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Murphy JD, MS, PA-C, EFO 5 min read Share To: Shutterstock/Fineart1 Emergency medical services (EMS) are essential in delivering timely care during medical crises. Some conceptual models envision fully autonomous ambulances that transport stabilized patients without needing onboard medical staff. Cost efficiency is another significant benefit.
The ripple effect from this event makes other paramedics fearful, encourages the concealment of mistakes, and never addresses or corrects systemic issues. 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.
The study compared the effects of different albumins on improving heart function and reducing fluid requirements during critical resuscitations. The findings were promising. ” This shelf stability and high concentration make it an attractive option for EMS providers, especially in scenarios where transport times exceed the “golden hour.”
One of the hardest communication challenges in pediatric patients is the fact that their wide age range is accompanied by a variety of developmental stages. Additionally, children who have intellectual and developmental disabilities (I/DD) and/or are neurodivergent may pose a unique set of circumstances which require more nuanced communication.
The biggest change has been the gradual replacement of diacetylmorphine (heroin) by fentanyl and other synthetic opioids. Along the same time, a veterinary sedative, xylazine , became popular in Puerto Rico in individuals who used injection drugs [3]. We treat with wound care and reserve surgical management only for limbs that are no longer viable.
Stephen points out the shortcomings of having HR staff or uninterested fire crews represent the fire department at recruiting events, often resulting in poor candidate engagement because those representatives lack the firsthand knowledge and passion needed to connect authentically. All rights reserved.
Even now, I observe my managers praising and giving special treatment to employees who work excessive overtime with minimal mental or emotional support following significant or minor events that have notable effects on them. This allowed me to regroup in my day and direction without being affected by feelings of guilt or failure.
One sticking point was the departments’ desire to respond to fewer non-emergency calls, especially during major events and severe weather. MEDIC will add additional staff each year as necessary, the agency said in a statement. This money goes to the Charlotte Fire Department for EMS work, medical supplies and equipment.
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.”
This results in less protection for underlying structures, and more force is transmitted to the underlying organs. A high index of suspicion is essential—even in the absence of bruising, deformity, or wounds. What you don’t see can still be life-threatening. Children can compensate well—until they can’t. Hypotension is a pre-terminal sign.
Because EGAs do not isolate the trachea as the ETT does, the risk of aspiration events increases, and due to the blind placement of many of these devices, unidentified airway occlusion can occur. 8 Initially developed as a surgical adjunct, the LMA proved to be easily adaptable to the less controlled environments of the prehospital setting.
Their hospital has struggled with a growing number of adverse events that often occur without warning. Clinical Question: Can the implementation of a real-time, machine learning-based early warning system (CHARTWatch) reduce adverse events and mortality in patients in the emergency department? Reference: Verma et al.
The evidence shows no conclusive clinical advantage of N95 respirators over surgical masks when it comes to protecting healthcare workers from acute respiratory infections. Surgical masks, combined with proper vehicle ventilation protocols, suffice for most encounters. Want to hear more? All rights reserved.
Major adverse cardiac events 40 minutes after giving the antiarrhythmic. Major adverse cardiac events 40 minutes after giving the antiarrhythmic. The following table shows their results, take a look: Note that procainamide leads with less adverse cardiac events. This was based on 11, thats not a typo, ELEVEN patients.
Barriers to Treatment Remain High Despite the clear need, many first responders hesitate to seek mental health care due to stigma and fear of professional consequences. The study highlighted concerns that seeking help might lead to being labeled “weak,” losing one’s license, or being sidelined at work. David Tan and Henry Lewis.
Coming into triage, I see a young man—Georgian-speaking—bracing himself with a hand against the wall and holding his lower abdomen. With what I can only describe as a “grimace” by a singular word, his face conveyed so much more. Without talking or touching the patient, the triage nurse picked up on a deep pain.
” The feature maintains NEMSIS compliance and includes built-in safeguards that require provider review and approval before finalizing any narrative. Healthcare professionals retain complete control throughout the process, with the ability to edit, augment, modify or regenerate content as needed. All rights reserved.
He had ongoing pain following the syncopal event but went to bed and awoke in the morning with ongoing pain. The previous evening, he was at rest and developed severe pain with associated shortness of breath, diaphoresis and a brief syncopal episode. He came to the ED at the urging of his wife. Another EKG was also obtained.
The recent event highlights this long-standing partnership in the western region, readiness and disaster preparation. The collaboration between burn centers and the ABA is what makes it possible to manage events of this magnitude, said Pomerantz. According to Jain, the Arizona Burn Centers team includes ABA members such as Drs.
You can’t always plan around birthdays, holidays, or important events. Sustaining this over the long term can be especially challenging without support or intentional effort. Balancing Work and Personal Life as a First Responder Why Balance Is So Difficult for First Responders 1. Honest dialogue can also reduce stress within your household.
Burnout among EMS professionals is rarely the result of a single event. Without sufficient emotional processing or structured support, repeated exposure to such events can culminate in compassion fatigue —a state of emotional exhaustion characterized by diminished empathy and detachment from patients.
substance abuse as a coping mechanism following traumatic events). 1 A significant number of patients present to the ED with concerns related to traumatic experiences. 1 A significant number of patients present to the ED with concerns related to traumatic experiences. These concerns may be a direct result of trauma (e.g.,
In a large emergency department, intubation is a frequent enough event to generate confidence. Experience, Timing Matter It is widely accepted that frequent experience in performing the complex procedure of ETI is what matters most in ascertaining competency. 3,4 Which is Best? Practitioners must consider ROSC.
