on more advanced treatments.

BLS 52

BLS ALS Emergency Medical Technician Advanced Life Support 52

EMT Training Station

FEBRUARY 10, 2024

It’s a stepping stone to becoming a paramedic , nurse, or even doctor. EMTs often work in pairs or as part of a larger team, including paramedics, firefighters, and police officers. They learn to operate sophisticated life-saving tools, from defibrillators to advanced airway management devices.

EMT 98

EMT EMT Emergency Medical Technician First Responder 98

Utah's Paramedic and EMS Academy

OCTOBER 23, 2023

Upon arrival, you quickly assess the situation and spring into action, working to save a man's life through CPR and defibrillation. This includes checking monitors, defibrillators, airway management equipment, and other essential tools for stabilizing and transporting critically ill patients. So what are you waiting for?

EMT 52

EMT EMT Emergency Medical Technician Defibrillator 52

Dr. Smith's ECG Blog

FEBRUARY 25, 2009

The paramedics activated the cath lab from the field. But here there is a large degree of ST elevation in V2-V6, I, and aVL. RBBB in acute STEMI has a very high mortality.

Defibrillator 52

Defibrillator STEMI Paramedic EMS 52

ECG Medical Training

DECEMBER 4, 2016

Let’s also not forget that these patients still require ventilation and they still require defibrillation! That’s why I now ask my EMTs and paramedics not to apply the LUCAS device until after a minimum of 5 cycles of High Performance CPR, or the 10 minute mark. The take-home message is this. The Lancet.

CPR 52

CPR E-9-1-1 Defibrillator Ambulance 52

Paramedic Training Spot

NOVEMBER 29, 2021

MICPs, or Mobile Intensive Care Paramedics, are a step above EMTs; They are covered under the same laws as an EMT, but have more responsibilities. You must also pass your practical examinations, which can include things like HARE traction splints, manual airway management, or proper CPR and AED (Automated External Defibrillator) use.

EMT 52

EMT EMT EMR Emergency Medical Technician 52

Don't Forget the Bubbles

JULY 26, 2023

Paramedics attended within 7 min, this was her 3-lead ECG: Following a single DC shock she reverted into sinus rhythm at home and was brought to hospital. As she has had an out of hospital arrest, the likely path would be (following cardiac work up) to be offered an implantable defibrillator (ICD).

ALS 98

ALS ED OR CPR 98

Dr. Smith's ECG Blog

APRIL 9, 2025

The paramedics diagnosis was "Possible Anterolateral STEMI." We rapidly defibrillated her, and with return of normal sinus rhythm. Several minutes later the patient developed V-fib again > 200J defibrillation with return to NSR. The patient then had 2 subsequent episodes of V-fib requiring defibrillation, with return to NSR.

Defibrillator 63

Defibrillator STEMI ED Coronary 63

Dr. Smith's ECG Blog

FEBRUARY 20, 2025

Here is the written paramedic report available after all the events were over: Patient was seen by witnesses to become unresponsive. Moreover, when someone has immediate resuscitation of an arrest witnessed by paramedics, they rarely have a GCS of 3 (deep coma). Not a shockable rhythm. Resuscitated with chest compressions, epinephrine.

STEMI 88

STEMI Paramedic E-9-1-1 Epinephrine 88

Peter Canning

APRIL 3, 2025

Still from the ambulance side, as a paramedic who has sat on the street corner and watched a fire truck go racing past, only to be dispatched two minutes later to the same call, it is hard to say the ambulance has to be held to the 911 call as the starting point. Little comfort to the person who has dialed 911. How much for its fire coverage?

Ambulance 52

Ambulance First Responder EMS Defibrillator 52