Article: Benger JR, Kirby K, Black S, et al. Effect of a Strategy of a Supraglottic Airway Device vs Tracheal Intubation During Out-of-Hospital Cardiac Arrest on Functional Outcome: The AIRWAYS-2 Randomized Clinical Trial. JAMA. 2018;320(8):779-791. Background: The benefit of advanced life support measures in the management of patients with out-of-hospital cardiac arrest (OHCA) is controversial.
Should paramedicine require a minimum degree? In this post, two EMS physicians, Clayton Kazan (Medical Director for LA County Fire Department) and Hawnwan P. Moy (Medical Director for ARCH Air Methods in Missouri) , debate the Pros and Cons. CON: Raise the Roof, Not the Floor. by Clayton Kazan MD FACEP FAEMS Far be it
by Mark Liao, MD, NRP (@EMSDocMark) Expert Peer Review by Dorothy Habrat, MD (@EMSDrDorothy) Clinical Scenario A 25-year-old male is brought to your Finish Line medical station. Bystanders noted that he was unsteady on his feet while running a half-marathon before he collapsed. The outside conditions are notable for an air temperature of 22.7 °C
Klebacher R, Harris MI, Ariyaprakai N, et al. Incidence of Naloxone Redosing in the Age of the New Opioid Epidemic. Prehosp Emerg Care. 2017;21(6):682-687. Background & Objectives: The surging opioid epidemic has largely been combated with the use of intravenous and intramuscular naloxone administration. More recently, intranasal naloxone has been shown to be easily administered
Article: Smith ER, Shapiro G, Sarani B. The profile of wounding in civilian public mass shooting fatalities. J Trauma Acute Care Surg. 2016;81(1):86-92. Background & Objectives: Civilian mass shootings are unfortunately on the rise and afflict the lives of many individuals and their families. Given the rising incidence and severity of these events, there has
by Noah Tyler, EMT-P Peer Review by Aurora Lybeck, MD We’ve all seen the news stories and videos: Mass shootings, violent gang activity, and targeted assaults on first responders are on the rise. Fortunately, bullet and stab resistant vests have been effectively protecting most of our law enforcement officers for years. Today, we see EMS
By Mark Liao, MD, NRP (@EMSFellowMark) Peer Reviewed by Jeremiah Escajeda, MD (@JerEscajeda) Clinical Scenario: As you settle into your seat on a cross-country airline flight to yet another Emergency Medicine conference, you hear the familiar Hi-Low tone signaling an announcement. Suddenly a pressured, yet professional, voice booms overhead: “If there is a medical professional
Article Reviewed: Champagne-langabeer T, Langabeer JR, Roberts KE, et al. Telehealth Impact on Primary Care Related Ambulance Transports. Prehosp Emerg Care. 2019;:1-6. [PMID: 30626250] Background & Objectives: Prior studies have confirmed what is known by many of those who work in EMS: a high proportion of patients that are transported have non-emergent conditions. Several studies have
As both a Paramedic and an Emergency Medicine Physician Assistant I commend those who made the announcement of the Emergency Triage, Treat and Transport (ET3) payment model a possibility. This is by far, one of the biggest steps in the advancement of modern EMS. This historic payment model could finally bring an end to the
by Melissa Kroll, MD and Hawnwan P. Moy, MD Introduction The Center for Medicare and Medicaid Services’ (CMS) passage of the Emergency Triage, Treat, and Transport model (ET3) not only recognizes EMS as part of the health care system but is a significant step in developing a mature EMS system. But what does this mean
