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.

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Life Support Coronary CPR ICU 136

International Journal of Paramedicine

OCTOBER 8, 2024

Data were obtained from the National Emergency Services Information System (NEMSIS) database for 2019. EMS responses (n = 4,375,568) were analyzed comparing patient acuity and CMS Service level, Advanced Life Support (ALS) vs Basic Life Support (BLS), to assess for associations in acuity and CMS Service level using logistic regression.

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BLS Advanced Life Support ALS Community Paramedicine 52

The Skeptics' Guide to EM

NOVEMBER 13, 2021

You arrive and see that the Advanced Cardiac Life Support (ACLS) algorithm is being followed for adult cardiac arrest patients with pulseless electrical activity (PEA). However, cardiac arrest is something we regularly treat in the emergency department, and we need more high-quality data to inform our care.

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Epinephrine Critical Care Life Support Emergency Department 100

Don't Forget the Bubbles

AUGUST 7, 2023

Heart rate (HR) and respiratory rate (RR) are THE major vital signs used in Advanced Paediatric Life Support ( APLS) guidance , sepsis guidelines , and Paediatric Early Warning Scores (e.g., Paediatric advanced life support Guidelines [Internet]. Available from: [link] Clinical Information [Internet]. Emerg Med J.

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Life Support Advanced Life Support ALS Emergency Department 98

Pediatric EM Morsels

JULY 21, 2023

Simplifying the use of prognostic information in traumatic brain injury. Gordon NS, Fois A, Jacobi G, Minns RA, Seshia SS. Consensus statement: The management of the comatose child. Neuropediatrics 1983; 14: 3-5. Brennan PM, Murray GD, Teasdale GM. Part 1: The GCS-Pupils score: an extended index of clinical severity. J Neurosurg.

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Critical Care ALS Life Support OR 246

FOAMfrat

MAY 17, 2024

For more information on how an oxygenator works, check out the first blog in the MCS Series "SWEEP"! Extracorporeal Life Support: The Elso Red Book. Extracorporeal Life Support Organization, 2023. Oxygen and CO2 move freely across this membrane while blood remains in the appropriate channels. Lich, Bryan V.,

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Life Support OR ALS EMS 98

The Overrun Podcast

MAY 23, 2024

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

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CPR BLS EMS Life Support 52

FOAMfrat

JULY 3, 2024

Chlorine gas is extremely hazardous to your respiratory tract (see the above information.) Always inform the hospital that the patient was coming from a contaminated environment and to what extent they have been decontaminated. Advanced Hazmat Life Support Provider Manual (4th ed.). (F. Bronstein, A. Fernandez, M.

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Life Support ALS Emergency Response OR 105

EMT Training Station

FEBRUARY 11, 2024

This rapport can also provide valuable information about the incident, aiding in our assessment and treatment decisions. Rapid Assessment and Advanced Life Support Upon arrival at the scene, our immediate focus is on assessing the victim’s airway, breathing, and circulation.

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EMT EMT Emergency Medical Technician First Aid 98

EMDocs

APRIL 10, 2024

While not specifically reviewed in this post, check out the methemoglobinemia tox card for more information about one of the other known events that can occur with local anesthetic administration. 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

EMDocs

JANUARY 16, 2024

For more information, please check out this excellent prior post on Hypothermia and Drowning Pearls: [link] For more hypothermia cases, please visit the following EM@3AM links: [link] [link] References: Headdon WG, Wilson PM, Dalton HR. Extracorporeal Life Support in Accidental Hypothermia with Cardiac Arrest—A Narrative Review.

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Defibrillator CPR Epinephrine Life Support 109

EMDocs

AUGUST 22, 2023

2019 American Heart Association Focused Update on Advanced Cardiovascular Life Support: Use of Advanced Airways, Vasopressors, and Extracorporeal Cardiopulmonary Resuscitation During Cardiac Arrest: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.

