EMS

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: 5 minutes Bleeding control is an important component of trauma care. Here are the fundamentals.

Reading Time: 2 minutes Read this weekly review for some spaced repetition of the past week’s content.

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.

Reading Time: 6 minutes Is the administration of Nitroglycerin always to be avoided in patients with inferior STEMI? Dr. Seth Kelly explores the current evidence of the potential harm or benefit of this medication in patients with acute coronary syndrome.

Reading Time: 4 minutes What are the key components of an efficient and detailed EMS handoff? Dr. Seth Kelly brings in his prehospital expertise in this post.

Reading Time: 3 minutes In this first multi-post series, we will discuss the prehospital evaluation and management of trauma patients with rib fractures.

Reading Time: 4 minutes Historically, the bougie has been known as a backup airway device once standard approaches to airway access fail. That dogma is rapidly changing.

Reading Time: 2 minutes This post discusses the utility and safety of push dose pressors in the critical care setting. It is accompanied by a visual summary of the preparation steps of the two most commonly administered push dose pressors in the Emergency Department.

Reading Time: 3 minutes Patients with severe traumatic brain injury (TBI) are at high risk of developing neurocognitive impairment and poor neurologic recovery. What emergency clinicians do to prevent secondary injury can significantly impact the outcome of these patients.