High Performance EMS

OCTOBER 18, 2024

Great OpEd published by AIMHI about how our industry is changing and leading to “EMS On Life Support: The Alarming Gap Between Expectations and Reality.” ” [link] I have been writing a lot this year that “ a stopwatch is not a valid instrument for summarizing the measure of care that a patient receives.

Life Support 100

Life Support Public Safety EMS OR 100

The Skeptics' Guide to EM

SEPTEMBER 23, 2017

Prehospital advanced cardiac life support for out-of-hospital cardiac arrest: a cohort study. He is also the CME editor for Academic Emergency Medicine and the associate editor for emergency medicine simulation at the […] The post SGEM#189: Bring Me To Life in OHCA first appeared on The Skeptics Guide to Emergency Medicine.

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CPR Life Support Advanced Life Support Defibrillator 130

The Skeptics' Guide to EM

DECEMBER 7, 2018

You are the first provider on scene with Emergency Medical Services (EMS) and start high-quality Cardiopulmonary Resuscitation (CPR). This was a before and after study to see if advanced cardiac life support (ACLS) techniques, including IV epinephrine, would improve survival to discharge. He is unsuccessfully shocked. .

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Epinephrine Life Support Advanced Life Support Defibrillator 130

Handtevy

DECEMBER 23, 2024

On November 14, 2024, ILCOR released their latest recommendations for adult and pediatric basic and advanced life support. As EMS leaders, its our responsibility not only to examine the research ILCOR uses, but also to critically evaluate the studies that dont make the final cut. By now, you can see the pattern.

Advanced Life Support 52

Advanced Life Support Epinephrine Life Support EMS 52

The Skeptics' Guide to EM

SEPTEMBER 29, 2018

Annals of EM May 2018 Guest Skeptic: Andrew Merelman is a critical care paramedic and first year medical student at Rocky Vista University in Colorado. Annals of EM May 2018 Guest Skeptic: Andrew Merelman is a critical care paramedic and first year medical student at Rocky Vista University in Colorado.

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BLS Defibrillator Critical Care CPR 130

The Skeptics' Guide to EM

SEPTEMBER 11, 2021

Guest Skeptic: Dr. Stephen Meigher is the EM Chief Resident training with the Jacobi and Montefiore Emergency Medicine Residency Training Program. Guest Skeptic: Dr. Stephen Meigher is the EM Chief Resident training with the Jacobi and Montefiore Emergency Medicine Residency Training Program. The TOMAHAWK Investigators.

EMR 130

EMR Coronary Defibrillator Life Support 130

The Skeptics' Guide to EM

OCTOBER 24, 2020

You abandon your coffee order and quickly head next-door, where you are able to start cardiopulmonary resuscitation (CPR) and direct a bystander to find the store’s automated external defibrillator (AED) while waiting for emergency medical services (EMS) to arrive. SGEM#64 : Classic EM Papers (OPALS Study) * SGEM#136 : CPR – Man or Machine?

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CPR Defibrillator Advanced Life Support Emergency Medical Services 130

REBEL EM

SEPTEMBER 14, 2023

Revascularization of the culprit lesion remains one of the few established treatments though there are numerous other unproven modalities including extracorporeal life support (ECLS). Extracorporeal Life Support in Infarct-Related Cardiogenic Shock. Extracorporeal Life Support in Infarct-Related Cardiogenic Shock.

Life Support 136

Life Support Coronary CPR ICU 136

The Skeptics' Guide to EM

MARCH 11, 2023

He is a former New York City paramedic and this summer will be starting fellowship training in EMS medicine at UNM. The fire-based crew has basic life support (BLS) airway supplies including the King Laryngeal Tube, the paramedic crew carries iGel supraglottic airways (SGAs) in addition to their intubation equipment.

CPR 130

CPR Defibrillator BLS Paramedic 130

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. The post Most EMS Terminology Comes Down to Initials, Abbreviations and Acronyms appeared first on National Center for Outdoor & Adventure Education.

EMS 52

EMS EMT EMT Emergency Medical Technician 52

International Journal of Paramedicine

APRIL 3, 2024

Objective: The objectives of this systematic review were to evaluate the incidence, patient demographics and associated outcomes of adult syncope presentations to emergency medical services (EMS) within current literature. No studies specifically looked at the incidence or outcomes of syncope presentations to EMS.

Emergency Medical Services 75

Emergency Medical Services Life Support EMS OR 75

International Journal of Paramedicine

OCTOBER 8, 2024

The objective of this study was to examine the relationship between patient acuity and level of EMS care adjusting for rurality and insurance. Overall, there was a decreased odds of advanced life service use at low acuity EMS responses (OR=0.443, 95% CI=0.440-0.445). Discussion.

