Hot Topics in EMS

https://useagles.org/teammembers/robert-lowe-3/

Protocol Link

Dextrose

https://www.ncbi.nlm.nih.gov/pubmed/2029097

https://www.ncbi.nlm.nih.gov/pubmed/17763842

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4415309/

https://www.ems1.com/cardiac-care/articles/prove-it-administering-dextrose-during-cardiac-arrest-improves-outcomes-9FP6hslyU2OFNrCX/

https://www.foamfrat.com/post/hypoglycemia-in-cardiac-arrest

Ketamine

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9014273/

https://www.sciencedirect.com/science/article/abs/pii/S0300957217300394

https://pubmed.ncbi.nlm.nih.gov/35586308/

https://www.cfp.ca/content/64/7/514.short

https://pubmed.ncbi.nlm.nih.gov/15928464/

https://www.webmd.com/heart-disease/what-to-know-agonal-breathing

https://www.mdpi.com/1660-4601/20/4/3654

Click below to see:

What the hospitals see

MCFRS 5-minute drill

Guide for the EMS Duty Officer

Video – how to fill out an operational support report

TSR - to request an MDC key

What I read:

Dr. Maia Dorsett - NAEMSP

PEC article

JEMS article

SCTEMS blog

Protocol

Abstract: Exploring Competencies For the Family Facilitator During Resuscitation

Know the Risks - Opioids

General Order 22-04 - Leave-Behind Naloxone

Leave behind naloxone program details

Link to NEJM study

Link to MCFRS CPG

https://www.emra.org/emresident/article/naloxone-in-cardiac-arrest/

https://criticalcarenow.com/naloxone-in-opioid-associated-cardiac-arrest-2/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4982449/

https://emergencymed.arizona.edu/faq/why-shouldn’t-i-just-give-all-cardiac-arrests-narcan-it’s-not-going-hurt-them-right

https://www.ahajournals.org/doi/full/10.1161/CIR.0000000000000958

http://www.emdocs.net/sodium-bicarbonate-therapy-does-not-work-in-cardiac-arrest/

https://emergencymedicine.wustl.edu/items/sodium-bicarbonate-administration-in-cardiac-arrest/

https://rebelem.com/sodium-bicarbonate-in-cardiac-arrest-management/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4780490/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7864130/

https://litfl.com/sodium-bicarbonate-use/

https://www.sciencedirect.com/science/article/abs/pii/S0300957217303337

https://www.sciencedirect.com/science/article/abs/pii/S0735675705003141

https://www.sciencedirect.com/science/article/abs/pii/S0300957221000939

https://pubmed.ncbi.nlm.nih.gov/33662526/

https://pubmed.ncbi.nlm.nih.gov/36403820/

https://rebelem.com/rebel-cast-ep106-the-coca-trial-calcium-in-cardiac-arrest/

Release memo

Complete 2022 Protocols

Program overview

This is just the beginning... we're only looking at the rabbit hole. Grab some coffee. Start at the top.

Summary of research

NAEMSP Position Statement - Cardiac Arrest 

NAEMSP Position Statement - Supraglottic Airways

PART Trial

Airways-2 Trial

CAAM Trial

Fewer intubation attempts is associated with improved outcomes

Here are several education resources targeting community clinicians / first responders:

1. This is the link to the current PDF version of the EMS field guide document:  https://www.mylvad.com/sites/default/files/EMS%20Field%20Guides/2021%20Field%20Guides/ICCAC_Emergency_Guides_20_21-1.pdf
2. The Emergency care of a HM3 is a pamphlet created by the manufacturer.
3. The MedStar ED LVAD Job Aid has the on call coordinator pager number. It is a challenge to use in the field if the scene is noisy. The call is “answered” by a computer that says, “enter your numeric message”. The action required is that the responder uses the phone key pad to put in the 10 digit phone number you want the vad coordinator to call. Turn around time is 2 – 3 minutes. We have patients and caregivers practice paging. If you or someone on your team would like to practice so the first time using the system is not during an emergency, please do so but say quickly when we answer that it is just a test.

Crashing patient care announcement

Link to Clinical Practice Guideline 2021-03

2021 MMP

Dr. Galvagno's slides