American Ambulance Association

DECEMBER 4, 2024

On November 21, 2024, the HHS Office of the Inspector General (OIG) issued Advisory Opinion 24-09. The opinion relates to a proposal by a municipal ambulance service to begin billing […] The post HHS OIG Issues Favorable Advisory Opinion on Ambulance Treatment-in-Place appeared first on American Ambulance Association.

Ambulance 130

Ambulance 130

Unitek EMT

DECEMBER 4, 2024

A Guide to the Various Levels of EMT Certification, Including Education, Training, and Testing Requirements The National EMS Scope of Practice Model defines “scope of practice” as the set of activities a licensed individual is legally authorized to perform. It not only distinguishes the roles of professionals from those of a lay person but also […] The post The 4 Levels of EMT Certification appeared first on Unitek EMT.

EMT 94

EMT EMT EMS 94

EMS 20/20

DECEMBER 4, 2024

A trauma call with a complicated patient and a ship that desperately needs a captain. Does the crew get it together or is it the end of the world as we know it? A trauma call with a complicated patient and a ship that desperately needs a captain. Does the crew get it together or is it the end of the world as we know it?

OR 40

OR 40

REBEL EM

DECEMBER 4, 2024

Take Home points : If the patient is low risk with CHA 2 DS 2 -VASc (men < 2, women < 3), cardioversion is safe up to 48 hours from onset. In higher risk patients, we should reserve cardioversion unless there is clear onset less than 12 hours or the patient has been anticoagulated for 3 weeks. Consider anticoagulation in every patient with atrial fibrillation whether they are cardioverted or referred.

Emergency Department 96

Emergency Department ALS ED EMS 96

EM Literature of Note

DECEMBER 4, 2024

The emergency department is a place of risk and errors. Those who work in the ED are acutely aware of this, and it conjures up tremendous cognitive pressures on staff every shift. Every ED clinician knows the most benign-appearing triage complaint may obfuscate lurking catastrophe. The vision changes that are actually an acute aortic dissection. A sore shoulder that is necrotizing fasciitis.

Emergency Department 95

Emergency Department ED OR 95

FOAMfrat

DECEMBER 4, 2024

Let’s take a trip way back to 2016. You’re me, and you’re in paramedic school, in the thick of the cardiology section. You’re learning about hypotension and the various ways we can fix it. Hypovolemic hypotension gets 20 cc/kg of normal saline, hemorrhage or not. Sepsis gets 20 cc/kg of normal saline, acidosis or not. Cardiogenic shock gets…you guessed it, normal saline.

Coronary 64

Coronary STEMI Epinephrine Critical Care 64

EM Board Bombs

DECEMBER 4, 2024

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