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Showing results for tags '"ems"'.
Found 13 results
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An excellent read by FOAMFrat. An introduction to fluid resuscitation and cautions there of. https://www.foamfratblog.com/post/the-sodium-trap?fbclid=IwAR2dwx-AvRSw8gBB1GyPpl_Rwp2c-HeAc3-k6wkmxZ5jTFIioAjA9jSmrfY_aem_AcRQYH3b3e3NdPGZHu20QhrQnf7RGfqFKEh7PwwGIFcvOALtfrFuWkUV2uvPLy3exw9EHKNaxVvuCFKp1IMEiB2WHZSMmKFHfHCkdFHKwweZSw View the full article
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This podcast is a panel discussion from providers in Australia. Their EMS sounds like light years ahead of where I work. They utilize blood products, plasma, and can activate a trauma OR. It’s amazing to hear what other places are doing. Especially when you feel lost in your own career and wish to see your service progress. Please give it a listen and tell me what you think! TLDR (or didn’t listen): lives can be saved if all departments work together! RAGE Podcast – Resuscitology: Bleeding Patients View the full article
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Advanced airways in EMS are in heated debate today. There are two extremes. Give it or cut it. Some medical directors are granting crews RSI (rapid sequence intubation) in the field. While others are cutting intubation as a whole and utilizing devices like the iGel. There are so many combinations of medications you can use for induction in a chemically assisted intubation. The one that was recently brought to my attention was Ketamine. Ketamine has been a wonder drug in EMS. It has been beneficial in taking down the giant muscled bound tweeker that’s fighting a gaggle of police office
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Let’s talk about TXA and brain injuries. Maybe we can put to rest the suspicion that TXA creates further injury in patient’s with a TBI. TXA is an amazing tool to use for our trauma patients. There has been so much success TXA that there are trials to see how effective it is for GI bleeds. As with most medications new to a service (mine has had standing orders on TXA for about a year), there are always questions and concerns. One that continually comes forward is, “does TXA create further harm in a patient with a brain injury?” Curious and in an effort
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My AHA BLS quiz application was just released on Android. Check it out! https://play.google.com/store/apps/details?id=com.wBLSQuiz2019_9477418 View the full article
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2,000 law suits and appeals have been pushed forward against Johnson and Johnson. The state of Oklahoma has started proceeding in regards to damages done to the state. As stated in the New York Times; ” Oklahoma had said it would need $17 billion to repair the damage done by the epidemic. About 6,000 Oklahomans have died from opioid overdoses since 2000, according to officials there.” It is about time some one has step forward and pursued dealers in this rich man drug war! View the full article
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There was a time I was burnt out. Well, that’s not exactly true. There was a time that every three months I was burnt to the core. I wanted to quit. I wanted to go to nursing school. Hell, I even put in an application to Fed Ex. Unfortunately, there was one time that my burn out led to injuring a patient. You see, I was burning the candle from all ends. I was going through a terrible separation with a woman who had two kids I cared for and adored. I was a supervisor of a shift that was falling apart. I worked nights, went to school during the day, and
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My new PALS study app just went live today! If you are an android and getting ready to take PALS, check it out! https://play.google.com/store/apps/details?id=com.wPALSQuiz2019_9326200 View the full article
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apple.news/APWZMplLkQp28qw0aiF26Vw I couldn’t imagine being first on scene… prays for EVERYONE involved. View the full article
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This study will have two versions written about it. This version is my “cut the fat” version I am trying encapsulate in this blog. As well, with my venture in medical free lance writing, I will have a “medical education” category for those who want the juicy morsels of dense medical language. With out further wait… here is sepsis study on a plate. Sepsis is a hot button topic in the world of prehospital medicine. There has been alot of literature put out by hospitals that declare more than 50% of in hospital deaths are due to multiple organ death (MODs), which is the ultimate deathly
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If you haven’t checked out Life in The Fast Lane, you HAVE to give it shot. This site’s ECG library helped me not only get through medic school, but also helped me learn what I was seeing on strange 12-leads my first year as a medic. I receive their email updates to keep myself informed, but it had been awhile since I’ve visited their site. They now have a library of just about any emergency medical topic you can think of. I was extremely impressed with their trauma library! Please stop by and check them out! Trauma Library View the full article
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*True story behind the title… Use your imagination; rookie, code, view the airway, tube.. tube… yo man! you are stepping on the tube!* I am a huge advocate for prehospital intubation. Though, I do strongly believe in good equipment, drugs, lots of practice (more than just simulators) and fail-safe options (iGel, etc). Every service has a different type of patient population. Every service has access to different equipment/protocols. Each patient has a different airway. Grants have helped many services obtain video laryngoscopes. Granted, less ambulances, the greater chance you will ha
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I don’t know how it is in other service areas, but my service is unable to obtain ANY dopamine… what-so-ever! I’m not sure if it is a manufacture problem (think back to 2010 when a huge company of our ACLS drugs changed to erectile dysfunction pills over night). Or maybe our hospitals are having an ordering issue. The real situation is, I LOVE DOPAMINE! As a new medic, I was terrified of it. The confusing dosage. The simple down and dirty math equation that escaped me in the opportune moment of a ROSC patient. Even it’s shiny aluminum bag made it more intimidating than other meds. Why aluminu
