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EMS Nation

EMS Nation - Evidence Based Medicine in EMS Weekly Formatted Podcasts Monday - Interview with Leaders in EMS Tuesday - ALS Simulation Wednesday - EMS Journal Club Thursday - BLS Simulation Friday - Health & Wellness Follow us on Twitter! www.twitter.com/EMS_Nation Like us on Facebook! www.facebook.com/prehospitalnation www.emsnation.org
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Now displaying: Page 1
Apr 11, 2018

https://ampa.org/

 

Join our distinguished Panel Discuss the Highlights of Day 2!

 

@CMGrffn Dr. Cynthia Griffin

@87MD1 Dr. Chris Fullagar

@MattRoginski Dr. Matt Roginski

@ALatimer13 Dr. Andrew Latimer

@ChuckSheppard Dr. Chuck Sheppard

@LuigisDad Sam Matta RN, East Coast Heli Ops 

@UCAirCareDoc Dr. Bill Hinckley

@Crit_Care_Excel Michael C. Berrier NRP, FP-C, NPT, AAS

@AshleyLiebig Ashley Liebig (all around badass)

Dr. Damon A. Darsey

AND your Host

@EMSCritCare Dr. Faizan H. Arshad

 

Hosted by @AmpaDocs #CCTMC18

 

 

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Wishing Everyone a safe tour!

~Faizan H. Arshad, MD @emscritcare

www.emsnation.org

Apr 10, 2018

https://ampa.org/

 

Join our distinguished Panel Discuss the Highlights of Day 1!

 

@87MD1 Dr. Chris Fullagar

@ktcollopy Kevin T. Collopy, BA, FP-C, CCEMT-P, NRP, CMTE

 

@UCAirCareDoc Dr. Bill Hinckley

@CMGrffn Dr. Cynthia Griffin

@LuigisDad Sam Matta RN, NRP

@AshleyLiebig Ashley Liebig (all around badass)

@EMSCritCare Dr. Faizan H. Arshad

 

Hosted by @AmpaDocs #CCTMC18

 

 

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Wishing Everyone a safe tour!

~Faizan H. Arshad, MD @emscritcare

www.emsnation.org

Feb 28, 2018

The World Trauma Symposium: 

https://www.naemt.org/events/world-trauma-symposium

NAEMT: 

http://naemt.org/

EMS World Expo:

http://www.emsworldexpo.com/

 

Episode #66 Latest on Pelvic Binders from Both Military and Civilian Perspectives #WTS17 #PHTLS #EMSWorldExpo17 with Col. Stacy Shackelford, MD

Col. Shackelford is the chief of performance improvement at the Joint Trauma System Defense Center of Excellence for Trauma Joint Base in San Antonio, Texas.  She is also an attending trauma surgeon at the San Antonio Military Medical Center. Col. Shackelford is a member of the Committee on Tactical Combat Casualty Care, led the TCCC guideline review and update for pelvic binders, and has deployed four times as a combat surgeon and as the director of the Joint Theater Trauma System.  Col. Shackelford was commissioned through the U.S. Air Force Academy, attended medical school at Tulane University and general surgery residency at the University of Utah.  After completing a Trauma and Critical Care fellowship at the University of Southern California, Col. Shackelford was assigned as Director of Education at the Air Force Center for Sustainment of Trauma and Readiness Skills at the R. Adams Cowley Shock Trauma Center.  She is an instructor for the Defense Institute for Medical Operations.

 

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Wishing everyone a safe tour!

~Faizan H. Arshad, MD @emscritcare

www.emsnation.org

 

Feb 28, 2018

The World Trauma Symposium: 

https://www.naemt.org/events/world-trauma-symposium

NAEMT: 

http://naemt.org/

EMS World Expo:

http://www.emsworldexpo.com/

 

Episode #65 Controversies in Needle Decompression #WTS17 #PHTLS #EMSWorldExpo17 with Julie Chase, MSED, FAWM, TP-C @ISDMedic

 

Julie Chase is a tactical medicine instructor in Berryville, Va.  She has worked in public and private venues as a firefighter, paramedic, educator and administrator, and has taught in many countries, assisted with remote clinics and emergency services and is a National Disaster Medical System Response Team Member.  She was an operational and tactical medicine instructor at a federal agency, a curriculum developer, contributing author, and reviewer for publication and accreditation organizations.  Julie holds a Master in Postsecondary and Adult Education, a Bachelor in Paramedicine, and an Associate in Applied Arts and Sciences in Fire Science. 

