Emergency Medicine Cases
JULY 8, 2024
In this episode: recognition, risk stratification, decision tools, indications for lumbar puncture in the febrile pediatric patient, tips and trick on performing LPs in children, and ED management of pediatric meningitis. We answer such questions as: what are the test characteristics of the various clinical features of meningitis across various ages?
International Journal of Paramedicine
JULY 8, 2024
Objective: Acute severe agitation often requires pharmacologic sedation. While benzodiazepines and antipsychotics are traditional first-line medications for this purpose, recent evidence has shown that prehospital intramuscular (IM) administration of ketamine results in rapid, effective sedation. However, ketamine may be associated with adverse clinical events including a higher intubation rate.
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NVFC
JULY 8, 2024
Eligible responders can enter for a chance to receive two cases of DripDrop electrolyte drink mix for their volunteer fire department Summer brings outdoor adventures, water activities, and barbecues, but it also can bring danger to firefighters, who exert themselves in heavy gear and high temperatures. To help prevent firefighter dehydration and heat-related injuries, especially during long incidents and wildfire response, DripDrop Hydration, PBC, has partnered with the National Volunteer Fire
International Journal of Paramedicine
JULY 8, 2024
Background : In the United States, research has found that emergency medical service (EMS) clinicians contemplate and attempt suicide at a rate approximately 10 times higher than the general population. However, prior to this study, no comprehensive data existed on the mental health status and needs of Virginia’s EMS clinicians. Objective: To evaluate mental health conditions, substance use, COVID-19 stress, and job satisfaction among Virginia’s EMS clinicians and to assess the perceived mental
Unitek EMT
JULY 8, 2024
From emergencies to empowerment: how EMTs lead community health education. Emergency Medical Technicians (EMTs) serve as the frontline responders in Emergency Medical Services (EMS), playing a critical role in delivering immediate medical care during emergencies. Their swift actions—often the first point of contact in life-threatening situations—are essential in stabilizing patients and preparing them for further […] The post Community Outreach: EMTs Educating and Engaging with the Public
International Journal of Paramedicine
JULY 8, 2024
Purpose: Buprenorphine is a lifesaving medication in opioid use disorder (OUD). Emergency Medical Services (EMS) play a crucial role in responding to opioid overdoses. The pre-hospital use of buprenorphine by EMS can expand access to this important medication. This article aims to provide a narrative review of the use of buprenorphine in the pre-hospital setting.
Life in the Fastlane
JULY 8, 2024
Kane Guthrie and Mike Cadogan LITFL Update 031 Update 029. Sending you FOAMed content from around the globe. Latest trends and best articles so that you stay top of your field.
Paramedicine Now brings together the best content for paramedicine professionals from the widest variety of thought leaders.
ACEP Now
JULY 8, 2024
Virtually everyone has experimented with large language models (LLMs) in some fashion. Whether a person is conducting such parlor tricks as generating “Choose Your Own Adventure” children’s stories, looking for recipes in order to utilize a strange assortment of leftover ingredients, or composing eloquent poetry, the list of non-serious uses is vast.
International Journal of Paramedicine
JULY 8, 2024
The Emergency Medical Services are strained in the face of high workforce turnover and substantial cost pressures. Voluntary workforce turnover exacerbates direct and indirect cost pressures including training, productivity loss, loss of talent, and covering vacancies. Reduction of voluntary turnover is therefore of practical interest for worker retention and cost reduction.
REBEL EM
JULY 8, 2024
A 45-year-old man presents to the ED with shortness of breath that began 4 hours ago. He reports 2 days of cough, fever, and pleuritic chest pain. He is speaking in 3–4 word phrases, breathing at 33 breaths/minute, and appears in mild to moderate respiratory distress. He has right middle lobe crackles on auscultation. An arterial blood gas shows a pH of 7.48, a PaO 2 of 54 mm Hg, and a PaCO 2 of 33 mm Hg.
International Journal of Paramedicine
JULY 8, 2024
Background: Cognitive aids are an essential aspect of patient care within emergency medical services (EMS). Despite their availability in EMS, these aids are underutilized. Understanding factors associated with increased use of cognitive aids can help guide the development of effective implementation strategies. This study examines the association between the frequency of cognitive aid use in EMS and three factors: the use of these aids into initial education programs, policies mandating their u
International Journal of Paramedicine
JULY 8, 2024
Introduction Trauma is a major problem in Saudi Arabia and a leading cause of mortality and morbidity in young age groups. In 2018, road traffic injuries and trauma were the second-leading cause of death after ischaemic heart disease. There is a lack of research that explores the psychological effects on emergency medical service (EMS) professionals of providing the required pre-hospital care for trauma cases.
International Journal of Paramedicine
JULY 8, 2024
The El Paso-Juárez metroplex comprises one of the world's busiest international land border crossings. Although prior studies have described prehospital care along the US-Mexico border, the epidemiology of 9-1-1 calls to the El Paso-Juárez border crossings has not been previously reported. Investigators sought to evaluate responses by emergency medical services (EMS) at El Paso-Juárez ports of entry (POE).
International Journal of Paramedicine
JULY 8, 2024
Background and Aim : Data suggests that finger palpation of the carotid and/or femoral pulses is significantly less sensitive than 100%. In some cases, a patient who does, in fact, have organized cardiac function, may be identified as being in Pulseless Electrical Activity (PEA). Chest compressions performed as indicated by these circumstances may not provide significant therapeutic benefit to those patients and may, in fact, distract from better directed therapies.
International Journal of Paramedicine
JULY 8, 2024
Objective: ST-elevation myocardial infarction (STEMI) is a leading cause of mortality in Australia. Paramedics treating adults with STEMI in the out-of-hospital environment can use fentanyl or morphine to manage the patient’s pain, although there is little research comparing the efficacy and safety of these drugs. Therefore, the objective of this study was to compare the effects of fentanyl to morphine on cardiac chest pain and cardiorespiratory vital signs in adult STEMI patients in the out-of-
International Journal of Paramedicine
JULY 8, 2024
This paper highlights key research areas within paramedicine education in Australia. Firstly, it discusses the need for a comparative analysis of accreditation standards, focusing on the recent shift towards a pre-employment model and its impact on program content, particularly the balance between theoretical and practical components. Secondly, it addresses the importance of exploring the influence of ethics education on paramedic practice, investigating how a robust ethical foundation acquired
International Journal of Paramedicine
JULY 8, 2024
Background: Asthma is a significant contributor of respiratory illness throughout Australia, taking a toll on all genders and age groups. The rural healthcare workforce is currently undersupplied, and this worsens with the degree of rurality posing disadvantages in healthcare access. Lower asthma-related mortality rates in metropolitan cities than other areas of Australia indicate a need to explore the extent of the impact that residing rurally has on access to emergency healthcare for asthma-re
International Journal of Paramedicine
JULY 8, 2024
The prevalence of Helicobacter Pylori (H. Pylori) remains globally high, with an estimated 50% of the words population believed to be infected. Despite the continually high incident rates of infection 90% of those infected remain asymptomatic. H.Pylori is a gram-negative, microaerophilic bacteria, mostly found in stomach of affected individuals that causes inflammation and ulceration.
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