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Emergency Department ALS Life Support OR 94

FOAMfrat

OCTOBER 28, 2023

If you are familiar with this concept, I hope to detail some concepts and perhaps convey some new information. My contact information is at the bottom of the blog! Extracorporeal Life Support Organization; Ann Arbor (MI): 2017. Extracorporeal life support: the ELSO red Book; p. MacLaren G., In: 5th edition.

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Life Support Paramedic CPR OR 52

EMDocs

JANUARY 17, 2024

She received cardiopulmonary resuscitation (CPR) and standard advanced cardiovascular life support (ACLS). When emergency medical services (EMS) arrived, she was in asystole with an empty, recently full, bottle of benzonatate 100 mg capsules. Upon ED arrival, she had a heart rate (HR) of 160 and blood pressure (BP) of 80s/40s.

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E-9-1-1 Overdose Emergency Medical Services Life Support 89

Irish College of Paramedics

SEPTEMBER 26, 2018

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. References Eckstein, M., Schneir, A.

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Emergency Medical Technician Paramedicine Paramedicine Advanced Life Support 52

Dr. Smith's ECG Blog

OCTOBER 18, 2023

I sent the top ECG to Dr Smith with no information and without the baseline ECG. Cardiac arrest was called and advanced life support was undertaken for this patient. Is this an inferior OMI with reciprocal T wave inversion i aVL? The chest pain quickly subsided. His response was: "I would not call it OMI.

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Defibrillator Advanced Life Support Coronary Life Support 122

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. Using a different lens to evaluate these links in the chain of survival may provide a different perspective, and inform the way forward.

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CPR Advanced Life Support EMS Epinephrine 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.

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EMT EMT Emergency Medical Technician AEMT 52

EMDocs

APRIL 22, 2024

Advanced cardiac life support (ACLS) had been initiated and on arrival at the ED, the patient was found to have Pulseless Electrical Activity (PEA). 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. 10,11 Vid 1.

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ED NARCAN ALS OR 98

NHCPS Save a Life

JUNE 25, 2023

In the fast-paced world of healthcare, staying up-to-date and equipped with the right information is crucial for saving lives. Thanks to the advent of health care apps, medical professionals now have a powerful tool at their fingertips.

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Advanced Life Support Life Support 52

Don't Forget the Bubbles

OCTOBER 7, 2024

Advanced Paediatric Life Support [Internet]. What is the source of electricity (and is there ongoing risk to others)? Was the voltage high or low (as below)? Where were the contact points and the length of the contact? Volume resuscitation in patients with high-voltage electrical injuries. Martin Samuels, Sue Wieteska. Wiley; 2016.

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ACS Life Support OR CPR 80

First Responders Foundation

JULY 31, 2024

This training can include specialized instruction in areas such as hazardous material handling, advanced cardiac life support, and technical rescue operations. For more information, visit First Responders Foundation , or contact us.

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First Responder Public Safety Mental Health Services Firefighter 52

The Good, The Bad & The Ugly Paramedic

SEPTEMBER 30, 2021

We equip them with a growing collection of skills to include everything from basic life support, right through to advanced care. Adopting everything that we have learned over this past 20 years of waiting in line provides an ideal opportunity to educate and inform.

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Paramedic Paramedicine Paramedicine Ambulance 52

NCOAE

OCTOBER 14, 2022

To become an ER Technician, you need your EMT credential, Basic Cardiac Life Support (BCLS) certification, CPR certification, and other credentials based on the location in which you work. Obtaining your EMT certification first gives you a unique perspective of how that information is received on the other end.

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EMT EMT Emergency Medical Technician Firefighter 52

REBEL EM

DECEMBER 19, 2022

Background Information: Double external defibrillation (DED) is an intervention often used to treat refractory ventricular fibrillation (RVF). Background Information: Double external defibrillation (DED) is an intervention often used to treat refractory ventricular fibrillation (RVF).

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Defibrillator Paramedic CPR EMS 52

EMT Training Station

MARCH 24, 2023

ALS Standby: The Advanced Life Support (ALS) standby model involves having a dedicated EMS unit with paramedics or EMTs trained in advanced life support positioned nearby during tactical operations. Further TEMS Information This is a list of links for more information on becoming a Tactical EMS Provider.

