The 4 acceptable pauses in CPR Reminder: Our fifth and final episode of this series, “Reimagining Resuscitation: Behind the Scenes of Rialto’s Breakthrough” will be a live webinar including a Q&A session on Dec. 8, 2020. Send your questions for Kevin Joles and Joe Powell to [email protected] and register for the webinar here.   By focusing on its mission, “bring…

Inside EMS EMS1.com Columnists Deprioritizing epinephrine in the order of interventions Medical intervention succeeds best when administered to or performed on the right patient at the right time, and the use of epinephrine in treating a victim of cardiac arrest is no different.  The first episode of this special video/podcast series, “Reimagining Resuscitation: Behind the Scenes…

Deprioritizing epinephrine in the order of interventions Reminder: Our fifth and final episode of this series, “Reimagining Resuscitation: Behind the Scenes of Rialto’s Breakthrough” will be a live webinar including a Q&A session on Dec. 8, 2020. Send your questions for Kevin Joles and Joe Powell to [email protected] and register for the webinar here.   Medical intervention succeeds best when…

Limmer Education EMS1.com Columnists Common respiration pathologies and those that impair ventilation By Chris Ebright You were taught from day one of taking vital signs to count respirations. However, I am here to say that your stellar EMT instructor let you down because that’s wrong. The same incorrect terminology is also written in numerous textbooks, on…

David Wright, MS, PA-C, NREMT-P EMS1.com Columnists A detailed patient history and physical examination inform this diagnosis of exclusion after a brief resolved unexplained event (BRUE) By ​David Wright, M.S., PA-C, NRP; and Kate Randolph, B.S. You and your partner are responding to a 911 call. Dispatch informs you that an alarmed new mother has…

Inside EMS EMS1.com Columnists Using the stretcher as a tool in heads-up CPR According to Joe Powell, MICP, EMSC, the magic in the coordinated set of advanced cardiac resuscitation techniques Rialto Fire Department implemented is its reproducibility. The first episode of this special video/podcast series, “Reimagining Resuscitation: Behind the Scenes of Rialto’s Breakthrough,” brought to you…

Bob Sullivan EMS1.com Columnists Understand the importance of monitoring end-tidal carbon dioxide and the valuable information it provides for patient assessment and treatment This article, originally published April 27, 2015, has been updated with current information Waveform capnography can now be used at all provider levels to better assess patients in respiratory distress, cardiac arrest and…

Tim Nowak EMS1.com Columnists We’ve all heard about getting ‘back to the basic,’ but sometimes paramedics need to make sure they get back to the advanced, as well Not everything can be solved with the basic ABCs of patient assessment and management, at least, not without the right tools to facilitate it. Yes, paramedics need…

Tim Nowak EMS1 Sponsored CPAP should be used as a noninvasive positive pressure ventilation tool early on in a treatment regimen for respiratory distress Asthma exacerbation – CPAP! Wheezing without a “shark fin” capnograph – CPAP! Wheezing with a “shark fin” capnograph – CPAP! Stubbed toe – CPAP! (OK, maybe not this one.) CPAP – continuous positive…

By Jennifer Bach, EMT, and Arthur Hsieh Pediatric patients present special challenges to prehospital professionals. When a child is sick, it can be difficult to conduct a SAMPLE history or physical exam due to anxiety on the part of the child, the parent or even the EMS provider. This anxiety can be exacerbated when the…