 

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Wishing everyone a safe tour!

~Faizan H. Arshad, MD @emscritcare

www.emsnation.org

 

Feb 28, 2018

The World Trauma Symposium: 

https://www.naemt.org/events/world-trauma-symposium

NAEMT: 

http://naemt.org/

EMS World Expo:

http://www.emsworldexpo.com/

 

Ep #64 Nuances and Challenges to Modern Day Disaster Triage #WTS17 #NAEMT #EMSWorldExpo17 with Brad Newbury, MPA, NRP, I/C @nmetc911

 

Brad Newbury is the founder, president and CEO of the National Medical Education & Training Center in Massachusetts.  He has been involved in EMS for over 30 years as a volunteer firefighter, paramedic and instructor.  He has taught for the Massachusetts Fire Academy and lectured nationally.  Brad managed the application process for full national accreditation of NMETC’s paramedic program and developed a hybrid paramedic program, which educates and trains students from around the world.  He has worked as a faculty educator, content writer, and has been published by a national journal.  He is also a principle author and speaker for NAEMT’s All Hazards Disaster Response course.  Brad hold a Bachelor’s Degree in Fire Science and a Master’s Degree in Public Administration. 

 

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Wishing everyone a safe tour!

~Faizan H. Arshad, MD @emscritcare

www.emsnation.org

 

Feb 28, 2018

The World Trauma Symposium: 

https://www.naemt.org/events/world-trauma-symposium

NAEMT: 

http://naemt.org/

EMS World Expo:

http://www.emsworldexpo.com/

 

ATLS 10th Edition Updates and the Implications of Prehospital Care and PHTLS v9 with Dr. Andrew Pollak @AndyPollak

 

Dr. Pollak is the James Lawrence Kernan Professor of Orthopedics and chair of the Department of Orthopedics at the University Of Maryland School Of Medicine.  He also serves as Chief of Orthopedics for the University of Maryland Medical System and was previously at the University of Maryland R. Adams Cowley Shock Trauma Center. Dr. Pollak has extensive experience in prehospital emergency care as a volunteer firefighter/EMT, EMS flight physician and fire surgeon.  He serves as medical director of the Baltimore County Fire Department, Special Deputy US Marshal, and Commissioner for the Maryland Health Care Commission, and as an editor of EMS publications.  Dr. Pollak has served on the American Academy of Orthopedic Surgeons Board of Directors, Orthopedic Trauma Association and the Maryland Orthopedic Association.

 

 

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Wishing everyone a safe tour!

~Faizan H. Arshad, MD @emscritcare

www.emsnation.org

 

Oct 13, 2017

Join our all star international panel as we discuss the highlights of the Day 2 program from the first ever Tactical Trauma 2017 conference recorded live in Sundsvall, Sweden. The conference was hosted by Dr. Fredrik Granholm @TotalResus

Link to the Tactical Trauma Website:

http://www.trippus.se/web/presentation/web.aspx?evid=quLLWDJBkBKybOhXZJmj8Q==&ecid=MPeU8Z0GCzdyw+SuQMe9Ng==&ln=eng&view=category&template=Desktop

 

Panel Participants:

Dr. Mark Forrest @ObiDoc

Dr. Rick Dutton @TraumaDinosaur

Dr. Kasia Hamptom @KasiaMD

Professor Susan Brundage @TraumaMasters

Dr. Leilani Doyle @DoyleLeilani

Mike Lauria @ResusPadawan

Dr. Andy Johnston @armycritcare

 

And your host Dr. Faizan H. Arshad @emscritcare

 

 

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Wishing Everyone a safe tour!

~Faizan H. Arshad, MD @emscritcare

www.emsnation.org

Oct 12, 2017

Join our all star international panel as we discuss the highlights of the day's program from the first ever Tactical Trauma 2017 conference recorded live in Sundsvall, Sweden. The conference was hosted by Dr. Fredrik Granholm @TotalResus

Link to the Tactical Trauma Website:

http://www.trippus.se/web/presentation/web.aspx?evid=quLLWDJBkBKybOhXZJmj8Q==&ecid=MPeU8Z0GCzdyw+SuQMe9Ng==&ln=eng&view=category&template=Desktop

 

Panel Participants:

Dr. Kate Prior @doctorwibble

Dr. Leilani Doyle @DoyleLeilani

Mike Lauria @ResusPadawan

Dr. Mark Forrest @ObiDoc

Matt Libby @MatLibby

Dr. Thomas D @thomas1973 <www.scancrit.com>

And your host Dr. Faizan H. Arshad @emscritcare

 

 

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Wishing Everyone a safe tour!

