Category: Uncategorized

Article Bites #13: How Often Do They Get More Than One? Naloxone Redosing in the Age of the Opioid Epidemic

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

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BSI, Scene Safe: Debating the Personal Protective Equipment of Today

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

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Trouble in Thin Air: Responding to Inflight Medical Emergencies

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

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Article Bites #11: Measuring the Impact of a Telehealth Program on Ambulance Transports

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

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ET3: Perspectives of a Paramedic and PA

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

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Can ET3 push the field of medical direction to where it should be?

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

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Article Bites #10: Delivering Right Care and Transporting to the Right Place: Medical clearance of Psychiatric Emergencies in the Field

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,

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Article Bites #9: The Emergency within EMS – Risk of Suicide in EMS Compared to the General Public

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,

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