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 »
by Al Lulla, MD (@al_lulla) and Bridgette Svancarek, MD Expert/Peer Reviewed by J. Brent Myers, MD, MPH (@bmyersmd) You arrive on scene to a cardiac arrest. Your patient is a 64 yo male found pulseless by his wife when she returned from walking the family dog. The patient’s initial rhythm was a narrow complex PEA. …
Time to Stop Beating a Dead Horse: Termination of Resuscitation in the Field Read More »
Summary and analysis by Maia Dorsett, MD, PhD @maiadorsett Framing the Problem Nausea and vomiting in pregnancy is not rare, occurring in about 50% of all pregnant women. [1] Symptom onset typically occurs within four weeks of the last menstrual period and peaks at nine weeks of gestation, with the vast majority of cases …
Should EMS providers administer Ondansetron for pregnancy-related vomiting? Read More »
Sabina Braithwaite, MD, MPH, NRP, FACEP The current EMS Fellowship curriculum emphasizes clinical skills needed to be a competent EMS physician. In addition to medical knowledge, prehospital patient care, and systems-based practice, there are milestones for team and patient centered communication. These milestones focus on communication between EMS physician and EMS providers, EMS physician and patient, …
Medicine in Public: Messaging is a Core Skill in EMS Education Read More »
by Richard T. Benson II, MD, Joseph Grover, MD, Jane Brice, MD, MPH Clinical Scenario: EMS is dispatched to a possible stroke patient whose last seen normal time was 1.5 hours prior to dispatch. The patient lives 15 minutes from a primary stroke center and 45 minutes from a comprehensive stroke center. The patient has …
Transporting Stroke Patients in the Era of Endovascular therapy Read More »
Melody Glenn, MD One by one, people start to arrive at Greasebox, a local diner in Oakland, CA, for our inaugural multidisciplinary book club session. Only a few of the faces are familiar to me — my colleagues in emergency medicine and EMS, but the rest introduce themselves as students and practitioners working in sociology …
How the books we read inspire change in our EMS world — A Fresh Perspective Read More »
David K. Tan, M.D. Growing up, one of my favorite TV shows was “Emergency!” I suspect many of our readers with a few grey hairs share my fond memories of watching Johnny and Roy gallantly saving lives every week while receiving sage advice from Dr. Brackett and Dr. Early when they brought the patients …
Now Is the Age of EMS: It is Time to Revolutionize Our Practice Read More »
Daniel Kolinsky MD, Nicholas M Mohr, MD MS & Brian M Fuller, MD, MSCI Case Scenario ‘Not again,’ you think to yourself as you listen to the dispatch report. “Call for inter-hospital transport. The patient is a 58 year-old male with a recent diagnosis of pneumonia, in the ED with acute respiratory failure, and is …
Good Care Starts Early: Pre-Hospital Lung Protective Ventilation Read More »
