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National Assessment of Pediatric Readiness of US EmergencyDepartments during the Covid-19 Pandemic. July 2023 Date: Dec 11, 2023 Guest Skeptic: Dr. Rachel Hatcliffe is a pediatric emergency medicine attending at Children’s National Hospital in Washington, DC. Are general emergencydepartments ready to care for children?
St.Emlyn's - Emergency Medicine #FOAMed How does pre-hospital emergency anaesthesia (PHEA) delivered by Helicopter EmergencyMedicalServices (HEMS) impacts trauma care timelines compared to emergencydepartment RSI (EDRSI).
St.Emlyn's - Emergency Medicine #FOAMed How does pre-hospital emergency anaesthesia (PHEA) delivered by Helicopter EmergencyMedicalServices (HEMS) impacts trauma care timelines compared to emergencydepartment RSI (EDRSI).
On a busy day shift in the emergencydepartment, our seasoned triage nurse comes to me after I finish caring for a hallway patient, “Hey, can you come see this guy in the triage room? This is the essence of emergency medicine. The post Putting Clinical Gestalt to Work in the EmergencyDepartment appeared first on ACEP Now.
Broselow-Luten Color-Coded Length-Based Weight-Estimation System: History of [EmergencyMedicalServices for Children] Designed by Dr. James Broselow. Dr. Broselow was family medicine but switched to emergency medicine. EmergencyMedicalServices for Children] “Red to Head.” One end of the tape is red with an arrow.
He is the principal investigator for EMSC State Partnership in Washington, DC and is also involved in various multi-center EMS studies with the Pediatric Emergency Care Applied Research Network (PECARN). Population: Children (aged 0 to <18 years) who underwent blunt trauma evaluation in emergencydepartments. (ED)
EmergencyMedicalServices (EMS) is called and on arrival the patient is walking but has obvious facial trauma and is complaining of some neck pain. Another core element of emergencydepartment (ED) and pre-hospital care is the assessment for potential spinal injuries [1,2].
Emergencymedicalservices (EMS) were called to the home of a 22-year-old woman after a syncopal episode and seizure-like activity. She was transported to the emergencydepartment, and the following ECG was obtained (Figure1).
Little is known about patients’ decisions to come to the EmergencyDepartment (ED) via emergencymedicalservices (EMS) versus privately owned vehicle (POV); this is problematic as trust in EMS systems impacts patient care decisions. Patients completed a multi-method survey during their ED stay.
With a new protocol and Pulsara, Metropolitan EmergencyMedicalServices can now transport eligible pediatric behavioral health patients directly to behavioral health facilities—resulting in a 44% decrease of pediatric behavioral health patients transported to the ED.
JAMA 2020 Guest Skeptic: Mike Carter is a former paramedic and current PA practicing in pulmonary and critical care as well as an adjunct professor of emergencymedicalservices […] The post SGEM#314: OHCA – Should you Take ‘em on the Run Baby if you Don’t get ROSC? first appeared on The Skeptics Guide to Emergency Medicine.
Intensive Care Med 2021 Guest Skeptic: Missy Carter, former City of Bremerton Firefighter/Paramedic, currently a professor of EmergencyMedicalServices at Tacoma Community College’s paramedic program.
An accurate assessment maximizes CPAP's effectiveness By Kenny Navarro Arguably, airway management is one of the most important interventions provided by emergencymedicalservice personnel.
There are protocols in place that assist highly trained EmergencyMedicalService providers in assuring that agitated children are safely transported to their destination. Any physician providing direct medical oversight as a base station should also be familiar with these protocols. Prehosp Emerg Care.
Organize an international conference on topics of interest in emergency medicine. Act as a resource in the development of emergencymedicalservices. IFEM Opportunities Each year, IFEM holds a conference, the International Conference on Emergency Medicine (ICEM). It is helpful to know that you are not alone.
Best Practices for Evaluation and Treatment of Agitated Children and Adolescents (BETA) in the EmergencyDepartment: Consensus Statement of the American Association for Emergency Psychiatry. Erratum in: West J Emerg Med. Pediatric Agitation in the EmergencyDepartment: A Survey of Pediatric Emergency Care Coordinators.
Source EmergencyMedicalServices handoff of patients in cardiac arrest in the EmergencyDepartment: A retrospective video review study of duration and details of handoff. Try this checklist! Resuscitation. 2023 Aug;189:109834. doi: 10.1016/j.resuscitation.2023.109834. 2023.109834.
Other serious time-dependent conditions such as myocardial infarction and trauma have been improved significantly with emergencymedicalservices (EMS). It has been reported that over half of patients with sepsis arrive to the emergencydepartment via ambulance [1].
Emergency physicians have long taken pride in delivering care every day of the week, every hour of the day. ACEP’s EmergencyDepartment Accreditation program adds a layer to that, says Marianne Gausche-Hill, MD, FACEP, FAAP, FAEM, Chair of the program’s Board of Governors.
The emDOCs.net team is very happy to collaborate with PECARN STELAR (Seattle, Dallas/Texas, and Los Angeles) Node and the EmergencyMedicalServices for Children Innovation and Improvement Center (EIIC) in presenting high-yield pediatric topics that highlight evidence based medicine with solid research. Acad Pediatr.
Using Maryland state law as a guide, the American College of Emergency Physicians (ACEP) and the EmergencyDepartment Practice Management Association (EDPMA) lobbied for passage of federal protections beginning in the mid-1990s.
