The Skeptics' Guide to EM

JULY 29, 2023

Emergency Medical Services (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.

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Emergency Medical Services ALS EMS Emergency Department 193

ACEP Now

MAY 9, 2024

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.

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EMS Emergency Medical Services EMT EMT 52

International Journal of Paramedicine

OCTOBER 8, 2024

Background Alternative emergency medical services (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%

Emergency Medical Technician 52

Emergency Medical Technician EMT EMT Paramedic 52

NCOAE

AUGUST 12, 2022

Today we’re taking a more serious look at language, this time highlighting the terminology used by members of the Emergency Medical Service (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.

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EMS EMT EMT Emergency Medical Technician 52

EMDocs

JUNE 9, 2023

There are protocols in place that assist highly trained Emergency Medical Service 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.

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Emergency Medical Services EMS Emergency Department Ambulance 76

The Skeptics' Guide to EM

DECEMBER 17, 2022

Case: A 71-year-old man is brought to your emergency department (ED) by emergency medical serviced (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.

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Frozen Plasma FFP Emergency Medical Services Plasma 130

The Skeptics' Guide to EM

JANUARY 19, 2019

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 emergency medical services (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.

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Naloxone Overdose Emergency Medical Services Emergency Department 130

Core EM

JULY 23, 2024

Objective: Based on current evidence, this review article aims to guide the Emergency Department (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.

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EMS Emergency Medical Services OR Coronary 100

NCOAE

SEPTEMBER 26, 2023

The suicide rate among emergency medical service (EMS) professionals rose a shocking 38 percent since 2009, according to a study published in the Western Journal of Emergency Medicine. As an emergency medical technician (EMT) or paramedic, you typically work a five-day rotation of 12-hour shifts (days or nights).

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EMS EMT EMT Allergic Reaction 52

Core EM

MARCH 7, 2024

Objective: Based on current evidence, this review article aims to guide the Emergency Department (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.

EMS 100

EMS Emergency Medical Services OR Coronary 100

The Skeptics' Guide to EM

MAY 21, 2017

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 emergency medical services (EMS) complaining that he wants to be discharged.

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Naloxone Overdose First Responder Emergency Department 130

EMDocs

SEPTEMBER 15, 2023

. #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!

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Emergency Medical Services Coronary Emergency Department EMS 61

NCOAE

DECEMBER 11, 2023

A study published by Cambridge University Press examined patient outcomes over a decade during which Emergency Medical Service (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.

OR 52

OR Emergency Medical Technician Emergency Department Emergency Medical Services 52

The Skeptics' Guide to EM

MAY 29, 2021

The patient is an adult male with a gunshot wound to the chest, and they’re combative with emergency medical services (EMS). Case: You receive a call on the Biocom for an incoming Type A trauma, three minutes out.

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Emergency Medical Services ACS ALS Emergency Department 130

NAEMSP

FEBRUARY 15, 2023

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.

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Emergency Medical Services EMS CPR Paramedic 52

AAEM RSA

MAY 7, 2021

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 medical services, and emergency departments (EDs) are taking notice. Academic Emergency Medicine. 2019.10.013.

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EMR Emergency Medical Services Ambulance Emergency Department 52

EMDocs

JUNE 2, 2023

Best Practices for Evaluation and Treatment of Agitated Children and Adolescents (BETA) in the Emergency Department: Consensus Statement of the American Association for Emergency Psychiatry. Erratum in: West J Emerg Med. Pediatric Agitation in the Emergency Department: A Survey of Pediatric Emergency Care Coordinators.

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Emergency Department Emergency Medical Services Overdose ED 66

EMDocs

JUNE 1, 2023

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

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E-9-1-1 Emergency Medical Services Emergency Department OR 61

EMDocs

JULY 9, 2024

The emDOCs.net team is very happy to collaborate with PECARN STELAR (Seattle, Dallas/Texas, and Los Angeles) Node and the Emergency Medical Services for Children Innovation and Improvement Center (EIIC) in presenting high-yield pediatric topics that highlight evidence based medicine with solid research. Acad Pediatr.

