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https://www.nejm.org/doi/full/10.1056/NEJMoa1806842 A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest Gavin D. Perkins, M.D., Chen Ji, Ph.D., Charles D. Deakin, M.D.,et al. for the PARAMEDIC2 Collaborators* Abstract Background Concern about the use of epinephrine as a...

https://www.eventscribe.com/2018/SAEM/agenda.asp?h=Plenary&BCFO=PL Results: Of 3,005 enrolled patients, 1,506 were assigned to initial LT and 1,499 to initial ETI. Patient characteristics were similar between treatment arms. Seventy-two hour survival was significantly higher for LT than ETI...

My personal thoughts on mechanical CPR is that its best utility is freeing hands for other tasks or for return to usual duty of personnel who would other wise be doing compressions. Its best use is NOT for improving survival. Prehosp Emerg Care. 2018 Jan 18:1-7. doi...

No definitive answers as these are retrospectives analyses, but these articles raise questions that should have been answered before the movement toward "IO first" in cardiac arrest that many services have adopted. ----- Intraosseous Vascular Access Is Associated With Lower Survival and...

Did anyone else hear a mic drop at the end of this masterpiece? After how many medical directors, one finally calls out the city, the dept, AND the union to their face and in public. So much gold. I hope change happens, but I suspect this will go no where...

File under: No ****. Circ Cardiovasc Qual Outcomes. 2016 Jan 26. pii: CIRCOUTCOMES.115.002317. [Epub ahead of print] Paramedic Exposure to Out-of-Hospital Cardiac Arrest Resuscitation Is Associated With Patient Survival. Dyson K1, Bray JE2, Smith K2, Bernard S2, Straney L2, Finn J2. Author...

http://www.jems.com/articles/print/volume-41/issue-1/features/detroit-s-efforts-to-improve-ems-response-includes-dual-role-fire-ems.html "So, while firefighters began receiving medical first responder training, Detroit’s EMTs and paramedics began attending the fire academy. Eventually, Jenkins...

I'm most interested in the cities since the're likely to have a EMS and fire run by the same or at least 2 different organization/companies (i.e. FD and a private or other EMS-only service). If any of the counties have a county-wide FD or county-wide EMS, I'd like to know. This is for a...

Intensive Care Med. 2014 Oct 28. [Epub ahead of print] Impact of intra-arrest therapeutic hypothermia in outcomes of prehospital cardiac arrest: a randomized controlled trial. Debaty G1, Maignan M, Savary D, Koch FX, Ruckly S, Durand M, Picard J, Escallier C, Chouquer R, Santre C, Minet C...

In case anyone was curious... http://newsroom.heart.org/news/ambulance-magnesium-treatment-fails-to-improve-stroke-outcome February 13, 2014 Study Highlights: Giving magnesium to stroke patients in an ambulance soon after symptoms began did not reduce the severity of disability...

Resuscitation. 2014 Feb 18. pii: S0300-9572(14)00093-8. Airway management and out-of-hospital cardiac arrest outcome in the CARES registry. McMullan J1, Gerecht R2, Bonomo J2, Robb R3, McNally B3, Donnelly J4, Wang HE4; On behalf of the CARES Surveillance Group. Abstract BACKGROUND...

- See more at: http://bostonherald.com/news_opinion/local_coverage/2013/09/turf_battle_over_911_calls#sthash.zsk2SUFE.dpuf

Jim Cline, Sr., 1937-2013 I did not know him personally, but I knew people that worked with him. With NJ having had so few paramedics, relatively speaking, everyone seems to know who the long timers are and their certification numbers. I've only ever heard great things about him. Anyhow...

Anyone know what their set-up is? Apparently they use medic chase-cars. Is it BLS ambulances with ALS chase cars, or is it ALS ambulance, BLS ambulances, AND ALS chase cars? Are the chase cars single medic or dual medics? How about the ambulances?

I find myself thinking about this, particularly when driving around, because it seems to be such a controversy. I'm always curious how far I can travel in my personal vehicle, generally following traffic laws (yes, I tend to not follow the speed limit and I do roll-through at some stop signs)...

I'm interested in the start of paramedic services and Iam putting together a list of the first paramedic units to be established. Most people know the first cities to have paramedic programs, such as Miami, Pittsburgh, Columbus, Los Angeles County, Seattle, etc., but I'm curious about the...

Resuscitation. 2012 Jun 1. [Epub ahead of print] Endotracheal Intubation versus Supraglottic Airway Insertion in Out-of-Hospital Cardiac Arrest. Wang HE, Szydlo D, Stouffer J, Lin S, Carlson J, Vaillancourt C, Sears G, Verbeek R, Fowler R, Idris A, Koenig K, Christenson J, Minokadeh A...

So by 2015ish we should have some idea if an antiarrhythmic given during cardiac arrest actually works. Sweet. Follow the link for the full story http://www.ems1.com/cardiac-care/articles/1228554-Trials-start-to-evaluate-CPR-drugs-after-sudden-cardiac-arrest/ Trials start to evaluate...

http://www.philly.com/philly/news/breaking/20120118_Report__Tensions_rile_Fire_Dept_.html http://www.philly.com/philly/news/20120119_Study_on_Philadelphia_Fire_Department_urges_bold_action_to_meet_goals.html?ref=more-like-this Full study here...

It only takes 20 seconds to make the phone call and about 1 minute to send the email! EMS Legislation S818/A2095 has passed their respective houses and is now on the Governor's desk to be either signed or vetoed. Unfortunately, there are many people who are fiercely fighting the passage of...