6. Termination of Rescusitation Protocols

as the American Heart Association said in its 2005 Guidelines: “Civil rules, administrative concerns, medical insurance requirements, and even reimbursement enhancement have frequently led to requirements to transport all cardiac arrest victims to a hospital or ED. If these requirements are nonselective, they are inappropriate, futile, and ethically unacceptable.”

EMS Changes: A Personal Journey

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I will be speaking about why I got into EMS, what care was like when I started, how it has changed over the last twenty or so years, and how it has changed me. I’ll also take a stab at where it may go in the future. I hope you will join me.

Everyday EMS Athlete

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There is a profile of me over at Greg Friese’s Everyday EMS Athletes, a feature of Everydayemstips.com.

7. Decreased Use of Lights and Sirens

The general rule of thumb now is only go lights and sirens to a hospital if the hospital can do something for the patient that you can’t in the amount of time you would save going lights and sirens over flow of traffic that will make a difference in the patient’s outcome.

8. Selective Spinal Immobilization Guidelines

I tried to immobilize him. He wanted no part of it. I had two cops with me. Somehow they ended up wrestling with him to try to get him to submit to being immobilized. One cop had him in a head lock.

9. Alternative Airways

I can tell you this now, based on the medical literature, and on my experiences with the LMA and Combi-tube, I no longer hesitate to use an alternative airway as my first line airway.

EMS Web Summit

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On Thursday May 17, I will be participating as a speaker in the EMS Web Summit. Check out the link below for more information on this great event. Live registration is free. More information will follow. Here is a list of topics: EMS WEB FORUM TOPICS EMS Web Summit Registration

10. Chemical Restraint

“You’re just one crew?” the cop asks. “You have restraints?”

11. No More Lasix

The first rule of medicine is “Do No Harm.” Lacking chest x-rays and the ability to do BNPs in the field, time and again, EMS (myself included) has done harm to our patients by giving patients we were certain were in CHF, Lasix when in truth they had sepsis or pneumonia.

12. EZ-IO

When I tried to take the old Jamshidi needle out, it wouldn’t budge. I had bent it when I screwed it in. All the short four minutes to the hospital I spend trying to yank the dam thing out while a firefighter did CPR, and my rider squeezed the ambu-bag.

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