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Before attending medical school, he was a New York City Paramedic. Case: You are working as a paramedic, and you respond to a cardiac arrest. Naloxone is a well-established medication used primarily for reversing opioid overdoses. Chris completed his emergency medicine residency and EMS fellowship at UNM.
Objective: To describe the program and associated outcomes of an innovative medication safety and opioid risk screening program delivered by community paramedics Methods: The study was conducted within a health system community paramedic program in North America. Results: Analysis of 435 patient screenings revealed notable findings.
According to the paramedics the patient has taken an overdose of benzodiazepines and alcohol. A 65 year old female is brought to ED via ambulance on a priority 1. Her GCS is 3 and the team is prepa…
According to the paramedics the patient has taken an overdose of benzodiazepines and alcohol. A 65 year old female is brought to ED via ambulance on a priority 1. Her GCS is 3 and the team is prepa…
According to the paramedics the patient has taken an overdose of benzodiazepines and alcohol. A 65 year old female is brought to ED via ambulance on a priority 1. Her GCS is 3 and the team is prepa…
According to the paramedics the patient has taken an overdose of benzodiazepines and alcohol. A 65 year old female is brought to ED via ambulance on a priority 1. Her GCS is 3 and the team is prepa…
Broselow-Luten System: Supportive Data Physician estimates of weight can underdose children by 49% or overdose by up to 116%. Accuracy of paramedic Broselow tape use in the prehospital setting. Reduces dosing errors during resus, up to 33.88%. Recommended by ATLS and PALS. Pediatr Emerg Care. 2012;28(6):544-547. doi:10.1097/PEC.0b013e318258ac2e
Aligning Community Data for the Common Good by Michael Baker , MA, EFO, Fire Chief at Tulsa Fire Department and Justin Lemery , Director of EMS, Tulsa Fire Department discussed the far-reaching positive effects that reviewing data and creating community partnerships can have in overcoming homelessness, overdoses, and chronic illness.
Knowing how, why and when, or not, to go ahead is one thing, but knowing how to manage when something goes wrong, has to be our most sound safeguard in aiming for the safest of paramedic practice. The “Uncovering The Undo Button” chapter in The Good, The Bad & The Ugly Paramedic Student Handbook , has a few suggestions.
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.*
On the other hand, you could be called in to attend to the victim of a car accident or a shooting or a heart attack, drowning, mountaineering accident, or drug overdose. You may even have to deliver a baby! You can never predict what will happen over the course of any given shift.
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.
It’s a Fall night in the middle of nowhere, you’re staffing a Paramedic Ambulance in a combination system. Right as you’re making your bunk you get dispatched for a reported overdose with police enroute, no further information. You’re on a 24hr shift and getting ready for bed, already drowsy and ready for a nap.
In Advanced Life support (ALS) emergencies, a “single” paramedic or ER doctor can not deliver necessary care. EMTs provide comfort care, including treating minor wounds, scrapes, blisters, and burns; and they assist paramedics by providing basic life support, to enable paramedics to focus on more advanced treatments.
Two trials were published together on this topic, PARAMEDIC-3 and IVIO. As it turns out, common sense likely rules the day when presented with patients whose low GCS is the result of a self-limited overdose toxidrome.
They used EMS primary impressions as a proxy for medication indication and defined effectiveness as paramedic-identified clinical improvement. Overdoses do occur when using the IV form. Key Findings: Demographics: Out of 422,968 ground-ambulance pediatric patients, 1,291 received ketamine. What are our takeaways? Frawley, J.,
When I started as a paramedic, others told me about the junkies and addicts I would encounter. They treated me like s**t the time I overdosed. One day I was dispatched to an overdose. I was in the paramedic fly car and a BLS crew was in the ambulance. You have just overdosed. They could help her there, I said.
MICPs, or Mobile Intensive Care Paramedics, are a step above EMTs; They are covered under the same laws as an EMT, but have more responsibilities. What To Expect In EMS Becoming an EMT is just the beginning for many people; Often, we seek higher education, and become Paramedics, Nurses, or even Doctors.
I testified before the Connecticut Legislature’s Public Health Committee on February 21, 2025 in support of a bill to create an overdose prevention center pilot program in our state. The bill is sponsored by Senator Saud Anwar, a physician and great friend of of harm reduction. The full hearing can be found here.
This week I attended a meeting in the Governors office in the state capitol to advocate for a bill creating the states first overdose prevention center. We also had two speakers who appeared via zoom, a public interest lawyer and a woman who ran the overdose prevention site in nearby Rhode island.
While the movie, which I quite liked, was full of action that we see in EMS, it didnt give a full picture of what a paramedics day can be like. I dont blame the directors/writers here as the movie is supposed to be entertaining and gripping and all too often, the life of a paramedic is filled with tedium. Case in point yesterday.
We also found bags on the actual overdose scenes we responded to. The finished book, Killing Season: A Paramedics Dispatches from the Front Lines of the Opioid Epidemic , got its title from a heroin bag — Killing Season. Some people collect coins, others baseball cards, some figurines. which is what I did.
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