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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

Article: Trivedi TK, Glenn M, Hern G, Schriger DL, Sporer KA. Emergency Medical Services Use Among Patients Receiving Involuntary Psychiatric Holds and the Safety of an Out-of-Hospital Screening Protocol to “Medically Clear” Psychiatric Emergencies in the Field, 2011 to 2016. Ann Emerg Med. 2019;73(1):42-51. Background & Objectives: Due to a nationwide shortage of inpatient psychiatric beds,

Death by Suicide — The EMS Profession Compared to the General Public Vigil NH, Grant AR, Perez O, et al. Death by Suicide-The EMS Profession Compared to the General Public. Prehosp Emerg Care. 2018;:1-6.[PMID: 30136908]   Background & Objectives:  Suicide is a public health crisis with an estimate 45,000 individuals dying from suicide annually. Certain professions,

A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest Perkins GD, Ji C, Deakin CD, et al. A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest. N Engl J Med. 2018. [PMID: 30021076] Background & Objectives: Other than early CPR and defibrillation, there are few measures that have been shown to improve outcomes for out-of-hospital

Prehospital Plasma during Air Medical Transport in Trauma Patients at Risk for Hemorrhagic Shock Sperry JL, Guyette FX, Brown JB, et al. Prehospital Plasma during Air Medical Transport in Trauma Patients at Risk for Hemorrhagic Shock. N Engl J Med. 2018;379(4):315-326. [PMID: 30044935] Background & Objectives: Hemorrhagic shock remains the most significant cause of mortality in

by Aaron Farney, MD  Citation Alter, S. M., Haim, E. D., Sullivan, A. H., & Clayton, L. M. (2018). Intubation of prehospital patients with curved laryngoscope blade is more successful than with straight blade. The American journal of emergency medicine.  Background/Rationale There are two direct laryngoscope blades available to EMS: the curved Macintosh and the straight

by Aaron Farney MD  Clinical Scenario  You are called for a 25-year-old male, possible overdose, unknown if breathing.  On arrival, the patient is unresponsive on his bathroom floor.  Family reports they found him on the floor not breathing just prior to calling 911.  They had last seen him well 15 minutes prior.  He has a

Analysis of Out-of-Hospital Pediatric Intubation by an Australian Helicopter Emergency Medical Service.  Burns BJ, Watterson JB, Ware S, Regan L, Reid C. Analysis of Out-of-Hospital Pediatric Intubation by an Australian Helicopter Emergency Medical Service. Ann Emerg Med. 2017;70(6):773-782.e4. [PMID: 28460858] Background & Objectives: Adequate establishment and maintenance of a patent airway is one of the hallmarks of