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Emergency Department Emergency Medical Services ED EMS 71

EMDocs

JUNE 16, 2023

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 emergency department.

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ED Mental Health Services Emergency Department Emergency Medical Services 52

EMDocs

NOVEMBER 19, 2024

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.

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Overdose EMS Emergency Medical Services OR 77

The Skeptics' Guide to EM

FEBRUARY 17, 2018

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.

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Ambulance Paramedic Emergency Medical Services ALS 100

EMDocs

MAY 26, 2023

Emerg Med Clin North Am. Structured team approach to the agitated patient in the emergency department. 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.

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Emergency Medical Services Emergency Department OR ED 75

EMDocs

JANUARY 16, 2024

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 emergency medical services (EMS). Per EMS he was very cold to touch.

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Defibrillator CPR Epinephrine Life Support 84

ACEP Now

MARCH 14, 2024

A 44 year-old male with unknown past medical history came by emergency medical services (EMS) to the emergency department (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.

Operating Room 52

Operating Room ACS Critical Care Coronary 52

EMDocs

JANUARY 17, 2024

When emergency medical services (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 emergency department (ED). Am J Case Rep. 2019;20:640-2.

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E-9-1-1 Overdose Emergency Medical Services Life Support 67

International Journal of Paramedicine

JANUARY 5, 2024

The decisions referring providers make regarding emergency medical services (EMS) level of care and transport modality (ground versus air) can dramatically impact patient care, emergency departments' workflow, hospital length of stay, and EMS resource availability.

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Emergency Medical Services Interfacility Transport Emergency Department EMS 52

NCOAE

MARCH 8, 2021

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 emergency department. Do You Have What It Takes to Become an EMT?

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EMT EMT Emergency Medical Technician CPR 52

First Responders Foundation

AUGUST 24, 2023

Career Captain Cooley’s career in the fire and EMS service began at the age of 18. He obtained a Bachelor of Science in Emergency Medical Services 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.

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First Responder Firefighter Emergency Medical Services EMS 52

EMDocs

FEBRUARY 12, 2024

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.

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Emergency Department E-9-1-1 ED ICU 94

EMT Training Station

MAY 19, 2023

We want to make the link between this knowledge and how it can be used in emergency medical services, not just give a theoretical understanding. This will involve providing a clear and concise handoff report to the emergency department staff as well as accurately documenting the incident and care rendered for future reference.

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EMT EMT Emergency Medical Services First Aid 52

Don't Forget the Bubbles

MAY 29, 2023

Workplace Incivility Among Nationally Certified EMS Professionals and Associations with Workforce-Reducing Factors and Organizational Culture, Prehospital Emergency Care. Bad manners in the Emergency Department: Incivility among doctors. Journal of Interpersonal Violence [Internet]. 2021:36:1–2, NP448–NP473 Available at.

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Critical Care E-9-1-1 Paramedicine Paramedicine 98

ACEP Now

JULY 7, 2023

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.

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Emergency Medical Services ALS EMS OR 59

REBEL EM

NOVEMBER 20, 2023

Emergency Department 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.

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OR Emergency Medical Technician CPR Emergency Medical Services 91

EMDocs

JUNE 3, 2023

What is the EM physician’s role in the stabilization of unstable pelvic injuries? If a pelvic binder was placed by EMS, inquire whether this was placed empirically or if mechanical pelvic instability was already elicited. Her initial vital signs are blood pressure 76/54 mmHg, heart rate 128 bpm, temperature 37.0˚

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ED Operating Room ALS Frozen Plasma 54

NAEMSP

MARCH 13, 2023

They begin CPR en route to the emergency department 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 EMS medical director wonders if this is a “one-off” case or an indicator of more systemic issues.

EMS 52

EMS Emergency Medical Services EMT EMT 52

International Journal of Paramedicine

OCTOBER 12, 2023

Background: Frequent callers of emergency medical services comprise a disproportionate percentage of emergency department visits. This study aims to describe reasons for calling 911 and healthcare services among frequent callers in Ontario. Methods: Cross-sectional research design.

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Overdose EMS Emergency Medical Services Ambulance 52