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JUL
28

Episode 46 – 2020 EMS LLSA Review with Dr. Casey Patrick

The EMS Lighthouse Project


EMSLightHouseBlog

Episode 46
2020 EMS LLSA Review with Dr. Casey Patrick

Every other year board certified EMS physicians must take an open book quiz over 20-25 papers felt by the American Board of Emergency Medicine (ABEM) to be something all EMS physicians should know. Dr. Jarvis and Dr. Casey Patrick (@cpatrick_89) from Montgomery County Health District EMS gave a lecture reviewing the 2020 ABEM EMS LLSA articles at the recent meeting of the Texas Chapter of NAEMSP. We got together right after our lecture to record this podcast going over these articles. Join us from the Cavalier Room at the Historic Menger Hotel (@mengerhotel) in downtown San Antonio, literally next door to the Alamo.

 

 

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Show Notes

Papers reviewed:

  • Benger JR, Kirby K, Black S, et al. Effect of a strategy of a supraglottic airway device vs tracheal intubation during out-of-hospital cardiac arrest on functional outcome: The airways-2 randomized clinical trial. JAMA 2018; 320, 779-791.
  • Bosson N, Sanko S, Stickney RE et al. Causes of Prehospital Misinterpretations of ST Elevation Myocardial Infarction. Prehosp Emerg Care 2017; 21, 283-290.
  • Fischer PE, Perina DG, Delbridge TR et al. Spinal Motion Restriction in the Trauma Patient - A Joint Position Statement. Prehosp Emerg Care 2018; 22, 659-661.
  • Jarvis JL, Gonzales J, Johns D, Sager L. Implementation of a Clinical Bundle to Reduce Out-of-Hospital Peri-intubation Hypoxia. Annals of Emergency Medicine 2018; 72, 272-279.
  • Klebacher R, Harris MI, Ariyaprakai N et al. Incidence of Naloxone Redosing in the Age of the New Opioid Epidemic. Prehospital Emergency Care 2017; 21, 682-687.
  • Kupas DF, Melnychuk EM, Young AJ. Glasgow Coma Scale Motor Component (”Patient Does Not Follow Commands”) Performs Similarly to Total Glasgow Coma Scale in Predicting Severe Injury in Trauma Patients. Ann Emerg Med 2016; 68, 744-750.e3.
  • Nishijima DK, Gaona SD, Waechter T et al. Out-of-Hospital Triage of Older Adults With Head Injury: A Retrospective Study of the Effect of Adding “Anticoagulation or Antiplatelet Medication Use” as a Criterion. Ann Emerg Med 2017; 70, 127-138 e6.
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JUN
29

Episode 45 – ESO Ketamine Paper from Eagles

The EMS Lighthouse Project


EMSLightHouseBlog

Episode 45 – ESO Ketamine Paper from Eagles

Ketamine is a wonder drug. Ketamine is a tool of systemic racism. Ketamine is impossible to overdose. Ketamine is an inappropriate drug used for inappropriate purposes.

So much controversy. What should we believe? When in doubt, follow the data. Dr. Jeff Jarvis reviews a very timely paper just released in Annals of Emergency Medicine using the 2019 Data Collaborative data set that aims to describe the characteristics of patients getting ketamine as well as the potential deaths associated with it.

As an added bonus, Drs. Remle Crowe and Brent Myers join Dr. Jarvis for an interview about their paper and the controversies surrounding ketamine use.

 

 

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Show Notes

Papers reviewed:

1. Fernandez AR, Bourn SS, Crowe RP, Bronsky ES, Scheppke KA, Antevy P, Myers JB. Out-of-Hospital Ketamine: Indications for Use, Patient Outcomes, and Associated Mortality. Annals of Emergency Medicine 2021.

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