National Trial Underway to Settle Airway Management Debate in Traumas
Source: University of Pittsburgh Medical Center (UPMC)
The University of Pittsburgh School of Medicine and UPMC will lead nearly two dozen emergency medical service (EMS) agencies across the country in a Department of Defense (DOD)-funded clinical trial aimed at improving survival among people who have difficulty breathing after a trauma.
SEE VIDEO >>
The Prehospital Airway Control Trial (PACT) is an $8.8 million, four-year study, beginning at the end of 2019 that will test different strategies to help patients breathe at the scene of a trauma, to see if one works better than a...
Source: JEMS Patient Care - June 24, 2019 Category: Emergency Medicine Tags: Airway & Respiratory News Patient Care Source Type: news
National Trial Underway to Settle Airway Management Debate in Traumas
Source: University of Pittsburgh Medical Center (UPMC)
The University of Pittsburgh School of Medicine and UPMC will lead nearly two dozen emergency medical service (EMS) agencies across the country in a Department of Defense (DOD)-funded clinical trial aimed at improving survival among people who have difficulty breathing after a trauma.
SEE VIDEO >>
The Prehospital Airway Control Trial (PACT) is an $8.8 million, four-year study, beginning at the end of 2019 that will test different strategies to help patients breathe at the scene of a trauma, to see if one works better than a...
Source: JEMS: Journal of Emergency Medical Services News - June 24, 2019 Category: Emergency Medicine Tags: Airway & Respiratory News Patient Care Source Type: news
One EMS System Develops a Rational 911 Response
We presented the total number of calls, the number of transports, the prehospital mortality rate, the total rate of critical interventions, and the breakdown of those critical interventions for each determinant on our website: http://www.alcoems.org/mpds-categories/.
The optimal presentation of this data has been driven by several iterations over the past several years.4-7 The list of time-critical interventions include those that involve cardiac arrest, advanced airway management, STEMI/Stroke/Trauma alert patients, and those with treatment of active seizures. (Table 1) (Source: JEMS Operations)
Source: JEMS Operations - June 20, 2019 Category: Emergency Medicine Authors: Karl A. Sporer, MD, FACEP, FACP Tags: Exclusive Articles Operations Source Type: news
The Cutting Edge of Adult Cricothyrotomy: Are EMS Protocols Keeping Up?
An ALS unit is dispatched for an adult patient complaining of severe painful swallowing and difficulty breathing. Upon arrival the patient is acutely decompensating with increasing respiratory effort and diminished color. Supplemental oxygen isn’t providing adequate perfusion.
Due to the patient’s rapidly deteriorating condition, the decision is made to intubate. As the laryngoscope is slid beyond the oral cavity, severe epiglottic swelling is visualized.
After one intubation attempt the swelling worsens. At this point, endotracheal intubation is not feasible. With no options left, the paramedic resorts to reaching for...
Source: JEMS Patient Care - June 14, 2019 Category: Emergency Medicine Authors: Garrett Thompson, AEMT, BS, MPH Tags: Airway & Respiratory Exclusive Articles Source Type: news
Registration Now Open for Carestream Dental ’s 2019 Global Oral Health Summit
FOR IMMEDIATE RELEASE: June 5, 2019 Oral health takes center stage in Music City this November as Carestream Dental opens registration for its 2019 Global Oral Health Summit. At the Summit, every attendee is a star as they learn how to “Power the Performance of Your Practice” from trainers, industry leaders and Carestream Dental designers and developers. The band ’s all here. From Nov. 7-9, 2019, in Nashville, Tenn., at the Gaylord Opryland Resort and Convention Center, hundreds of doctors, office managers, assistants and hygienists from across all specialties will learn more about combining their practice manageme...
Source: Dental Technology Blog - June 6, 2019 Category: Dentistry Source Type: news
EMS Physicians Address Ongoing Critical Drug Shortages in DC Hill Day
Washington (April 23, 2019) – National Association of EMS Physicians® (NAEMSP®) members joined other EMS professionals on Capitol Hill last week to advocate for issues affecting quality prehospital patient care. Drug shortages again emerged as a top concern, as emergency medical facilities across the country are forced to severely restrict use of certain IV fluids, anti-nausea medications, airway management medications and other essential emergency medications (EEMs), many of which have no suitable substitute.
Of the 176 EMS physician medical directors who responded to a survey NAEMSP conducted during its annual me...
Source: JEMS: Journal of Emergency Medical Services News - April 24, 2019 Category: Emergency Medicine Tags: News Administration and Leadership Source Type: news
ECG rhythm and airway management make all the difference during a heart attack
(Osaka University) Japan-based research examined a large-scale national registry of cardiac arrest cases to measure the effects of advanced airway management (AAM) on one-month outcomes after patients survived. The deep statistical analysis found that patients not needing electrical defibrillation (based on ECG rhythm) and receiving AAM had better outcomes, such as hospital discharge. The results suggest ECG rhythm is a valuable indicator for deciding on whether to use AAM during cardiac arrest. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - March 6, 2019 Category: International Medicine & Public Health Source Type: news
Adroit Surgical Is Pleased to Announce as of Today the Following Distributor Partners Are Offering Adroit Surgical ’s New Vie Scope Product to the EMS Market
OKLAHOMA CITY, OK – Adroit Surgical is pleased to announce the following Distributor Partners now offer the full line of Adroit Surgical products to the North American EMS Market.
