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.
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.
The opioid epidemic is a multifaceted problem leaving many with unanswered questions. During this webinar, we will review findings from over 30,000 EMS overdose records over the past 18 months to help answer some of them. Tune in as we discuss high-level topics affecting the recent spike in outbreaks.
Sponsored by ESO.
This adventure to find a safer way to be in the back of a moving ambulance and provide excellent care for my patient started about 11 years ago with an injury (like most things that stimulate change). While working in a Type II van, my partner made some aggressive moves at highway speeds with a sudden stop that tossed me around and I ended up with a few cracked ribs. This mishap has made me look at ways to make it safer in the back of the ambulance without inhibiting our jobs. Whether it be equipment, technology or just asking why we were doing something -- it was all on the table. Fighting tradition, resistance to change and the always present "what if‚" we continue to move forward. Now we are seeing the benefits in safety on the personnel and financial sides.
You don't need a million dollar Sim Lab and a $100,000 manikin to create phenomenal simulations. “High-fidelity” doesn't come from a manikin, but results from careful planning, creative use of your resources, and an unfailing commitment to create scenarios that are as realistic as possible. This presentation will explore best practices and low-cost options for simulation and scenario-based training. We will outline the key factors that make scenarios realistic, discuss affordable tools that can assist our efforts, and identify resources that most programs have within their grasp (and budget).
We know that response times aren't the only (or even best) way to measure the clinical performance of our EMS systems. It's not like we don't know what to measure. Several very good clinical benchmarks have been published, giving us a great starting place. It is now up to us to find a way to measure and use them to improve our practices. Join Dr. Jeff Jarvis, an EMS physician, paramedic and self-proclaimed data geek as he covers topics including: Limitations of response times as the sole indicator for system performance; Common clinical benchmarks and why they are important;
How to improve our practices by harnessing the data our systems provide us; Current limitations on benchmarking metrics across multiple systems.
Dr. Jarvis will also engage the audience in a group discussion of how to best define the essential elements of these measurements.
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.
