Hypercapnia without hypoventilation
Tim Nowak, AAS, BS, NRP, CCEMTP, SPO, MPO, CADS - EMS1.com Columnists - It’s not all about breathing rates: hypercapnia risk factors and complications - Your patient complains of dyspnea. His end-tidal carbon dioxide reading is 54 mmHg and respiratory rate is 20 breaths per minute. - That’s right, he’s hypercapnic with an...
Navigating toxic brain injury: We need a better map
EMS1 Contributor - Without real-time feedback to confirm ventilation rate and volume, a piece of the map is missing - By Justin Hurzeler, NRP, TM - In 2020, a nightmare I didn’t even know I’d had came true at around 0500 on a weekday morning, two hours before the end of a 24-hour shift. I had only been asleep for an hour when the...
Training Day: How EMTs should be using capnography
Tim Nowak, AAS, BS, NRP, CCEMTP, SPO, MPO, CADS - EMS1.com Columnists - Application of an EtCO2 sampling device and waveform monitoring, especially during bag-valve mask ventilation, is well within the capability of EMTs - Should EMTs be trained and required to utilize capnography within their scope of practice and clinical care? -...
NAEMSP releases compendium of airway management best practices
EMS1.com Staff News - The position statements summarize recommendations for training, quality management, pediatric considerations and more - By Kerri Hatt - OVERLAND PARK, Kan. — The NAEMSP Standards and Clinical Practice Committee has published “The National Association of EMS Physicians Compendium of Airway Management Position...
Tips for assessing and treating occupants of a structure fire
Patrick Lickiss - EMS1.com Columnists - Look for these signs and symptoms to identify patients suffering from smoke inhalation and cyanide poisoning - This article was originally posted Apr. 21, 2016. It has been updated. - One of the main concerns for responders treating patients involved in structure fires is generally the presence...
Patient with delirium and agitated behavior
Reel Emergency Vodcast - EMS1.com Columnists - Drs. Antevy, Piehl, Spiro, Scheppke, Bernstein and Kupas discuss ketamine and other sedatives, and how to minimize risk when administering - Listen as EMS and law enforcement take care of a man who was found in public jumping on top of cars and exhibiting aggressive and paranoid...
Back to the basics: Burns
Limmer Education - EMS1.com Columnists - Learn about the types of burns, how to calculate BSA and how to treat burns and airway compromise - By Chris Ebright - “Anything will burn with enough gasoline and dynamite.” — Robert Heinlein - When a patient is severely burned, it changes their life. Not only in that moment, but for...
Product Review: 3M Littmann CORE Digital Stethoscope
Kelly Grayson, NRP, CCP - EMS1.com Columnists - Kelly Grayson shares how the digital amplification option from Eko stands up to rig noise and abuse - Smile and nod, smile and nod. Watch the face of the person speaking, interject a pithy comment now and then. Ask questions frequently, phrased in such a way that the speaker thinks I’m...
