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As you approach your patient, you hear him snoring and notice the familiar sound of gurgling coming from his mouth. You immediately know you will be working to manage his airwayall within seconds of looking at, listening to, speaking with, and touching the patient. Remember: The first few seconds when you approach your patient will likely give you the most clinical information about your patients condition, bombarding you with information rapidly, sometimes instantaneously.
We always work hard, but we may not have time to read through a bunch of journals. Its time to learn smarter. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: New Meta-analysis Metoprolol vs Diltiazem for A-Fib with RVR Spoon Feed This systematic review of 13 studies found slightly higher rates of adverse events after administration of diltiazem versus metoprolol, when t
Workplace fatigue is a common complaint among shift workers. Emergency Medical Services (EMS) personnel work shifts and deliver emergent health care to the acutely ill and injured on the roadside, in patients homes, and other environments. They must deliver this care while under significant time pressure and stress. Fatigue is a threat that is often overlooked by EMS leadership and personnel as just part of the job.
World Caf-Mediated Contribution of Prehospital Practitioners in Ireland to the First Official National Guidance Regarding Continuous Professional Competence Author: Shane Knox, PhD, MSc HDip, Advanced Para, MCPara, Assoc. CIPD Associate Authors: Suzanne Dunne, PhD, Colum P. Dunne, PhD IntroductionThere was no regulatory requirement for prehospital practitioners in Ireland to provide evidence of competence, or any link between competence and registration to practice.
Date: February 11, 2025 Dr. Ross Prager Guest Skeptic: Dr. Ross Prager is an Intensivist at the London Health Sciences Centre and an adjunct professor at Western University. His expertise in critical care medicine is complemented by his research interests in critical care ultrasound and evidence-based knowledge translation. This is another SGEM Xtra.
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. Despite the allegiance to endotracheal intubation as a gold standard of airway control, endotracheal tube placement during acute exacerbation of various respiratory conditions comes with a significant increase in complications and mortality (Keenan, Sinuff, Cook, & Hill, 2004).
St.Emlyn's - Emergency Medicine #FOAMed This week I read a great article in the EMJ by Dan Horner and Rich Carden on new resuscitation targets. notably the use of diastolic blood pressure. DBP is the […] The post Is Diastolic Blood Pressure the New Resuscitation Target appeared first on St.Emlyn's.
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St.Emlyn's - Emergency Medicine #FOAMed This week I read a great article in the EMJ by Dan Horner and Rich Carden on new resuscitation targets. notably the use of diastolic blood pressure. DBP is the […] The post Is Diastolic Blood Pressure the New Resuscitation Target appeared first on St.Emlyn's.
by Chris Colwell, MD; Paul Murphy, MA, MSHA; & Tamara Bryan, BS, EMT-P On Mar 1, 2004 A variety of anatomic and physiologic changes occur during pregnancy. In most cases, there is minimal impact on the mother's health. However, there is the possibility that EMS providers will be called to assist a pregnant female.1 Managing the pregnant patient can present unique challenges.
Two Dublin paramedics, running in Rays Half Million half marathon recently, didnt expect to be faced with a cardiac arrest at the finish line. But thats just what happened when father of three Peter Carolan collapsed and almost died after completing the Ray DArcy Half Million Half Marathon on Good Friday. This morning, Peters wife Alice joined Ray DArcy in studio to thank the two men who saved her husbands life.
BY WILLIAM E. "GENE" GANDY, JD, LP AND STEVEN "KELLY" GRAYSON, NREMT-P, CCEMT-P ON APR 5, 2011 It has been said the eyes are the windows to the soul. In emergency medicine, much can be learned from a routine eye examination. This article will review both techniques and evaluation of findings. Scenario You arrive at a local nursing home to care for a patient who has become unresponsive.
Bruce Evans, MPA, NREMT-P | From the August 2008 Issue | Sunday, August 17, 2008 JEMS Couse Objectives >>Review the anatomy and physiology of the eye. >> Describe the prehospital assessment and management of eye injuries. >> Discuss injury prevention as it relates to the eye. Engine 94 and Rescue 94 respond to a popular sports complex known for housing large softball tournaments.
[one_half] Why join ICoP? We welcome all Practitioners to use the ICoP as a platform for the development of paramedicine and the pre-hospital emergency care profession. ICoP is for all registered practitioners and those allied professionals with an interest in pre-hospital care.
[link] This site offers interesting reading from a different country. The general exam listed at the link above. This site is written and maintained by Marc Colbeck. I am a paramedic instructor who worked as a Critical Care Paramedic in Toronto EMS (Canada) for 13 years. Currently I work in the Middle East, teaching paramedicine. I have an undergraduate degree in Health Sciences (Pre-Hospital Care) and am completing an MA.
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