~Faizan H. Arshad, MD @emscritcare

www.emsnation.org

Oct 12, 2017

Continue along for the New York State Collaborative Protocol series with Dr. Chris Fullagar @87MD1 as he reviews the indications, ideal pre-oxygenation strategies, laryngoscopy techniques, confirmation of tube placement as well as guidelines for post-intubation sedation for prehospital providers operating in New York State.

 

Christopher J. Fullagar, MD, EMT-P, FACEP @87MD1

 

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Wishing Everyone a safe tour!

~Faizan H. Arshad, MD @emscritcare

www.emsnation.org

Jun 29, 2017

https://www.smacc.net.au/

 

Anne Creaton – An Emergency Physician & retrievalist HQ’d in Melbourne Australia. She spent the last 4 years in Fiji establishing emergency medicine training in a low resource environment while building capacity in pre-hospital care and disaster response. While living in Fiji she experienced Cyclone Winston first hand and was part of the in-country response. She is an educator in mass gathering medicine and the MIMMS system and was part of the instructor team for a multiagency tabletop simulation of a multi-site terrorist attack in Melbourne. 

 

Lionel Lamhaut – An anesthetist with critical care and emergency training and an associate professor of the SAMU de Paris (excuse my French - Service d'Aide Médicale Urgente), Dr. Lamhaut is not only a disaster response physician but an academician of the highest caliber with recent publications on the prospective deployment of ECPR for refractory cardiac arrest in the Paris area with a multicenter study well underway.  He responded directly to the deadly terror attack of Charlie Hebdo and was instrumental in the after action analysis in the coordinated multi-site terror attack that struck Paris on Friday the 13th of 2015.

 

Raed Arafat – Put a warm round of applause together for the Secretary of State and Minister of Internal Affairs of Romania! Tasked with development of emergency medical care in the country, he is the founder of SMURD – the Mobile Emergency Service for Resuscitation and Extrication. In his current position he leads the Department for Emergency Situations including fire and rescue, civil protection, prehospital emergency medical services, air rescue as well as emergency departments.  Ladies and gentleman… a Knight and Grand Officer of the National Order of Merit in Romania, he has overcome both politics and prejudice in his sterling career as a champion of the highest quality prehospital care.

 

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Wishing Everyone a safe tour!

~Faizan H. Arshad, MD @emscritcare

www.emsnation.org

Jun 1, 2017

https://ampa.org/

 

Happy Friday of #EMSWeek2017!

https://emcrit.org/wp-content/uploads/push-dose-pressors.pdf 

 

Resuscitation - beginning from initial patient contact to the emergency department to the intensive care unit is a continuun of care - though the first few minutes of patient contact with a critically ill patient can have tremendous repercussions on the patient's ultimate outcome.  Whether in critical care transport or in 911 emergency response, patient's may require a medication in small aliquots immediately that would be either unfeasible or cumbersome to administer via infusion on a dedicated pump. 

While circumstances in which a patient needs a push dose medication may be uncommon, the administration of these drugs can be potentially lifesaving.  There are two prehospital scenarios in which the paramedic carries the necessary medication in their armamentariam and with appropriate instruction and training can safely reconstitute into an appropriate dose for use in out-of-hospital resuscitation for the critically ill patient. 

Push dose pressors are often employed in profoundly hypotensive patients that will require endotracheal intubation.  Rapid Sequence Intubation and Positive Pressure Ventilation are both associated with hypotension, thus in the patient that requires advanced airway and is hypotensive upon EMS arrival, push dose pressors may be employed to effectively "resuscitate before you intubate".  Typically Epinephrine is diluted to an appropriate dose and adminstered in small aliquots (10mcg/ml) for inotropoic support to optimize hemodynamics prior to RSI or intubation.  There is also anaesthesia literature supporting the use of neosynephrine as well as phenylephrine for this purpose, though these medications are less readily available prehospitally.  Even brief episodes of relative hypotension can cause effects seen days later; in critically hypotensive patients these may be even more pronounced.  By using push dose pressors, a field provider can safely and effectively resuscitate their patient in order to mitigate the risks associated with endotracheal intubation prior to securing an advance airway.

