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Live tissue vs synthetic tissue training for critical procedures: No difference in performance
(Society for Academic Emergency Medicine) Training on the synthetic training model (STM) or live tissue (LT) model does not result in a difference in subsequent performance for five of the seven critical procedures examined: junctional hemorrhage wound packing, tourniquet, chest seal, nasopharyngeal airway, and needle thoracostomy. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - January 23, 2018 Category: International Medicine & Public Health Source Type: news

Beyond Naloxone: Providing Comprehensive Prehospital Care to Overdose Patients in the Midst of a Public Health Crisis
Providing comprehensive prehospital care to overdose patients Medic 3 arrives on scene to find a 36-year-old male patient supine on the living room floor. The patient is in respiratory arrest and fire department first responders are providing rescue breaths with a bag-valve mask (BVM). The patient has a bounding carotid pulse. A nasopharyngeal airway is placed in the patient’s left nares and the patient is ventilated easily with adequate bilateral lung sounds. The floor is bare wood and the patient is only wearing light undergarments. The ambient temperature in the room is approximately 55 degrees F. The patient&rsqu...
Source: JEMS Patient Care - January 2, 2018 Category: Emergency Medicine Authors: Simon Taxel, NREMT-P Tags: Patient Care Source Type: news

Hands On Product Reviews October 2017
Ready-to-Go Training Kits Your department just decided to enhance the training program and offer certification courses in addition to the required continuing education classes. There are now hundreds of new items on your to-do list: You need to address curriculum, recruiting, staffing, scheduling and ordering the equipment required for the course. The new Loaded ALS, BLS and Medication Training Packs from DiaMedical let you take several items off your to-do list. Complete and customizable, these packs have everything you need, from airway to Zofran (simulated, of course). The BLS Pack includes a complete set of oropharyng...
Source: JEMS Operations - October 4, 2017 Category: Emergency Medicine Authors: Fran Hildwine, BS, NREMT-P Tags: Columns Operations Equipment & Gear Source Type: news

Patient in Compensatory Stage of Shock Found to Have Fecal Matter in Intercostal Space
Medic 61, a BLS ambulance with three personnel, and EMS 60, a rapid response vehicle staffed with a paramedic, are dispatched to a rural address for a male patient with difficulty breathing. A chief officer is added after the communication operator updates that the "patient is on the floor 'changing color,'" suggesting that the patient may be in cardiac arrest. The EMS crew finds the patient lying on the bathroom floor, mottled and trying to talk, but without enough tidal volume to speak. He's immediately moved to the living room floor and a nasopharyngeal airway is placed before a crew member begins assisting re...
Source: JEMS Patient Care - February 1, 2017 Category: Emergency Medicine Authors: David Hughes, MD Tags: Patient Care Source Type: news

A Double Sequential External Defibrillation Review and Discussion
One Tuesday morning, a Bernalillo County Fire Department (BCFD) engine and paramedic rescue unit are dispatched to a 58-year-old male who's suffering a witnessed cardiac arrest at his home in a very rural service area. They arrive on scene simultaneously with Albuquerque Ambulance, the ALS transport service, nine minutes after the 9-1-1 call. Family members are providing dispatcher-assisted bystander CPR. The crews jump into action and began resuscitation according to local protocols, which includes manual pit crew CPR for a non-hypoxic adult cardiac arrest (specifically, six minutes of continuous chest compressions and pa...
Source: JEMS Patient Care - December 1, 2016 Category: Emergency Medicine Authors: Brenda J. Lanan, MD Tags: Cardiac & Resuscitation Source Type: news