EMS

Reading Time: 3 minutes CPVT is a life-threatening condition that results in sudden death in young children and adults. It is often undiagnosed and untreated. This post discusses the presentation, pathophysiology, and treatment options for CPVT.

Reading Time: 3 minutes Adrenal crisis is a life-threatening condition with increased morbidity if the condition is not recognized early and management is not initiated promptly. In this post, a brief review of adrenal insufficiency is provided with emphasis on early resuscitation and specific treatments.

Reading Time: 5 minutes Traumatic Brain Injury (TBI) is a significant cause of mortality and morbidity. The EPIC TBI study produced evidence suggesting that with simple modifications, the care provided in the field by prehospital clinicians can have a substantial impact on outcomes associated with severe TBI.

Reading Time: 4 minutes IV nitroglycerin is a safe and effective part of a comprehensive treatment strategy for sympathetic crashing acute pulmonary edema (SCAPE) in the prehospital environment.

Reading Time: 3 minutes What’s the role of Calcium in out-of-hospital cardiac arrest patients? Should we give it indiscriminately?

Reading Time: 2 minutes A recently published study examines a potential correlation between neurologically intact survival of OHCA and early administration of epinephrine.

Reading Time: 2 minutes End-tidal CO2 is a very useful tool when caring for cardiac arrest patients. Many clinicians use it to determine the prognosis of patients who are in PEA. But is one number enough? Does the change of end-tidal CO2 provide a more accurate assessment of the futility of the resuscitation efforts?

Reading Time: 3 minutes Mechanical CPR (MCPR) is increasingly popular during OHCA resuscitation. Are these devices the game changers for out-of-hospital cardiac arrest care?

Reading Time: 3 minutes Overdose associated with synthetic opioids like fentanyl is a significant problem and is associated with an alarmingly high incidence of mortality and morbidity. A new preparation of high dose intranasal (IN) naloxone was just approved by the FDA to help combat this crisis. The currently available evidence to support its use, is marginal at best.

Reading Time: 3 minutes For decades EMS clinicians have been trained to expedite transport to the hospital for the sickest patients. Rapid movement to transport often occurs at the expense of aggressive medical intervention and current evidence suggests that for certain patients this practice may be deleterious.