CPR vs. CCR | EMS Questions | WWJD 2/7/2013

Got a question on the differences and the EMS view between CPR and CCR or cardiocerebral resuscitation. So I gave a quick overview on this and showed a screencast of a sample protocol used by EMT’s and paramedics for CCR.


Do you use this method during initial cardiac arrest patients? Something similar? Post your comments below.

For a limited time get a Trial membership to Turbo Medic for just a buck. Try it here for seven full days.

 

EMS Patient Assessment | Speech

While common evaluations of speech are usually focused at the potential stroke patient. Assessing a patients speech is also important for other illnesses or injuries. Check out this weeks Minutes for common speech assessments and terms you can use during your EMS reports.


 

Also see here for more Stroke information.

 

EMS Assessment | Carbon Monoxide Poisoning

Take a look at this weeks Monday Minutes. This video shows common carbon monoxide poisoning signs and symptoms and I think you will realize that this can often mimic many other illnesses and we can’t be looking for that “Cherry Red skin” in these patients as something to rely on. I tell a story on this one and would love to hear yours as well. So go ahead and post your CO poisoning story below.

You can also watch this carbon monoxide poisoning video on youtube here.

 

 

You can get details on the EMS Quick Study Guide by clicking here.

EMS Zebra Hunting Or Doing What’s Right?

This week we revisit a bit the idea of Zebra Hunting in EMS. Do you see more paramedics needing to do interventions than others? Do they have more patients who need saving or are they over reacting or hunting for something that isn’t there?

Take a listen to this episode and give your opinion below

Show notes

Josh from WANTYNU.com

Tim Noonan from RogueMedic.com

Does Rural EMS Have A Patient Care Advantage?

When thinking about rural EMS systems compared to an urban setting. Does the rural setting have certain advantages? What about disadvantages? Issues like available resources, transport times, volunteers, skills frequency and others can play a role in overall patient care.

So what are your thoughts? Do these two systems differ? Are they similar enough not to matter in the long run? Take a listen to this lively episode.


Show notes

Please check out the quests this week.

Thanks to Tim, David and Rommie for joining us and lending their insight. Special thanks to David Aber for joining in the chat room and providing the links below to some interesting reports.

Tim Noonan at Rogue Medic

David Aber at EMS Difference

David Blevins on Facebook

Rommie Duckworth can be found at Rescue Digest

Co-host Josh Knapp is over at WANTYNU

Take a look at these reports that David Aber was kind enough to provide. Great information.

http://www.shepscenter.unc.edu/rural/pubs/finding_brief/FB84.pdf

http://www.shepscenter.unc.edu/rural/pubs/report/FR99.pdf

http://www.shepscenter.unc.edu/rural/pubs/report/WP89.pdf

http://www.shepscenter.unc.edu/rural/pubs/report/FR93.pdf

http://healthandwelfare.idaho.gov/Portals/0/Medical/EMS/NCSL%20EMS%20in%20rural%20america.pdf

One Step Forward, Two Steps Back – Focus People

Great things are happening in EMS. New drugs, expanded protocols, high tech equipment. At the same time we deal with drug shortages, out dated and unproven standards of care and almost self sabotage of ourselves in the media, constantly putting up with the lowest common denominator in our ranks.

We need to find our focus. Sure work on the new stuff but maybe concentrate on the older issues too that are holding us back as a profession and as providers, lending for less than optimal patient care. How are you and your agency focusing on more steps forward and less steps back.

EMS EKG Help | PVC’s

This Monday Minutes gives a short EMS EKG help overview on premature ventricular contractions.


Check out the Ultimate EKG Study Guide Bundle by clicking here.

Should We Lie To Patients?

When your patient asks if he is having a heart attack, do you tell him, no matter how bad the 12 lead looks? Have you ever avoided these quesions, told white lies or just plain lied in what you thought was the best interest to the patient? What do you think? When does a patients stress level or anticipated reacition influence what or how you tell them?


 

Show notes:

Josh at WANTYNU

Tim Noonan – RogueMedic

EMS Web Summit – Free Live Online EMS Web Conference

EMS Pediatric Shock Tips

Understanding key tips for pediatric shock can help EMS providers stay ahead of the curve and treat pediatric patients during compensated shock. Helping to prevent progression to decompensated or irreversible shock. Listen to this Monday Minutes for some key points to keep you ahead of the game.


Watch the YouTube version here http://www.youtube.com/watch?v=h3y5nDXCBr8

 

If One Paramedic Is Good, Two Is Better Right? Not So Fast.

EMS systems vary across the US. Some run one medic one EMT crews, some run double medic crews. There are even those that have 3-5 medics show up on a call. Beyond cost, many are gearing towards the one medic one EMT model and tout better patient care and provider proficiency. Take a listen to this lively discussion and leave your views below.

Show Notes:

Tim Noonan – Rogue Medic

Bob Sullivan of EMS Patient Perspective

Josh from WANTYNU

Links to check out:

EMS World article on Austin-Travis TX staffing change

Check out these interesting articles on New Jersey as well.

http://www.jems.com/article/administration-and-leadership/specialized-ems-crews-jersey-city-improv

http://www.jems.com/article/administration-and-leadership/jersey-city-nj-obtains-five-national-rec

Update – 3/2/12

A few more links sent over by Tim.

Effect of crew size on objective measures of resuscitation for out-of-hospital cardiac arrest.
Martin-Gill C, Guyette FX, Rittenberger JC.
Prehosp Emerg Care. 2010 Apr 6;14(2):229-34.
PMID: 20128704 [PubMed – indexed for MEDLINE]

The association between emergency medical services staffing patterns and out-of-hospital cardiac arrest survival.
Eschmann NM, Pirrallo RG, Aufderheide TP, Lerner EB.
Prehosp Emerg Care. 2010 Jan-Mar;14(1):71-7.
PMID: 19947870 [PubMed – indexed for MEDLINE]

[hr]


Be ready on the ambulance whether you are riding with a basic or another paramedic. Use the seven modules inside Turbo Medic PHD to move your knowledge needle. Click to see all seven modules here.