Conversely, a separate and distinct class of patients who suffer from decompensated heart failure may present with respiratory distress due to volume overload with pathophysiology associated with marked systemic hypertension. While CPAP is the mainstay of therapy for these patients prehospitally and has significantly reduced intubation of the CHF patient over the past several years, IV Lasix and topical Nitroglycerin play little role in the EMS management of the decompensated heart failure patient.  Nevertheless, these patients often require preload and afterload reduction to manage their symptomatology; it is common to initiate nitroglycerin infusions in critical care transport as well as in the emergency department for management of this hypertension.

 Nitroglycerin lowers preload via venous vasodilation at low doses and lowers after load via arterial vasodilation at higher doses, making the patient's vascular container larger lowering the systemic pressure. Aggressive, high dose NTG paired with the recruitment of the alveoli using CPAP & PEEP make up the mainstay of pre-hospital treatment of APE and decompensated heart failure. Bolus doses as high as 2 mg (2000 mcg) of nitroglycerin have been given safely and effectively in previous studies.

 In emergent resuscitations we need to focus on bolus dose medications in the acute phase versus starting and titrating critical care infusions while a patient is in extremis. The goal is to achieve clinical end points of treatment faster with bolus dosing at the bedside and then begin maintenance infusions once resuscitation goals are met and the hemodynamics are stable.  Similar to push dose pressors in the acutely hypotensive EMS patient requiring resuscitation, patients with decompensated heart failure may benefit acutely with push dose nitroglycerin, a potent vasodilator.

 

@AmpaDocs #CCTMC17

Mark your calendars for #CCTMC18

April 9-11th 2018

Wyndham Riverwalk - San Antonio Texas

 

 

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Wishing Everyone a safe tour!

~Faizan H. Arshad, MD @emscritcare

www.emsnation.org

May 31, 2017

https://ampa.org/

 

Happy Thursday of #EMSWeek2017!

 

David Olvera, AAS, FP-C, EMT-P

LinkedIn: https://www.linkedin.com/in/david-olvera-36048a1b

 

World Health Organization Human Factors PowerPoint-

www.who.int/patientsafety/activities/technical/who_mc_topic-2.ppt

 

Glucometer that monitors blood sugar via phone-

https://www.dexcom.com/

 

Checklist Articles: 

Development of a standard operating procedure and checklist for RSI in the critically ill.( Scandinavian journal of trauma, resuscitation, and emergency medicine, Sept 11th 2014)

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4172951/

 

A pre-procedural checklist improves the safety of emergency department intubation of trauma patients. (Academic Emergency MedicineAug, 2015)

https://www.ncbi.nlm.nih.gov/pubmed/

 

Greater Sydney Area HEMS Checklist-

https://nswhems.files.wordpress.com/2013/01/prehospital-emergency-anaesthesia-checklist-3-1-final.pdf

 

Failed Attempts at Intubation Associated With More Adverse Events

http://www.anesthesiologynews.com/Clinical-Anesthesiology/Article/02-17/Failed-Attempts-at-Intubation-Associated-With-More-Adverse-Events/40210/ses=ogst?enl=true

 

 

 

@AmpaDocs #CCTMC17

Mark your calendars for #CCTMC18

April 9-11th 2018

Wyndham Riverwalk - San Antonio Texas

 

 

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Wishing Everyone a safe tour!

~Faizan H. Arshad, MD @emscritcare

www.emsnation.org

May 25, 2017

https://ampa.org/

 

Happy Wednesday of #EMSWeek2017! Definitive airway management in the prehospital sphere for critically ill patients is often forced upon EMS providers especially when encountering failure of traditional challenging airway algorithms.  Failure to ventilate and intubate a patient can results in immediate sphincter tightening for providers.  Being facile with a surgical airway based on one's specific kit and armamentarium is paramount for providers in whom the surgical airway falls within their scope of practice.  Adequate training and skills maintenance are perpetual challenges in this HALO (high acuity low occurrence) procedure.

 

His Bio & Credentials:

Kevin T. Collopy, BA, FP-C, CCEMT-P, NR-P, CMTE, WEMT, is an educator, e-learning content developer and author of numerous articles and textbook chapters. He is also the clinical education coordinator for AirLink/VitaLink in Wilmington, NC. Contact him at ktcollopy@gmail.com.

