Wed.Apr 03, 2024

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REBEL Cast – EMTALA + Reproductive Health Rights

REBEL EM

REBEL Cast – EMTALA + Reproductive Health Click here for Direct Download of the Podcast. Dr. Dara Kass is a practicing emergency medicine physician who was most recently as the Regional Director of Region 2 for the US Department of Health and Human Services. She currently works with organizations and institutions to advance and implement policies that affect the care of individuals in this new healthcare landscape, most specially related to all forms of reproductive health care from contra

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TIRBO 58: Difficult cases

Critical Care Scenarios

When do patients deaths bother us? When do patients deaths bother us?

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Retrospective Matched Cohort Comparison of Prehospital Finger Thoracostomy and Needle Thoracostomy Performed by Ground Emergency Medical Services

International Journal of Paramedicine

Introduction: Tension pneumothorax related to chest trauma is a rapidly lethal condition that requires immediate treatment, often prior to arrival at definitive care. Recent concerns regarding the safety and efficacy of needle thoracostomy (NT) have led to alternatives. Finger thoracostomy (FT) is a potential life-saving treatment performed by prehospital providers as an alternative to NT.

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Farm-to-Table for Seniors: Exploring the Impact of Local Food Movements on Aging Communities

Paramedics World

The farm-to-table movement has become a cornerstone of modern culinary culture, emphasizing the importance of fresh, locally sourced ingredients in our diets. While this trend has gained popularity across all… The post Farm-to-Table for Seniors: Exploring the Impact of Local Food Movements on Aging Communities appeared first on Paramedics World.

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The Incidence and Outcomes of Adult Syncope Presentations to Emergency Medical Services

International Journal of Paramedicine

Objective: The objectives of this systematic review were to evaluate the incidence, patient demographics and associated outcomes of adult syncope presentations to emergency medical services (EMS) within current literature. Methods: Inclusion criteria were contact with an EMS, a provisional diagnosis of syncope and epidemiological data regarding EMS contact with these patients.

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Navigating Personal Injury Claims: How Familiarity with Local Laws Can Strengthen Your Case

Paramedics World

Understanding your rights and the relevant legal framework can be instrumental in securing the compensation you deserve after an accident or injury. Personal injury laws govern a wide range of… The post Navigating Personal Injury Claims: How Familiarity with Local Laws Can Strengthen Your Case appeared first on Paramedics World.

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Factors Associated with Caregiver Decision Not to Transport Pediatric Patients Assessed by Emergency Medical Services

International Journal of Paramedicine

Objectives: Almost one third of pediatric 9-1-1 calls result in non-transport by Emergency Medical Services (EMS). It is unknown to what extent these decisions are driven by caregivers’ decisions to decline transport versus EMS advice that transport is unnecessary. Further, it is unknown whether demographic, encounter, or agency factors are associated with caregivers declining transport.

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The Relationship Between Emotional Intelligence, Self-Compassion and Wellbeing in Ambulance Staff

International Journal of Paramedicine

Objective Ambulance staff are at increased risk of negative wellbeing outcomes, though there is a lack of research into their wellbeing. This study aims to explore the relationship between emotional intelligence and self-compassion, two factors related to positive wellbeing in other populations, and the professional quality of life and psychological wellbeing of ambulance staff.

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Innovation and Safety: STEM France at INFOPOL XPO112

Stem EMS

STEM France and the Spark stretcher : Innovation at the Service of Emergency Professionals at INFOPOL XPO112 In an era where technological innovation can mean the difference between life and […] L'articolo Innovation and Safety: STEM France at INFOPOL XPO112 proviene da Stem Ems.

