EMDocs

NOVEMBER 6, 2023

Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American Heart Association 2023 Guideline for managing cardiac arrest or life-threatening toxicity due to poisoning was recently released. This post will focus on the key parts of the guideline that affect ED evaluation and management. COR Harm, LOE B-R.

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JEMS

JUNE 27, 2025

The… EMS Training News News Feed Georgia Headlines Baltimore to Downgrade Some ALS Units as Staffing Shortages Persist The Baltimore City Fire Department is preparing to downgrade four Advanced Life Support (ALS) units to Basic Life Support (BLS) starting next month.

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The Skeptics' Guide to EM

OCTOBER 24, 2020

Background: Out of hospital cardiac arrest (OHCA) is something that we have covered many times on the SGEM. SGEM#64 : Classic EM Papers (OPALS Study) * SGEM#136 : CPR – Man or Machine? Unfortunately, most patients don’t receive these crucial interventions.

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The Skeptics' Guide to EM

SEPTEMBER 23, 2017

The classic paper on ACLS drugs is called OPALS (Ontario Pre-hospital Advanced Life Support) study and was done by Dr. Ian Stiell and team. He is also the CME editor for Academic Emergency Medicine and the associate editor for emergency medicine simulation at the AAEM MedEdPORTAL. vs. 14.6%, p<0.001).

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The Skeptics' Guide to EM

DECEMBER 7, 2018

Unfortunately, the trial failed to achieve their sample size for a variety of reasons which left it underpowered. This means there is a lack of high-quality data to rely upon in deciding whether or not to use epinephrine in OHCA situations. Reference: Perkins et al.

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Epinephrine Advanced Life Support Life Support Defibrillator 130

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.

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ACEP Now

NOVEMBER 7, 2024

For decades, only one major organization—the American Heart Association (AHA)—provided standardized training and certifications in Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS). These are sometimes required for medical staff privileges. Scan or click to get your cards.

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Dr. Smith's ECG Blog

OCTOBER 18, 2023

Cardiac arrest was called and advanced life support was undertaken for this patient. The above ECGs show the initiation and continuation of a polymorphic ventricular tachycardia. Polymorphic ventricular tachycardia can be ischemic, catecholaminergic or related to QT prolongation.

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Don't Forget the Bubbles

NOVEMBER 27, 2023

This recommendation is based upon the availability of PICU support, with lower fluid volumes and earlier vasoactive use being recommended, particularly if there are signs of fluid overload. Shock is defined as a type of circulatory failure where lack of oxygen leads to dysfunction of vital organs. This is beyond the scope of this blog post.

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Prehospital Emergency Care Podcast

NOVEMBER 26, 2020

MPH, NRP( @CashRebeccaE ) talk about her two manuscripts: Comparing the Prevalence of Poor Sleep and Stress Metrics in Basic versus Advanced Life Support Emergency Medical Services Personnel & The Impact of Working Overtime or Multiple Jobs in Emergency Medical Services Click here to listen today! Rebecca Cash Ph.D.,

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EMT Training Station

FEBRUARY 11, 2024

As EMTs, we’re always prepared to address these life-threatening complications alongside the burns. Drawing from my extensive experience as an emergency medical technician, I’ll share some of the advanced techniques and tools we use to manage these complex injuries effectively.

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Mile High Ambulance

DECEMBER 11, 2014

Knowing who will provide Basic Life Support, such as CPR, First Aid, and Bleeding Control is a key precaution when planning events. Mile High Ambulance also offers Advanced Life Support for individuals needing further medical attention. Mile High Ambulance offers exactly that and a whole lot more.

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Utah's Paramedic and EMS Academy

OCTOBER 23, 2023

As an EMT, your primary focus is patient care and transportation to a hospital for more advanced medical attention. In contrast, Paramedics are trained to provide advanced life support care. As an EMT, you gain vital skills in responding to medical emergencies and providing basic life-saving skills.

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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.

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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., Our study supports previous work by Nijman et al. What did previous studies show? and one in the US by Bonafide et al.

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Life Support Advanced Life Support ALS Emergency Department 98

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. 2000, Stiell et al.

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NCOAE

AUGUST 12, 2022

That’s because one of our areas of focus here at The National Center for Outdoor & Adventure Education (NCOAE) is emergency medicine training and education. The post Most EMS Terminology Comes Down to Initials, Abbreviations and Acronyms appeared first on National Center for Outdoor & Adventure Education.

