The Skeptics' Guide to EM

JANUARY 13, 2024

On your arrival, first responders from the fire department are performing high-quality basic cardiac life support. The patient is a 54-year-old man who collapsed in front of his family after complaining of chest pain for several hours. You continue with compressions and defibrillations and your partner places an advanced airway.

CPR 219

CPR Defibrillator First Responder Epinephrine 219

Chicago EMT Training

NOVEMBER 8, 2023

A quick breakdown on the differences between an EMT-B(asic) and an EMT-P(aramedic) Basic Life Support (BLS) vs Advanced Life Support (ALS) So there it is. It's encouraging to hear that there is still interest in becoming first responders! The two main levels of care you would probably see in the prehospital setting.

BLS 130

BLS Advanced Life Support EMT EMT 130

The Skeptics' Guide to EM

JUNE 15, 2024

You initiate standard, simultaneous assessment and resuscitation following the Advanced Trauma Life Support (ATLS) principles. On arrival at the trauma center, the patient’s vital signs and symptoms remain essentially unchanged from those on scene. You wonder what the evidence is for this additional approach.

Life Support 220

Life Support Emergency Department ALS 220

Emergency Medicine Cases

DECEMBER 6, 2016

In anticipation of EM Cases Episode 90 on the Pediatric Advanced Life Support (PALS) guidelines with the lead author Dr. Allan DeCaen and Dr. Anthony Crocco, Dr. DeCaen tells his Best Case Ever showing us the value of orchestrated team work and a great example of the saying, "they're not dead until they're warm and dead".

Advanced Life Support 130

Advanced Life Support Life Support EMS CPR 130

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.

Life Support 130

Life Support CPR Advanced Life Support Defibrillator 130

The Skeptics' Guide to EM

DECEMBER 7, 2018

This was a before and after study to see if advanced cardiac life support (ACLS) techniques, including IV epinephrine, would improve survival to discharge. While there was an improvement in return of spontaneous circulation (ROSC) and survival to hospital admission there was not an increased survival to hospital discharge.

Epinephrine 130

Epinephrine Life Support Advanced Life Support Defibrillator 130

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

ALiEM

FEBRUARY 20, 2024

Flecainide toxicity–treatment with intravenous fat emulsion and extra corporeal life support. PMID: 17448102. Sivalingam SK, Gadiraju VT, Hariharan MV, Atreya AR, Flack JE, Aziz H. Acute Card Care. 2013 Dec;15(4):90-2. doi: 10.3109/17482941.2013.841949. Epub 2013 Nov 7. PMID: 24200150. Bruccoleri RE, Burns MM.

Life Support 183

Life Support Overdose ED 183

EMT Training Station

FEBRUARY 11, 2024

This could range from basic life support, typically managed by EMTs, to more advanced life support provided by paramedics and other medical specialists. EMTs, for example, are trained in basic life support, while paramedics receive more advanced training, including in pharmacology, cardiology, and trauma care.

EMT 98

EMT EMT Emergency Medical Technician Emergency Medical Services 98

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

ACEP Now

OCTOBER 9, 2023

Throughout the Advanced Trauma Life Support manual, a mere three sentences relate to the murky ethics of trauma consent: “Consent is sought before treatment, if possible. In life-threatening emergencies, it is often not possible to obtain such consent. Advanced Trauma Life Support: Student Course Manual.

Heart Attack 126

Heart Attack Life Support Emergency Department Ambulance 126

Critical Care Scenarios

MAY 10, 2023

Podcasts * CORE IM * EMcrit * Gobbet ‘o Pus * Simulcast * Intensive Care Network * ACCRAC * Blood Bank Guy Essentials * Traumacast * Maryland Critical Care Project * PulmPEEPS * IBCC podcast * Pharmacy Joe’s Elective Rotation * Trauma ICU Rounds * PulmCast * Jeff Guy’s ICU Rounds * SMACC/CODA * Ultrasound Podcast/Core Ultrasound Blogs/websites (..)

Critical Care 100

Critical Care ICU Life Support 100

The Skeptics' Guide to EM

OCTOBER 24, 2020

Unfortunately, most patients don’t receive these crucial interventions.

CPR 130

CPR Defibrillator Advanced Life Support Emergency Medical Services 130

EMCrit Project

JULY 18, 2022

Failure to recognize that a patient is intoxicated could lead to an incorrect diagnosis of brain death that in turn can lead to withdrawal of life support – thereby […]. One important confounder is intoxication. EMCrit Project by Josh Farkas.

Life Support 77

Life Support 77

The Skeptics' Guide to EM

SEPTEMBER 29, 2018

EMS arrives on scene and initiates high quality basic life support (BLS). Case: A 46-year-old man has a cardiac arrest at home, witnessed by family. Bystander CPR is initiated prior to EMS arrival. One defibrillation for ventricular fibrillation (VF) is provided but the patient remains in VF.

BLS 130

BLS Defibrillator Critical Care CPR 130

The Skeptics' Guide to EM

SEPTEMBER 11, 2021

The paramedics achieve return of spontaneous circulation (ROSC) after CPR, advanced cardiac life support (ALCS), and Intubation. She has a history of hypertension and non-insulin dependent diabetes mellitus. She arrives in the emergency department (ED) with decreased level of consciousness and shock.

