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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: 2017
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

 

 

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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

 

 

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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

Mar 21, 2017

Double Sequential Defibrillation

Double sequential defibrillation is a procedure that may be helpful in the treatment of refractory ventricular fibrillation (RVF) in the out of hospital environment. This module demonstrates the procedure of double sequential defibrillation which is included as a medical control consideration for instances in which ventricular fibrillation persists after five shocks. Further research will be required to determine the optimal treatment strategies for RVF. Double sequential defibrillation is not considered part of the minimum standard of care at this time. Nonetheless, providers will be instructed on how to properly perform this procedure in the event that a medical control order is granted for this treatment option.

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

Formal Debrief of Critical Patient Management Scenario (Critiques Scenario and Models Formal Call Review Sessions)

Previously, in episode 42, we demonstrated how debriefing can occur in an informal situation. In this video we model a more formal quality improvement session that involves the agency medical director and continuous quality improvement (CQI) director. We strongly believe that these sessions should be educational in nature and anything that requires “disciplinary” action should be handled via a different process entirely. This episode encompasses a critique of the “Management of the Critical Patient / RSI” scenario; episode 43.

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

Critical Patient Management with RSI

RSI is often regarded as the pinnacle of advanced life support skills. Indeed, this skill can be beneficial in the right circumstances. That said, like any advanced intervention, performing a particular skill must be done in the context of the overall situation. The procedure itself is fairly straightforward. The judgement, experience, and education of the provider dictate how he or she will manage the nuances of treating a critical patient. Expertise involves not only performing a skill correctly but performing the skill in the right situation at the right time, anticipating the potential complications before they occur, and mastering the basic skills that are requisite for advanced care.

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

Feb 22, 2017

Informal Debrief of Neonatal Resuscitation (Critiques Scenario and Models Informal Call Review)

Informal debriefing with your colleagues is an important part of continuous quality improvement and should be a regular part of your practice. In addition, being able to reflect on your own performance in a productive manner is an important skill to hone for personal growth. Fostering a culture that is supportive of these discussions allows providers to benefit from the experience and perspective of their colleagues. This video provides an example of how we would conduct such a debriefing in the context of the protocols and how we would address some of the issues and concerns that you may have identified regarding the patient care delivered in the previous two episodes. 

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

 

Feb 4, 2017

Neonatal Resuscitation Simulation - NYS Collaborative

Uncomplicated delivery in the field is fairly straightforward. Unfortunately, things do not always go as planned. Thankfully, resuscitating a neonate in distress is a rare event but something that requires acute clinical acumen. This video depicts a newborn that is not responding to initial interventions. Review the neonatal resuscitation protocol along with this video. The next episode will depict an informal debrief of both this scenario as well as the OB field delivery scenario covered in the previous episode.

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

Feb 4, 2017

OB Field Delivery Simulation - NYS Collaborative 

Delivery of a neonate in the field environment poses a number of challenges. This video depicts a scenario that involves EMS field delivery. The delivery is fairly quick and uncomplicated but the neonate is in distress. The video covers the uncomplicated delivery process. Episode 47 will review complications of delivery and how they are managed by EMS in the context of the current protocols. The resuscitation of the neonate will be covered in the next episode.

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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