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Article Bites #38: Outcomes of Prehospital Chemical Sedation with Ketamine versus Haloperidol and Benzodiazepine or Physical Restraint Only Article Summary by Angela Cornelius MD Article: O\’Connor L, Rebesco M, Robinson C, Gross K, Castellana A, O\’Connor MJ, et al. Outcomes of prehospital chemical sedation with ketamine versus haloperidol and benzodiazepine or physical restraint only. Prehosp

by Clayton Kazan, MD, MS, FACEP, FAEMS About four years ago, I wrote an opinion piece for the NAEMSP blog entitled, We Gave an Inch, They Took a Mile about ambulance patient offload time (APOT).  So, now that the problem is solved, we can move on to more pressing issues, right?  I can’t comment about

by Lorena McConnell MD Clinical Scenario:  You are part of an ALS unit that just got to the scene of a structure fire to relieve the prior unit. The firefighters have been working on fire suppression for 2 hours. You are asked to come evaluate a 38-year-old firefighter. He came out of the building 5

 by Casey Patrick, MD @cpatrick_89 Article: Lemkes JS, Janssens GN, van der Hoeven NW, Jewbali LSD, Dubois EA, Meuwissen M, Rijpstra TA, Bosker HA, Blans MJ, Bleeker GB, Baak R, Vlachojannis GJ, Eikemans BJW, van der Harst P, van der Horst ICC, Voskuil M, van der Heijden JJ, Beishuizen A, Stoel M, Camaro C, van

Article Summary by James Li, MD (@jamesli_17) Article: Watanabe, B. L., Patterson, G. S., Kempema, J. M., Magallanes, O., & Brown, L. H. (2019). Is use of warning lights and sirens associated with increased risk of ambulance crashes? A contemporary analysis using National EMS Information System (NEMSIS) data. Background: Emergency response vehicles frequently utilize lights

Article Summary by Casey Patrick, @cpatrick_89 Article: Murphy, D. L., Bulger, N. E., Harrington, B. M., Skerchak, J. A., Counts, C. R., Latimer, A. J., … & Sayre, M. R. (2021). Fewer tracheal intubation attempts are associated with improved neurologically intact survival following out-of-hospital cardiac arrest. Resuscitation, 167, 289-296. Who, What, When, Where and How?

Article Summary by Ian Brodka and Andrew Lee Article: Grotta, J. C., Yamal, J. M., Parker, S. A., Rajan, S. S., Gonzales, N. R., Jones, W. J., … & Bowry, R. (2021). Prospective, Multicenter, Controlled Trial of Mobile Stroke Units. New England Journal of Medicine, 385(11), 971-981.   Background:  The traditional pre-hospital model for stroke

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

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