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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?
His research focuses on the pre-hospital care of children by EMS. 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). EMS placed him in a C-collar and brought him to you.
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.
EmergencyMedicalServices (EMS) is called and on arrival the patient is walking but has obvious facial trauma and is complaining of some neck pain. As an EMS crew member, you are tasked with deciding what method of spinal motion restriction to use. Reference: McDonald et al.
Emergencymedicalservices (EMS) were called to the home of a 22-year-old woman after a syncopal episode and seizure-like activity. On EMS arrival, the patient was alert, pulse was fluctuating between 40 and 130 beats/min, and manual systolic blood pressure was 60 mmHg.
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.
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? Date: January 5th, 2021 Reference: Grunau et al.
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.
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.
Justin Morgenstern is an emergency physician and the creator of the excellent #FOAMed project called First10EM.com Case: A 33-year-old man arrives via emergencymedicalservices (EMS) after initially being found unresponsive with an oxygen saturation of 89%, respiratory rate of six, a systolic blood pressure of 75 mmHg, and pinpoint pupils.
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.
Movement Disorder Emergencies. His roommate found an empty pill bottle on the floor next to him. The bottle contained 100 mg quetiapine tablets, and 50 tablets were unaccounted for. Practical guidance for the use of long-acting injectable antipsychotics in the treatment of schizophrenia. Psychol Res Behav Manag. 2022;15:3915-3929.
Case: A 71-year-old man is brought to your emergencydepartment (ED) by emergencymedicalserviced (EMS) having fallen two steps at home. EMS have already splinted an obvious mid-shaft femoral fracture, but he continues to be tachycardic and hypotensive.
There are protocols in place that assist highly trained EmergencyMedicalService providers in assuring that agitated children are safely transported to their destination. That includes the patient, EMS personnel, and general public. Assessment of Underlying Medical Condition Let’s start at the scene.
The patient is an adult male with a gunshot wound to the chest, and they’re combative with emergencymedicalservices (EMS). Case: You receive a call on the Biocom for an incoming Type A trauma, three minutes out.
Guest Skeptics: Jay Loosley is the Superintendent of Education at Middlesex-London Paramedic Service. Jenn Doyle is a paramedic educator at Middlesex-London Paramedic Service. Case: EMS is dispatched to a retirement […] The post SGEM#207: Ahh (Don’t) Push It – Pre-Hospital IV Antibiotics for Sepsis.
Objective: Based on current evidence, this review article aims to guide the EmergencyDepartment (ED) in providing care for patients with blast injuries. While the majority of casualties from blast injuries are in war zones, there has also been a recent increase in attacks involving civilians.
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.
Jon Krohmer, MD, FACEP, who says he has “the EMS blood type,” practically had a front row seat to the growth of EMS care starting as a volunteer EMT more than 50 years ago. The evolution of EMS really mirrors the evolution of emergency physicians.” Dr. Krohmer said. So physicians need to be involved.
. #3: Handy EMS OHCA Handoff Checklist Spoon Feed In this video review, information contained in out-of-hospital cardiac arrest (OHCA) patient handoffs was highly variable, which is an area for quality improvement and standardization. Try this checklist!
Objective: Based on current evidence, this review article aims to guide the EmergencyDepartment (ED) in providing care for patients with blast injuries. While the majority of casualties from blast injuries are in war zones, there has also been a recent increase in attacks involving civilians.
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.
Background Alternative emergencymedicalservices (EMS) disposition programs have been developed for adults with low-acuity complaints. Our secondary objective was to determine whether support for alternative EMS dispositions differed between paramedics and EMTs. Results EMS surveys were completed for 84.0%
Bradycardia: 18.8% Average ventilator days (8.3 Take Aways: The data do not suggest that targeted hypothermia improves neurological function, reduces death, or reduces hospital length of stay as compared to normothermia. Bradycardia: 18.8% Average ventilator days (8.3
Emerg Med Clin North Am. Structured team approach to the agitated patient in the emergencydepartment. Emerg Med Australas. Use and avoidance of seclusion and restraint: consensus statement of the american association for emergency psychiatry project Beta seclusion and restraint workgroup. Dtsch Arztebl Int.
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).
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.
Authors: Christian Gerhart, MD (EM Resident Physician, Washington University in St. Louis); Dr. Jessica Pelletier, DO (EM Attending Physician, Washington University in St. You receive a page for a cardiac arrest and take report from emergencymedicalservices (EMS). Per EMS he was very cold to touch.
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.
The EMS crew reports that the hospital was unclear if he was on hospice or if he simply had a DNR. Literature Review: Education in EMS often focuses on how to treat acutely ill and injured patients with the goal of saving lives and preventing serious, long-lasting negative outcomes. His mental status is described as nodding off.
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. My Experience with Spinal Motion Restriction My EMS experience supports the data.
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.
When emergencymedicalservices (EMS) arrived, she was in asystole with an empty, recently full, bottle of benzonatate 100 mg capsules. She had return of spontaneous resuscitation (ROSC) and was subsequently intubated and transported to the emergencydepartment (ED). Am J Case Rep. 2019;20:640-2.
Workplace Incivility Among Nationally Certified EMS Professionals and Associations with Workforce-Reducing Factors and Organizational Culture, Prehospital Emergency Care. Bad manners in the EmergencyDepartment: Incivility among doctors. Journal of Interpersonal Violence [Internet]. 2021:36:1–2, NP448–NP473 Available at.
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?
A 44 year-old male with unknown past medical history came by emergencymedicalservices (EMS) to the emergencydepartment (ED) for an electrical injury and fall from a high voltage electrical pole. He was intubated by EMS due to the extent of his injuries. Emerg Med Pract.
EmergencyDepartment Resuscitative Endovascular Balloon Occlusion of the Aorta in Trauma Patients With Exsanguinating Hemorrhage: The UK-REBOA Randomized Clinical Trial [published online ahead of print, 2023 Oct 12]. PMID: 30566723 Bulger EM, Perina DG, Qasim Z, et al. appeared first on REBEL EM - Emergency Medicine Blog.
Career Captain Cooley’s career in the fire and EMSservice began at the age of 18. He obtained a Bachelor of Science in EmergencyMedicalServices and two Associate of Science degrees in Fire Protection Technology and Business Management. Justin was hired by the Omaha Fire Department in February of 2007.
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.
She was reported to have had a mechanical fall, landing face forward without loss of consciousness, and has had a continuous nosebleed since then, per EMS and the home care provider. On EMS arrival, it was noted that the patient had what seemed to be a controllable nosebleed with difficulty locating the source due to constant oozing.
Authors: Rachel Kelly, MD ( EM Resident Physician, Stony Brook University Hospital); Robert Nocito, MD (EM Attending Physician, Stony Brook University Hospital) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University in St. Int J Emerg Med. Eur J Emerg Med. Emerg Med J. 140.11.1122.
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.
They begin CPR en route to the emergencydepartment where the patient’s rhythm deteriorates into asystole. The ER physician in the destination emergency room determines that the endotracheal tube was misplaced in the esophagus. The EMSmedical director wonders if this is a “one-off” case or an indicator of more systemic issues.
Today, she would not get out of bed, prompting the facility to call EMS. 1 The rationale for the shift away from normal saline in 2021 derived from multiple trials, including the Isotonic Solutions and Major Adverse Renal Events Trial (SMART) and Saline Against Lactated Ringer’s or Plasma-Lyte in the EmergencyDepartment (SALT ED).
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