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ESO

JANUARY 19, 2024

So be ready to perform and transmit 12-lead EKGs for basic life support units as well as those with advanced life support capabilities. Documenting 12-lead EKG in discrete data fields, such as under procedure or vital sign, rather than only in the free-text narrative can also help to ensure better monitoring and improvement initiatives.

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NAEMSP

JANUARY 5, 2023

Background Despite conflicting literature to support some pharmacological therapies in out of hospital cardiac arrest, the American Heart Association (AHA) currently recommends obtaining vascular access intravenously or intraosseously in cardiac arrest. [1] Or in other words, is IO access inferior to IV access? 3] Table from Tan et al.

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Peter Canning

JANUARY 14, 2024

I recerted CPR, ACLS (Advanced Cardiac Life Support) and PALS (Pediatric Advanced Life Support) late in December. The certs are good for two years. That means it was the 17th time I had recerted each of these mandatory certifications. It should not be given for “preexisting acidosis” and hyperkalemia.

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NAEMSP

APRIL 19, 2023

While this study can still only prove correlation, the weighting of variables reduces bias and further supports the association of the calcium alone and the decline in outcomes (Cashen, et al., This continues to be supported by new literature. 2021), and AHA guidelines also maintain this use (Panchal, et al., 1639.16; p=0.01).

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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. By Peter Antevy, MD.

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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

ACEP Now

APRIL 3, 2024

Temperature management after cardiac arrest an advisory statement by the advanced life support task force of the international liaison committee on resuscitation and the American Heart Association emergency cardiovascular care committee and the council on cardiopulmonary, critical care, perioperative and resuscitation.

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Advanced Life Support ALS Life Support CPR 40

ACEP Now

OCTOBER 11, 2024

8 The 2023 Pediatric Advanced Life Support (PALS) guidelines recommend the following formulas for ET tubes. Emergency physicians may fold a towel underneath the patient’s shoulders to allow extension of their head and adjust their airway into a neutral position. 17 Three times the tube size for ETT depth is also commonly used.

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AAEM RSA

JANUARY 21, 2021

They do suggest that late in resuscitation, higher levels of ETCO2 are correlated with increased rates of ROSC and survivability to discharge but based on the poor quality and number of studies available, this is not supported in the literature. For the outcome of return of spontaneous circulation, only one study by Ahrens et al.

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Life Support Advanced Life Support ALS CPR 40

The Skeptics' Guide to EM

OCTOBER 14, 2023

Vital sign ranges from common guidelines such as Pediatric Advanced Life Support (PALS) [1] or Advanced Pediatric Life Support (APLS) [2] can differ. However, there remains variation regarding what the “normal” ranges of vital signs can be for pediatric patients.

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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. From advanced life support to strategic coordination and transport, EMS ensures that every aspect of emergency response is addressed effectively.

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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.

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EMT Training Station

MARCH 24, 2023

TEMS personnel were integrated with SWAT teams in various capacities, such as being embedded within the team or providing support from a safe distance. This may include managing trauma injuries, gunshot wounds, and other life-threatening conditions. Rapid blood loss can lead to hemorrhagic shock and, ultimately, death.

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EMT EMT Emergency Medical Technician Emergency Medical Services 52

REBEL EM

MARCH 13, 2023

The search contained terms for (1) prehospital cardiac arrest or prehospital advanced life support, and (2) injuries and trauma. Or, could the distinction be due directly to the usage of advanced prehospital medicine and intervention by the EMS physicians? The agreement rate between the authors was not reported.

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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. Enrollees were then assigned to either TTM of 33ºC or 36ºC for 36 hours. Time to TTM was statistically significantly shorter in the IC group (2.2

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The Skeptics' Guide to EM

SEPTEMBER 7, 2019

CPS – Emergency management of the paediatric patient with generalized convulsive status epilepticus * APLS – Advanced Life Support Group. Advanced paediatric life support: a practical approach to emergencies, 6th edn.

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Don't Forget the Bubbles

FEBRUARY 5, 2025

Trauma is the most significant contributor to childhood mortality, with the mechanism changing with maturity and social development. In younger children, the predominant mechanism of inflicted injury is by shaking or beating, and most commonly, the abuser is a family member or caregiver. Do I have emergency blood available in the ED?

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