EMDocs

SEPTEMBER 23, 2023

We’ll keep it short, while you keep that EM brain sharp. HRS/EHRA/APHRS expert consensus statement on the diagnosis and management of patients with inherited primary arrhythmia syndromes: document endorsed by HRS, EHRA, and APHRS in May 2013 and by ACCF, AHA, PACES, and AEPC in June 2013. Mayo Clin Proc 2000;2013:845. Heart Rhythm.

E-9-1-1 105

E-9-1-1 EMS ALS Defibrillator 105

High Performance EMS

JULY 13, 2020

The NHTSA Office of EMS released a significant document last year called the EMS Agenda 2050 that was carefully crafted to set a bold vision for the next 30 years of paramedicine by clearly differentiating the focus of care from its original definition in the 1996 EMS Agenda for the Future.

EMS 100

EMS Paramedicine Paramedicine Emergency Medical Services 100

EMS 12-Lead

SEPTEMBER 8, 2024

He was hospitalized one week prior to EMS arrival for a seizure with no other recent illnesses or injuries. Paramedics increase the current slowly over nearly 3 minutes to 100ma where a documented mechanical capture (pulse palpation site not specified) was noted. Rhonchi are auscultated bilaterally. The ECG strip shown in Figure 3.

Paramedic 230

Paramedic EMT EMT EMS 230

EMergucate

MAY 25, 2016

Information Systems (Computerised Vs Manual) Manual systems Pros Cheap Easy Convenient Cons Failed documentation – notes, timing, summaries, legibility Difficult … Continue reading →

Emergency Department 100

Emergency Department EMS 100

ESO

JANUARY 30, 2025

Due to this, protecting your team members wellbeing should be a top priority for EMS agencies and fire departments alike, right up there with their physical safety. Below are some recommended best practices as outlined in the 2024 ESO Fire Service Index and 2024 ESO EMS Index. Documenting exposure to critical incidents is key.

First Responder 52

First Responder Public Safety EMS First Response 52

ESO

DECEMBER 16, 2024

It’s an administrative burden that demands extensive documentation and reporting. A modern electronic patient care report (ePCR), like an ESO Electronic Health Record (EHR) , ensures that hospitals can easily capture documentation for standards, such as those required by The Joint Commission.

EMS 52

EMS OR 52

University of Maryland Department of Emergency Med

NOVEMBER 2, 2023

BACKGROUND: Prehospital (EMS) clinicians are positioned on the front lines of health care. With respect to stroke identification and treatment, ea. Click to view the rest

EMS 64

EMS 64

EMS 12-Lead

MAY 15, 2024

The crew increases this current to 75mA and documents an “improvement in patient status” with palpated pulses and a BP of 115/60. As seen in Figure 4, the current is higher, the phantom complexes are larger, but they do not have true electrical capture. Figure 4 : Pacer set to 60 mA with false electrical capture and native beats.

Epinephrine 331

Epinephrine Paramedic CPR EMT 331

ALiEM

JANUARY 26, 2024

The nursing home called EMS given the patient’s severe and progressive rash and the fact that the patient was feeling unwell. Ciprofloxacin has been documented as a cause of IgA vasculitis. It was not on her palms or soles. She had no mucous membrane involvement. She lives alone.

EMS 183

EMS OR 183

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). Bystander CPR has been shown to double survival rates compared to cases where no CPR is performed prior to EMS arrival. Want to learn more?

Naloxone 52

Naloxone CPR Overdose Defibrillator 52

EMDocs

OCTOBER 3, 2023

This is also where keeping up with documentation starts to slip. You’ll need to put the following tasks in a rank order list: new patient evaluations, dispositions, managing critical or potentially critical patients, results review, team huddle, running the board, calling consults, doing procedures, and documentation. It’s up to you.

EMR 122

EMR EMS OR Emergency Department 122

REBEL EM

NOVEMBER 6, 2024

PMID: 31082090 Post Peer Reviewed By: Anand Swaminathan MD, MPH (Insta @EMSwami) The post Elbow Dislocations appeared first on REBEL EM - Emergency Medicine Blog. Treasure Island (FL): StatPearls Publishing; 2024 Jan–.

E-9-1-1 116

E-9-1-1 ACS OR Emergency Department 116

Pulsara

APRIL 2, 2024

March Recap Our teams exhibited at 5 trade shows in March, including the South Carolina EMS Conference and the Texas EMS Medical Director Conference. As we prepare for a busy April, let's take a moment to review the exciting announcements we made this month. Read the full story here.