LinkedIn: https://www.linkedin.com/in/ktcollopy

 

Kevin's #CCTMC16 Podcast: Taking a "Time Out" before Initiating RSI Improves Patient Safety and First Pass Success

http://emsnation.libsyn.com/ep-30-taking-a-time-out-before-initiating-rsi-improves-patient-safety-1st-attempt-success-with-kevin-collopy-ktcollopy

 

NYS Collaborative Training Video for Surgical Airway:

http://emsnation.libsyn.com/ep-48-surgical-cricothyroidotomy

 

@AmpaDocs #CCTMC17

Mark your calendars for #CCTMC18

April 9-11th 2018

Wyndham Riverwalk - San Antonio Texas

 

 

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Wishing Everyone a safe tour!

~Faizan H. Arshad, MD @emscritcare

www.emsnation.org

May 24, 2017

 

Checkout EMS Today 2018!

http://www.emstoday.com/index.html 

 

Happy Tuesday of #EMSWeek2017! You've asked and you shall receive... Optimizing your patient's airway prior to pulling the trigger for RSI.  Delayed Sequence Intubation in the prehospital realm to prevent Rapid Sequence Death.  Dr. Jeff Jarvis, a paramedic from Williamson County Texas turned EMS Medical Director of Williamson County Texas challenges traditional thought processes to bring the best possible medical care to 911 patients.  "It's medical decision making that saves lives... not a plastic tube through the trachea!!!!" Here is story from conception of the idea, to education and roll out, to challenges experienced interfacing with local emergency departments as well as preliminary results for prospectively collected data.

His Bio & Credentials:

https://www.wilco.org/Departments/EMS/Leadership/Jeff-Jarvis (Williamson County)

http://www.sw.org/Dr-Jeffrey-L-Jarvis (Baylor Scott & White)

 

 

@EMSToday #EMSToday2017

Mark your calendars for #EMSToday2018

February 21-23, 2018

Charlotte, NC Convention Center

Registration Link: http://www.emstoday.com/register.html

 

 

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Wishing Everyone a safe tour!

~Faizan H. Arshad, MD @emscritcare

www.emsnation.org

May 23, 2017

https://ampa.org/

http://www.atacc.co.uk/

 

Happy Monday of #EMSWeek2017! Roll up your sleeves and mentally prepare for getting your hands dirty.  Chief Flight Physician of University of Wisconsin MedFlight, Dr. Mike Abernethy @FLTDOC1, gives an honest assessment of the current state of discongruity in EMS in America.  An honest assessment of the intricacies of American Prehospital Care and efforts we can take to improve outcomes for all our patients.

His Bio & Credentials:

http://www.emed.wisc.edu/content/mike-abernethy-md

 

@AmpaDocs #CCTMC17

Mark your calendars for #CCTMC18

April 9-11th 2018

Wyndham Riverwalk - San Antonio Texas

 

 

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Wishing Everyone a safe tour!

~Faizan H. Arshad, MD @emscritcare

www.emsnation.org

Apr 12, 2017

https://ampa.org/

http://www.atacc.co.uk/

 

Join our distinguished Panel Discuss the Highlights of Day 2!

 

@MedFlightDoc Dr. Ryan Wubben

@BritFltDoc Dr. David Hindle

@DrewCathers Dr. Andrew Cathers

@CMGrffn Dr. Cynthia Griffin

@TotalResus Dr. Fredrik Granholm

@MikeSteuerwald Dr. Mike Steuerwald

@87MD1 Dr. Chris Fullagar

@UCAirCareDoc Dr. Bill Hinckley

@FLTDOC1 Dr. Mike Abernethy

@emeddoc Dr. Zaf Qasim

@MattRoginski Dr. Matthew Roginski

@EMSCritCare Dr. Faizan H. Arshad

 

Sponsored by @AmpaDocs #CCTMC17

 

 

Query us on Twitter:

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Wishing Everyone a safe tour!

~Faizan H. Arshad, MD @emscritcare

www.emsnation.org

Apr 11, 2017

https://ampa.org/

 

Join our distinguished Panel Discuss the Highlights of Day 1!

 

@MedFlightDoc Dr. Ryan Wubben

@DrewCathers Dr. Andrew Cathers

@CMGrffn Dr. Cynthia Griffin

@TotalResus Dr. Fredrik Granholm

@MikeSteuerwald Dr. Mike Steuerwald

@87MD1 Dr. Chris Fullagar

@UCAirCareDoc Dr. Bill Hinckley

@FLTDOC1 Dr. Mike Abernethy

@EMSCritCare Dr. Faizan H. Arshad

 

Sponsored by @AmpaDocs #CCTMC17

 

 

Query us on Twitter:

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Wishing Everyone a safe tour!

