E-9-1-1 and Paramedic - Paramedicine Now

The Broselow-Luten System

Pediatric EM Morsels

OCTOBER 27, 2023

Initially tested in Johannesburg, South Africa: 1 month old to 12 years old Broselow predicted within 10% of weight in 63.6% Accuracy of paramedic Broselow tape use in the prehospital setting. 2007-2902 Wells M, Coovadia A, Kramer E, Goldstein L. 2020;13(1):9. 2016;23(1):21-28. 2019 Jan;22(1):147-156.

E-9-1-1

E-9-1-1 Emergency Medical Services Life Support ALS

First10EM Journal Club: December 2024

Broome Docs

DECEMBER 22, 2024

2024 Oct 9. PARAMEDIC 3 randomized 6,000 (but they were supposed to get to 15,000) patients with out of hospital arrest from multiple EMS agencies in the UK to either an IO or IV to start. There were no differences in survival (12% with IO vs 10% with IV) or neurologically intact survival (9% vs 8%). 2024 Nov 1.

E-9-1-1

E-9-1-1 ACS Paramedic Emergency Department

Penetrating chest trauma

Don't Forget the Bubbles

JUNE 30, 2023

He has already climbed Ben Nevis in Scotland, visited the Gobi desert (possibly from the comfort of his parents 4 x 4, but who’s judging) and has his bronze D of E nailed. She calls out her findings: A – OK B – 1 puncture mark to the anterior left chest wall, covered with a three-sided dressing. Actively oozing.

E-9-1-1

E-9-1-1 FFP Plasma Emergency Department

How to Become a Paramedic in the Army

Paramedic Training Spot

DECEMBER 8, 2021

If you’ve been struggling to decide between serving as a Soldier in the United States Army or becoming a paramedic , venture no further; you’ve come to the right place. Specifically, we’ll be diving deep as we discuss how to become a combat paramedic in the United States Army. What is a Paramedic?

Paramedic

Paramedic E-9-1-1 EMT EMT

Current Extraglottic Airway Devices and Prehospital Practices

ACEP Now

NOVEMBER 8, 2024

The guidelines, updated most recently in 2019, note that endotracheal intubation is reserved for paramedics. Extraglottic devices, however, are in the scope of practice for both advanced emergency medical technicians (AEMTs) and paramedics, making the devices more widely applicable. 2014;4(1):77-87. 2014;18(1):106-115.

E-9-1-1

E-9-1-1 Emergency Medical Services Emergency Medical Technician AEMT

What Lies Beneath

EMS 12-Lead

AUGUST 22, 2022

Question 1: What is the rhythm? Beat 1 : Sinus, narrow QRS complex. The assumption is that a premature complex discharged prior to Beat 1, which prolonged its respective refractory period in the same manner as Beat 5. We can, therefore, put down the defibrillation pads, set aside the amiodarone, and look further at the ECG.

E-9-1-1

E-9-1-1 Coronary ALS ICU

Simulation Brain Wash

FOAMfrat

APRIL 22, 2024

This kid had sticks go through his cheek from running with a lollipop, hit by a car, almost kidnapped, attacked by a dog, and almost burnt his house down by throwing a 9-volt battery in the trash. In one of my classes, I ask everyone what happens if you give nitro in a paramedic school scenario without obtaining a 12 lead first.?

E-9-1-1

E-9-1-1 ACS Paramedic Critical Care

2024 Emergency Medicine Research Highlights: Forced Air, Sepsis, and More

ACEP Now

JANUARY 5, 2025

1 The primary outcome was the frequency of observed hypoxemia, defined as any pulse oximetry reading below 85 percent. Two trials were published together on this topic, PARAMEDIC-3 and IVIO. Theodorou A, Melanis K, Bakola E, et al. The obvious winner was NIPPV, whose 9.1 2024;332(19):1623-1633. 2024;103(7):e209862.

ALS

ALS E-9-1-1 ED Emergency Department

A 58 year old with Weakness and more than 4 mm ST Elevation in V3

Dr. Smith's ECG Blog

AUGUST 9, 2018

This case was sent by Lou B, a paramedic and RN. It's important and useful to note that 1) Over 90% of healthy young men have up to 3mm ST elevation in one or more precordial leads normally (Atlas of Electrocardiography by K. My Comment , by K EN G RAUER, MD ( 8/9/2018 ): == Our thanks to Lou B for this insightful case.

E-9-1-1

E-9-1-1 STEMI Coronary Ambulance

Upon arrival to the emergency department, a senior emergency physician looked at the ECG and said "Nothing too exciting."

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. Reference on Troponins: Xenogiannis I, Vemmou E, Nikolakopoulos I, et al.

Emergency Department

Emergency Department E-9-1-1 Coronary STEMI

Cardiac Care Show – Episode 1: Mechanical CPR

ECG Medical Training

DECEMBER 4, 2016

Cardiac Care Show – Episode #1: Mechanical CPR Hello, and welcome to the Cardiac Care Show. 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. References Levy M, Yost D, Walker RG, Scheunemann E, Mendive SR.

CPR

CPR E-9-1-1 Defibrillator Ambulance

ACEP Rejects “Excited Delirium”

ACEP Now

APRIL 5, 2024

13 To examine the death of Elijah McClain, in which excited delirium was ruled as the cause of death and in which two paramedics and a police officer have been convicted of homicide, the Colorado Department of Public Health and the Environment appointed an independent review committee on emergency use of ketamine. Published May 1, 2023.

E-9-1-1

E-9-1-1 ALS Paramedic OR

Acute coma, then Sudden PEA arrest in front of paramedics, with STEMI?

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

STEMI Paramedic E-9-1-1 Epinephrine

The Things We Do -- Interview w/ Matt Hoffman @PulmCCM

FOAMfrat

NOVEMBER 28, 2024

Do pulmonologists ever sigh to themselves and think, "God, I wish paramedics would just start/stop doing ?" Journal of Intensive Care, 9 , 54. World Journal of Emergency Medicine, 9 (3), 203–210. Seet, E., & Van Zundert, T. Journal of Clinical Monitoring and Computing, 35 (1), 3–10. Henderson, E.

E-9-1-1

E-9-1-1 Critical Care ICU EMS

Pulmonary edema, with tachycardia and OMI on the ECG -- what is going on?

Dr. Smith's ECG Blog

MARCH 3, 2025

She was found by paramedics with an oxygen saturation of 64%, but could not tolerate BiPAP during transport due to claustrophobia. The status of the patients chest pain at this time is unknown : EKG 1, 1300: There is sinus tachycardia and artifact of low and high frequency. Figure-1: I've labeled the initial ECG in today's case.

E-9-1-1

E-9-1-1 Coronary STEMI Emergency Department

Paramedicine Now

The Broselow-Luten System

First10EM Journal Club: December 2024

Trending Sources

Penetrating chest trauma

How to Become a Paramedic in the Army

Current Extraglottic Airway Devices and Prehospital Practices

What Lies Beneath

Simulation Brain Wash

2024 Emergency Medicine Research Highlights: Forced Air, Sepsis, and More

A 58 year old with Weakness and more than 4 mm ST Elevation in V3

Upon arrival to the emergency department, a senior emergency physician looked at the ECG and said "Nothing too exciting."

Cardiac Care Show – Episode 1: Mechanical CPR

ACEP Rejects “Excited Delirium”

Acute coma, then Sudden PEA arrest in front of paramedics, with STEMI?

The Things We Do -- Interview w/ Matt Hoffman @PulmCCM

Pulmonary edema, with tachycardia and OMI on the ECG -- what is going on?

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