EMR 130

EMR Coronary Defibrillator Life Support 130

NHCPS Save a Life

AUGUST 20, 2024

To help you learn what your basic life support certification options are and which one is best for you, consider the following details. If you are looking to prepare to work as a rescuer in any situation, you may be considering your BCLS certification. What is it? Why do you need it?

BLS 52

BLS Life Support 52

NHCPS Save a Life

AUGUST 20, 2024

To help you learn what your basic life support certification options are and which one is best for you, consider the following details. If you are looking to prepare to work as a rescuer in any situation, you may be considering your BCLS certification. What is it? Why do you need it?

BLS 52

BLS Life Support CPR 52

Critical Care Scenarios

MARCH 29, 2020

Monitoring Hemostasis During Extracorporeal Life Support. Consider leaving the Impella if there are any lingering concerns. Resources References * How to monitor anticoagulation during ECMO: Saifee NH, Brogan TV, McMullan DM, et al. 2020;66(2):230–237.

Critical Care 100

Critical Care Life Support ALS OR 100

The Skeptics' Guide to EM

FEBRUARY 2, 2019

This was measured by FiO2, PaO2, arterial oxygen saturation measured by blood analysis or peripheral oxygen saturation measured by pulse oximeter. Comparison: The lower oxygen target (conservative group) * Outcomes: The authors do not report any one outcome as a primary outcomes, but instead listed morbidity and mortality.

Life Support 130

Life Support ALS STEMI Emergency Department 130

The Skeptics' Guide to EM

MARCH 11, 2023

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

NHCPS Save a Life

NOVEMBER 30, 2023

Pediatric Advanced Life Support (PALS) training emerges as a cornerstone in equipping healthcare […] The post Common Pediatric Cardiac Emergencies: A PALS Approach appeared first on SaveaLife.com.

Advanced Life Support 52

Advanced Life Support Life Support Emergency Medical Services Emergency Response 52

NHCPS Save a Life

JULY 30, 2023

This time, we delve into a topic that’s essential for any healthcare professional dealing with Advanced Cardiac Life Support (ACLS) – we will help you to answer important questions on how to memorize ACLS drugs.

Life Support 52

Life Support Advanced Life Support 52

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

EMDocs

OCTOBER 9, 2023

2022 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Pediatric Life Support; Neonatal Life Support; Education, Implementation, and Teams; and First Aid Task Forces.

ED 82

ED Life Support Advanced Life Support CPR 82

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]. Emerg Med J. 2021 Feb;38(2):132–8. Resuscitation Council UK.

Life Support 98

Life Support Advanced Life Support ALS Emergency Department 98

NHCPS Save a Life

APRIL 28, 2023

It is crucial for healthcare providers who are new to the Advanced Cardiac Life Support (ACLS) algorithm to understand the difference between pulseless electrical activity and asystole. ACLS is a set of protocols and interventions used to treat patients in cardiac arrest or other life-threatening medical emergencies.

Life Support 52

Life Support OR CPR 52

NHCPS Save a Life

OCTOBER 31, 2023

In the emergency medical care sector, Basic Life Support (BLS) stands as a critical cornerstone. It comprises a comprehensive repertoire of life-saving techniques and essential tools, each honed to perfection in the action of high-stress situations.

BLS 52

BLS Life Support First Responder 52

International Journal of Paramedicine

OCTOBER 8, 2024

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. 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. Emergency staff have limited bandwidth.

ICU 100

ICU Life Support Emergency Department ED 100

International Journal of Paramedicine

APRIL 3, 2024

Exclusion criteria were all non-primary studies, patients given an alternative provisional diagnosis or who received life supporting interventions, studies that examined only presyncope presentations or were limited to paediatric patients, or that examined syncope within highly specific non-generalisable settings.

Emergency Medical Services 75

Emergency Medical Services Life Support EMS OR 75

EMDocs

NOVEMBER 6, 2023

Treatment of cardiac arrest and life-threatening toxicity due to poisoning often requires specialized treatments that most clinicians do not use frequently such as antidotes and venoarterial extracorporeal membrane oxygenation, in addition to effective basic and advanced life support. COR 2a, LOE C-LD. COR 2a, LOE C-LD.

Naloxone 94

Naloxone OR Overdose BLS 94

Prehospital Emergency Care Podcast

SEPTEMBER 29, 2021

Recommended Essential Equipment for Basic Life Support and Advanced Life Support Ground Ambulances 2020: A Joint Position Statement Click here to download today! Physician Oversight of Air-Based Emergency Medical Services: A Joint Position Statement of NAEMSP, ACEP, and AMPA 2. As always THANK YOU for listening.

Advanced Life Support 52

Advanced Life Support Life Support Emergency Medical Services Ambulance 52

Don't Forget the Bubbles

JUNE 30, 2023

Extracorporeal life support rewarming rate is associated with survival with good neurological outcome in accidental hypothermia. Extracorporeal life support rewarming rate is associated with survival with good neurological outcome in accidental hypothermia. The “sweet spot” is between 0.5-2⁰C Saczkowski, R.,

CPR 145

CPR Life Support Critical Care ALS 145

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

The Skeptics' Guide to EM

AUGUST 26, 2018

Styner plane crash in 1976 that inspired him to start what became the Advanced Trauma and Life Support ( ATLS ) program. Parry’s personal choices for the top 10 changes to ATLS and do not reflect the opinions of the ATLS committee, the Committee on Trauma of the American College of Surgeons, Western University or anyone else.

Critical Care 100

Critical Care Life Support OR 100

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