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Case: A 16-year-old nonbinary youth on testosterone blockers and oestrogen has come into your emergency department (ED) having twisted their ankle while playing soccer. You don’t see a large number of trans patients in your ED and you wonder if there might be specific recommendations that can guide your care of this adolescent.
As an EM physician, he shares how he decides to care for his own patients in the ED who present with rapid atrial fibrillation. He wants paramedics to ask the same question he asks: Is the rapid A-fib the primary problem or secondary to another critical condition like sepsis, PE, DKA, hypovolemia, etc?
Before attending medical school, he was a New York City Paramedic. He currently practices emergency medicine in New Mexico in the ED, in the field with EMS and with the UNM Lifeguard Air Emergency Services. Case: You are working as a paramedic, and you respond to a cardiac arrest.
There has been an increasing demand for paramedic services to respond to mental health-related calls, and it’s becoming even more important to respond appropriately to these calls. Areas for practice change include alternative care options (outside of ED), response team approaches, community paramedicine, and post-care follow up.
Date: April 25, 2024 Guest Skeptic: Missy Carter is a PA working in an ICU in the Tacoma area and an adjunct faculty member with the Tacoma Community College paramedic program. When emergency department (ED) staff roll her to remove her clothing her humeral intraosseous (IO) is dislodged. February 2024.
The patient is not responsive and the paramedics cannot get a blood pressure. So I did what we as ED physicians are all so good at – I prepared. I meet the paramedics at the door. We had sent off a Type and Screen as soon as the patient arrived at the ED. We have a knife stab wound to the chest or abdomen coming.
In this episode, we discuss a recent paper on false electrical capture and pre-hospital transcutaneous pacing by paramedics. The guests, Tom Boutilet, Josh Kimbrell, and Judah Kreinbrook, discuss their research findings and the implications for paramedics. Prehosp Emerg Care. 2024 Mar 15:1-9. doi: 10.1080/10903127.2024.2321287.
The majority of our students come from a premedical background but there are a few with other career choices such as firefighter, paramedic, law enforcement, etc. You get the benefit of working with a paramedic without going to medic school. This is a position that is also sought after by nursing assistants as well as paramedics.
Priorities are changing in prehospital care, with many paramedics now questioning career commitment for the future. National industry insight reporting from the Australian Industry and Skills Committee suggests that, in 2019 alone, Australia wide, there were over 4,500 enrolments in ambulance and paramedic qualifications1.
A 32 year old male presents to ED after cutting his right cubital fossa in a suicide attempt. According to the paramedics there was a large amount of blood on scene.
A 32 year old male presents to ED after cutting his right cubital fossa in a suicide attempt. According to the paramedics there was a large amount of blood on scene.
Background : Emergency Department (ED) overcrowding limits patient care in the prehospital and hospital system. A program was implemented to decrease the time to patient handoff from EMS arrival to ED staff, also known as the delivery interval and total turnaround interval.
JAMA May 2018 Guest Skeptic: Missy Carter, former City of Bremerton Firefighter/Paramedic, currently a physician assistant practicing in emergency medicine in the […] The post SGEM#271: Bougie Wonderland for First Pass Success first appeared on The Skeptics Guide to Emergency Medicine. Bougie use may be helpful in ED intubation.”
JAMA 2020 Guest Skeptic: Mike Carter is a former paramedic and current PA practicing in pulmonary and critical care as well as an adjunct professor of emergency medical services […] The post SGEM#314: OHCA – Should you Take ‘em on the Run Baby if you Don’t get ROSC?