BLS 52

BLS Advanced Life Support ALS Community Paramedicine 52

Critical Care Scenarios

NOVEMBER 15, 2020

Yes, temporize with supportive care while you go through the process, but do the work—find a legitimate representative or documentation of the patient’s wishes to determine what they’d want before you commit them to lengthy, aggressive life support. ” is always, ultimately, the main question of the EM provider.

ICU 100

ICU Life Support Emergency Department ED 100

REBEL EM

APRIL 22, 2024

Lower vs higher oxygenation target and days alive without life support in COVID-19. Intervention: Target PaO2 = 60 mm Hg Control: Target PaO2 = 90 mm Hg Outcome (primary): Absolute number of days without life support in 90 days defined as the absence of mechanical ventilation, circulatory support, or kidney replacement.

Life Support 74

Life Support ICU EMS OR 74

Pediatric EM Morsels

JULY 21, 2023

We had just received a young child from EMS who was post-ictal with decreased mentation. The post Glasgow Coma Scale in Children appeared first on Pediatric EM Morsels. In emergency medicine, we often use illness scripts and protocols to help drive our decision-making. Less than 8, intubate! 2018): 192–200.

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Critical Care ALS Life Support OR 246

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. 2009;338:b2085.

Defibrillator 110

Defibrillator CPR Epinephrine Life Support 110

The Overrun Podcast

MAY 23, 2024

Takeaways Advances in medical resuscitation have focused on basic life support (BLS) interventions, such as compression-only CPR and early defibrillation. He also highlights the potential of technology, such as ultrasound and sending real-time information to the trauma team.

CPR 52

CPR BLS EMS Life Support 52

EMDocs

APRIL 10, 2024

Authors: Alex Rogers, MD (EM Resident Physician, Christus Spohn/Texas A&M University School of Medicine, Corpus Christi, TX); J.D. Supportive care includes: protecting the airway if necessary, supplemental oxygen if needed, and vasopressor support if the patient is hypotensive.

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E-9-1-1 Plasma Epinephrine Life Support 111

Paramedics Unlimited

APRIL 19, 2018

In Basic Life Support (BLS) emergencies, a single EMS provider can not deliver optimum care, such as when trying to hold direct pressure on a bleeding wound, while preparing bandages, to stop bleeding. In Advanced Life support (ALS) emergencies, a “single” paramedic or ER doctor can not deliver necessary care.

BLS 52

BLS ALS Emergency Medical Technician Advanced Life Support 52

FOAMfrat

MAY 17, 2024

EMS providers in the future may even encounter this technology in the field, although in my personal opinion, we are still quite a few years away from this becoming a regular occurrence outside of the hospital environment. Extracorporeal Life Support: The Elso Red Book. Extracorporeal Life Support Organization, 2023.

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Life Support OR ALS EMS 98

ACEP Now

JULY 7, 2023

More recent literature and guidelines support the use of lidocaine as an alternative agent, and currently both are included in standard advanced cardiovascular life support. Medications: think about using esmolol Amiodarone has been traditionally used in the management of VT or VF as an adjunct to defibrillation.

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Defibrillator OR ALS Epinephrine 98

REBEL EM

MARCH 13, 2023

Does the inclusion of patients pronounced dead on scene and the presence of a physician-based EMS organization affect the pooled mortality rate and survival with favorable neurologic outcomes for prehospital TCA? The search contained terms for (1) prehospital cardiac arrest or prehospital advanced life support, and (2) injuries and trauma.

Advanced Life Support 52

Advanced Life Support Life Support E-9-1-1 EMS 52

ESO

JANUARY 19, 2024

There are steps to take to work towards closing this gap, such as not prioritizing a set list of symptoms as “normal EKG” and recognizing atypical presentations across different patient populations. EMS services can proactively work to improve how they communicate within their communities.

CPR 52

CPR Advanced Life Support Life Support STEMI 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. When emergency medical services (EMS) arrived, she was in asystole with an empty, recently full, bottle of benzonatate 100 mg capsules. Cardiac Arrest Due to Benzonatate Overdose. Am J Case Rep.

E-9-1-1 92

E-9-1-1 Overdose Emergency Medical Services Life Support 92

Irish College of Paramedics

SEPTEMBER 26, 2018

Helicopter EMS in Cork: a paramedicine perspective. Crewing Models: There are varying models of pre-hospital care ranging from paramedic provision of care through the mix of First Aid (Tanigawa and Tanaka 2006) Basic Life Support (BLS), immediate care, Advanced Life Support (ALS) and the many associated specialist paramedicine grades.

