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Drowning patient resuscitation and monitoring
By Kelly Grayson Drowning is a significant public health issue in the United States and worldwide, and represents a frequent need for resuscitation from EMS and emergency department providers. While...
View ArticleKetamine for Excited Delirium Syndrome: Results of a 3-year case series
By Robert L. Dickson, Guy R. Gleisberg, and John E. Hancock The Montgomery County Hospital District initiated a ketamine use clinical guideline in 2010 and has been collecting quality assurance data on...
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Pediatric anaphylaxis: How capnography can help assessment and treatment
By Bob Sullivan Pediatric anaphylaxis, which is a systemic allergic reaction that can cause respiratory and circulatory compromise, is a high-risk situation that requires prompt recognition and...
View ArticleWhy errors happen during lifesaving EMS interventions
By Bradley Dean Following the release of two pivotal landmark reports by the Institute of Medicine Committee on Quality of Health Care in America in 1999 and 2001, patient safety has become a priority...
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Sepsis 3.0: Implications for paramedics and prehospital care
By Rom Duckworth It's more common than a heart attack. It takes more lives than any cancer. It causes the deaths of over 4,400 children per year in the United States. Yet if you asked most health care...
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Capnography in the patient with severe neurological injury
By Kelly Grayson Traumatic brain injury, hemorrhagic stroke and spinal cord injury are three pathologies that can result in devastating neurological injury. While we can do little in the prehospital...
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10 helpful stethoscope tips for EMTs, paramedics and students
By Caitlyn Armistead No other tool is more closely associated with the practice of medicine than the stethoscope, but choosing the right one and using it well is not an easy task. A stethoscope is...
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Infographic: 9 symptoms and solutions for overexertion in EMTs
Overexertion is a result of exercising too intensely, continuously being thrown into situations where your adrenaline spikes, or being overworked and stretched too thin. Whether your muscles are...
View ArticleReality Training: Assessment and management of pediatric asthma
By Christopher Kroboth Asthma is a condition in which lower airways narrow and swell and produce extra mucus. This can make breathing difficult and trigger coughing, wheezing and shortness of breath...
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Tension pneumothorax: How capnography and ultrasound can improve care
By Bob Sullivan Tension pneumothorax is a condition that can quickly cause death from respiratory and circulatory compromise [1]. Prompt recognition of tension pneumothorax and treatment with needle...
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Rogue Capno Waves: Confirm and monitor alternative airway placement
A 56-year-old male collapsed at a restaurant and received several minutes of dispatcher-assisted CPR. A civilian responding to a mobile phone alerting system retrieved an AED from an adjacent business...
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EMS Artwork: Is there wheezing?
This image was based on a call I did for a boy who was having an asthma attack. He was fine, but his father was distraught. His wife, the boys mother, had died a week prior from cancer. He said she...
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3 things paramedics need to know about seizures and respiratory compromise
Seizures are one of the most common conditions encountered by EMS providers and one where critical interventions can significantly affect patient outcomes [1]. Timely seizure management is a benchmark...
View ArticleRemember 2 Things: How to monitor violent, restrained patients
In this episode on patient restraint Steve Whitehead describes the importance of capnography to monitor violent patients who have been restrained. Whitehead also discusses the importance of temperature...
View ArticleProve it: Is it asthma or COPD?
Medic 23 and Engine 16 respond to a private residence for shortness of breath. Both arrive to find a 59-year-old female who says she is having difficulty breathing, which she attributes to a bad cold....
View Article6 useful sepsis assessment and treatment tips
There has been an increasing amount of attention placed on the rapid identification and treatment of patients experiencing sepsis. Recall that sepsis is a highly exaggerated response by the body’s...
View ArticleEMS1 Poll Call: How do you use capnography?
Capnography, which is the monitoring of end tidal carbon dioxide, is a tool for EMS providers to monitor ventilation and perfusion in ill and injured patients. In this EMS1 poll call we want to know...
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3 ways to teach capnography with active learning
EMS tends to attract action-oriented people with short attention spans, which is a challenge when designing education programs. Whether for initial or continuing education, students are more likely to...
View ArticlePrehospital use of ketamine
Watch this video about the mechanism of action, indications and administration routes for prehospital use of ketamine. After watching read the Ketamine Drug Why article and three reasons to use...
View ArticleParamedic virtual reality check: Don’t expect rapid prehospital adoption of...
Early adoption of new and emerging technologies is a trend for many EMS professionals. There are times when those technologies fit into the gap perfectly, such as WiFi and Bluetooth for EKG...
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