In parts 1 and 2 of this series, we have outlined the indications, contraindications, medications that can be infused through and IO, needle size selection and driver characteristics. Now lets unpack how to landmark for EZ-IO insertion. As stated in Part 2, the ends of long bones contain a large amount of red blood cells (RBC) [...]
While many may view HEMS organizations as a specialty unto itself many programs have true specialized teams for certain populations. One can think of HEMS providers as a jack of all trades but generally a master of none. We care for all patient populations a health system can see, from the earliest of premature babies [...]
In part one of this series we talked about the indications, contraindications, MRI conditional compatibility and what medications can be administered via an intraosseous route. Today we will further unpack the specific needle sizes, driver options, usage and potential anatomic sites for insertion using the EZ-IO system. As stated earlier, intraosseous access should be reserved [...]
Hang around any EMS advisory council meeting or attend a few local, State or Federal EMS symposiums and eventually you may hear some talk about the EMS Agenda 2050. So what is all the fuss about and how does it affect me now and in the future? EMS Agenda 2050 has been described as a [...]
Were you ever told not to give Ketamine to your head injury patients, hypertensive patients, increased intracranial pressure (ICP) patients? I was taught that. “Early studies suggested that ketamine could increase intracranial pressure, decreasing cerebral perfusion pressure and thereby reducing oxygen supply to the damaged cerebral cortex.” (NIH, 2022). There have been 11 recent studies [...]
As of 2017, it is reported that at least 75 percent of American adults are overweight, obese, or morbidly obese, so it is not surprising that more and more people are trying to lose weight. I know that we have all heard about the recently popular weight loss shots: Ozempic (Semaglutide), Mounjaro (Terzepatide), Wegovy, Zepbound, [...]
I understand that discussions about wearing masks for protection from COVID can evoke some strong emotions and differing opinions. However, I believe that using basic math we can come to the realization of what truly works and what does not work. Let’s first look at what is a virus and the sizes of viruses: A [...]
OK, so you decide to finally look up how much continuing education hours you have either accrued or need to successfully re certify your National Registry of Emergency Medical Technicians (NREMT) certification using the continuing education option. Being in EMS, one thing we are all good at is waiting until the last minute to check [...]
The Occupational Safety and Health Administration (OSHA) sets forth regulations and standards to ensure workplace safety. As emergency responders we too must follow all these safety standards even though our jobs do contain some very high risks. This article is to help you and your agency provide an understandable outline to set up your own training [...]
Thermal burns occur with alarming frequency. Nearly a half a million americans suffer burn injuries severe enough to require specialized burn care annually. Of those, approximately 3500 adults and children suffer fatal burns, this works out to just under 10 fatalities per day. Add that to the number of individuals who suffer smoke inhalation or [...]
