jli0814

Article Summary by James Li, MD Article: Spaite, D. W., Bobrow, B. J., Keim, S. M., Barnhart, B., Chikani, V., Gaither, J. B., … & Hu, C. (2019). Association of statewide implementation of the prehospital traumatic brain injury treatment guidelines with patient survival following traumatic brain injury: the excellence in prehospital injury care (EPIC) study. …

Article Bites #42: Association of Statewide Implementation of the Prehospital Traumatic Brain Injury Treatment Guidelines with Patient Survival Following Traumatic Brain Injury Read More »

What’s the Big Picture? By Adrien Quant LP,  Hashim Q. Zaidi MD As discussed in Part 1 and Part 2, current EMT standards of lung auscultation and pulse oximetry have critical limitations in the evaluation of ventilation and perfusion (Brown et al., 1997; DeMeulenaere 2007; Chan et al., 2013). However, the introduction of waveform capnography …

Should Waveform Capnography be in the EMT Scope of Practice? (Part 3) Read More »

The Benefits of Waveform Capnography for Patient Care By Adrien Quant LP, Hashim Q. Zaidi MD As discussed in Part 1, under the National EMS Scope of Practice Model (2019), EMTs are expected to initiate several critical airway and breathing interventions for a variety of medical and traumatic conditions. However, in order to evaluate ventilation …

Should Waveform Capnography be in the EMT Scope of Practice? (Part 2) Read More »

By Daniel Johnson, DO and Jordan Schooler, MD, PhD Clinical Case You arrive on the scene of a cardiac arrest. You find a middle-aged male with CPR in progress by bystanders. You find that he is in ventricular fibrillation. After quality CPR and defibrillation, you obtain ROSC. The patient remains comatose. You obtain a definitive …

Targeted Temperature Management after Cardiac Arrest: The Evidence and Applications for Emergency Medical Services Read More »

The Limitations of Lung Auscultation and Pulse Oximetry By Adrien Quant LP,  Hashim Q. Zaidi MD “Depending on a patient’s needs and/or system resources, EMTs are sometimes the highest level of care a patient will receive during an ambulance transport” National EMS Scope of Practice Model (2019) Under the National EMS Scope of Practice Model …

Should Waveform Capnography be in the EMT Scope of Practice? (Part 1) Read More »

by Maia Dorsett, MD PhD FAEMS When we teach about patient safety and medical errors, we put up pictures of the Swiss cheese model (1, 2) and demonstrate how harm occurs as errors fall through serial holes of imperfect systems.  When I examine this model, in many ways it rings true for the examples it …

Addressing the Greatest Harm: Diagnostic Safety in EMS Read More »

Article Summary by Elizabeth Stevens, MD, MA Article: Belval, L. N., Casa, D. J., Adams, W. M., Chiampas, G. T., Holschen, J. C., Hosokawa, Y., … & Stearns, R. L. (2018). Consensus statement-prehospital care of exertional heat stroke. Prehospital Emergency Care, 22(3), 392-397. Background: Exertional heat stroke (EHS) is end organ dysfunction due to hyperthermia …

Article Bites #41: Consensus Statement – Prehospital Care of Exertional Heat Stroke Read More »

By Kenneth Dumas MD, Johnathon Elkes MD, Rachel Semmons MD THE CASE 78 year old male with a past medical history of COPD, DMII, HTN, and ESRD currently on hemodialysis calls 911 for complaints of shortness of breath not relieved by his home inhaler. On arrival, the patient is seated on his couch with notable …

Field Management and Recognition of Hyperkalemia Read More »

by Clayton Kazan, MD We live in a scary time in the practice of medicine, though I am not sure that there has been a time in which medicine was relatively un-challenged.  We make a lot of errors, and those errors hurt a lot of people.  It’s as true in EMS as anywhere else in …

Error reduction starts with putting down the hammer Read More »

Article Summary by Emerson Franke, MD, EMT, FAAEM, (@EmersonFrankeMD) Article: Sobieraj, D. M., Martinez, B. K., Miao, B., Cicero, M. X., Kamin, R. A., Hernandez, A. V., … & Baker, W. L. (2020). Comparative effectiveness of analgesics to reduce acute pain in the prehospital setting. Prehospital Emergency Care, 24(2), 163-174. Background: Pain control in the prehospital setting …

Article Bites #40: Comparative Effectiveness of Analgesics to Reduce Acute Pain in the Prehospital Setting Read More »