Background Alternative emergencymedicalservices (EMS) disposition programs have been developed for adults with low-acuity complaints. Methods This was a planned secondary analysis of a cross-sectional study of children transported by EMS to an emergencydepartment (ED).
Today we’re taking a more serious look at language, this time highlighting the terminology used by members of the EmergencyMedicalService (EMS) community. That’s because one of our areas of focus here at The National Center for Outdoor & Adventure Education (NCOAE) is emergency medicine training and education.
Schreyer, MD CMQ FAAE Originally published: Common Sense January/February 2021 The advent and broad availability of ridesharing services, such as Lyft and Uber, are changing the way patients access medicalservices, and emergencydepartments (EDs) are taking notice. Academic Emergency Medicine. 2019.10.013.
Background: Frequent callers of emergencymedicalservices comprise a disproportionate percentage of emergencydepartment visits. This study aims to describe reasons for calling 911 and healthcare services among frequent callers in Ontario. Methods: Cross-sectional research design.
And now we’re here at our destination, the place we know and love, the emergency room to talk about what we should be doing for the growing volume of children with mental health problems boarding in the emergencydepartment.
The goal of the study was to determine predictors of repeat access to prehospital or emergencydepartment care within 72 hours of initial paramedic contact. 43 patients (5.4%) had repeat access to prehospital or emergencydepartment care. ” Prehospital Emergency Care 22.6 accepted transport to the hospital.
But since the mid 80s, we have realized that EMS is the clinical practice of emergency medicine outside of the emergencydepartment. There are also hundreds of other emergency physicians involved in EMS as part of their practice but aren’t board certified as EMS subspecialists. So physicians need to be involved.
Case Report: The study discusses the case of a 17-year-old female who arrived at a community emergencydepartment (ED) following a motor vehicle collision. Initially refusing emergencymedicalservices, she was brought to the ED via a private vehicle. Her condition rapidly deteriorated, requiring intubation.
A study published by Cambridge University Press examined patient outcomes over a decade during which EmergencyMedicalService (EMS) systems decreased backboard use as they transitioned from SI to SMR protocols. The study included 549 patients in the SI period and 623 patients in the SMR period.
Bad manners in the EmergencyDepartment: Incivility among doctors. Burnout and Workplace Incivility Among EmergencyMedicalServices Practitioners: A Preliminary Report , Prehospital Emergency Care [Internet] 2023 Okuyama A, Wagner C, Bijnen B. PLoS ONE [Internet]. 2018 13(3): e0194933.
Ok, here we go… Lots of controversy over the recent article titled, “Comparing Intubation Success Between Flight Nurses and Flight Paramedics in Helicopter EmergencyMedicalServices”, published by the Air Medical Journal in their November/December 2023 issue. Air Medical Journal , vol. 6, 2023, pp.
Paramedic: Paramedics generally have at least two years of training, which qualifies them to provide advanced airway management, administer life-stabilizing medications, and preform emergency procedures outside of an emergencydepartment. Do You Have What It Takes to Become an EMT?
We want to make the link between this knowledge and how it can be used in emergencymedicalservices, not just give a theoretical understanding. This will involve providing a clear and concise handoff report to the emergencydepartment staff as well as accurately documenting the incident and care rendered for future reference.
The recent discussions regarding the crew composition of the proposed Helicopter EmergencyMedicalServices (HEMS) in Cork require comment from paramedicine. In years to come paramedics should be involved in more areas of care and not limited to emergency pre-hospital care. Irish Journal of Paramedicine. Nichol , G.,
In years gone by, joining the world of emergencymedicalservices meant a high turnover of patients, among a daily mix of unpredictable emergencies. The medically minded individuals seeking ongoing patient contact found a vocation in medicine, mental health, nursing, midwifery and allied health professions.
The suicide rate among emergencymedicalservice (EMS) professionals rose a shocking 38 percent since 2009, according to a study published in the Western Journal of Emergency Medicine. As an emergencymedical technician (EMT) or paramedic, you typically work a five-day rotation of 12-hour shifts (days or nights).
The impact of a soiled airway on intubation success in the emergencydepartment when using the GlideScope or the direct laryngoscope. Acad Emerg Med. Difficult intubation factors in prehospital rapid sequence intubation by an Australian helicopter emergencymedicalservice. BioMed Res Int. 2015;2015:806243.
He is an assistant professor in Emergency Medicine, Neurology, and Neurosurgery at the School of Medicine at the University of Washington. Case: A 65-year-old man is brought into the emergencydepartment (ED) by emergencymedicalservices (EMS) after his family saw him slump over at the dinner table.
He is also the host of EMToxCast and gave a talk at the Association of Academic Chairs of Emergency Medicine Annual Retreat called: Can Social Media Save Emergency Medicine ? Case: A 45-year-old male arrives via emergencymedicalservices (EMS) complaining that he wants to be discharged. Reference: Willman et al.
The decisions referring providers make regarding emergencymedicalservices (EMS) level of care and transport modality (ground versus air) can dramatically impact patient care, emergencydepartments' workflow, hospital length of stay, and EMS resource availability.
He is alert and oriented times three with normal vital signs by the time he arrives in the emergencydepartment. Clinical Question: Can the Hospital Observation Upon Reversal (HOUR) rule be used to risk stratify patients for safe discharge from the emergencydepartment after suspected opioid overdose?
Case: A 71-year-old man is brought to your emergencydepartment (ED) by emergencymedicalserviced (EMS) having fallen two steps at home. She is also the wonderful educator that creates the Paper in a Pic infographics summarizing each SGEM episode.
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