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2024 Year in Review Special! Episode 115
Summary In this year-end special episode of The Overrun podcast, Ed Bauter, Dr. Mike DeFilippo, and Dr. Michael Stone discuss five significant papers from the year that impact emergency medical services (EMS). The conversation covers topics such as non-invasive ventilation for pre-oxygenation during intubation, the early administration of adrenaline in out-of-hospital cardiac arrest, and the…
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Episode 114: National Conference on EMS
Summary In this conversation, Dr. Devin Dromgoole discusses the evolving role of ultrasound in emergency medical services (EMS). He highlights the feasibility, cost, and training required for EMS providers to effectively use ultrasound in pre-hospital settings. The discussion covers practical applications of ultrasound, including its use in trauma, undifferentiated shortness of breath, and vascular access.…
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4th Down and Epinephrine: Why Do We Keep Calling the Same Play?
As an Eagles fan in New Jersey, it’s easy to find ways to criticize the New York Giants. So, when I began drafting this post, I was elated to find a correlation between pre-hospital medicine, and a criticism of the Giants. What a world we live in. Anyway, here’s the big point. Epinephrine in out-of-hospital cardiac arrest (OHCA) is…
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Enhancing OHCA Survival: Key Practices for EMS Educators and Agencies
Out-of-hospital cardiac arrest (OHCA) is one of the most critical emergencies managed by EMS providers. Survival rates vary dramatically among agencies, ranging from as low as 1.8% to as high as 14.8%, underscoring the importance of specific EMS practices in improving outcomes. But what are those practices and what do agencies that have high survival…
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What’s the big deal with the Paramedic2 Study?
· 8014 patients enrolled in a UK study of out-of-hospital cardiac arrest · Randomized, double-blind, placebo controlled study · 5 centers in the UK from December 2014 to October 2017 · 30-day survival was higher in the group receiving epinephrine than placebo · Patients who received epinephrine had worse neurologic outcomes What is this study? The PARAMEDIC2 study was initiated…
