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.

BLS 130

BLS Defibrillator Critical Care CPR 130

Pediatric EM Morsels

OCTOBER 27, 2023

Most emergency drugs except for amiodarone and succinylcholine are based on ideal body weight [Emergency Medical Services for Children, Luten 2007] Epinephrine, dopamine, fentanyl, ketamine based on what child should weigh. Accuracy of paramedic Broselow tape use in the prehospital setting. Pediatr Emerg Care. 2012;28(6):544-547.

E-9-1-1 274

E-9-1-1 Emergency Medical Services Life Support ALS 274

The Skeptics' Guide to EM

JUNE 24, 2017

Guest Skeptic: Jay Loosley is a Registered Nurse, and an Advanced Care Paramedic in London. Guest Skeptic: Jay Loosley is a Registered Nurse, and an Advanced Care Paramedic in London. Circulation 2016. Circulation 2016. By-standard CPR is started and EMS is called. They arrive quickly and take over the resuscitation.

CPR 100

CPR Epinephrine ALS Paramedic 100

FOAMfrat

AUGUST 1, 2023

We wanted to write something that not only explained the basics of the medications but also helped bridge the gap between what EMTs are taught and what paramedics learn when they go back over these medications in paramedic pharmacology. This book is for students, EMTs, and paramedics who want an in-depth review of EMT medications!

EMT 52

EMT EMT Naloxone Epinephrine 52

Don't Forget the Bubbles

DECEMBER 25, 2023

Disease-Oriented Outcomes (DOOs) The PARAMEDIC-2 trial looked at the effectiveness of epinephrine in adult patients who suffered an out-of-hospital cardiac arrest. They found that epinephrine administration was associated with higher survival at 30 days ( 3.2% A randomized trial of epinephrine in out-of-hospital cardiac arrest.

Epinephrine 83

Epinephrine ALS OR Paramedic 83

The Overrun Podcast

MARCH 28, 2021

This is some of the best paramedic level training out there today, and it’s NREMT approved, and FREE! But we need to prepare for these low-frequency, high-stress events to give out patients every possible chance to survive. On another note, go to [link] to see the talk that inspired this episode.

Epinephrine 52

Epinephrine Paramedic ED EMS 52

Peter Canning

JANUARY 14, 2024

Our sponsor hospital, like all sponsor hospitals in Connecticut, requires their paramedics to have these certifications current. Paramedics may administer buprenorphine to patient in precipitated withdrawal following naloxone resuscitation provided the patient meets required criteria and agrees to hospital transport.* mg via syringe.*

CPR 52

CPR Naloxone EMT EMT 52

REBEL EM

DECEMBER 19, 2022

trying harder and longer knowing they are enrolled in this study) Use of two different models of defibrillators may negatively impact the internal validity of this pilot study Certain baseline characteristics were not balanced, such as: prehospital intubation and Epinephrine administration.

Defibrillator 52

Defibrillator Paramedic CPR EMS 52

NCOAE

NOVEMBER 13, 2021

Depending on the state, EMTs are authorized to administer 10 to 20 different medications, including epinephrine for an anaphylactic reaction, narcan for an overdose, or albuterol for an asthma attack. Sometimes that is with another EMT, or it may be with a higher-level emergency healthcare provider such as a paramedic.

EMT 52

EMT EMT Emergency Medical Technician Ambulance Driver 52

EMS 12-Lead

MAY 15, 2024

We will be using redacted information from different cases where paramedics attempted TCP in the field. In this call, paramedics arrived on scene to find a patient apneic and pulseless with CPR in progress by first responders (AED had an unknown unshockable rhythm). Epinephrine administered intravenously.

Epinephrine 331

Epinephrine Paramedic CPR EMT 331

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

Clinical Course The paramedic activated a “Code STEMI” alert and transported the patient nearly 50 miles to the closest tertiary medical center. 2 The astute paramedic recognized this possibility and announced a CODE STEMI. Look at the aortic outflow tract. What do you see? Answer below in the still shot.

Coronary 40

Coronary ACS ALS STEMI 40

EMS 12-Lead

MARCH 30, 2024

We will be using redacted information from different cases where paramedics attempted TCP in the field. The paramedics begin CPR. Two paramedics are in the rear of the ambulance managing resuscitation (another crew had arrived and provided support with a driver). Notice how the paramedic relied on manual pulse palpation.

