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Here are a few highlights of how this new functionality can support your care delivery: Specific Workflows for Critical Care DocumentationDocumenting patient information in fast-paced situations, as well as long-term and complex transports, can be time-consuming.
I dont the exact year these protocols were implemented, but I know that in 2008 they went from a simple typed document to an algorithm format. The document was 222 pages, including 42 medications, 14 procedures, as well as 14 policies. The first document had 170 detailed pages, including 51 medications.
Other documented pharmacological causes of anisocoria include nebulized ipratropium bromide and scopolamine (14-19). A 3-month-old male with no past medical history was brought to the emergency department for evaluation of newly asymmetric pupils. Abdominal : Soft, nontender, nondistended. Neurological : Alert. Normal muscle tone.
Elbow Dislocation Definition: Disarticulation of the proximal radius & ulna bones from the humerus Epidemiology: Incidence Second most common joint dislocation (after shoulder) in adults Most commonly dislocated joint in children Accounts for 10-25% of all injuries to the elbow ( Cohen 1998 ) Posterolateral is the most common type of dislocation (..)
Launched in May 2025, the AI-powered documentation saved over 35,700 hours for EMS professionals within its first month of general availability. Over 1,670 EMS agencies have adopted the feature since May—resulting in up to 80% reduction in total documentation time.
Poorly healing wounds are primarily the result of chronic venous insufficiency, peripheral (arterial) vascular disease, prolonged pressure-point skin injury, or neuropathy secondary to vascular disease or diabetes. Once identified, they must protect the skin from further injury. Examples include Adaptic, Xeroform, Telfa, and Dermagen.
Emergency medical services(EMS) has historically been a punitive system, resulting in people being unforthcoming about issues or concealing minor infractions in hopes of evading discipline. In a profession as noble as ours, is this what we want? When investigating an incident, identifying the root cause is essential.
Cut documentation time up to 80% and stay in control At ESO, we are committed to being responsible, ethical, and transparent as we walk through this artificial intelligence journey together. From the crews side, its obvious it shortened their documentation time. In testing, this feature reduced total documentation time by up to 80%.
I could do this every day, all day, 24/7 and it wouldn’t be enough,” she said from behind the wheel of her county-issued Ford Fusion one cool spring morning. Since the county health department program launched in October, Breunig has provided direct medical care or medical case management to more than 110 people. They’re not going to dissolve.”
The evidence is clear: frontline fatigue is not a theoretical risk but a documented, deep-rooted reality. Today, EMS professionals navigate a landscape defined by rising call volumes, irregular shifts, chronic understaffing, and constant exposure to human suffering, often without adequate time, resources or institutional support to recover.
The ability to import data from the monitor to ESO EHR reduces documentation time while improving the accuracy of your data, allowing you to better focus on the delivery of care. You can use it to directly document and upload FLACC Pain Scores and final score data for non-verbal patients into ESO Insights for easier reporting.
Charlotte Fire’s role in low-acuity and non-emergency calls should decrease under the agreement as MEDIC makes “incremental system improvements,” according to the signed document. MEDIC will add additional staff each year as necessary, the agency said in a statement. Those efforts are ongoing.
Prehospital supraglottic airways: an NAEMSP position statement and resource document. Subsequent three-month and six-month follow-up seems to corroborate the initial data of AIRWAYS-2, with the caveat that a very low percentage of patients responded to request for follow up. 3,4 Which is Best? Practitioners must consider ROSC. Resuscitation.
A draft guidance document was developed after the completion of a national consultation process though an electronic survey with EMTs. A draft guidance document was developed after the completion of a national consultation process though an electronic survey with EMTs. Qualitative analyses were performed using NVivo (version 10).
It’s an administrative burden that demands extensive documentation and reporting. A modern electronic patient care report (ePCR), like an ESO Electronic Health Record (EHR) , ensures that hospitals can easily capture documentation for standards, such as those required by The Joint Commission.