Veterans and first responders, who often experience multiple traumatic events over their careers, benefit from the calming presence of a service dog. Whether it’s helping a firefighter cope with trauma or aiding a police officer with mobility issues, these specially trained dogs provide a level of support that can be life-changing.
Time-sensitive emergencies are demanding events. Rapid response, coordinated teams, and extensive resources are crucial for patients whose conditions deteriorate quickly.
A large part of our focus is trying to prepare for these events and try to prevent them.” The Weld County Regional Communications Center — with help from the Greeley Fire Department — launched PulsePoint on Monday, an app that alerts users when someone is having a cardiac arrest emergency within a half-mile. Visit www.greeleytribune.com.
Community education sessions at schools, neighborhood centers, or local events allow for face-to-face conversations where questions are answered, myths are dispelled, and relationships are built. Education Is a Force Multiplier Supporting first responders doesn’t always require more gear, funding, or staff.
Attending every event or occasion can often put a strain on your mental health and well-being, especially if some of them conflict with your other priorities. Politely saying no to an event can make more room for you to say yes to your priorities so that you can be more present and enjoy each moment of the holidays.
Stacee shared stories collected anonymously from frontline women experiencing miscarriages, fertility struggles and chronic conditions like endometriosis—all while navigating the physical demands of the job. Many women suffer in silence out of fear of stigma or being labeled as “problematic.” All rights reserved.
Departments should create a clear policy outlining the dosing and administration of the antidote (20% intralipid solution) in the event of this rare, but dangerous, complication. major LAST events (cardiac arrest or seizures) per 1,000 peripheral nerve blocks. 8,9 The frequency of minor LAST events (e.g.,
Bedside manner, including verbal communication, body language, and active listening, plays a critical role in patient experience and outcomes. This article explores the practical, emotional, and evidence-based importance of bedside manner, especially in low-acuity or “basic” EMS calls. You’re caring for a person. All rights reserved.
Target temperature management in traumatic brain injury with a focus on adverse events, recognition, and prevention. One-liner… Traumatic brain injury (TBI) is a leading cause of mortality and morbidity in paediatric populations, and fever is associated with worse outcomes. Should we aim to prevent fever, or should we cool patients?
But they didnt stop therethey also investigated whether low calcium levels influenced the need for critical interventions like vasoactive medications, blood transfusions , interventional radiology, or surgery. The findings suggested that children with iHypoCa were nearly three times more likely to present with hypotension. But did it help?
Breakfast, lunch and refreshments provided on site Start time: 0745 End time: ~1600 *Please note: In the event the course does not have full enrollment the number of cadavers may be reduced, between 8 and 12 specimens. End of day will involve discussion of challenging airway management cases from participants and faculty.
The subsequent diagnosis of an ST-segment elevation myocardial infarction (STEMI) sets forth a cascade of events that typically culminates in the patient being transported to hospital capable of emergent percutaneous coronary intervention (PCI). Non-occlusive MI would tend to be managed medically.
1: New Meta-analysis Metoprolol vs Diltiazem for A-Fib with RVR Spoon Feed This systematic review of 13 studies found slightly higher rates of adverse events after administration of diltiazem versus metoprolol, when treating atrial fibrillation (a-fib) with RVR. . #1: Am J Emerg Med. 2024 Dec 27;89:230-240. doi: 10.1016/j.ajem.2024.12.070.
Adrenaline, an endogenous catecholamine produced by the adrenal medulla, exerts its effects on both alpha- and beta-adrenergic receptors in a dose-dependent manner, triggering the well-known sympathomimetic ‘fight or flight’ response to stress. It should be delivered intravenously, or if intravenous access is unavailable, via the intraosseous route.
Guidelines also recommend against routinely transfusing blood products to correct coagulation panel abnormalities; transfusion is associated with adverse events and does not reduce the risk of bleeding. Literature concerning risk with PPIs is controversial. Literature suggests 10-33% of patients are asymptomatic or only have mild symptoms.
Once someone who is seriously injured in a car accident or a shooting begins to hemorrhage, a clock starts ticking. They operate from five locations across the state with limited blood inventory. “We We know timing is everything,” he said. Military medics have used the technique for some time. 070725-owh-new-blood-cm05.jpg Air Force Lt.
The patient refuses further care or transport and does not receive follow-up care for the root cause of their overdose event, SUD/OUD. Grant Funding In 2022, the county reported 28 overdose deaths, and in 2023, 27 overdose deaths were reported. With these credentials, MIH paramedics enhance their ability to care for individuals with SUD/OUD.
Fear List: Let Fear Guide Preparation Identify what scares you the most — high-risk, low-frequency events Make a list Turn these into your preparation priorities 11. Make It Happen: Training Schedule Build rehearsal into your life Schedule practice outside shifts (calendar event, phone reminder) Use tools like Anki for spaced repetition: 12.
My goal in this column is to share tips, tricks, and emerging concepts from the intensive care unit (ICU) that you can use on your next shift in the emergency department (ED). If there are topics that you want me to cover, don’t hesitate to reach out. Known hypotension, as a bridge to a continuous infusion of a pressor. Unanticipated hypotension.
OneDose’s centralized, mobile-first design makes it easier to train new staff, implement clinical updates, and ensure consistency across all units—without the confusion or lag time that previously came from juggling multiple products. Many EMS tools are fragmented, outdated, or cumbersome,” said Moore. It keeps us nimble. All rights reserved.
Today on the emDOCs cast with Brit Long ( @long_brit) , we cover immune checkpoint inhibitors and adverse events. The post emDOCs Podcast Episode 113: Immune Checkpoint Inhibitor Adverse Events appeared first on emDOCs.net - Emergency Medicine Education. Immune checkpoint inhibitors: An emergency medicine focused review.
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