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Approximately 10% of geriatric patients (adults over the age of 65) transported via ambulance will have a mental status altered from baseline, otherwise known as delirium. Many of these patients will be agitated, posing a management challenge for EMS practitioners. Existing protocols for delirium in the pre-hospital setting were designed for younger adults, who have different etiologies and different levels of tolerance for medications than most older adults.
The 9 Line Company (www.the9linecompany.com) has launched a campaign to support EMS professionals who have lost their homes and are facing significant hardships due to the recent fires. As […] The post Fundraising Efforts for EMSers appeared first on American Ambulance Association.
This content is for AAA members only. Please either Log In or Join! The post What’s New at Savvik This Week? appeared first on American Ambulance Association.
Urban Emergency Medical Services benefit from an increased number of higher-level personnel (Advanced Emergency Medical Technicians and Paramedics) responding to all calls that are trained to obtain intravenous access. Current Advanced Trauma Life Support guidelines require all trauma patients to receive intravenous access, and as such it is essential for EMS clinicians to be conversant with situations which may require fluid resuscitation.
This was submitted by Hans Helseth, who is applying to med school and who is working as an EKG tech right now. Smith : This patient presented years ago, but came in again while Hans was working. He looked back in time in the patient's chart and saw these ECGs and immediately recognized that they manifested subtle OMI. Also : See Ken Grauer's excellent comments at the bottom.
Understanding Posterior STEMI: The Importance of a 15-Lead ECG In this episode of Good Reads, we explore a case involving a 47-year-old male with chest pain and a complex 12-lead ECG that suggests a posterior myocardial infarction (MI). Learn how to detect the subtle reciprocal changes in the anterior leads and the importance of utilizing a 15-lead ECG (V7, V8, and V9) to accurately identify a posterior STEMI.
The latest CDC provisional 12-month rolling numbers (through August 2024) are out for fatal overdoses and the news continues to be promising. The US reported overdose fatal numbers are down 23.2 % from the August 2023 high. * In Connecticut reported overdoses are down 29.9% from our November 2021 high, a level equivalent to July 2019. I expect the numbers to continue to drop in the coming months at least through November based on Connecticut data I have seen.
The latest CDC provisional 12-month rolling numbers (through August 2024) are out for fatal overdoses and the news continues to be promising. The US reported overdose fatal numbers are down 23.2 % from the August 2023 high. * In Connecticut reported overdoses are down 29.9% from our November 2021 high, a level equivalent to July 2019. I expect the numbers to continue to drop in the coming months at least through November based on Connecticut data I have seen.
Background: Patients with ST-elevation myocardial infarction (STEMI) in regional Tasmania frequently encounter reperfusion delays. Ambulance Tasmania recently implemented prehospital thrombolysis (PHT) as part of a pharmacoinvasive strategy. This study aimed to describe a cohort of the first patient encounters involving STEMI treated under the new guideline to review the implications of the PHT initiative and inform ongoing implementation.
Author: Steven Orellana DO Bottom Line Up Top: In patients with mild to moderate asthma exacerbations that are stable for discharge home, there is evidence to support discharging patients from the ED with combination Inhaled Corticosteroid/Long-Acting Beta Agonist (ICS-LABA) maintenance therapy. Clinical Scenario: A 21-year-old man with a history of asthma presents with difficulty breathing for the past two days.
Unresponsive patients with no family or friends can be particularly challenging for EMS providers, especially if they rapidly deteriorate or arrest on scene. Although the Hs & Ts are taught in ACLS, hyperkalemia is an infrequent cause of cardiac arrest and can be easily overlooked in patients not on dialysis. However, recognition is crucial as the standard approach to cardiac arrest will not work and specific medications are indicated.
**WARNING this episode deals with the topic of suicide** Clinical Toxicologist and host of The Poison Lab Dr. Ryan Feldman is BACK! The thruple review a call where the patient intentionally ingests Sodium Nitrate and an EMS crew struggles to keep up with the patients rapid decline. What, if anything, can they do? Listen and find out! **WARNING this episode deals with the topic of suicide** Clinical Toxicologist and host of The Poison Lab Dr.
Background In health professions education there is a shortage of clinical training opportunities and an increasing demand for workers, creating a need for alternative methods to clinical placements. One alternative method to replace clinical experience is simulation-based education. Currently, the efficacy of simulation as a clinical replacement in paramedicine is unknown.
Body-worn cameras (BWCs) were introduced for ambulance crews in England in 2021 in response to rising rates of abuse targeted towards ambulance crews by members of the public. As part of an evaluation of the effectiveness of BWCs as a tool for reducing occupational violence, we produced a non-systematic literature review to examine the real-world outcomes and cost-effectiveness of BWCs in a variety of settings and countries.
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