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EMT EMT Emergency Medical Technician Emergency Medical Services 52

EMT Training Station

MAY 19, 2023

This article is for informational purposes only and is NOT a replacement for proper education and training. Table of Contents The human body, a marvel of biological engineering, is made up of several intricate systems working in harmony to enable life as we know it. Nonetheless, this information is not static.

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EMT EMT Emergency Medical Services First Aid 52

EMDocs

JANUARY 11, 2024

Evaluate and treat seizures or SE after CA in the context of other available clinical information because other systemic factors may influence the occurrence of seizures or SE and the effectiveness of treatment (90%, 18/20). The treatment goal for post-CA SE is seizure suppression or burst suppression for a minimum of 24 hours (95%, 19/20).

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Critical Care E-9-1-1 OR ICU 97

REBEL EM

FEBRUARY 2, 2023

Background Information: Atrial fibrillation with rapid ventricular rate (RVR) is one of the many tachydysrhythmias we encounter in the Emergency Department (ED). Amiodarone versus digoxin for acute rate control of atrial fibrillation in the emergency department. Am J Emerg Med. 2022 Sep 7. Epub ahead of print.

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Emergency Department ALS Critical Care ED 52

Paramedic Training Spot

NOVEMBER 29, 2021

Those who have been on an ambulance for the past 20 years are a vault of information-listen to their stories, their triumphs, and their failures. The EMT class book in New Jersey may seem daunting, but the information in it can, and will, save somebody’s life. Do every bit of work you can to make the information stick.

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EMT EMT EMR Emergency Medical Technician 52

AAEM RSA

AUGUST 27, 2020

For both groups, mean time to basic life support was determined to be one-minute, advanced life support started at 10 minutes, and time to ROSC at 25 minutes. Of the 939 patients enrolled, the majority, approximately 80%, in each group had a shockable rhythm on initial assessment and 75% had bystander CPR performed.

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E-9-1-1 CPR ICU ALS 52

BoostPrep

APRIL 26, 2022

EMT Airway, Respiration, & Ventilation Practice Test Time limit: 0 Quiz Summary 0 of 10 Questions completed Questions: Information You have already completed the quiz before. Give the patient's name so the physician can retrieve previous medical information, if available. Hence you can not start it again.

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EMT EMT Emergency Medical Technician CPR 52

Paramedic Training Spot

JANUARY 20, 2022

Your career will begin with obtaining a certification in basic life support, cardiopulmonary resuscitation that is, which is typically offered through the American Heart Association or the American Red Cross. There is an immense amount of information packed into the didactic phase of the program.

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Paramedic Emergency Medical Technician Emergency Medical Services EMT 52

Dr. Smith's ECG Blog

NOVEMBER 12, 2020

He was started on Extracorporeal Life Support ("VA ECMO") Here is the ECG on ECMO: Very low voltage On Day 3, the EF recovered (that seems quick!) When the ECG is nondiagnostic for coronary occlusion, or the patient is suspected of having a non-occlusion MI, consider echocardiography to inform the decision for angiography.

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E-9-1-1 STEMI Coronary ALS 52

High Performance EMS

FEBRUARY 12, 2025

“The current Emergency Medical Services (EMS) delivery model places significant emphasis on short response times and advanced life support (ALS) staffing. .” “The current Emergency Medical Services (EMS) delivery model places significant emphasis on short response times and advanced life support (ALS) staffing.

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EMS Advanced Life Support Emergency Medical Services Life Support 100

NHCPS Save a Life

JANUARY 31, 2025

It provides information about the heart’s function. The PQRST wave is a component of an electrocardiogram (ECG or EKG) reading. In many ways, the PQRST wave is the heart’s signature, which provides insight into its function and health.

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Life Support OR 52

Don't Forget the Bubbles

FEBRUARY 5, 2025

This information allows clinicians to consider the patient’s condition, anticipated interventions, and required resources. Information about attendance should be shared with safeguarding professionals, including children’s social care. Is any further investigation indicated based on the above information?

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E-9-1-1 CPR Ambulance ED 59