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Chris Root is an emergency medicine and emergency medicine service (EMS) physician at the University of New Mexico, Albuquerque. Chris completed his emergency medicine residency and EMS fellowship at UNM. Before attending medical school, he was a New York City Paramedic.
But this is EMS 20/20. But this is EMS 20/20. A pair of medics take on a call with a pretty straight forward history with what should have been a pretty straight forward solution. A pair of medics take on a call with a pretty straight forward history with what should have been a pretty straight forward solution.
6 Things You Won’t Learn in EMS School (but Need to Know) There is always more to be desired from EMT school; whether it be wanting stronger assessment skills, stronger vital-taking skills, or knowing medication doses like the back of your hand. In EMS, we focus on the bad, we look for the bad in our patients because it’s our job to fix it.
We've all encountered drug addicts needing EMS. A lot of the time they need Narcan. I have had discussions with EMS personnel who advocate a "3 times rule." If you OD on drugs and require EMS, we will help you 3 times. A lot of the time we have to put them in restraints and risk our lives because they are combative.
This was not a Code 3 respiratory distress, fentanyl overdose with minimal response to Narcan or even an unconscious stroke patient with the blood pressure of a giraffe. In hindsight, I was not 100% certain, but relaying on my years of training, the voice inside my head and the gnawing feeling in my cut, it felt like the right thing to do.
Each state has their own challenges, as well as guidelines and laws, to practicing as an EMT, although with the National Registry becoming the norm, EMS will soon have similar protocols throughout the nation. It wasn’t until the 1970’s that EMT’s became certified, and by 1973, the modern day EMS system was established across the country.
What an EMT Must Learn While nearly anyone can attempt to become an EMT, in order to qualify to take and pass the National Registry of Emergency Medical Technicians certification exam, candidates must first complete an approved EMS education program. That means they must learn how to assess and administer for each of those conditions.
This police officer “had his life saved” with narcan in this dramatic body camera footage…the substance was later found to be methamphetamine… Below is the script of the podcast edited into the form of a blog post in case you are interested in reading it instead of listening to the podcast.
EMS verbalized concern to EPs that an “intracranial bleed” may have precipitated the event. The Accu-Chek was 214, and there was no response to empiric Narcan administration. There was no other known medical history, and they found the patient recumbent in her desk chair pulseless, not breathing, with a fixed leftward gaze.
A 33-year-old male with a history of drug use presented to the emergency department (ED) for extreme agitation after receiving two doses of 2 mg naloxone by EMS for respiratory depression. Upon arrival, his vitals were as follows: heart rate of 132 bpm, respiratory rate of 27, blood pressure of 134/75 mm Hg, and a SpO 2 of 100 percent.
There are the same scenes of EMS bringing the patients in on their stretchers and giving their short concise reports to the awaiting doctors, who help move the patients over to the ED beds. One EMS crew is scolded for not recognizing their drug seeking patient is in a serious sickle cell crisis. Thanks for doing this in the show.
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