jli0814

Article: Peter E. Fischer, Debra G. Perina, Theodore R. Delbridge, Mary E. Fallat, Jeffrey P. Salomone, Jimm Dodd, Eileen M. Bulger & Mark L. Gestring (2018) Spinal Motion Restriction in the Trauma Patient – A Joint Position Statement, Prehospital Emergency Care, 22:6, 659-661, DOI: 10.1080/10903127.2018.1481476 Podcast on this position statement: https://pecpodcast.libsyn.com/prehospital-emergency-care-podcast-24 Background:  Immobilization of a …

Article Bites #21: Spinal Motion Restriction in Trauma: A Joint Position Statement Read More »

Article:  Bosson, N., Sanko, S., Stickney, R. E., Niemann, J., French, W. J., Jollis, J. G., … & Koenig, W. (2017). Causes of prehospital misinterpretations of ST elevation myocardial infarction. Prehospital Emergency Care, 21(3), 283-290.  Background:   Prehospital STEMI identification plays a critical role in ensuring appropriate destination decision and shortening times to reperfusion for patients with acute …

Article Bites #20: Computers as adjuncts to Humans: Causes of Prehospital misinterpretation of STEMI Read More »

Article: Patterson PD, Higgins JS, Van Dongen HPA, Buysse DJ, Thackery RW, Kupas DF, et al. Evidence-based guidelines for fatigue risk management in emergency medical services. Prehosp Emerg Care 2018 Feb;22(sup1):89-101. Background: There is not a large amount of evidence in the EMS literature that guides how to mitigate workplace fatigue, which affects over half of …

Article Bites #19: Evidence Based Guidelines for Fatigue Risk Management Read More »

 by David Rayburn MD, MPH Scenario: A crew is dispatched for OB/Childbirth. The baby, delivered as the EMS crew arrives, is  pale, limp, and apneic. What are the next steps of care for this patient?  How do we prepare to manage this scenario? Review: Delivery of a baby by a prehospital provider is not an …

Here comes the baby! Out of hospital principles in Neonatal resuscitation Read More »

by Aaron Farney, MD Case Presentation EMS is dispatched priority 1 for an 86-year-old female unconscious/fainting call.  Despite 911 center implementation of the Medical Priority Dispatch System (MPDS) 36 pandemic card, this incident is coded via the 31 card – unconscious/fainting. On arrival, EMS discovers family in an upstairs bathroom surrounding an elderly female who …

COVID-19 Pandemic: Expect the Unexpected Read More »

by Brent Olson, NRP & Hashim Zaidi, MD Clinical Scenario You answer a call for on-line medical control for a 28-year-old male patient refusing transport to the hospital. The paramedics report that he was initially cyanotic with pinpoint pupils and snoring, shallow respirations. The paramedics administered a single dose of 2 mg intranasal naloxone. The …

The Post Naloxone Patient: Optimizing Opioid Overdose Refusals Read More »

Article Bites Summary by Clare Wallner MD Infographic by Jeffrey Stirling MSc(c), PCP, @jeffrey_stirlin Article: Sacramento County Prehospital Research Consortium. Out-of-hospital triage of older adults with head injury: a retrospective study of the effect of adding “anticoagulation or antiplatelet medication use” as a criterion. Ann Emerg Med 2017 Aug;70(2):127-38. Background and objectives: The CDC Field trauma triage …

Article Bites #18: Trauma triage of older adults: Anticoagulants Matter. Read More »

The Article: Wang HE, Schmicker RH, et al. (2018). Effect of a Strategy of Initial Laryngeal Tube Insertion vs Endotracheal Intubation on 72-Hour Survival in Adults With Out-of-Hospital Cardiac Arrest. JAMA, 320(8), 769. doi:10.1001/jama.2018.7044 Background & Objectives: Airway management has long been one of the first steps in the ABC’s of cardiac arrest management, but there …

Article Bites #17: PARTing the Confusion on Airway Selection in Out-of-Hospital Cardiac Arrest Read More »

by Erin Brennan, MD, MPH Recently on twitter, one of our colleagues, Joshua Stilley, an EMS Physician, tweeted the following: His description suggests an important change in our lexicon.  The way we describe things assigns value – and basic implies that it is easy to do and sounds much less attractive that “advanced”.  But there …

BLS is more than basic, it’s fundamental to good care. Read More »