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SGEM#421: I Think I’d Have a Heart Attack – Maybe Not in a Rural Area?

The Skeptics' Guide to EM

Delayed First Medical Contact to Reperfusion Time Increases Mortality in Rural EMS Patients with STEMI. Guest Skeptic: Dr. Lauren Westafer an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School – Baystate. first appeared on The Skeptics Guide to Emergency Medicine.

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Case Study: Arkansas EMS Dept. Enhances Pediatric Behavioral Health Services

Pulsara

With a new protocol and Pulsara, Metropolitan Emergency Medical Services 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. MEMS transports around 77,000 patients each year.

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SGEM#192: Sometimes, All You Need is the Air that You Breathe

The Skeptics' Guide to EM

He is also now a first-year medical student. Emergency medical services […] The post SGEM#192: Sometimes, All You Need is the Air that You Breathe first appeared on The Skeptics Guide to Emergency Medicine. Emergency medical services are called, arrive quickly and find a man with 7/10 chest pain.

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Which patient has the more severe chest pain?

Dr. Smith's ECG Blog

Methods and Results Patients with confirmed ST elevation myocardial infarction (STEMI) treated by emergency medical services were included in this retrospective cohort analysis of the AVOID study. Greater severity of chest pain is presumed to be associated with a stronger likelihood of a true positive STEMI diagnosis.

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Brain Trauma Guidelines for Emergency Medicine

ACEP Now

This guideline revision is particularly timely as EMS systems have shown their abilities to dramatically improve survival and neurologic outcome after cardiac arrest, STEMI, acute stroke, and other time-sensitive conditions. McGovern distinguished chair in emergency medicine.

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Wave 2024 Recap: Top 6 Key Topics in EMS & Fire Industries

ESO

The discussion How Do You Stack Up? Using ESO Data and National Dashboards to Measure Performance by Brooke Burton , NRP, FACPE, FAEMS, Quality Improvement Leader, Unified Fire Authority then shared how the ESO EMS Index can help your organization improve using national benchmarks.

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** **ACUTE MI/STEMI** **: Activate the cath lab if the patient has chest pain?

Dr. Smith's ECG Blog

Even before we have clinical context, this ECG simply does not appear concerning for OMI, notwithstanding the machine's interpretation ** ** ACUTE MI / STEMI ** **. But in the world of STEMI, this is a challenging ECG to most. There were 80 positives by STEMI criteria, 88 by device algorithm, and 77 by AI software.

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