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JC: AP or AL pad position for first choice shock in VF?

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed Should we use AP or AL pad position first for defibrillation in VF/VT cardiac arrest. FOAMed @stemlyns The post JC: AP or AL pad position for first choice shock in VF? appeared first on St.Emlyn's.

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AP or AL pad position for first choice shock in VF?

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed Should we use AP or AL pad position first for defibrillation in VF/VT cardiac arrest. FOAMed @stemlyns The post AP or AL pad position for first choice shock in VF? Critical appraisal of an observational study in JAMA suggests a better outcome with AP, but there are many biases in this study.

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CMS Proposed Expansion of ALS-2 to include Low-Tier O+ Whole Blood Transfusions Fails to Include Additional Funding for the Services

American Ambulance Association

The Centers for Medicare & Medicaid Services (CMS) has released the Calendar Year (CY) 2025 proposed rule that proposes changes to the CY 2025 definitions of ALS-2 services to include […] The post CMS Proposed Expansion of ALS-2 to include Low-Tier O+ Whole Blood Transfusions Fails to Include Additional Funding for the Services appeared first (..)

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A Cross-Sectional Analysis of ALS/ BLS Care in Low Acuity 9-1-1 Response by Geography and Insurance Status Utilizing the 2019 NEMSIS Dataset

International Journal of Paramedicine

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. Data were obtained from the National Emergency Services Information System (NEMSIS) database for 2019.

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Defining Appropriate Responses in a Tiered System

High Performance EMS

In fact, sending advanced life support (ALS) providers that are in short supply to one of these calls can leave citizens exposed when a critical request is received after that resource is committed. If available, the supervisor is added to effectively create an ALS transport ambulance.

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Geriatric Trauma

Core EM

Perdue &al. Caterino &al. Sterling &al. Liu &al. Gill &al. Demetriades D &al. Goode &al. Hasegawa &al. Heffernan &al. Li &al. Konda &al. 1998;45:805. Am J Emerg Med. 2010;28:151. 2001;50:116. Am J Emerg Med. 2015;33:1012-1018.

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Ultrasound Guided Lumbar Puncture

Core EM

A study by Duniec et al. Here are a handful of these studies and their conclusions: Nomura et al., of scans conducted and in <5 minutes in 100% of scans Ferre et al., times more attempts when adjusted for BMI Gottlieb et al., of scans conducted and in <5 minutes in 100% of scans Ferre et al., 3, 2018, pp.

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