Emergency Medical Technician 52

Emergency Medical Technician Paramedicine Paramedicine Advanced Life Support 52

EMT Training Station

FEBRUARY 11, 2024

Rapid Assessment and Advanced Life Support Upon arrival at the scene, our immediate focus is on assessing the victim’s airway, breathing, and circulation. In cases of severe electrical burns, victims may require advanced life support, which includes securing the airway and providing assisted ventilation.

EMT 98

EMT EMT Emergency Medical Technician First Aid 98

Unitek EMT

JANUARY 19, 2024

These professionals bridge the gap between standard emergency medical services and acute care, delivering advanced life support through critical interventions […] The post Critical Care EMT appeared first on Unitek EMT.

Critical Care 52

Critical Care EMT EMT Emergency Medical Technician 52

NCOAE

MARCH 8, 2021

More specifically, you have three fundamental job responsibilities: Assessment and stabilization of the patient’s condition Basic life support Transportation In this post, we bring you up to speed on the different levels in emergency medicine and credentialing while explaining the basic education and skills required to become an EMT.

EMT 52

EMT EMT Emergency Medical Technician AEMT 52

Utah's Paramedic and EMS Academy

OCTOBER 23, 2023

In contrast, Paramedics are trained to provide advanced life support care. This training covers basic medical care, such as how to conduct an emergency assessment, administer oxygen, and provide essential life support, and takes about six months in most cases.

EMT 52

EMT EMT Paramedic Emergency Medical Technician 52

Handtevy

APRIL 10, 2019

Data from the AHA and the Pediatric Advanced Life Support (PALS) guidelines consistently report neurologic intact survival from pediatric cardiac arrest to be 3% for infants and 10% for children. On-scene EMS resuscitation. By Peter Antevy, MD. Bystander CPR, 2. Telephone CPR (T-CPR), and 3.

CPR 52

CPR Advanced Life Support EMS Epinephrine 52

AAEM RSA

SEPTEMBER 4, 2020

Dispatch notifies EMS that the patient has a fever and was put on mandatory self-isolation for 14 days. On arrival, EMS dons a sterile cap, goggles, an N95 mask, face shield, gown, and gloves. The patient, belligerent and intoxicated on alcohol and psilocybin, yells at EMS ‘I have the COVID!’.

Paramedic 52

Paramedic EMS Ambulance Life Support 52

FOAMfrat

OCTOBER 28, 2023

I'm currently a board-certified cardiovascular perfusionist and maintain my paramedic certifications, working part-time at a local EMS agency. Extracorporeal Life Support Organization; Ann Arbor (MI): 2017. Extracorporeal life support: the ELSO red Book; p. Extracorporeal life support: the ELSO red book).

Life Support 52

Life Support Paramedic CPR OR 52

Handtevy

MARCH 13, 2024

This groundbreaking technique was used to save the life of a 24-year-old male who experienced an out-of-hospital cardiac arrest with refractory ventricular fibrillation. – Persistence in EMS: The perseverance and innovative thinking of the medical team were crucial in saving the patient’s life.

Defibrillator 52

Defibrillator CPR Life Support EMS 52

Peter Canning

JANUARY 14, 2024

I recerted CPR, ACLS (Advanced Cardiac Life Support) and PALS (Pediatric Advanced Life Support) late in December. EMS may transport children with behavioral emergencies aged 4 to 18 directly to urgent crisis centers, provided they meet criteria and the service has sponsor hospital approval.* micrograms/kg/min.

CPR 52

CPR Naloxone EMT EMT 52

EMT Training Station

MARCH 24, 2023

By choosing a career in Tactical EMS, EMTs and paramedics can take their medical expertise to the front lines of law enforcement, ultimately helping to save lives and ensure the safety of both officers and civilians in some of the most challenging and high-risk scenarios.

EMT 52

EMT EMT Emergency Medical Technician Emergency Medical Services 52

REBEL EM

DECEMBER 19, 2022

At REBEL EM, we’ve done an extensive write up that details some of the different types of DED and the electrophysiology behind it. Within the United States, due to paramedic shortages, this dual-medic setup does not exist in many EMS systems. That write up was for the DOSE-VF pilot trial done in March 2020 and can be found here.

Defibrillator 52

Defibrillator Paramedic CPR EMS 52

NAEMSP

JANUARY 5, 2023

Panchal AR, Bartos JA, Cabañas JG, Donnino MW, Drennan IR, Hirsch KG, Kudenchuk PJ, Kurz MC, Lavonas EJ, Morley PT, O’Neil BJ, Peberdy MA, Rittenberger JC, Rodriguez AJ, Sawyer KN, Berg KM; Adult Basic and Advanced Life Support Writing Group. Ross EM, Mapp J, Kharod C, Wampler DA, Velasquez C, Miramontes DA. Circulation.

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E-9-1-1 Advanced Life Support Epinephrine Life Support 52