Campos, A., Ernest, E. V., Cash, R. E., Rivard, M. K., Panchal, A. R., Clemency, B. M., … & Crowe, R. P. (2021). The association of death notification and related training with burnout among emergency medical services professionals. Prehospital Emergency Care, 25(4), 539-548. Background: Death notification is the process by which we inform family members or friends …
by Cecilio Padron, MD and DavidArbona, MD FAAEM Case EMS is dispatched to a nearby home for a 71-year-old female with confusion. The patient\’s daughter reports that she has a history of hypertension, hypothyroidism and back pain. She is currently undergoing evaluation by neurology for dementia as she has been more forgetful over the past …
Delirium Recognition and Diagnosis: EMS has a Role to Play Read More »
by Brandon Morshedi, MD, DPT, FACEP, FAEMS, NRP Good grief! Or at least that is what we hope for when managing end-of-life scenarios as healthcare professionals. When patients are being actively resuscitated, whether in the prehospital environment or inside the hospital, all efforts have traditionally focused on just the patient, including training elements. Despite the …
Good Grief! Should Family Members Be Present During Prehospital Resuscitations? Read More »
By Casey Patrick MD and Brad Ward EMT-P Article: E Baldi, S Schnaubelt, et al. Post-ROSC electrocardiogram timing in the management of out-of-hospital cardiac arrest: results of an international multicentric study (PEACE study). European Heart Journal, Volume 41, November 2020 Background The initial hospital destination for OHCA patients, post-ROSC, has been a moving target over the …
Article Bites #32. 12-Leads After ROSC: It’s All in the Timing Read More »
by Torie Howarth, NRP and Joshua Stilley, MD FAEMS Scenario You are dispatched for a 78 year old female with a complaint of generalized weakness. On arrival, the patient is sitting in her bedroom and appears pale but alert. You conduct a quick primary survey and find that while her radial pulse is present, you …
Cognitive Awareness Case Series #2: When encountering bradycardia, stop and think. Read More »
Article: Medication Dosing Safety for Pediatric Patients: Recognizing Gaps, Safety Threats, and Best Practices in the Emergency Medical Services Setting. A Position Statement and Resource Document from NAEMSP. Background: Medication dosing errors in pediatrics are a common occurrence. Dosing errors are the result of multiple causes: infrequent exposure to pediatric patients coupled with complex calculations …
In February, we posted the following Discussion Forum stem: EMS is dispatched to a cardiac arrest at a residence with bystander CPR in progress. The paramedic and EMT partners arrive on scene to find BLS care being initiated by a company of four firefighters who are credentialed at either the EMR or EMT level. …
Article Summary by Casey Patrick, MD, FAEMS @cpatrick_89 Article: Pappal RD, Roberts BW, Mohr NM, Ablordeppey E, Wessman BT, Drewry AM, Winkler W, Yan Y, Kollef MH, Avidan MS, Fuller BM. The ED-AWARENESS Study: A Prospective, Observational Cohort Study of Awareness With Paralysis in Mechanically Ventilated Patients Admitted From the Emergency Department. Ann Emerg Med. …
by Kaitlyn Hartnett, MS2 NRP and Joshua Stilley, MD FAEMS Case: You are dispatched to a 60 year old female with a chief complaint of dizziness. Upon arrival, the patient is lying on her bed in a dark room, but is interactive. Vital signs are normal, and her primary survey is unremarkable. She tells you …
Cognitive Awareness Case Series #1: Beware the Posterior Circulation Read More »
Article: Crowe, R. P., Myers, J. B., Fernandez, A. R., Bourn, S., & McMullan, J. T. (2020). The cincinnati prehospital stroke scale compared to stroke severity tools for large vessel occlusion stroke prediction. Prehospital Emergency Care, 1-9. Background: Since the first trials demonstrating significant benefit from endovascular therapy for patients with stroke secondary to large vessel …