EMS 52
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Assessing the Accuracy of ECG Chest Electrode Placement by EMS and Clinical Personnel Using Two Evaluation Methods

International Journal of Paramedicine

Background and purpose: A valid 12-lead electrocardiogram (ECG) depends on correct acquisition technique, particularly on the accurate location of precordial (chest) electrodes. The emergency medical services (EMS) segment of the care continuum is under-represented in previous clinically oriented studies of electrode placement. This study sought to assess the accuracy of chest electrode placement by EMS and clinical personnel in one geographic area, to identify patterns of misplacement to inform

EMS 52
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The Science on Targeted Temperature Management

ACEP Now

Post-arrest patients with more significant reperfusion injury (for example, Pittsburgh Cardiac Arrest Category (PCAC) greater than or equal to 3, revised post-Cardiac Arrest Syndrome for Therapeutic hypothermia score (rCAST) greater than 6, evidence of shock, and/or longer arrest times) may benefit from mild hypothermia to 33 degrees Celsius, while less severe post-arrest patients may benefit from fever prevention at less than 37.5 degrees Celsius.

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The Effect of Paramedics in Emergency Department Triage on Ambulance Patient Offload Times

International Journal of Paramedicine

Background : Emergency Department (ED) overcrowding limits patient care in the prehospital and hospital system. A program was implemented to decrease the time to patient handoff from EMS arrival to ED staff, also known as the delivery interval and total turnaround interval. Paramedics were added to the ED ambulance triage staff to receive verbal reports and perform certain tasks done traditionally by nurses.

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Paramedic Exposure and Response to Non-Traumatic Dental Conditions

International Journal of Paramedicine

Introduction As the global demand for emergency health services continues to expand, the role of paramedics persists and grows alongside the expansion of ambulance services. The need to explore alternative pathways for enhancing service efficiency and alleviating hospital demands is increasingly evident, particularly for low-acuity cases. Non-traumatic dental conditions (NTDC) can be ongoing and have far-reaching health implications if not treated correctly.

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When Should EMS Call a Child a Small Adult: Inconsistency in Protocol Definitions

International Journal of Paramedicine

Age may be a factor in Emergency Medical Services (EMS) treatment of patients, and understanding of age-related patient differences is important to those providing care in the prehospital environment. The US Health Resources and Services Administration’s Maternal Child Health Bureau (HRSA MCHB) through their Emergency Medical Services for Children (EMSC) program has coordinated a focus on pediatric EMS care.

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Australian Paramedics’ Experiences of Stressors During the COVID-19 Pandemic

International Journal of Paramedicine

Objective: Paramedics are exposed to significant job-related stressors, which have been exacerbated by the pressures of the COVID-19 pandemic. Given the essential role that paramedics play in the health system, it is imperative that we understand how their health and wellbeing are affected by this range of stressors. Methods: We conducted a mixed-methods, cross-sectional statewide survey of the Ambulance Organization workforce between August and November 2021.

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Examining Cognitive Aid Use in Emergency Medical Services

International Journal of Paramedicine

Background: Emergency Medical Service (EMS) clinicians render care in less than ideal environments, and errors occur at high rates. Some cognitive aids (CAs) have been shown to reduce errors and improve adherence to evidence-based practices. However, there have been no widespread studies examining CA use in EMS. The objective of this study was to examine the frequency of CA use by EMS clinicians and which clinicians were using them more frequently during patient care.

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Breaking Bad News in the Prehospital Setting

International Journal of Paramedicine

There are roughly 1000 prehospital cardiac arrests in the US daily with a mortality rate approaching 90% 1. In 2011 and the national association of EMS physicians position statement supporting prehospital termination of cardiac arrest has led to an increase in the number of patients dying in the prehospital environment. EMS clinicians responding to these emergencies are often tasked with breaking bad news (BBN) to families that their loved one has died.

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Understanding the Occupational Factors that Influence Paramedic Health and Wellbeing

International Journal of Paramedicine

Introduction: Health and wellbeing is essential to perform professionally and personally. The demanding workload and high-pressure nature of the paramedic profession, undoubtably has an influence on the paramedic’s health and wellbeing however the individual variance and factors associated is poorly understood. The objective of this review is to identify what is known about the occupational factors that influence paramedic health and wellbeing to make recommendations in improving working conditi