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Paramedics are increasingly required to assess patients and determine whether they can be safely managed at home with self-care or primary care or if they need to be transferred to the hospital. In line with HCPC requirements, paramedics must use evidence-based practice to make informed clinical decisions. This post explores the key information needed to support sound, evidence-based, and patient-centred decision-making in managing chickenpox in children.
Author : Katie Stuart MD; Washington University Emergency Medicine Residency Editors : Sarah Fabiano MD, FACEP, FAAEM & Michael DeFilippo DO You are a second-year emergency medicine resident physician doing a ride along with a helicopter-based EMS (HEMS) agency. You are dispatched to the scene of a golf cart versus tree. The air crew successfully identifies a safe landing place near where the ambulance is staged.
Objectives Emergency Medical Services clinicians are often tasked with the delivery of bad news including making death notifications and informing loved ones about the termination of resuscitations. Existing trainings for breaking bad news are based around palliative care conversations in dramatically different clinic or hospital settings. We hypothesize that pre-hospital clinicians are not receiving formal training in the skill of breaking bad news and the delivery of bad news can have harmful
Reference: Muldowney et al. A Comparison of Ketamine to Midazolam for the Management of Acute Behavioral Disturbance in the Out-of-Hospital Setting. Ann Emerg Med. 2025 Date: April 24, 2025 Guest Skeptic: Dr. Howie Mell received his Medical Doctorate (MD) from the University of Illinois at Chicago, College of Medicine at Rockford. Prior to that, he received a Master of Public Health (MPH) degree emphasizing Environmental and Occupational Health from the University of Illinois at Chicago, School
Originally published at The Pediatric EMS Podcast on March 5, 2035. Reposted with permission. Please visit their site HERE to see all the amazing podcasts or subscribe to their RSS HERE. This is the Pediatric EMS Podcast with the mission to provide case-based discussion with evidence-based recommendations by content experts in prehospital pediatric medicine in order to advance the care of children outside the hospital.
When you think about strokes, you probably picture a slurred speech, middle-aged hypertensive smoker with half their face drooping. You dont picture atoddler in a car seat or a baby in a crib. But the reality is that strokes happen to kids, too.As paramedics, we thrive on pattern recognition, but pediatric strokes are theultimate zebra in the room. They dont present like adult strokes; theyre incredibly rare,and the clock is still ticking as fast.
A typical hospital produces about 137 terabytes of data per day, more than twice the data housed in the Library of Congress. Yet, up to 97% of hospital data are unused. But what if all that data helped you improve patient outcomes, streamline operations, and support performance initiatives? What could you achieve if you had a patient’s prearrival care information in hand when they arrived at the emergency department (ED)?
St.Emlyn's - Emergency Medicine #FOAMed In this episode of the St Emlyns Podcast, Iain and Simon reflect on IncrEMentuM 2025, skills fade in rare procedures, arterial line placement, and emerging evidence in cardiac arrest and resuscitative hysterotomy. Essential listening for emergency clinicians. The post Podcast – Monthly Round Up February 2025 – Skills Fade, Resusciation Targets and more appeared first on St.Emlyn's.
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St.Emlyn's - Emergency Medicine #FOAMed In this episode of the St Emlyns Podcast, Iain and Simon reflect on IncrEMentuM 2025, skills fade in rare procedures, arterial line placement, and emerging evidence in cardiac arrest and resuscitative hysterotomy. Essential listening for emergency clinicians. The post Podcast – Monthly Round Up February 2025 – Skills Fade, Resusciation Targets and more appeared first on St.Emlyn's.
Introduction Out-of-hospital cardiac arrest remains a global health problem. There is emerging evidence that the use of extra-corporeal membrane oxygenation during resuscitation [ECPR], may help to improve outcomes. Several prehospital services around the world are now able to provide on-scene ECPR. However, the early identification of patients is a key factor in enabling this level of response to OOHCA.
PCC Members, Paramedic Services Week is quickly approaching. This year’s theme, ‘We Care. For Everyone’ depicts the diverse roles that Paramedics play in an ever-changing environment, from community paramedicine to preventative healthcare, Paramedics stand ready to respond to challenges whenever they are needed. We hope that you will join us in recognizing the below themes each day of Paramedic Services week this year.
Authors: Lloyd Tannenbaum, MD (EM Attending Physician, APD, Geisinger Wyoming Valley, PA) // Reviewer: Brit Long, MD (@long_brit) Hello and welcome back to ECG Pointers, a series designed to make you more confident in your ECG interpretations. This week, we feature a post from Dr. Tannenbaums ECG Teaching Cases , a free ECG resource. Please check it out.
This content is for AAA members only. Please either Log In or Join! The post EMS Week Op-Ed Writing Structure Guide & Checklist appeared first on American Ambulance Association.
Whether youre performing routine suctioning during surgical procedures, suctioning a patient on a ventilator, or performing life-saving procedures to prevent or reduce aspiration, diligent suction canister management is critical to proper patient care. Particularly in the face of bird flu and other infectious diseases, your agency must work proactively to reduce the risk of transmitting disease via equipment such as suction machines.