Her determination to identify and implement solutions that address the needs of the paramedic community has earned her the respect and cooperation of paramedic leadership, frontline, and labor groups. Webinar Poster (PDF): Click to download Members, login at the top-left for access to the webinar recording, handout and other materials.
Posterior – Shortened, adducted, internally rotated 5,6 Anterior – Shortened, abducted, externally rotated 5,6 As with all dislocations, perform and document distal neurovascular exam before and after management. 8 Perform and document distal neurovascular exam. of adults over the age of 55). 10% of patients.
The median time between emergency call and thoracotomy was 22 (17-29) minutes. The underlying cause of the TCA was cardiac tamponade in 105 patients (18%), exsanguination in 418 patients (70%), or a combination of both in 72 patients (12%). for all other causes). The duration of TCA was also associated with survival (16% for 10 minutes).
When interpreting the patient’s ECG, be mindful and document the presence or lack of conduction and interval abnormalities, ischemia, arrhythmias, delta waves to suggest Wolff-Parkinson-White, Brugada sign, and evidence of hypertrophic obstructive cardiomyopathy (HOCM). 18 percent). Evans, et al.,
Each case requires a member of the team to review the prehospital and emergency department documentation, identify key learning points, and craft tailored feedback, often supplemented with relevant educational resources. Most of these requests were from Band 5 newly qualified Paramedics ( 43% ) or Band 6 Paramedics ( 40% ).
Complications of varicella are well-documented in the NICE guidelines and include secondary bacterial infections, neurological complications, and other rarer complications. In line with HCPC requirements, paramedics must use evidence-based practice to make informed clinical decisions. Clinical bottom line: Treat the child in front of you.
It is essential to ensure that cost reports are meticulously documented, auditable, and aligned with allowable cost definitions under federal law. ” 3 The implications extend further. EMS-specific funding mechanisms like the Ground Emergency Medical Transportation (GEMT) program are also under increased scrutiny.
3 Simulation training in healthcare is documented to have been in practice for more than 50 years with implementation in the 1960s to teach medical students bedside diagnosis. This shortage leaves two primary options for emergency medical services (EMS) executives: create and recruit more staff or retain more of the employees they have.
In June, we hosted Understanding Accessibility: Practical Strategies for Inclusive Documents, Presentations, and Websites , which provided tips on presenting at conferences that are inclusive to those with disabilities or language barriers.
Martin County Fire Rescue’s recent recognition with Florida’s PEDReady Gold Tier highlights their commitment to advancing pediatric care—an area where OneDose delivers significant clinical support through weight-based dosing, pediatric-specific protocols, and customizable treatment pathways. It keeps us nimble.
11,12 There is a well-documented decrease in empathy during medical school. A recent systematic review found that greater empathy and communication was associated with improved patient outcomes, including reduced pain and shorter duration of hospital stays. 4-10 Empathy among physicians is highly variable. Patient Educ Couns.
14 min read Flight Ambulance Operations News News Feed Headlines Pennsylvania ESO’s Auto-Generated Narrative Feature Returns 35,700 Hours to EMS Professionals in First Month Over 1,670 EMS organizations adopted the new feature, reporting up to 80% reduction in total documentation time.
A pproximately 65% of these p atients were male , with 63% documented as White non-Hispanic followed by 24% as Black or African American and non-Hispanic. One of the biggest findings in the 2024 ESO EMS Index regarding bystander CPR rates is that they vary by background. Gender disparities were also found. Want to learn more?
The reduced coverage is particularly notable in urban areas like London , where socio-economic and cultural barriers further compound the problem. This contributed to a sharp increase in cases of both diseases in 2024. Health services worldwide were disrupted, with routine immunisation programmes among the hardest hit.
