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Murphy JD, MS, PA-C, EFO 5 min read Share To: Shutterstock/Fineart1 Emergency medical services (EMS) are essential in delivering timely care during medical crises. References 1. Claesson, A., Fredman, D., Svensson, L., Drones may be used to save lives in out-of-hospital cardiac arrest. Perelman, V., & & Han, B. Perelman, V., &
Date: October 28, 2024 Reference: Verma et al. Their hospital has struggled with a growing number of adverse events that often occur without warning. Reference: Verma et al. Clinical evaluation of a machine learning–based early warning system for patient deterioration.
That discussion can be deferred until the patient is stable, the risk of such an event is mitigated, and other medications can be given for their withdrawal symptoms and pain. Multimodal medication options for fentanyl-xylazine withdrawal management in London et al. PMID 35774687 D’Onofrio G, Chawarski MC, O’Connor PG, et al.
Understanding the Study The research, published in Shock (Penn et al., For paramedics, this could mean a shelf-stable, easy-to-use solution that saves more lives in the toughest conditions, revolutionizing prehospital care as we know it. All rights reserved.
Major adverse cardiac events 40 minutes after giving the antiarrhythmic. The following table shows their results, take a look: Note that procainamide leads with less adverse cardiac events. Procainamide therapy was associated with less major cardiac adverse events and a higher proportion of tachycardia termination within 40 min.
Because EGAs do not isolate the trachea as the ETT does, the risk of aspiration events increases, and due to the blind placement of many of these devices, unidentified airway occlusion can occur. Benger JR, Kirby K, Black S, et al. Wang HE, Schmicker RH, Daya MR, et al. Ramaiah R, Das D, Bhananker SM, et al. 3rd Edition.
Stephen points out the shortcomings of having HR staff or uninterested fire crews represent the fire department at recruiting events, often resulting in poor candidate engagement because those representatives lack the firsthand knowledge and passion needed to connect authentically. All rights reserved.
They received counselling related to the events of the injury and the hospital stay. References Bradshaw CJ, Bandi AS, Muktar Z, et al. doi:10.1007/s00268-017-4396-6 Chen Q, Huang G, Li T, et al. Ostermann RC, Joestl J, Lang N, et al. 2017.01.007 Sweet, A et al. Holistic, family-centred care is essential.
Knack SKS, Scott N, Driver BE, Pet al. Thiruganasambandamoorthy V, Kwong K, Wells GA, et al. Development of the Canadian Syncope Risk Score to predict serious adverse events after emergency department assessment of syncope. Freund Y, Cachanado M, Aubry A, et al. Penaloza A, Verschuren F, Meyer G, et al.
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. All rights reserved.
substance abuse as a coping mechanism following traumatic events). Purkey E, Davison C, MacKenzie M, et al. Ashworth H, Lewis-OConnor A, Grossman S, et al. What is the trauma-informed approach to care for this patient? 1 A significant number of patients present to the ED with concerns related to traumatic experiences.
Departments should create a clear policy outlining the dosing and administration of the antidote (20% intralipid solution) in the event of this rare, but dangerous, complication. major LAST events (cardiac arrest or seizures) per 1,000 peripheral nerve blocks. 8,9 The frequency of minor LAST events (e.g., Newberry MA, et al.
Hershey Medical Center Editors : Alex Blau, DO; Michael DeFilippo, DO, Assistant Professor of EM & EMS, WashU School of Medicine Clinical Case The day after a snowstorm you are working for a rural, advanced life support (ALS) agency and you are called to a 62-year-old gentleman with chest pain. A recent study by Palladino et.
In a large emergency department, intubation is a frequent enough event to generate confidence. References Dyson K, Bray JE, Smith K, et al. Wang HE, Schmicker RH, Daya MR, et al. Benger JR, Kirby K, Black S, et al. Benger JR, Lazaroo MJ, Crout M, et al. Lyng J, Baldino KT, Braude D, et al. Ann Emerg Med.
References Holden D, Ramich J, Timm E, et al. Tisdale JE, Patel R V, Webb CR, et al. Cole JB, Knack SK, Karl ER, et al. Human errors and adverse hemodynamic events related to “push dose pressors” in the emergency department. Tian DH, Smyth C, Keijzers G, et al. He practices in both the ED and ICU. Ann Emerg Med.
Kochanek et al. explored the evidence in a 2019 systematic review, which forms part of the Brain Trauma Foundation Guidelines, as did Utsumi et al. The guidelines by Kochanek et al. The most recent meta-analysis by Utsumi et al. 2022.01291 Kochanek PM, Tasker RC, Carney N, et al. Three secondary analyses.
