Irish College of Paramedics

FEBRUARY 15, 2025

An accurate assessment maximizes CPAP's effectiveness By Kenny Navarro Arguably, airway management is one of the most important interventions provided by emergency medical service personnel.

Emergency Medical Services 40

Emergency Medical Services Emergency Department ED ALS 40

The Skeptics' Guide to EM

JANUARY 19, 2019

He is alert and oriented times three with normal vital signs by the time he arrives in the emergency department. They concluded: “For patients treated in the ED for opioid overdose, an observation period of one hour is sufficient if they ambulate as usual, have normal vital signs and a Glasgow Coma Scale of 15”.

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Naloxone Overdose Emergency Medical Services Emergency Department 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? first appeared on The Skeptics Guide to Emergency Medicine.

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The Skeptics' Guide to EM

DECEMBER 17, 2022

Case: A 71-year-old man is brought to your emergency department (ED) by emergency medical serviced (EMS) having fallen two steps at home. Falling is the most common cause of traumatic injury resulting in older adults presenting to the ED [4]. years ( 2 ).

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Frozen Plasma FFP Emergency Medical Services Plasma 130

EMDocs

NOVEMBER 19, 2024

In: Nelson LS, Howland MA, Lewin NA, Smith SW, Goldfrank LR, Hoffman RS, eds. Goldfrank’s Toxicologic Emergencies, 11e. J Emerg Med. His roommate found an empty pill bottle on the floor next to him. Management of atypical antipsychotic overdose is mainly supportive. References: N. Juurlink D. Antipsychotics. Minns AB, Clark RF.

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EMDocs

JUNE 9, 2023

There are protocols in place that assist highly trained Emergency Medical Service providers in assuring that agitated children are safely transported to their destination. Any physician providing direct medical oversight as a base station should also be familiar with these protocols. Prehosp Emerg Care.

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Emergency Medical Services EMS Emergency Department Ambulance 96

The Skeptics' Guide to EM

MAY 29, 2021

The patient is an adult male with a gunshot wound to the chest, and they’re combative with emergency medical services (EMS). Case: You receive a call on the Biocom for an incoming Type A trauma, three minutes out.

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EMDocs

JUNE 16, 2023

Podcast: Play in new window | Download (Duration: 13:57 — 19.2MB) Subscribe: Apple Podcasts | Google Podcasts | RSS Management of the child with mental health problems who is boarding in the ED In episode 1 of this series, we discussed differentiating organic vs psychiatric causes of agitation in children.

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ED Mental Health Services Emergency Department Emergency Medical Services 52

EMDocs

JUNE 2, 2023

The fourth episode in this series will shift gears and talk about safely transporting children to the ED via prehospital services. Best Practices for Evaluation and Treatment of Agitated Children and Adolescents (BETA) in the Emergency Department: Consensus Statement of the American Association for Emergency Psychiatry.

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Emergency Department Emergency Medical Services Overdose ED 88

ACEP Now

OCTOBER 9, 2024

Emergency physicians have long taken pride in delivering care every day of the week, every hour of the day. ACEP’s Emergency Department Accreditation program adds a layer to that, says Marianne Gausche-Hill, MD, FACEP, FAAP, FAEM, Chair of the program’s Board of Governors. There are five sets of domains.

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ACEP Now

OCTOBER 26, 2023

Using Maryland state law as a guide, the American College of Emergency Physicians (ACEP) and the Emergency Department Practice Management Association (EDPMA) lobbied for passage of federal protections beginning in the mid-1990s.

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EMDocs

MAY 26, 2023

But what about the patient who is agitated, and is a potential danger to themselves or to the ED staff? This need for 1-on-1 observation is a major challenge for EDs and health care systems from a staffing standpoint. Do we Redirect? Patient that are agitated should always be treated with dignity and respect. Dtsch Arztebl Int.

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EMDocs

JULY 9, 2024

The emDOCs.net team is very happy to collaborate with PECARN STELAR (Seattle, Dallas/Texas, and Los Angeles) Node and the Emergency Medical Services for Children Innovation and Improvement Center (EIIC) in presenting high-yield pediatric topics that highlight evidence based medicine with solid research. Acad Pediatr.

