The optimal approach for and the importance of fluid management in shock has been heavily discussed and debated in the last 10-20 years. A study published by Rivers et al in 2001 was one of the first to demonstrate the benefit of early and rapid fluids in septic shock patients and the concept of early, aggressive fluids has proven benefits in multiple studies since then and worked its way into sepsis protocols for hospitals and EMS groups. Over the same period there have been a number of other studies that have questioned the conclusions of Rivers and similar studies. The purpose of this webcast is to review the current literature and studies and provide a summary of the current understanding of the optimal approach and situations for rapid fluid resuscitation in shock patients.
This class will illustrate the dynamic and dramatic preparation and response of the FDNY's 6th Battalion units during the first two nights of the protests, riots, and looting following the death of George Floyd. The presentation will spur a discussion on how the chiefs working in the FDNY's 6th Battalion kept their members safe while responding through thousands of protestors and agitators, hundreds of NYPD police officers, and garbage strewn streets to extinguish almost 100 fires—including police cars full of ammunition, one report of a police officers trapped in a burning patrol car, and multiple calls reporting structural fires.
Severe infection and sepsis are high mortality illnesses that significantly burden the healthcare system. Evidence suggests that early identification and aggressive treatment reduces mortality and length of hospital stay for these patients. Emergency rooms and hospitals have utilized protocols to help identify this patient cohort, but emergency medical services (EMS) has lagged behind, despite the fact that many of these patients are initially treated and transported by EMS. Recently, several prehospital screening tools for identifying sepsis have been created and evaluated. Using this approach, emergency medical technicians may be able to provide pre-arrival notification, initiate treatment, and create systems of care for septic patients. This webinar will review the evidence for prehospital engagement with septic patients and discuss the existing screening tools for EMS personnel.
Don't miss this JEMS webcast sponsored by Bound Tree Medical.
In this webcast Memphis Fire Department EMS Medical Director Joe Holley, MD, describes the background and results of implementing mechanical CPR in a large metropolitan EMS system.
In this presentation you'll learn: How mechanical CPR can impact your system; Understand the advantages of mechanical CPR; and How mechanical CPR compares to traditional CPR.
Recent studies have shown a direct benefit to patients suffering from large vessel strokes in receiving some form of interventional procedure. How can EMS reliably predict and identify those patients?
Ambulance services face the unique challenge of providing care, whenever and wherever needed, without consideration of a patient's ability to pay. It is therefore paramount that they operate high-performing revenue cycles to increase and accelerate cash flow.
In order to effectively deliver safe and efficient patient care, frontline first response and ambulance, and flight crews need a reliable supply and logistic program. Not all EMS operations are alike and maintaining consistent inventory can be a challenge in a fixed base or distributed operations environment. The key to effective management of a department's equipment and consumable supply inventory is improved by taking a systems perspective to managing this essential patient care inventory. A well designed and monitored system can ensure both quality care and support effective financial management.
As EMS and healthcare continues to evolve, so will the future of our EMS health systems in specifically dealing with stroke patients. On average, someone in the United States has a stroke every 40 seconds. Education, detection, and the speed at which our healthcare providers can determine the type of stroke will ultimately better our ability to increase brain time and save patient lives.
In 2009, only a handful of MIH-CP programs were operating in the U.S. Today, according to a database maintained by the National Association of EMTs, there are about 230. Despite this phenomenal growth, there are still many questions surrounding this evolving service delivery model. How do you get started? What are some current models for economic sustainability? How do you select and train providers? How do you measure success and demonstrate value? Who are some of the stakeholders that are supporting MIH-CP programs? What next on the horizon for EMS? Dan Swayze and Matt Zavadsky are two of the pioneers in this service delivery model and have the scars to prove it! Join this informative session to hear from Dan and Matt the answers to not only these commonly asked questions, but also live interactive questions posed by participants.
Continuous Positive Airway Pressure or CPAP is a BLS and ALS tools that can save lives, reduce hospitalization times, and provide better patient management in the field.
This webcast will explore the largely untapped potential of ultrasound in the prehospital setting. The ways in which ultrasound can be used to manage medical and trauma conditions in the field will be discussed.
This webcast will outline best practices in BLS airway management. Dr. Andrew McCoy will present topics such as how to optimize bag-mask ventilation; use of airway adjuncts including oral airway and nasopharyngeal airway; BLS end-tidal capnography; BLS positive pressure non-invasive ventilation; and PEEP as a BLS adjunct.
Please join us for this event sponsored by Columbia Southern University.
The latest tactics, techniques and technologies designed to take your knowledge to the next level.
The Fire Academy is an all NEW year-round interactive digital platform that brings you training from industry leaders in order for you to continue supporting your efforts in the communities you serve. The content will discuss key themes around topics including: Safety, Leadership/Management, Company Officer, and many more. With a collaborative backing of FDIC International and Fire Engineering, you won’t want to miss out on this training – all at your fingertips.