OBJECTIVE: Vasopressors are critical for patients experiencing shock. This observational study aims to describe the usage of vasopressors by EMS, and to assess how vasopressor usage differs between transport and hospital environments. The information gathered in this study can help determine which vasopressors should be available in an EMS system and guide the management of patients requiring vasopressors during EMS transport.
PCC Members, Our annual leadership Summit is less than two months away! In addition to the Summit sessions, you will have the opportunity to meet with sector partners, network with colleagues, and engage in conversations with Paramedic leaders from around the globe. A reminder to register for our upcoming Summit and reserve your guest room at our reduced rate by May 9th, 2025.
This content is for AAA members only. Please either Log In or Join! The post EMS Focus Webinar on Tuesday, April 29 at 12 p.m. ET appeared first on American Ambulance Association.
“We need a lot more naloxone than ever before. Some people need 20 milligrams” I hear this or versions of it in many of the opioid task force meetings I attend around the state. No, I say. The research I have based on over 20,000 EMS run forms shows naloxone has remained effective over the years. Which is not to say some people arent getting 20 milligrams.
Did you know that by merely being an ACEP member, you are automatically a member of the International Federation of Emergency Medicine (IFEM)? IFEM is a federation of 70 emergency medicine organizations from around the world. The member organizations (i.e., ACEP) pays the membership fee, so you dont have to. IFEMs vision is a world where all people, in all countries, have access to high-quality emergency medical care.
Honoring first responders and public safety professionals Blog joseph.rey@fir Tue, 04/08/2025 - 09:56 By First Responder Network Authority Learn more about how FirstNet is transforming public safety communications contact your local FirstNet Authority Public Safety Advisor and sign up for our discipline newsletters. Follow us on Twitter , Facebook , Instagram , and LinkedIn for the latest FirstNet Authority updates.
The woman charged withthe murder of Kansas City(MO) Firefighter-Paramedic Graham Hoffmanallegedly tried to drive away in the ambulance after thefatal stabbing.
This content is for AAA members only. Please either Log In or Join! The post HHS Office of Civil Rights Enters Resolution Agreement with Healthcare Provider for HIPAA Cybersecurity Breach appeared first on American Ambulance Association.
This weeks ECG is from a 50yr old patient who has taken a large polypharmacy OD. Your team is working on gaining collateral to establish what has been taken.
When transporting a critically ill patient, its easy to focus only on the medical emergency. But ambulance crashes are common more than 6,500 ambulance crashes occur each year, claiming an average of 33 lives annually. Ambulance safety depends on taking proactive steps to mitigate risk in the event of a crash.
Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here!
Multi-Agency Response: FirstNet at U.S. Armys Redstone Arsenal Blog michelle.fordi Wed, 04/23/2025 - 12:29 By Charlotte Whitacre, Director of Government Engagement, FirstNet Authority Federal agencies can learn more about how FirstNet can benefit their operations by contacting GovernmentEngagement@FirstNet.gov.
Memorial services forKansas Cityfirefighter-paramedicGraham Hoffman, who wasfatally stabbed while working an overtime shift Sunday, will take place Friday, theKansas City Fire Departmentannounced.
This content is for AAA members only. Please either Log In or Join! The post Enter Now: Final Week for our DASH Glove Giveaway! appeared first on American Ambulance Association.
Answer : The correct answer is d) large bowel obstruction. Large bowel obstructions may be partial or complete. Patients present with severe abdominal distension and inability to pass stool or flatus. Patients presenting secondary to colorectal malignancy often have a history of alternating diarrhea and constipation over the preceding weeks to months and may have had bleeding per rectum.
Invented in 1907 by Dr. Sidney Yankauer, the Yankauer suction tip has withstood the test of time. The Yankauer suction tip was originally designed to remove blood and secretions from a patients oral airway during tonsillectomy procedures. Many practitioners call the Yankauer a tonsil tip suction device for this reason.
Does your classroom have a joyful buzz? Jonathan St. George has it figured out--as the founder of the Protected Airway Collaborative (PAC), Jonathan was inspired by a museum visit to create a learning environment like no other. Join us as we dive into his innovative world of airway management education. Prodigy EMS team members Maia Dorsett and Shane O'Donnell report from the PAC as they experienced the self-directed learning approach firsthand.
This content is for AAA members only. Please either Log In or Join! The post Savvik is Giving Away Gloves from DASH Medical! appeared first on American Ambulance Association.
Neuroleptic Malignant Syndrome (NMS) and Serotonin Syndrome (SS) are relucatantly covered on this week's show EMCrit Project by Scott Weingart, MD FCCM.
Still Time for LAC, Registration Open for ACEP25 Registration is open for ACEP25 in Salt Lake City. Get $100 off when you register by April 30. Join your emergency medicine friends in Salt Lake City from September 7-11 for ACEP25, the worlds largest emergency medicine conference. The Section Hall Crawl is back. The ACEP25 Block Party is set for 5 p.m. on September 9, and Olympic gold medalist Scott Hamilton will share his inspiring journey of resilience – from childhood illness to canc
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