Emergency Department 105

Emergency Department EMS 105

EMDocs

JUNE 28, 2023

And listen to your EMS providers and nurses. EMS is called, and he is brought to the ED for a reported “slip and fall” with associated facial abrasions. EMS is called, and he is brought to the ED for a reported “slip and fall” with associated facial abrasions. Nursing documentation includes the presence of a facial droop.

EMS 94

EMS ED OR 94

EMDocs

MAY 9, 2024

Exam documents that he is alert and oriented but “tired appearing” and “not appearing post-ictal.” Defense : The EP did address the seizure when he documented “not post-ictal.” There is no negligence, as the documentation supports reasonable judgment. EM is a “team sport.” VS are normal with a temp of 97.3.

ED 105

ED EMS OR 105

EMDocs

JUNE 9, 2023

After listening to this episode you will be able to: Identify unique aspects of the pre-hospital environment that impact assessment and treatment of agitated children Describe the role of EMS personnel and EMS director in the care of agitated children. That includes the patient, EMS personnel, and general public.

Emergency Medical Services 98

Emergency Medical Services EMS Emergency Department Ambulance 98

NVFC

OCTOBER 22, 2024

Course attendees received an instructor guide, slides, an Emergency Response Guide (ERG), and a resource drive with dozens of forms and documents to assist in local hazmat response planning. Nearly 500 individuals were trained through almost 4,000 contact hours. Learn more about the NVFC’s hazmat program at www.nvfc.org/hazmat.

First Responder 116

First Responder Emergency Response EMS OR 116

The Skeptics' Guide to EM

JANUARY 16, 2021

Annals of EM 2020 Guest Skeptic: Dr. Will Flanary is an ophthalmologist, writer, and comedian who moonlights in his free time as “Dr. Annals of EM 2020 Guest Skeptic: Dr. Will Flanary is an ophthalmologist, writer, and comedian who moonlights in his free time as “ Dr. Glaucomflecken ” on Twitter and TikTok.

ALS 130

ALS Emergency Department EMS ED 130

Paramedic Chiefs of Canada

MAY 24, 2024

PCC Members, The Paramedic Chiefs of Canada (PCC) is pleased to announce the release of a Joint Statement on EMS Performance Measures Beyond Response Times. The 2023 PCC Vision Document [link] is founded on research and evidence to establish the guiding principles and identify the enabling factors for the future of paramedicine in Canada.

Paramedicine 52

Paramedicine Paramedicine EMS Paramedic 52

Dr. Smith's ECG Blog

JUNE 13, 2024

Her first set of vitals were documented: BP 116/57 Pulse 94bpm Respiratory rate 24/min O2 sat 90% on room air Temp 97F She had been cleaning a Jeep in the sun, and was sunburned. The physician documented “normal sinus rhythm”. The physician documented that she was “improved” and the patient was discharged. CK MB was 1.9

Defibrillator 92

Defibrillator STEMI EMT EMT 92

EMOttawa

DECEMBER 28, 2023

There is a well-documented correlation amongst EMS and adult ED physicians who provide less pediatric care to […] The post Pediatric Traumatic Cardiac Arrest appeared first on EMOttawa Blog. Pediatric trauma is a high acuity but low frequency event (2).

EMS 83

EMS ED Critical Care 83

EMDocs

JUNE 13, 2024

We just don’t document it. If we don’t use printed instructions, document our verbal instructions regarding the most common side effects of the drug(s) being prescribed. Documenting our warnings should be standard care. EM, April 2011. Giving written instructions about a drug is the pharmacist’s job. Vashi A, Rhodes K.

Emergency Department 98

Emergency Department ED EMS OR 98

EMDocs

OCTOBER 11, 2023

.” The tech cleans the wound and documents it as 2cm long and “ dirty.” The ED physician documents suturing a 3 cm laceration in a single layer, omitting any reference to any wound exploration, cleansing or debridement. I thought they were incidental “ bone islands” so I didn ’ t document them. Negligence was present.

ED 93

ED EMS OR 93

Handtevy

NOVEMBER 8, 2024

This page is designed for professionals in Dispatch, Fire and EMS, and Hospital, providing valuable links, videos, and documents to support high-quality, evidence-based resuscitation practices. Welcome to the Resuscitation Resources page – your comprehensive hub for essential tools, guidance, and best practices in resuscitation care.

CPR 40

CPR EMS 40

EMDocs

SEPTEMBER 26, 2024

An unknown EP reviews the report, determines that there is no reason to notify the patient, and documents nothing. An attorney is consulted and a lawsuit filed against the hospital, the first ED physician, the EM group, and the PCP. It wasn’t, so you weren’t called, nor did the doc need to document anything.