Guidelines also recommend against routinely transfusing blood products to correct coagulation panel abnormalities; transfusion is associated with adverse events and does not reduce the risk of bleeding. Biggins SW, Angeli P, Garcia-Tsao G, et al. Mattos AA, Wiltgen D, Jotz RF, et al. Aithal GP, Palaniyappan N, China L, et al.
AmeriPro will provide two advanced life support (ALS) ambulance trucks 24 hours a day, and a full suite of advanced technology and equipment, including state-of-the-art cardiac monitoring, LUCAS devices capable of delivering automated chest compressions during a cardiac arrest, ZOLL ventilators, and other high-tech patient care tools.
Fear List: Let Fear Guide Preparation Identify what scares you the most — high-risk, low-frequency events Make a list Turn these into your preparation priorities 11. Make It Happen: Training Schedule Build rehearsal into your life Schedule practice outside shifts (calendar event, phone reminder) Use tools like Anki for spaced repetition: 12.
Perkins ZB, Greenhalgh R, Avest E, et al. Sutori D, Erdelyi LS, Uri I, et al. Dorsett M, Allen H, Garbacz H, et al. Baker PO, Karim SR, Smith SW, et al. Perkins ZB, Greenhalgh R, Avest E, et al. Sutori D, Erdelyi LS, Uri I, et al. Prehospital Resuscitative Thoracotomy for Traumatic Cardiac Arrest.
In these cases, obtaining a pertinent history with directed questions regarding the events immediately preceding the syncopal episode is critical. Evans, et al., Gausche-Hill M, et al. Hair-grooming syncope is a rare subtype of neurocardiogenic syncope that is precipitated by different acts of hair care or grooming.
“Most people don’t know this but the number one reason for people to die under the age of 46 is hemorrhagic shock,” Dr. Matt Angelidis, emergency medicine physician at UCHealth and medical director for the Colorado Springs Fire Department said at a June 25 media event announcing the program.
Paper: von Hellmann R, Fuhr N, Maia IWA, et al. Adverse events: 6 studies comprising 3576 patients, showed more frequent intubation-related injuries with a bougie and had a relative risk 1.55, 95% confidence interval (1.00-2.39), References: Driver BE, Prekker ME, Klein LR, et al. PMID: 29800096 Driver BE et al.
Abelsson et al., Bienstock et al. (16 Narayanan, A., Rajithakumar, S., & & Menon, M. Talent Management and Employee Retention: An Integrative Research Framework. Human Resource Development Review , 18 (2), 228–247. International Journal of Paramedicine, [link] 9. 3 min read Admin/Leadership News EMS EMT Headlines James O.
As the front line of the healthcare system, EMS delivers time-sensitive care in moments of crisis, bridging the gap between life-threatening events and definitive treatment. Rodríguez-Lomba E, Pulido-Pérez A, Ricciardi R, Marcello PW, Kuki I, Nakane S, et al. (1 Leppin AL, Gionfriddo MR, Kessler M, et al. Abdominal pain.
Al-Beltagi, M. 4 min read EMS Equipment & Gear EMS Operations Exclusives Podcasts Videos EMS EMT Louisiana Paramedic Postal Worker Killed in Multi-Vehicle AL Crash A U.S. The Children’s Hospital of Philadelphia (CHoP), (2017). Autism’s clinical companions: Frequent comorbidities with ASD. Children’s Hospital of Philadelphia.
“The entire mission of stroke therapy is to restore the blood flow to the brain as soon as possible,” said Alhamza Al-Bayati, associate professor of neurology and neurosurgery at the University of Pittsburgh School of Medicine and a physician specializing in stroke. 21—It was just after 2 p.m. on Monday, Sept. on Monday, Sept.
In 2004, the UK introduced the acellular pertussis (aP) vaccine, replacing the whole-cell pertussis (wP) vaccine due to its association with fewer adverse events. 2014;142(4):685-94 Crowcroft NS, Booy R, Harrison T et al. 2021;10:100196 Craig R, Kunkel E, Crowcroft NS, Fitzpatrick MC, de Melker H, Althouse BM, et al. Pediatrics.
There’s also the advanced EMT, an EMT with training in additional concepts and specific ALS skills such as starting IVs, administering a few carefully chosen medications, using advanced airways and other carefully selected skills. Full ALS is not always available. It’s pretty simple, right?
