Pulsara

JANUARY 25, 2024

With a new protocol and Pulsara, Metropolitan Emergency Medical Services can now transport eligible pediatric behavioral health patients directly to behavioral health facilities—resulting in a 44% decrease of pediatric behavioral health patients transported to the ED. Download the case study or read on to learn more!

Emergency Medical Services 109

Emergency Medical Services EMS STEMI Emergency Department 109

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 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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EMS Emergency Medical Services CPR Critical Care 130

The Skeptics' Guide to EM

OCTOBER 22, 2017

He is also now a first-year medical student. Emergency medical services […] The post SGEM#192: Sometimes, All You Need is the Air that You Breathe first appeared on The Skeptics Guide to Emergency Medicine. He is also now a first-year medical student. Guest Skeptic: Marcus Prescott is a nurse in Norway.

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Emergency Medical Services Coronary ALS STEMI 130

The Skeptics' Guide to EM

JANUARY 19, 2019

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”. Date: January 17th , 2019 Reference: Clemency et al. Some clinicians have recommended observing opioid overdoses for four to six hours.

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Naloxone Overdose Emergency Medical Services Emergency Department 130

Pulsara

FEBRUARY 1, 2024

Celebrating our Customers' Successes Metropolitan Emergency Medical Services created a new protocol to bypass the ED and transport eligible pediatric behavioral health patients directly to behavioral health facilities, resulting in a 44% decrease of pediatric behavioral health patients transported to the ED.

Emergency Medical Services 95

Emergency Medical Services ED EMS 95

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. The bottle contained 100 mg quetiapine tablets, and 50 tablets were unaccounted for. References: N. Juurlink D. Antipsychotics.

Overdose 109

Overdose EMS Emergency Medical Services ALS 109

International Journal of Paramedicine

OCTOBER 8, 2024

Assessment tools utilized by HEMS included the Cincinnati stroke scale (4%) and the FAST-ED (37%); most cases (59%) did not document a stroke assessment tool. Results: The analysis included a total of 52 direct transport HEMS stroke alerts. The median NIHSS was 10, with 37% presenting a score <6.

Emergency Medical Services 52

Emergency Medical Services EMS ED 52

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. NASEMSO: Clinical care and restraint of agitated or combative patients by emergency medical service practitioners. Prehosp Emerg Care.

Emergency Medical Services 96

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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Emergency Medical Services ACS ALS Emergency Department 130

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.

ED 52

ED Mental Health Services Emergency Department Emergency Medical Services 52

ACEP Now

NOVEMBER 8, 2024

Emergency medical services (EMS) scope of practice is governed by the state, but national scope of practice guidelines are available for the four different EMS provider levels. In: Cone DC, Brice JH, Delbridge TR, Myers B, eds. Emergency Medical Services: Clinical Practice and Systems Oversight.

E-9-1-1 40

E-9-1-1 Emergency Medical Services Emergency Medical Technician AEMT 40

ACEP Now

OCTOBER 26, 2023

This amendment downcoded Medicaid reimbursements to a Level 1 visit if the patient’s final diagnosis appeared on a list of 790 diagnoses, deemed “avoidable emergencies,” for Medicaid patients. Maryland enacted the first “prudent layperson standard” (PLP) in state law in 1993 (see related timeline).

Emergency Medical Services 124

Emergency Medical Services Emergency Department ED ALS 124

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. Haloperidol (Haldol) – 0.5-5 5 mg PO; 0.05-0.15 mg/kg IM (up to 5 mg/dose) Chlorpromazine (Thorazine) – 0.55 mg/kg/dose (PO/IM) Droperidol – 0.03-0.07

Emergency Department 88

Emergency Department Emergency Medical Services Overdose ED 88

ESO

DECEMBER 19, 2024

It found that this simpler, numerical scale had comparable results to more complex screening tools including C-STAT, FAST-ED, and BE-FAST and could be a good alternative option for maintaining accuracy. This study used ESO research to add to the body of work surrounding those findings.

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Epinephrine Firefighter First Responder Public Safety 103

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.