~Faizan H. Arshad, MD @emscritcare

www.emsnation.org

Mar 28, 2017

PerfectCPR for Apple Watch

Metronome devices have been shown to improve the quality of compressions during CPR. This module reviews the importance of high quality CPR and provides a solution to optimize compression rate for those who have an Apple Watch. This free Apple Watch App, PerfectCPR, provides haptic feedback so the provider can accurately time their compressions with the best-practice rate that is reflected in the protocols.

Cast in Alphabetical Order:

Michael T. Benenati, BS, AAS, EMT-P
Tyler F. Cominsky, NRP
Seth Goldstein, BA, AS, AEMT-P/CIC
Susie Surprenant, BBA, BS, NRP
David Violante, MPH, MPA, AEMT-P

Faizan H. Arshad, MD @emscritcare
Christopher J. Fullagar, MD, EMT-P, FACEP @87MD1

Mar 21, 2017

Avulsed Tooth

This micro learning module reviews the avulsed tooth protocol. We discuss indications and contraindications for re-implantation as well as strategies to manage both scenarios.

Cast in Alphabetical Order:

Michael T. Benenati, BS, AAS, EMT-P
Tyler F. Cominsky, NRP
Seth Goldstein, BA, AS, AEMT-P/CIC
Susie Surprenant, BBA, BS, NRP
David Violante, MPH, MPA, AEMT-P

Faizan H. Arshad, MD @emscritcare
Christopher J. Fullagar, MD, EMT-P, FACEP @87MD1

Mar 21, 2017

Eye irrigation / Morgan Lens

This micro learning module demonstrates techniques for ocular irrigation in the field. Included in this video are the use of the Morgan Lens and the administration of tetracaine, an ocular anesthetic.

Cast in Alphabetical Order:

Michael T. Benenati, BS, AAS, EMT-P
Tyler F. Cominsky, NRP
Seth Goldstein, BA, AS, AEMT-P/CIC
Susie Surprenant, BBA, BS, NRP
David Violante, MPH, MPA, AEMT-P

Faizan H. Arshad, MD @emscritcare
Christopher J. Fullagar, MD, EMT-P, FACEP @87MD1

Mar 21, 2017

Surgical Cricothyroidotomy (Bougie Assisted)

A surgical cricothyroidotomy is indicated by the 2017 NYS EMS collaborative protocols to be performed by paramedics when the patient cannot be adequately ventilated and oxygenated by any other method. In these “can’t intubate, can’t oxygenate” (CICO) situations, a rapid, effective surgical cricothyroidotomy may be lifesaving.  This module depicts a simple and effective technique for emergent field surgical cricothyroidotomy utilizing equipment commonly found on the ambulance.

Cast in Alphabetical Order:

Michael T. Benenati, BS, AAS, EMT-P
Tyler F. Cominsky, NRP
Seth Goldstein, BA, AS, AEMT-P/CIC
Susie Surprenant, BBA, BS, NRP
David Violante, MPH, MPA, AEMT-P

Faizan H. Arshad, MD @emscritcare
Christopher J. Fullagar, MD, EMT-P, FACEP @87MD1

Mar 21, 2017

Complications of Delivery (Including Postpartum Hemorrhage, Shoulder Dystocia, Breech, Etc.)

This module demonstrates the field management of a number of complications of delivery as outlined in the 2017 NYS collaborative EMS protocols.

Cast in Alphabetical Order:

Michael T. Benenati, BS, AAS, EMT-P
Tyler F. Cominsky, NRP
Seth Goldstein, BA, AS, AEMT-P/CIC
Susie Surprenant, BBA, BS, NRP
David Violante, MPH, MPA, AEMT-P

Faizan H. Arshad, MD @emscritcare
Christopher J. Fullagar, MD, EMT-P, FACEP @87MD1

Mar 21, 2017

Massive Bleeding (With Hemostatic Wound Packing and Clot Removal)

This micro learning module demonstrates the approach to a patient with peripheral exsanguinating hemorrhage. Direct pressure, tourniquet application, and would packing with hemostatic gauze after clot removal are depicted.

Cast in Alphabetical Order:

Michael T. Benenati, BS, AAS, EMT-P
Tyler F. Cominsky, NRP
Seth Goldstein, BA, AS, AEMT-P/CIC
Susie Surprenant, BBA, BS, NRP
David Violante, MPH, MPA, AEMT-P

Faizan H. Arshad, MD @emscritcare
Christopher J. Fullagar, MD, EMT-P, FACEP @87MD1

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