A 65 year old female is brought to ED via ambulance on a priority 1. According to the paramedics the patient has taken an overdose of benzodiazepines and alcohol. Her GCS is 3 and the team is prepa…
A 65 year old female is brought to ED via ambulance on a priority 1. According to the paramedics the patient has taken an overdose of benzodiazepines and alcohol. Her GCS is 3 and the team is prepa…
A 65 year old female is brought to ED via ambulance on a priority 1. According to the paramedics the patient has taken an overdose of benzodiazepines and alcohol. Her GCS is 3 and the team is prepa…
A 65 year old female is brought to ED via ambulance on a priority 1. According to the paramedics the patient has taken an overdose of benzodiazepines and alcohol. Her GCS is 3 and the team is prepa…
One barrier to including children in such programs is a lack of evidence regarding whether paramedics and emergency medical technicians (EMTs) can accurately identify children with low-acuity complaints. Our primary objective was to compare the accuracy of EMTs to that of paramedics in identifying low-acuity pediatric encounters.
An undergraduate (not yet in medical school) who works as an ED technician (records all EKGs, helps with procedures, takes vital signs) and who reads this blog regularly arrived at work and happened to glance down and see this previously recorded ECG on a table in the ED. The young ED tech immediately suspected LAD OMI.
Guest Skeptic: Clay Odell is a Paramedic/RN for New London Hospital EMS in New Hampshire, USA which provides 9-1-1 coverage and Mobile Integrated Healthcare […] The post SGEM#269: Pre-Hospital Nitroglycerin for Acute Stroke Patients? The Lancet March 2019. The Lancet March 2019. He has a history of hypertension.
At one of the hospitals, while my partner finished up the run form in the passenger seat –shed teched the call–I announced I was going back into the ED to the EMS room to see if they had any pizza. When I focused on her, she asked if I liked being a paramedic. I love being a paramedic for a lot of reasons.
Circulation 2020 Guest Skeptic: Missy Carter is a PA practicing in emergency medicine in the Seattle area and an adjunct faculty member with the Tacoma Community College paramedic program. Survival After Intravenous Versus Intraosseous Amiodarone, Lidocaine, or Placebo in Out-of-Hospital Shock-Refractory Cardiac Arrest.
He is also now a fully fledged “sonologist” Casey currently splits his time between Broome, a small rural hospital in the remote Kimberley region of Western Australia, and a large tertiary ED in sunny Perth. They have two large bore intravenous (IV) access and are planning to bring them to your ED as soon as possible.
He is interested and experienced in healthcare informatics, previously worked with ED-directed EMR design, and is involved in the New York City Health and Hospitals Healthcare Administration Scholars Program (HASP). The paramedics achieve return of spontaneous circulation (ROSC) after CPR, advanced cardiac life support (ALCS), and Intubation.
Below is the first ECG recorded by paramedics after 2 hours of chest pain, interpreted by the machine as “possible inferior ischemia”. In isolation this ECG does not show OMI, but following the paramedic ECGs this indicates spontaneous LAD reperfusion. It’s unclear if the paramedic ECGs were seen or missed in the ED.
Ed Bauter We’ve all been there. The design of the study allowed the paramedics to use discretion when placing an airway in the patients that were introduced to the study. It certainly is not representative of paramedic on the whole. What’s the right airway to use? On paper, this is an easy thing to do.
We know instinctively that the years of running calls, driving incessantly, long hours posted, and inherent risks of being a paramedic or EMT will get us back in the end. Reflecting on my career and practice; and as I struggle with my place on the burnout continuum, I tried to remember the times when I like being a paramedic the most.
David Didlake Acute Care Nurse Practitioner Firefighter / Paramedic (Ret) @DidlakeDW Expert contribution by Dr Robert Herman @RobertHermanMD @PowerfulMedical (Chief Medical Officer) An adult male called 911 for new-onset epigastric burning. To which the lead paramedic replied, “Not cardiac; his symptoms are atypical. Is this OMI?
David Didlake, FF/EMT-P, AG-ACNP @DidlakeDW An elder female presented to the ED with worsening shortness of breath. Pharmacology Review Digoxin is probably one of those medications vaguely recalled from paramedic school. She was known to have a history of poorly controlled COPD, AFib, and multivessel coronary disease.