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Emergency Medical Services Emergency Department OR ED 96

The FllightBridge ED

OCTOBER 30, 2023

The realm of emergency medical services (EMS) is one of constant evolution, where professionals are continually called upon to enhance their skills, knowledge, and expertise.…

Critical Care 52

Critical Care Emergency Medical Services EMS Paramedic 52

ACEP Now

OCTOBER 9, 2024

However, when a patient walks through the door, they want to know there are resources available for that ED to delivery high quality care.” ACEP’s ED Accreditation Program (EDAP) is the next step in ACEP’s robust suite of Accreditation programs. This measure incorporates important aspects of the GEDA framework into care delivery.

Emergency Department 52

Emergency Department Emergency Medical Services ED OR 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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Emergency Medical Technician EMT EMT Paramedic 52

Dr. Smith's ECG Blog

SEPTEMBER 26, 2023

Methods and Results Patients with confirmed ST elevation myocardial infarction (STEMI) treated by emergency medical services were included in this retrospective cohort analysis of the AVOID study. Having severe pain drives people to the ED for faster treatment! It is good to have terrible pain!

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STEMI Coronary Emergency Medical Services OR 121

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

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

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.

Emergency Department 71

Emergency Department Emergency Medical Services ED EMS 71

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. Her condition rapidly deteriorated, requiring intubation.

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Operating Room Emergency Medical Services ED Emergency Department 52

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). It is unclear how long he was down.

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Defibrillator CPR Epinephrine Life Support 106

ACEP Now

JUNE 21, 2023

10 The other study, conducted by US Acute Care Solutions (USACS), examined 1,084,085 ED encounters by 70 new three-year graduates, 39 new four-year graduates, and 476 experienced new hires in their first year of practice within a large emergency medicine group. percent; p < 0.001, ω = 0.08). 11 What should we take away?

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EMS ALS Emergency Medical Services OR 114

Don't Forget the Bubbles

JUNE 30, 2023

Emergency Medical Services found her apneic and pulseless. She was intubated at the scene and transported to your ED, with cardiopulmonary resuscitation (CPR) performed en route. Elsa was found face down in the family pool 20 minutes after last visual contact and was picked up without resuscitation.

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CPR Life Support Critical Care ALS 145

Handtevy

FEBRUARY 27, 2024

Supporting EMSC and NPRP Efforts: In response to this troubling landscape, the Emergency Medical Services for Children (EMSC) program and the National Pediatric Readiness Project (NPRP) stand out as leaders for change.

Emergency Department 52

Emergency Department Emergency Medical Services CPR ED 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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EMS Emergency Medical Services OR Coronary 100

ACEP Now

MAY 9, 2024

There are also hundreds of other emergency physicians involved in EMS as part of their practice but aren’t board certified as EMS subspecialists. Since 1974, EMS Week has been an annual tribute to the dedication of Emergency Medical Services professionals and is celebrated during the third week of May.

EMS 52

EMS Emergency Medical Services EMT EMT 52

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).

E-9-1-1 84

E-9-1-1 Overdose Emergency Medical Services Life Support 84

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.

EMS 100

EMS Emergency Medical Services OR Coronary 100

ESO

APRIL 19, 2024

Due to this, it’s important for the industry to develop strategies for better supporting psychiatric patients while avoiding unnecessary ED visits and secondary EMS transports. The discussion How Do You Stack Up? Within the past year, they rose to the second most commonplace 911 call for most agencies, making up almost 10% of call volume.

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MIH EMS Paramedic Firefighter 105

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. Acad Emerg Med.

ALS 52

ALS Emergency Department Emergency Medical Services ED 52

REBEL EM

NOVEMBER 20, 2023

The trial reported a median time of 32 minutes from ED arrival to successful balloon inflation. PMID: 31673635 Post By: Marco Propersi, DO FAAEM Vice-Chair, Emergency Medicine Assistant Emergency Medicine Program Director Vassar Brothers Hospital, Poughkeepsie, New York Twitter/X: @marco_propersi Post Peer Reviewed By: Salim R.

OR 91

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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EMS EMT EMT Allergic Reaction 52