Langtry S, Wild J, et al. If we keep talking honestly, the truth will finally be something we can handle. Editor’s Note: This commentary reflects the opinion of the author and does not necessarily reflect the opinions of JEMS. References 1. Prevalence of post-traumatic stress disorder in emergency service personnel: a meta-analysis.
Recertification Requirements. National Registry of Emergency Medical Technicians. National Continued Competency Program. Bigham, B. Critical thinking and decision-making in paramedic practice: A review of the literature. Prehospital Emergency Care, 18(1), 81–90. Krathwohl, D. A revision of Bloom’s taxonomy: An overview. Cassady, J.
Prophylactic antibiotics not recommended (increases risk of multidrug bacteria and exposing patients to other antibiotic adverse events). link] Sassolas B, Haddad C, Mockenhaupt M, et al. link] McCullough M, Burg M, Lin E, et al. link] Jacobsen A, Olabi B, Langley A, et al. Otherwise, avoid antibiotics. J Clin Rheumatol.
1,3 In Nudell et al. As Nudell et al. If system strain and evolving patient needs are pushing us toward more complex care models in the field, then we must empower paramedics to meet that challenge through higher education requirements, advanced clinical tracks and autonomous practice pathways. 11,12 In stark contrast to the U.S.
Thats exactly what Shane George et al. George S, Williams T, Humphreys S, et al. Primary outcomes The modified intention-to-treat analysis found no statistically significant difference between the nasal high-flow and standard care groups in reducing hypoxaemic events or improving first-attempt intubation success.
Pratley RE, Kanapka LG, Rickels MR, et al. In a society struggling to maintain a connection to humans is the practice of medicine and the “laying of hands” or the art of medicine the last frontier. Editor’s Note: This commentary reflects the opinion of the author and does not necessarily reflect the opinions of JEMS. References 1.
Al Badawi, A. MAML, NRP, WP-C 12 min read Share To: The annual ranking of the top-selling prescription drugs in the United States provides a window into the nation’s health, revealing trends in chronic disease and the rapid rise of breakthrough therapies steering patient care. Journal of Medical Internet Research , 27, e58177.
15 min read Emergency Medical Care Exclusives Patient Care EMS EMT Paramedic Postal Worker Killed in Multi-Vehicle AL Crash A U.S. Patient Care GA County Uses New Traumagel in Bleeding Control Clinical Trial Cobb County Fire & Emergency Services medics are using a new plant-based “trauma gel.” All rights reserved.
1,3 In Nudell et al. As Nudell et al. If system strain and evolving patient needs are pushing us toward more complex care models in the field, then we must empower paramedics to meet that challenge through higher education requirements, advanced clinical tracks and autonomous practice pathways. 11,12 In stark contrast to the U.S.
2022 prospective randomized trial comparing morphine (up to 8 mg) and midazolam (up to 3 mg) stopped early for harm, with significantly fewer serious adverse events in the midazolam group (18.2% Heidenreich PA, Bozkurt B, Aguilar D, et al. Collins S, Storrow AB, Albert NM, et al. Yancy CW, Jessup M, Bozkurt B, et al.
Animal sedative medetomidine is showing up in the US illegal drug supply, CDC says. apnews.com/article/40e02b935d1c37189da4b9cd6ccd3210 4. Thomas, S. Overdoses involving medetomidine mixed with opioids — Chicago, Illinois, May 2024. MMWR Morb Mortal Wkly Rep, 74, 258–265. cdc.gov/mmwr/volumes/74/wr/mm7414a3.htm All rights reserved.
Kampden et al. Based on these concepts, Emmerlich et al. Regardless, it’s important for paramedics to be familiar with situations that would necessitate a field/prehospital amputation, as well as the risks that attend such procedures. Undoubtedly, due to the rarity of this procedure, the relevant literature is sparse.
He was discharged with an event monitor and electrophysiology follow up. The event monitor lasted for four weeks and showed almost no abnormalities, but the following strip was recorded. Is the finding of just 3 blocked P waves on a 4 week event monitor enough to warrant permanent pacing? What do you think? Answer: YES.
EMS Operations News News Feed California Headlines Must View Postal Worker Killed in Multi-Vehicle AL Crash A U.S. EMS Operations News News Feed Headlines New York More News Postal Worker Killed in Multi-Vehicle AL Crash A U.S. Visit www.eastbaytimes.com. Distributed by Tribune Content Agency, LLC. All rights reserved.
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