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Emergency Department Emergency Medical Services ED EMS 71

AAEM RSA

MAY 7, 2021

Schreyer, MD CMQ FAAE Originally published: Common Sense January/February 2021 The advent and broad availability of ridesharing services, such as Lyft and Uber, are changing the way patients access medical services, and emergency departments (EDs) are taking notice. 5 The cost of transport is also an issue.

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EMR Emergency Medical Services Ambulance Emergency Department 52

International Journal of Paramedicine

OCTOBER 8, 2024

Background Alternative emergency medical services (EMS) disposition programs have been developed for adults with low-acuity complaints. Methods This was a planned secondary analysis of a cross-sectional study of children transported by EMS to an emergency department (ED).

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EMDocs

JANUARY 16, 2024

Louis) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case You are working in the trauma/critical care pod of your emergency department (ED). You receive a page for a cardiac arrest and take report from emergency medical services (EMS). Am J Emerg Med. 1996;40(3):483-485.

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Handtevy

FEBRUARY 27, 2024

Every year, countless young lives are impacted by the split-second decisions made in emergency departments across the United States. Only 14% of emergency departments are adequately ready to manage pediatric emergencies, a statistic that speaks volumes about the silent risks our children face. Florida Senate.

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Emergency Department Emergency Medical Services CPR ED 52

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. That’s because one of our areas of focus here at The National Center for Outdoor & Adventure Education (NCOAE) is emergency medicine training and education.

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EMS EMT EMT Emergency Medical Technician 52

Handtevy

SEPTEMBER 20, 2022

Case Report: The study discusses the case of a 17-year-old female who arrived at a community emergency department (ED) following a motor vehicle collision. Initially refusing emergency medical services, she was brought to the ED via a private vehicle. What are the key takeaways? (1)

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Operating Room Emergency Medical Services ED Emergency Department 52

Core EM

JULY 23, 2024

Objective: Based on current evidence, this review article aims to guide the Emergency Department (ED) in providing care for patients with blast injuries. While the majority of casualties from blast injuries are in war zones, there has also been a recent increase in attacks involving civilians.

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ACEP Now

MAY 9, 2024

But since the mid 80s, we have realized that EMS is the clinical practice of emergency medicine outside of the emergency department. There are also hundreds of other emergency physicians involved in EMS as part of their practice but aren’t board certified as EMS subspecialists. So physicians need to be involved.

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ACEP Now

OCTOBER 11, 2024

Optimally, bystander CPR, including the administration of rescue breaths, should be initiated prior to arrival of emergency medical services. 3 Once the patient arrives in your emergency department, a rapid review of the patient’s status and results of resuscitative efforts should be performed. Am J Emerg Med.

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ALS Emergency Department Emergency Medical Services ED 52

Core EM

MARCH 7, 2024

Objective: Based on current evidence, this review article aims to guide the Emergency Department (ED) in providing care for patients with blast injuries. While the majority of casualties from blast injuries are in war zones, there has also been a recent increase in attacks involving civilians.

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EMS Emergency Medical Services OR Coronary 100

EMDocs

JANUARY 17, 2024

When emergency medical services (EMS) arrived, she was in asystole with an empty, recently full, bottle of benzonatate 100 mg capsules. She had return of spontaneous resuscitation (ROSC) and was subsequently intubated and transported to the emergency department (ED).

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ACEP Now

MARCH 14, 2024

A 44 year-old male with unknown past medical history came by emergency medical services (EMS) to the emergency department (ED) for an electrical injury and fall from a high voltage electrical pole. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 8e. Emerg Med Pract.

Operating Room 52

Operating Room ACS Critical Care Coronary 52

REBEL EM

NOVEMBER 20, 2023

Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta in Trauma Patients With Exsanguinating Hemorrhage: The UK-REBOA Randomized Clinical Trial [published online ahead of print, 2023 Oct 12]. The trial reported a median time of 32 minutes from ED arrival to successful balloon inflation.