CPR 312

CPR Paramedic Ambulance Defibrillator 312

Peter Canning

APRIL 18, 2025

When I started as a paramedic we could only give naloxone intravenously (IV) or intramuscularly (IM). Recently I read the FDA just approved an intranasal epinephrine that also looks just like the naloxone and diazepam nasal sprays. Many people die of anaphylaxis because people either dont give epinephrine or giving it too late.

Epi Pen 52

Epi Pen Naloxone Epinephrine EMT 52

The Skeptics' Guide to EM

MARCH 2, 2019

JAMA 2018 Guest Skeptic: Missy Carter, former City of Bremerton Firefighter/Paramedic, currently a physician assistant practicing in emergency medicine in the Seattle area and an adjunct faculty […] The post SGEM#247: Supraglottic Airways Gonna Save You for an OHCA? The AIRWAYS-2 Randomized Clinical Trial.

CPR 130

CPR Firefighter Paramedic Defibrillator 130

TIMER

SEPTEMBER 28, 2022

Thinking about the paramedic vs. EMT debate? EMT courses, NYC or paramedic level certifications are held by the majority of EMS personnel. EMT VS. PARAMEDIC: Discovering EMT Training Near Me The level of training and patient care that paramedics and EMTs receive make up the biggest differences between them (i.e.,

EMT 40

EMT EMT Paramedic Emergency Medical Technician 40

The Overrun

APRIL 19, 2021

The call involved a sick patient where the student, who was on the verge of going to boards, pulled out the wrong concentration of epinephrine. No immortal number to place you on the long line of paramedics, going back to license number 1. That’s how I learned about precepting paramedic and EMT students. That was it.

Paramedic 52

Paramedic EMT EMT OR 52

ECG Medical Training

DECEMBER 4, 2016

Start an IV and give epinephrine? That’s why I now ask my EMTs and paramedics not to apply the LUCAS device until after a minimum of 5 cycles of High Performance CPR, or the 10 minute mark. Mechanical versus manual chest compression for out-of-hospital cardiac arrest (PARAMEDIC): A pragmatic, cluster randomised controlled trial.

CPR 52

CPR E-9-1-1 Defibrillator Ambulance 52

My Paramedic Blog

FEBRUARY 21, 2015

More epinephrine went in via IV. My partner goes to the head to start bagging the patient, while the nurse grabs the crash cart and starts delivering medications at the doctor’s order. Every now and then we checked the ECG monitor and checked for pulse. His eyes were rolled back, glazed, dead. To wake up.

Epinephrine 52

Epinephrine CPR Paramedicine Paramedicine 52

The Skeptics' Guide to EM

NOVEMBER 30, 2024

The Paramedic 3 Trial: A randomized clinical trial of drug route in out-of-hospital cardiac arrest. An alumnus of Tacoma Community College's paramedic program Missy served as a paramedic for the Bremerton Fire Department for nearly 12 years and has been involved in paramedic education since 2004.

Epinephrine 249

Epinephrine OR CPR Paramedic 249

EMDocs

JANUARY 4, 2025

1: PARAMEDIC-3 and IVIO RCTs IO vs IV Epinephrine for OHCA Spoon Feed Two large studies randomizing patients with out-of-hospital-cardiac arrest (OHCA) to either an intraosseous (IO) or intravenous (IV) first approach for access had no difference in 30-day survival or neurologically intact survival.

Epinephrine 98

Epinephrine Paramedic OR 98

FOAMfrat

DECEMBER 4, 2024

You’re me, and you’re in paramedic school, in the thick of the cardiology section. Low-dose epinephrine is a strong beta-1 drug with minimal alpha-1 effects if you stay below ~0.08 Dobutamine is a synthetic catecholamine, similar to epinephrine, but without the alpha-1 effects. Let’s take a trip way back to 2016. mcg/kg/min.

Coronary 65

Coronary STEMI Epinephrine Critical Care 65

Dr. Smith's ECG Blog

FEBRUARY 20, 2025

Resuscitated with chest compressions, epinephrine. Here is the written paramedic report available after all the events were over: Patient was seen by witnesses to become unresponsive. including epinephrine, and there was ROSC. Not a shockable rhythm. They laid her on the floor and called 911.

STEMI 88

STEMI Paramedic E-9-1-1 Epinephrine 88