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Nebulized Ketamine for Analgesia in the Prehospital Setting

Handtevy

The study, conducted by Casey Patrick, Michael Smith, Zubaid Rafique, Kelly Rogers Keene, and Xavier De La Rosa, explores the use of nebulized ketamine for pain management in an urban, ground-based emergency medical services (EMS) system. Prehospital Emergency Care. DISCLAIMER: Pediatric Emergency Standards Inc.

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Read This Before Implementing Ultrasound

FOAMfrat

I did a webinar on implementing ultrasound for Philips Lumify a few years ago. West J Emerg Med. Use of prehospital ultrasound in North America: a survey of emergency medical services medical directors. BMC Emerg Med. The internet is full of abnormal scans for instructors to use for teaching.

professionals

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PEM Currents – Agitation in Children – Episode 4: Safe prehospital transport

EMDocs

There are protocols in place that assist highly trained Emergency Medical Service providers in assuring that agitated children are safely transported to their destination. We’re defining “protocol” here as a written document that provides oversight from the medical director about how to assess and treat patients.

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Introduction to Key Musculoskeletal Concepts for EMTs

EMT Training Station

This emphasizes the crucial role EMTs play in providing immediate care for musculoskeletal emergencies and the importance of this system’s comprehensive understanding as a key component of their training. In addition to facilitating movement and protecting organs, the musculoskeletal system serves as the body’s scaffolding.

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PEM Currents – Agitation in Children – Episode 2: Non-Pharmacologic Management

EMDocs

But what about the patient who is agitated, and is a potential danger to themselves or to the ED staff? Do we Redirect? Patient that are agitated should always be treated with dignity and respect. This entails utilizing the least invasive non-pharmacologic means of assisting them, before moving to physical or chemical restraints.

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PEM Currents – Agitation in Children – Episode 3: Pharmacologic Management

EMDocs

Intramuscular (IM) is an option for the combative patient or patient who refuses to take oral medications, and who cannot be calmed using non-pharmacological means. I liken an anxiolytic or agitation med to taking medicine for pain – “we are not drugging you” we want to help you feel better. mg/kg/dose (PO/IM/IV) Midazolam – 0.25-0.5

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PEM Currents – Agitation in Children – Episode 5: The Boarded ED Patient

EMDocs

De-escalation is preferred as administering any physical restraint or sedative medication may mean that the patient is no longer able to participate in care, further prolonging their stay. One study found that mental health ED visits for children increased by 8% annually with 13% of those children presenting again within 6 months.

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