https://www.reuters.com/world/europe/attacks-ukrainian-hospitals-ambulances-increasing-rapidly-who-warns-2022-03-08/
After that article was published, Russian forces shelled a Children's and Maternity Hospital destroying it, patients injured and buried in rubble... during a CEASEFIRE...
https://www.reuters.com/article/us-kenya-security-ambulances/kenyas-ambulance-uber-at-heart-of-siege-rescue-idUSKCN1PT0NQ
"Speedy medical help is taken for granted in the West, but many developing nations do not have centralized emergency command. Confusion during past attacks in Kenya cost...
Thoracostomy for tension ptx... the evidence and debate is out there:
Needles not penetrating, needle complications, needle collapse/occlusion vs simple complications...
Let's time-warp back to hypothetical 1999...
"MAST4 Respond to 67 yom c/o chest pain."
A lady in a bathrobe leads you to the bedroom where you find a naked old dude pale, cool, and diaphoretic.
CC: during intercourse (first time in decades) 10/10 crushing substernal chest pain radiating to...
July 31 2017, guy fleeing police crosses median and slams into truck and dies. The truck catches fire severely burning the innocent driver, Mr. Gray, who was taken to SLC University. Police later showed up demanding to the UNCONSCIOUS innocent patient's blood. RN Alex shows them the policy...
Background: NIBP use is nearly ubiquitous in healthcare. EMS is one of the few areas of healthcare where some providers are forbidden to use NIBP. There is almost no research on the topic in the prehospital environment (virtually impossible to get good data), but plenty of validation of modern...
https://www.nature.com/articles/ncomms14780
And they showed that the mechanism was reducing inflammatory effects: "stunning" neutrophils so they did less damage on re-perfusion. (metop dose they used was 15mg IVP within 6 hours of AMI)
Key Points
Question: Is tracheal intubation during adult in-hospital cardiac arrest associated with survival?
Findings: In a study of 86 628 adults with in-hospital cardiac arrest using a propensity-matched cohort, tracheal intubation within the first 15 minutes was associated with a...
National Continued Competency Model replaces the current method in 2019
https://www.nremt.org/rwd/public/document/nccp
EMT: 45% decrease in CEs
40 hours instead of 72 hours every two years...
Instead of 24 hours of specified content by NREMT and 48 hours of elective, there will be 20 hours of...
I'm trying unsuccessfuly to find some numbers on ROSC without defibrillation, preferably a dataset selected for primarily respiratory etiology and better yet out of hospital.
I haven't been successful in finding this type of research. Anyone know of any? Pretty much everything is for primary...
Really well done investigative piece on fuel bladders popping, crash and burn HEMS crashes
Warning, it is a heavy watch, especially if you know someone who has been in a HEMS crash.
I know I mentioned that the major wilderness med ed orgs got together to streamline the WFR curriculum over the last five years through a WMS working group. I thought I'd provide a link to the results of that work.
Associated course providers:
"Aerie, Desert Mountain Medicine, NOLS Wilderness...
Outcomes of Basic Versus Advanced Life Support for Out-of-Hospital Medical Emergencies
Prachi Sanghavi, PhD; Anupam B. Jena, MD, PhD; Joseph P. Newhouse, PhD; and Alan M. Zaslavsky, PhD
http://annals.org/article.aspx?articleid=2456124
Annals of Internal Medicine - October 13th 2015
BLS had...
Does taking a WFR class let someone sit for the NREMT EMR exam?
I know it used to be that WFR classes would let people sit for the NREMT FR exam, but new requirements and all that?
There is a matching Senate bill with bipartisan support. There is a long list of supporters for this including FACEP ACS AAOS NAEMT, several EMS associations, and more.
The way I understand it, it would move primary responsibility for EMS management to Health and Human Services establishing...