by P. Brian Savino, MD; Melody Glenn, MD; Karl A. Sporer, MD Paramedics respond the scene of a 65-year-old male complaining of chest pain. EKG is suspicious for STEMI. They give an aspirin and start to administer oxygen, even though the patient’s SpO2 is 97%. Based on their county protocols, medics transport the patient to …
California’s Quest for Evidence-Based EMS Protocols: Chest Pain Read More »
by Melody Glenn, MD Perhaps the success of Harvard sociologist Matthew Desmond’s Evicted, Poverty and Profit in the American City, lies in its engaging style, reading more like a page-turning novel and less like an academic analysis. Through following the ups and downs of its colorful characters, we realize the profound impact that stable housing …
Book Club Sessions: Evicted, Poverty and Profit in the American City Read More »
by Maia Dorsett, MD PhD (@maiadorsett) Recap of the Case: A 64 yo male is having dinner with his family when he begins to feel lightheaded and nauseated. As he stands up to leave the table, he collapses to the ground. His family calls 911. As he is unresponsive with agonal respirations, the call is …
One size does not fit all: Should we be using mechanical CPR in OHCA? Read More »
by Adam Rieves, MD (@AdamRieves) and Brandon Bleess, MD (@BBBleess) EMS MEd Editor: Maia Dorsett (@maiadorsett) Clinical Scenario: EMS is called to the home of an elderly gentleman with altered mental status. On arrival, they find an elderly male who is muttering to himself. Per his daughter, he has had decreased oral intake and confusion …
Be All End-Tidal: The Expanding Role of Capnography in Prehospital Care Read More »
by Kevin Baumgartner, MD EMS MEd Editor: Maia Dorsett (@maiadorsett) Case: EMS is dispatched to the scene of a Motor Vehicle Accident. They arrive to find a 45 year old male who was riding his bicycle when he was hit by a car traveling at approximately 35 mph. Eyewitnesses state that the man was thrown …
Yes or No? Prehospital Endotracheal Intubation For Patients With Traumatic Brain Injury Read More »
by Clayton Kazan, MD We all know about the various codes they call in the hospital: Code Blue, Code White, Code Pink, etc. We have even made up a few codes of our own, aka Code Brown. But, not enough of us know about Code Green. It\’s not a new name for patients on 4/20 …
by Zachary Hafez MD & Melissa Kroll MD expert reviewed by Hawnwan Philip Moy MD (@pecpodcast) It\’s a slow Saturday morning and you as the medical director are riding out enjoying the unusually warm 60 degree weather…in February no less! To celebrate, you decide to visit your favorite coffee shop and get the world\’s best latte. …
Can Negativity be a Good thing? The Impedance Threshold Device in CPR. Read More »
By Clayton Kazan, MD, MS, FACEP (@clayton_kazan) The ER system is a sinking ship, EMS can be part of the solution. In the late 1960\’s, most pre-hospital care was provided by primary care physicians. As hospital care became more sophisticated and Emergency Medicine began to develop, the focus began to shift to transporting patients to …
The ER system is a sinking ship, EMS can be part of the solution. Read More »
by Melody Glenn, MD It’s a Thursday evening in Oakland, and luckily, the current rain hasn’t gotten in the way of tonight’s book club at Novel Brewing, a book-themed brewery in the heart of the San Pablo corridor. I’m excited that Michael Marsh, a paramedic with decades of disaster and operational experience, and Dr. John …
Disaster and the Ethics of Medicine : Five Days at Memorial Read More »
by Brandon Bleess, MD EMS MEd Editor: Maia Dorsett, MD PhD (@maiadorsett) Case Scenario #1 EMS is dispatched to scene of a witnessed cardiac arrest. A 54 yo male was at a family gathering when he suddenly clutched his chest prior to collapsing and becoming unresponsive. First responders arrived within 4 minutes of initial call …
The New 12-Lead: Prehospital Point of Care Ultrasound Read More »