Madden, Paramedic. An interesting comment provided by Paramedic Madden is that a few team members initially interpreted the T wave presentation as hyperkalemia, as opposed to occlusive hyperacuity. Let's revisit the deWinter occlusion provided by Paramedic Madden. Chou's Electrocardiography in Clinical Practice, 6th ed.
In-home nurse practitioner visits, same day specialist appointments and Community Paramedic check-ins represent examples of services that VBCOs can offer to better serve patients whose circumstances may not indicate admission but demonstrate a need for a higher level of care.
The tachycardia was gone by the time paramedics arrived. First ED ECG is Wellens' (pain free). First responders found him to be very tachycardic , confused, perserverating and with no memory of the event. There was tongue biting. Lightheadedness continued. He had a prehospital ECG: What do you think? Interpretation.
An ED ECG, if recorded with pain, should show LAD OMI. Smith — in the setting of a patient with new chest pain — the initial ECG in today's case ( = ECG #1 — obtained by the EMS team prior to ED arrival ) — is diagnostic of ACS ( A cute C oronary S yndrome ) until proven otherwise.
Sinha 2012] It is useful in the prehospital setting , correlating well with actual weight and ED Broselow weight. Accuracy of paramedic Broselow tape use in the prehospital setting. Good correlation to bed scale weight in trauma patients (Pearson coefficient 0.86), but there was some error in the highest weight category.
Prior to earning his MD, he worked as a paramedic in the New York City 911 system. Case: A 43-year-old male presents to your emergency department (ED) the day after being involved in an all-terrain vehicle (ATV) accident. He is also a resident flight physician with UNM’s aeromedical service, UNM Lifeguard.
Due to this, it’s important for the industry to develop strategies for better supporting psychiatric patients while avoiding unnecessary ED visits and secondary EMS transports. For Eagle County Paramedic Services, turning to MIH was integral to helping them provide services for their underserved population while also saving millions in costs.
David Didlake Acute Care Nurse Practitioner Firefighter / Paramedic (ret) @DidlakeDW Expert commentary and peer review by Dr. Steve Smith [link] @smithECGBlog A 57 y/o Female with PMHx HTN, HLD, DM, and current use of tobacco products, presented to the ED with chest discomfort. A 12 Lead ECG was captured on her arrival.
Dan sits down with Ed and Mike to discuss the journey from paramedic to physician…does it help? Also check out Ed’s Med School Medic podcast! Ed and Mike talk about making the jump from paramedic to physician. Can it hurt? And how do you do it? If you’ve ever thought of going to medical school; give this a listen!
Written by Jesse McLaren Two patients in their 70s presented to the ED with chest pain and RBBB. Patient 1 : a 75 year old called paramedics with one day of left shoulder pain which migrated to the central chest, which was worse with deep breaths. The prehospital, ED computer, and final cardiology interpretation was STEMI negative.
David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Peer review and commentary by Dr. Steve Smith [link] @SmithECGblog It is early-summer, approximately 1330 hours, no cloud cover overhead, and 86 degrees with high humidity. Below is the initial ED ECG. Manual of Cardiovascular Medicine (5th ed.).
As part of a continuing series covering mental health in EMS, Ed interviews former paramedic and 9/11 rescuer Stephen Kavalkovich. Stephen is the host of the Rescue the Rescuer podcast and the CEO of Rescued Consulting, LLC. He is a public speaker and an advocate for mental health and substance abuse awareness.
Their mission is to share knowledge with paramedics, nurses, medical student and also young doctors as they take their first steps in the field of emergency medicine. Case: A 32-year-old male patient presents to your emergency department (ED) with severe nausea, vomiting and abdominal pain. Annals of EM 2020.
On January 17, 2019 NYC mayor Bill DeBlasio stated that EMTs and Paramedics in the City of New York earn less money than Police and FireFighters because “The work is different.” Since that statement, the hashtag #TheWorkISDifferent has become popular on social media.
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