Distributors are listed in alphabetical order:
Dixie EMS
E. Pickering
Guardian EMS Supply
J&B Medical
Live Action Safety
Medline Industries
The EMS Stoeighre
The Fire Store
Kris Bordnick, Director of EMS Sales issued the following statement regarding the announcement – “We are looking forward to partnering with these premier EMS Distributors to offer Adroit Surgical’s product line to EMS Professionals throughout North America. The n...
Source: JEMS Patient Care - February 27, 2019 Category: Emergency Medicine Authors: Adroit Surgical (press release) Tags: Airway & Respiratory Press Releases Source Type: news
Clinical Performance Measures that Matter —Are You Ready?
Conclusion
The future will belong to those who can prove value. The use of a clinical performance dashboard and comparisons to national data will help to ensure that when the payers come knocking on our doors looking for "proof" that what we do enhances patient care and improves patient outcome, we’ll have an answer!
This is the first in a yearlong series of articles developed by the Academy of International Mobile Healthcare Integration (AIMHI).The AIMHI article series is developed in partnership with JEMS to help educate EMS agencies on the hallmarks and attributes of high-performance/high-value EMS system de...
Source: JEMS Special Topics - December 11, 2018 Category: Emergency Medicine Authors: Wayne C. Harbour, NRP Tags: Exclusive Articles Operations Administration and Leadership Source Type: news
Supraglottic Airway Device or Tracheal Intubation in OHCA? Supraglottic Airway Device or Tracheal Intubation in OHCA?
Is a supraglottic airway device superior to tracheal intubation as the initial advanced airway management strategy in adults with nontraumatic out-of-hospital cardiac arrest?Medscape Emergency Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - November 16, 2018 Category: Consumer Health News Tags: Emergency Medicine Viewpoint Source Type: news
Podcast: Bedside examination tests to detect beforehand adults who are likely to be difficult to intubate
In conclusion, therefore, standard bedside airway examination tests for difficult airways in patients with no apparent airway abnormalities do not appear to be good screening tests, and we urge great caution in their use and interpretation. "Read the Cochrane ReviewVisit theCochrane Anaesthesia, Critical and Emergency Care websiteListen to more Cochrane PodcastsGet Cochrane Podcasts on iTunesTuesday, November 13, 2018 (Source: Cochrane News and Events)
Source: Cochrane News and Events - November 13, 2018 Category: Information Technology Authors: Muriah Umoquit Source Type: news
Raising the Intubation Bar is Noble, But Not Practical
We thank Mr. Wood and Mr. Podsialdo for their insightful comments regarding the Pragmatic Airway Resuscitation Trial (PART) results.
With regards to their comment of prior studies finding better outcomes with intubation than supraglottic airways, one must bear in mind that these prior studies were biased by their retrospective designs; the airway was selected by paramedic choice and may have been influenced by a range of factors such as the patient’s condition, anatomy, the physical environment or the practitioner’s level of comfort. Meta-analysis or systematic reviews of these retrospective studies also unf...
Source: JEMS Patient Care - November 6, 2018 Category: Emergency Medicine Authors: Shannon W. Stephens, EMT-P Tags: Airway & Respiratory Exclusive Articles Source Type: news
Raising the Intubation Bar is Noble, But Not Practical
We thank Mr. Wood and Mr. Podsialdo for their insightful comments regarding the Pragmatic Airway Resuscitation Trial (PART) results.
With regards to their comment of prior studies finding better outcomes with intubation than supraglottic airways, one must bear in mind that these prior studies were biased by their retrospective designs; the airway was selected by paramedic choice and may have been influenced by a range of factors such as the patient’s condition, anatomy, the physical environment or the practitioner’s level of comfort. Meta-analysis or systematic reviews of these retrospective studies also unf...
Source: JEMS Special Topics - November 6, 2018 Category: Emergency Medicine Authors: Shannon W. Stephens, EMT-P Tags: Airway & Respiratory Exclusive Articles Source Type: news
It ’s About Paramedic Intubation Skill Maintenance, Not ETI vs. SGA
Conclusion
The PART study’s aim was to demonstrate that SGA is superior to SETI. Whether this is true or not remains to be seen. That doesn’t mean this study doesn’t have value. It clearly demonstrated that an important, time-honored and gold standard skill in resuscitation isn’t being practiced effectively by paramedics. The solution should not be to abandon the procedure. The solution is that we need to fix the problem. We need to enhance education, provide more opportunity for skills maintenance and develop systems that ensure that paramedics are regularly practicing these advanced skills. It is time for the EMS...
Source: JEMS Special Topics - November 6, 2018 Category: Emergency Medicine Authors: Stephen P. Wood, MS, ACNP-BC Tags: Airway & Respiratory Exclusive Articles Source Type: news
It ’s About Paramedic Intubation Skill Maintenance, Not ETI vs. SGA
In this study, for all-comers, that was an abysmal 6%. This is an important number because it tells us that overall, successful resuscitation from cardiac arrest is rare and that a number of our efforts may have some statistically significant differences but the absolute effect on the gold standard outcome is rather small. But that’s a story for another time. The focus here is on airway management in cardiac arrest, and the suggestion that the “verdict is out” on whether or not paramedics should be using an endotracheal tube or a supraglottic device. (Source: JEMS Patient Care)
Source: JEMS Patient Care - November 6, 2018 Category: Emergency Medicine Authors: Stephen P. Wood, MS, ACNP-BC Tags: Airway & Respiratory Exclusive Articles Source Type: news
