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Article Bites #26: Time for a new location or Technique in infants? Success rates of proximal tibia IO placement in pediatric patients as determined by post-mortem CT

Article: Harcke, H. T., Curtin, R. N., Harty, M. P., Gould, S. W., Vershvovsky, J., Collins, G. L., & Murphy, S. (2020). Tibial Intraosseous Insertion in Pediatric Emergency Care: A Review Based upon Postmortem Computed Tomography. Prehospital Emergency Care, 1-7.  Background:  The most commonly used (and recommended) site for intraosseous (IO) access in pediatric patients is

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Article Bites #25. Compassion First: Mortality risk of Patients with Psychogenic Nonepileptic seizures

Nightscales, R et al. “Mortality in Patients with Psychogenic Nonepileptic Seizures.” Neurology 95.6 (2020): e643–e652. Neurology.  Background Caring for psychogenic nonepileptic seizure (PNES) patients (the condition formerly known as “pseudoseizures”) in the emergency setting can be exceedingly difficult and frustrating.  This is understandable because discerning between true seizure activity and a psychogenic event leads to drastically different treatment

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The 2020 EMS LLSA Article Summaries

The 2020 EMS LLSA Articles and test have been released by ABEM. The EMS MEd team & NAEMSP Education committee are happy to bring to you concise summaries of all 14 articles via the Article Bites section of the blog. Click on the article link to be connected to the article summary. 1. Jarvis JL,

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Article Bites #24: More than a Moment in Time: The Association between Out-of-Hospital Hypoxia and Hypotension on Traumatic Brain Injury

Article:  Spaite DW, Hu C, Bobrow BJ, Chikani V, Barnhart B, Gaither JB, et al.The effect of combined out-of-hospital hypotension and hypoxia on mortality in major traumatic brain injury. Ann Emerg Med 2017 Jan;69(1):62-72. Background:  Hypoxia and hypotension are known to independently increase mortality in patients with severe traumatic brain injury, but their combined effects

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Article Bites #23: Applying the K.I.S.S. Principle to Trauma Triage.

Article: Kupas, D. F., Melnychuk, E. M., & Young, A. J. (2016). Glasgow coma scale motor component (“patient does not follow commands”) performs similarly to total glasgow coma scale in predicting severe injury in trauma patients. Annals of emergency medicine, 68(6), 744-750.  Background: Trauma patients are often triaged to trauma centers based on their GCS.  Indeed, a

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Article Bites #22:  Moving Beyond First Pass Success: A Clinical Bundle to Reduce the Incidence of Out-of-Hospital Peri-Intubation Hypoxia.

Article:  Jarvis, J. L., Gonzales, J., Johns, D., & Sager, L. (2018). Implementation of a clinical bundle to reduce out-of-hospital peri-intubation hypoxia. Annals of Emergency Medicine, 72(3), 272-279.  Background:  Peri-intubation hypoxia is an important quality measure for EMS agencies performing rapid sequence intubation, as it is associated with poor patient outcomes including peri-intubation cardiac arrest and death

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

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

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

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

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

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

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