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OR Emergency Medical Technician CPR Emergency Medical Services 91

NCOAE

SEPTEMBER 26, 2023

The suicide rate among emergency medical service (EMS) professionals rose a shocking 38 percent since 2009, according to a study published in the Western Journal of Emergency Medicine. As an emergency medical technician (EMT) or paramedic, you typically work a five-day rotation of 12-hour shifts (days or nights).

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The Good, The Bad & The Ugly Paramedic

SEPTEMBER 30, 2021

In years gone by, joining the world of emergency medical services meant a high turnover of patients, among a daily mix of unpredictable emergencies. The medically minded individuals seeking ongoing patient contact found a vocation in medicine, mental health, nursing, midwifery and allied health professions.

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ACEP Now

OCTOBER 15, 2023

For obvious reasons, all history was obtained via emergency medical services and Cleveland police. On arrival to the emergency department (ED) she was awake and breathing with stridor. Laryngeal trauma occurs in one in 14,000 to one in 30,000 ED visits.

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Emergency Medical Services OR ED Emergency Department 52

ACEP Now

JULY 7, 2023

Case A 91-year-old Russian-speaking female on dual-antiplatelet therapy presented to the ED via ambulance with a left-sided nosebleed. EMS placed her on non-rebreather at 10 L per minute due to the significant amount of bleeding through the nose, and brought her to the ED. Acad Emerg Med. BioMed Res Int. 2015;2015:806243.

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EMDocs

FEBRUARY 12, 2024

Louis); Marina Boushra, MD (EM-CCM, Cleveland Clinic Foundation); Brit Long, MD (@long_brit) Case Emergency Medical Services brings in a 62-year-old male with COPD in acute on chronic hypoxemic respiratory failure (usually on 3 L nasal cannula, now on non-rebreather at 15 L/min).

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EMDocs

JUNE 3, 2023

The nuances of fracture patterns and delineating mechanically unstable pelvic fractures from stable ones is less important to the ED. This is less critical in ED management of the unstable pelvic fracture, as the optimal site for identification of rectal or vaginal tears is the operating room.

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EMDocs

DECEMBER 18, 2023

On arrival to the ED, her blood pressure is 84/36 mmHg with a heart rate of 110 beats per minute. 3,4 Prompt recognition and management of sepsis and septic shock are paramount for the ED clinician. 8,9 Recently, monocyte distribution width (MDW) has shown promise in a large meta-analysis as a useful screening tool in the ED.

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Handtevy

OCTOBER 20, 2022

The study, conducted by Casey Patrick, Michael Smith, Zubaid Rafique, Kelly Rogers Keene, and Xavier De La Rosa, explores the use of nebulized ketamine for pain management in an urban, ground-based emergency medical services (EMS) system. The average time from ketamine administration to ED arrival was approximately 23 minutes.

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Emergency Medical Services ED EMS Emergency Department 52

Don't Forget the Bubbles

JULY 17, 2023

2023 Jun 1;76(6):731-736 The Association Between Media-Based Exposure to Nonsuicidal Self-Injury and Emergency Department Visits for Self-Harm. coli urine tract infections in children treated in primary care and emergency department. Arch Dis Child Fetal Neonatal Ed. Arch Dis Child Fetal Neonatal Ed.

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The Skeptics' Guide to EM

DECEMBER 26, 2020

Mortality among patients with frequent emergency department use for alcohol-related reasons in Ontario: a population-based cohort study. CMAJ 2020 Guest Skeptic: Dr. Hasan Sheikh is an emergency and addictions physician in Toronto and a lecturer at the University of Toronto. Date: December 18th, 2020 Reference: Hulme et al.

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ED Emergency Department Emergency Medical Services ALS 130

ACEP Now

JANUARY 5, 2025

emergency departments (EDs) with asthma-related conditions. For patients well enough to be discharged from the ED, emergency physicians generally ensure patients have access to an albuterol rescue inhaler and often prescribe a short course of steroids; however, this is not the best practice. Each year, more than 1.3

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Emergency Department Emergency Medical Services ALS ED 104