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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.
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
We dive into the recognition and management of blast crisis. Hosts: Sadakat Chowdhury, MD Brian Gilberti, MD [link] Download Leave a Comment Tags: Hematology , Oncology Show Notes Topic Overview Blast crisis is an oncologic emergency, most commonly seen in chronic myeloid leukemia (CML). Defined by: >20% blasts in peripheral blood or bone marrow.
In this video, Dr. Jailyn Avila walks you through how to diagnose thoracic aortic aneurysms and thoracic aortic dissection using bedside ultrasound. While the abdominal aorta often gets the most attention, aortic disease above the diaphragm is just as criticaland often harder to recognize. Early detection of thoracic aortic pathology can be life-saving, and ultrasound can play a key role in raising suspicion quickly.
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)?
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.
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.
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.
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.
-Case- A 54-year-old man presents to the ED with sudden, severe chest pain that began shortly after an episode of forceful vomiting. He’s diaphoretic, tachycardic, and complains of neck discomfort and shortness of breath. He says the pain radiates to his back and worsens with swallowing. On exam, you note subtle crepitus in his neck and chest wall.
How should we best acquire medical knowledge and skills so that we can easily retrieve and effectively use them in the field? Now that we are past the stressful March 31st recert deadline, hosts Maia Dorsett, Hilary Gates, Rob Lawrence delve into the issues surrounding EMS recertification and continuing education. Special guest Ethan Setnik, Chief Technology Officer at Prodigy EMS, offers unique insights into the design of learning from his perspective as a system engineer.
A regional advanced life support paramedic intercept program launched by a local fire chief last month has brought better service and quicker response times to participating towns.
If youre working in healthcare, you’re already doing the hard work of saving lives, thinking fast, and showing up for your patients every single day. With everything on your plate, remembering when your ACLS certification expires probably isnt your top priority. Still, staying current is important, and, fortunately, its easier than you might think.
Medical professionals must be sure that all lifesaving equipment is operational when needed, with protocols that dictate equipment inspections and checks. Some checks must be done at the beginning of each shift, and some are scheduled on a less frequent basis.
View entire newsletter in your browser PSW 2025 Exclusive Sneak Peek A Photo Contest Celebrating Your Team! To mark Paramedic Services Week 2025 and its theme We Care. For Everyone. , Demers and Crestline proudly launch their annual photo contest, celebrating the dedication of paramedics across Canada. Open to all paramedic services, the contest showcases the people, vehicles, and moments that define frontline care.
Lawyers representing Acadian Ambulance want a federal judge to dismiss a class action lawsuit filed against the company, claiming victims haven't proved they were harmed by a data breach.
In our weekly eNow from Sunday, April 27, 2025, we mistakenly labeled an article as Ketamine for Seizures. The link provided did not go to that article, which is available HERE. ACEPs Clinical Policy on the management of seizures can be found HERE. The post Correction on Article appeared first on ACEP Now.
The woman charged withthe murder of Kansas City(MO) Firefighter-Paramedic Graham Hoffmanallegedly tried to drive away in the ambulance after thefatal stabbing.
Dr. Faroukh Mehkri walks us through a mindset-reframe for the undifferentiated crashing patient. He theorizes that the pervasive language of stay and play versus load and go has conditioned and narrowed our thinking. Dr. Mehkri describes the evidence-based, predictable & preventable pattern of patients going into cardiac arrest shortly after EMS arrival.
Periodic reminder theres lots of content over at our new home on evidencetriage.com Such great hits as: Run A Marathon And Drop Dead Paxlovid Spiralling Into Total Disutility Can Dr. Oz Really Replace Your Doctor With AI? The Bluejepa EAGLEs Have Landed and many others!
Chris gives Spencer a maze with no end. or a maze with too many endings? Can Spencer pull his patient out of jeopardy and save the day? Or will he miss a vital intervention that leads to a dead end? Chris gives Spencer a maze with no end. or a maze with too many endings? Can Spencer pull his patient out of jeopardy and save the day? Or will he miss a vital intervention that leads to a dead end?
Leading American manufacturer marks production with over $6 million investment in enhancing capabilities at its Fort Collins, CO, Brewery Anheuser-Busch, a leading American manufacturer and maker of Michelob ULTRA, Busch Light, Budweiser, Bud Light, and Stella Artois, has produced its 100 millionth can of emergency drinking water for communities impacted by disaster since 1988.
From Drew Williams A 40-something patient called 911 for 30 minutes of left sided chest pain radiating to right arm/shoulder (Smith aside: radiation to right shoulder is a really high risk symptom, and especially radiation to both shoulders). A prehospital ECG was recorded at 2238. The Zoll conventional computer interpretation said "nonspecific ST-T abnormalities" What do you think?
Memorial services forKansas Cityfirefighter-paramedicGraham Hoffman, who wasfatally stabbed while working an overtime shift Sunday, will take place Friday, theKansas City Fire Departmentannounced.
Bottom Line Up Top: Blood gas electrolytes closely correlate with serum measurements and can be used under most circumstances to guide clinical care. Clinical Scenario: A 62 year old woman with a history of HTN, ESRD on MWF dialysis presents to the Emergency Department with generalized weakness. Her vital signs are HR = 82, BP 153/72, O2 Sat 95%, Temp 98.7.
For more than seven years, Palm Beach County Fire Rescue in Palm Beach County, Fla., has been following a protocol to administer ketamine for midazolam-resistant status epilepticus (SE). The protocol calls for 100 mg intravenous, intraosseous, intramuscular, or intranasal ketamine for individuals with seizures persisting despite sufficient midazolam dosings. 1 The protocol was successful in just about every case in adults and most cases in kids, said one of the thought leaders behind its use, Ke
Davidson (OK) Fire Department Volunteer fire departments across the U.S. received five previously owned laptops each for administrative tasks, training, and incident tracking, enhancing their efficiency ( view recipient list ). This program to give away 500 total laptops was made possible through State Farm and the National Volunteer Fire Council (NVFC).
Disclaimer: there is little high-quality evidence on the ED management of hemoptysis, particularly non-massive hemoptysis. The recommendations made below are heavily influenced by published case reports and expert opinion, as well as discussions with local specialty services. Hemoptysis refers to the expectoration of blood originating from the lower respiratory tract.
Seriously, whats the deal? Lately, it seems like raw milk has started to pop up more and more frequently in our feeds, with influencers touting the alleged health benefits of raw milk over pasteurized milk. In this and next weeks episode, we explore the raw milk phenomenon as it has grown over the past few decades. We start this two-parter with a look at the dangers of milk in a pre-pasteurization world, how Pasteur developed the life-saving process that bears his name, the subsequent rise of an
Firefighters and EMS providers face physically demanding tasks that require them to be fit and ready for the job at hand. Yet many volunteer departments lack the fitness equipment that can help foster physical and mental wellness among their members. That is why STEPR partnered with the National Volunteer Fire Council (NVFC) to give away three STEPR PRO+ stair climbers in 2025 through the STEPR Health & Safety Giveaway.
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