Background: Patients with sepsis are routinely treated with empiric broad-spectrum antibiotics while awaiting source identification, as recommended by the surviving sepsis campaign.2 2 Vancomycin, in combination with either piperacillin-tazobactam or cefepime, is commonly used for empiric treatment in these cases. In 2021, Buckley et.
4,5 Of particular concern is the Sudanese conflict, which began in April 2023, and which has caused the largest internal displacement of a population in documented history. History of Present Illness The collateral history indicates that her symptoms began one week into her journey, but medical care was inaccessible at the time.
6 The Financial and Clinical Cost of Doing Nothing The system weakens each time EMS responds unnecessarily since it consumes resources like diesel fuel and trauma shears and oxygen tanks and sterile IV kits along with documentation hours and misses critical patients.
More than a few Mobile Medical agencies have lamented, without fully realizing the implications of their wish: “If only we could document our patient care in Epic, everything would move smoothly.” Rather, the decision is usually related to the cost (real or perceived) of dedicated longitudinal documentation software.
Hospitals that make real-time data accessible to EMS agencies and close the loop on outcomes see stronger relationships, better documentation, and improved patient care. By treating EMS as partners and sharing timely data and feedback, UH improved care transitions, documentation quality, and frontline morale.
The episode closes with reflections on the department’s experience filming the “Nightwatch” TV series and the future potential of integrating body cam footage with EMS documentation. Additionally, Keller provides insight into preparing for massive events like the Super Bowl and Mardi Gras, where public safety coordination is key.
2 Beginning in January 2023, the DRC documented a record number of annual suspected cases of clade 1 mpox, specifically classified as Clade 1b. By 2024, over 17,000 suspected cases (2,863 confirmed) were documented across Africa, with the majority in the DRC.
With thousands of medications in use, it would be impractical to incorporate every potential prescription into protocol documents. Since beginning my EMS career in 1993, the U.S. Food and Drug Administration has approved over 3,000 new medications, averaging over 110 new drugs yearly. It is a tool EMS does not yet have but urgently needs.
5,6 The American College of Paramedics and American Paramedic Association founding document, “Manifesto; Paramedicine is Essential” defines and defends the unique role of paramedics as autonomous, highly skilled healthcare professionals. 2 In short, the document serves as a unifying vision for the future of paramedicine in the U.S.
Using a mixed-methods study design, the study consists of three parts: (1) development and implementation of a robust survey tool to identify, quantify, and document the exposure of violent acts committed against paramedics by the public at large, and, by individuals within paramedic service organizations. (2) SK, AB, ON).
SCAPE differs in several significant ways: rapid onset (hours), respiratory distress, severe HTN, may or may not be systemically volume overload. Meta-analyses demonstrate reduced need for intubation, improved survival, improved respiratory indices (e.g., May use BPAP or CPAP; neither superior to the other. Standard doses of nitroglycerin (0.4
Ralston survived this horrible ordeal and went on to document it in his book Between a Rock and a Hard Place. 1 Obviously, this is an extreme case; however, it illustrates that field amputations can be successful even in the most primitive conditions. Differences in cleanliness of cut were nonsignificant.
Skip to content Twitter Google+ Facebook Reddit RSS The Bottom Line A compendium of critical appraisals in Intensive Care Medicine research and related specialties Home About Us Summaries Intensive Care Medicine Emergency Medicine Peri-operative Medicine Blog News EBM Editorial Submit a review Wessex ICS You are here: Home Blog Critical Care Evidence (..)
What makes this particularly interesting is the documentation of the change in morphology as the fever resolves. The patient may have been experiencing episodes of polymorphic VT. Type 1 Brugada syndrome requires, in addition to clinical criteria, a classic "coved" type ST elevation in leads V1 and/or V2.
Cincinnati Fire Department’s program manager, Robert Hug then shared how his department is transforming their documentation and analyses of their data through the integration of AI into Snowflake in Beyond ChatGPT: Unlocking the Power of AI in Snowflake. We also drilled down into what we should be measuring as an industry.
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