Emergency Department 97

Emergency Department ED Coronary ALS 97

Core EM

OCTOBER 16, 2024

To get a sense of how medical students feel about emergency medicine, we interviewed three students who are interested in EM: Nick, a graduating M4 pre-matched into EM residency, Charlotte, an M2 currently planning to pursue EM, and Annie, an M1 considering EM. What sparked your interest in emergency medicine?

ED 100

ED EMS Critical Care OR 100

Core EM

SEPTEMBER 24, 2024

To get a sense of how medical students feel about emergency medicine, we interviewed three students who are interested in EM: Nick, a graduating M4 pre-matched into EM residency, Charlotte, an M2 currently planning to pursue EM, and Annie, an M1 considering EM. What sparked your interest in emergency medicine?

ED 100

ED EMS Critical Care OR 100

Pediatric EM Morsels

JULY 28, 2023

A critical MORSEL is that every child you treat for DKA needs to have an initial thorough neuro exam including cranial nerves and then frequent neuro reassessments … and document it ( so your colleagues who take over care for the kid can know if there has been a change )! Pediatr Diabetes. 2022; 23( 7): 835- 856. doi: 10.1111/pedi.13406

E-9-1-1 246

E-9-1-1 ALS OR Critical Care 246

The Vocal CORD

JUNE 6, 2022

The EM Applicant/Advisor Supplemental Guide to Preference/Program Signaling (PS) is now available on the CORD website ! Further guidance on nuances within emergency medicine, as well as recommendations on how to approach which programs to signal, refer to the EM specific guide on the CORD PS website.

EMS 52

EMS 52

Dr. Smith's ECG Blog

SEPTEMBER 12, 2024

Written by Pendell Meyers A man in his 40s called EMS for acute chest pain that awoke him from sleep, along with nausea and shortness of breath. For clarity in Figure-1 — I've labeled the 2 EMS ECGs and the baseline ECG recorded ~1 month earlier. Vitals were within normal limits except for tachypnea.

STEMI 121

STEMI EMS ACS ED 121

The Skeptics' Guide to EM

MAY 2, 2020

A Contemporary Analysis Using National EMS Information System (NEMSIS) Data. A Contemporary Analysis Using National EMS Information System (NEMSIS) Data. The EMS crew arrives and performs a 3 lead EKG that does not show an ST elevated myocardial infarction. Date: April 24th, 2020 Reference: Watanabe et al.

ED 100

ED Ambulance Medical Transportation EMS 100

ACEP Now

OCTOBER 3, 2023

This document is an update of guidelines first published in 2000, and then updated in 2007. Confounders to the GCS such as seizure and post-ictal phase, ingestions and drug overdose, as well as medications administered in the prehospital setting that impact GCS score should be documented.

Emergency Medical Services 98

Emergency Medical Services EMS OR Overdose 98

The Vocal CORD

APRIL 11, 2021

Full downloadable document is located here and the text is pasted below. The purpose of this statement is to affirm conceptual support for the CoPA guidelines, and to describe the specifics of how they should be operationalized in EM to optimize equity and consistency in the residency application process.

EMS 52

EMS OR 52

Core EM

FEBRUARY 9, 2024

This paper thoroughly documents patient assessments, vasopressor titration protocols, and methylene blue dosing. The discussion of this paper is a particular strength as it discusses that methylene blue is an ideal molecule due to its availability, cost, and specificity to inducible nitric oxide.

ICU 100

ICU EMS OR 100

ESO

SEPTEMBER 24, 2024

Ambulance Patient Offload Time (APOT) is a new metric introduced in the 2024 ESO EMS Index that measures the duration from when an ambulance arrives at the hospital to the transfer of patient care to hospital personnel. They not only add friction to the patient care continuum, but they also tax already limited EMS and hospital resources.

MIH 59

MIH NFPA Ambulance EMS 59

Critical Care Scenarios

NOVEMBER 15, 2020

Yes, temporize with supportive care while you go through the process, but do the work—find a legitimate representative or documentation of the patient’s wishes to determine what they’d want before you commit them to lengthy, aggressive life support. ” is always, ultimately, the main question of the EM provider.

ICU 100

ICU Life Support Emergency Department ED 100

EMDocs

AUGUST 22, 2024

13 Interventions may include: Ascertaining a patient’s preferred language early in the clinical encounter (during registration, for instance), and clearly documenting this preference in a place that is visible to all providers. Utilizing certified interpreters and documenting their use. Educating patients on their rights.

Emergency Department 104

Emergency Department ALS E-9-1-1 ED 104