ALiEM
JANUARY 5, 2024
Dr. Sara Krzyzaniak (podcast host and Stanford University PD) and Dr. Michelle Lin (ALiEM Founder/UCSF) are joined by Dr. Aaron Kraut (University of Wisconsin PD) in this insightful, rapid-fire, practical episode through the lens of experienced residency program directors. What does the Electronic Residency Application Service (ERAS) preliminary data show just far for the 2024 residency application season?
EMergucate
JANUARY 5, 2024
Question 1: PH = 7.409, that is with in normal range pCO2 = 54 mmHG, that is suggestive of respiratory acidosis. HCO3 = 33.3, that is suggestive of metabolic alkalosis.
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Dr. Smith's ECG Blog
JANUARY 5, 2024
Written by Willy Frick A 46 year old man with a history of type 2 diabetes mellitus presented to urgent care with complaint of "chest burning." The documentation does not describe any additional details of the history. The following ECG was obtained. ECG 1 What do you think? The ECG shows sinus bradycardia but is otherwise normal. There is TWI in lead III, but this can be seen in normal ECGs.
International Journal of Paramedicine
JANUARY 5, 2024
Objective Determining the decision-making capacity of patients in the prehospital setting is a high-risk area for EMS systems. This risk is only enhanced by the growing prevalence of mental, neurological, and substance use disorders. This study sought to evaluate the feasibility of on-shift simulation as an educational method, in this case to improve EMS clinicians’ ability and confidence in performing capacity assessments.
Pulsara
JANUARY 5, 2024
EDITOR'S NOTE: This article originally appeared on FireRescue1.com. Special thanks to our guest author, Courtney Levin , for FireRescue1 BrandFocus Staff. Now that you’ve developed the initial groundwork, these next steps are key to finding success The fire service is pivotal in caring for their community’s underserved population. Introducing a community paramedicine program allows public safety to dynamically meet those needs.
International Journal of Paramedicine
JANUARY 5, 2024
Background: Hazardous chemicals are essential for modern society but the use and transportation of them bears the risk of major incidents. Past incidents have revealed the importance of preparation and training of emergency medical service (EMS) personnel when responding to these incidents. However, studies have shown the level of preparedness to be insufficient.
International Journal of Paramedicine
JANUARY 5, 2024
Background : This study is to concentrate on adverse outcomes of CPR in out-of-hospital cardiac arrest (OHCA) among different performers that are trained first responders, professional practitioners, and automated devices by exploring types of injuries and comparing between datasets. It is also to find out potential contributing factors for each injury which display statistical significance.
Paramedicine Now brings together the best content for paramedicine professionals from the widest variety of thought leaders.
International Journal of Paramedicine
JANUARY 5, 2024
Iatrogenic events are common causes of EMS encounters. This report present the case of a 62-year-old male who presented with new-onset chest pain after his primary care provider increased his diltiazem dose to better control atrial fibrillation. The patient presented with nausea, vomiting, diaphoresis, and 8/10 sub-sternal chest pain. Sequential ECGs captured the initiation of a junctional rhythm indicated by negative (inverted) P waves and a shortened PR interval.
International Journal of Paramedicine
JANUARY 5, 2024
Supraglottic airways (SGAs) can be life-saving devices allowing for oxygenation and ventilation in patients who cannot be intubated. However, these devices also have a risk of high-pressure ventilation injuries, including pneumothoraces, pneumomediastinum, and massive subcutaneous air. We present two cases of patients with high-pressure ventilation injuries after the placement of SGAs in the prehospital setting.
International Journal of Paramedicine
JANUARY 5, 2024
Introduction: Effective service delivery and the wellbeing of the paramedic workforce is reliant on confounding factors and is effectuated by geographical positioning. It is important to be aware that there may be several disparities between the rural and urban workforce due to differences in circumstances. However, there is limited literature available examining these.
International Journal of Paramedicine
JANUARY 5, 2024
Objective: The aim of this scoping review is to determine how feedback is used in paramedicine. Introduction: Feedback is widely recognised as essential for clinician growth in healthcare however there is limited research on its use within paramedicine. Paramedics place high value on effective feedback and different types and methods are used depending on context.
International Journal of Paramedicine
JANUARY 5, 2024
Background: Interfacility transfer between hospitals is an integral component of regional healthcare systems. The decisions referring providers make regarding emergency medical services (EMS) level of care and transport modality (ground versus air) can dramatically impact patient care, emergency departments' workflow, hospital length of stay, and EMS resource availability.
International Journal of Paramedicine
JANUARY 5, 2024
Point of care ultrasound (POCUS) has become an increasingly recognized tool for the rapid bedside assessment of undifferentiated patients. With the advent of affordable portable devices, this tool has expanded to the prehospital world, offering an opportunity to improve patient care prior to arrival in the emergency department. To assess how this tool has become incorporated into paramedical care in Canada, we conducted a cross-sectional survey of paramedical licensing bodies across Canada inves
International Journal of Paramedicine
JANUARY 5, 2024
Background: Ambulance drivers are more likely to be involved in fatal or injury collisions compared to other professional drivers. Study Objective: This study is a retrospective study aimed to describe factors involved in paramedics’ collisions. Method: Spanning over 10 years of data (2010-2019) from a paramedic agency covering Montreal (Qc, Canada), links between the number of ambulance injuries and non-injury collisions and diverse characteristics like experience, sex, and age of paramedics, d
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