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Patrick C, Ward B, Anderson J, Rogers Keene K, Adams E, Cash RE, Panchal AR, Dickson R. Feasibility, Effectiveness and Safety of Prehospital Intravenous Bolus Dose Nitroglycerin in Patients with Acute Pulmonary Edema. Prehosp Emerg Care. 2020 Nov-Dec;24(6):844-850. An author’s summary by Casey Patrick, MD Background The broad teaching of “CHF Exacerbation” as a singular

By Alison Leung, MD Setting the Scene EMS is dispatched to the scene of a motorcycle collision. The patient is unconscious, but breathing and has a rapidly expanding hematoma to the right flank. The patient’s airway is intact, he has equal breath sounds, but his pulses are rapid and thready. What is your diagnosis? What

by Emily Fitzgerald, MD Just your Average Case of Undifferentiated Respiratory Distress Your ALS crew is dispatched to a local nursing home for the 74-year-old female with shortness of breath, priority 2. You arrive on scene to find an elderly woman in respiratory distress. She is tripoding in bed, has marked accessory muscle usage and

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