Fire EMS

More From the House of Medicine

Long-Awaited CV Disease Updates Released

Mon, Nov 18, 2013

Four long-overdue updates to treatment and monitoring guidelines for cardiovascular disease have finally been released. The National Heart, Lung and Blood Institute (NHBLI), in collaboration with the American College of Cardiology (ACA) and American Heart Association (AHA) released updates to cholesterol treatment guidelines, cardiovascular (CV) risk assessment, CV risk reduction, and obesity management guidelines on November 14, 2013

Ventilation Affects Post Arrest Neuro Outcomes

Thu, Jun 27, 2013

A recent study found both hypercapnia and hypocapnia lead to poor neurologic outcomes after cardiac arrest.

Etomidate: Not So Bad After All?

Wed, Jan 23, 2013

Researchers reporting in the February 2013 issue of Critical Care Medicine on their study of a large electronic database of intensive care unit (ICU) patients could not find an association between mortality and single dose etomidate given to septic patients.

EMS Sees More Sepsis than MIs

Wed, Jan 23, 2013

A study of King County (Seattle, Washington) EMS calls from 2000 to 2009 discovered that EMS providers see more patients with severe sepsis (3.3 percent of EMS calls) than acute myocardial infarctions (2.3 percent).

Trauma Arrest: Costly EMS Mistakes

Fri, Jan 6, 2012

An analysis of 294 prehospital trauma arrest patients meeting criteria for field pronouncement but nonetheless resuscitated in Chicago found no positive outcomes. Worse yet, EMS efforts caused over $3.85 million in unnecessary medical costs.

100 Percent CPAP O2 Not Necessary

Thu, Jan 5, 2012

With multiple studies showing patient harm from supplemental oxygen administration, a study published ahead of the April/June 2012 printing of Prehospital Emergency Care finds less than 100 percent oxygen is safe with CPAP.

Cyanide Treatment Protocols

Mon, Dec 5, 2011

Finally, the fire service has access to a comprehensive set of treatment protocols for empiric treatment of the leading killer of fire victims: cyanide.

Is Pulse CO-Oximetry Reliable?

Thu, Aug 18, 2011

Mike McEvoy reviews pulse CO-Oximetry technology that works and seems to have accuracy necessary to reliably supplement good clinical judgment in screening of firefighters and civilians at the scene of CO alarm responses, and patients on every EMS response.

Trauma Survival Better on Weekends

Mon, Jul 25, 2011

Survival odds might be better if you’re shot, stabbed or critically injured in a crash on the weekend, according to a study of Pennsylvania trauma system data published in the March 21, 2011 issue of the Archives of Surgery.

Cookbook Medicine Not So Delicious?

Mon, Jul 11, 2011

A recent study serves as a warning to medical service providers that published guidelines may not always be supported by high-quality evidence and should not be relied on to replace critical thinking in practice.

Secrets Revealed: Preventing Desaturations

Mon, Feb 28, 2011

Perhaps you occasionally have to intubate an obese patient? A Journal of Clinical Anesthesia study published in 2010 described a technique for maintaining oxygen saturation in patients during prolonged laryngoscopy attempts.

Beyond Trauma: Can EMS Recognize Really Sick?

Sun, Dec 26, 2010

A recent study found that relatively simple clinical scoring systems applied by EMS may soon help recognize developing critical illness and direct patients with respiratory failure, sepsis, and other critical conditions to acute care facilities best able to care for severe illness.

Prehospital High Flow Oxygen Increases Risk of Death

Sat, Nov 20, 2010

Prehospital oxygen titrated with pulse oximetry lowered risk of death compared to high flow oxygen in a large Australian study.

Compression Only CPR Improves Survival

Wed, Oct 6, 2010

A landmark study of compression citizen CPR in Arizona published in the October 6, 2010 issue of the Journal of the American Medical Association reported not only substantial increase in citizens providing CPR but also significantly improved survival.

Too Much Oxygen Worsens Cardiac Arrest Survival

Tue, Aug 17, 2010

A recent study provides further evidence that too much oxygen can reduce survival and impair recovery in cardiac arrest survivors.

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Fire Engineering

May 2014
Volume 167, Issue 5
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