As providers continue to battle COVID-19 on the front lines, IMPACT EMS stays committed to bring you the most up to date information to help guide your care and keep you safe. In addition to our weekly Facebook Live Events and the CME Collective, this page will be updated weekly with current best practices and […]
*The following is an actual patient scenario where I will review a complicated DKA patient, dissect some key points regarding labs and treatment protocol, and discuss what could have been done better for this patient. You are activated to a small regional hospital for a 25-year-old female. She has a history of Type […]
The use of neuromuscular blocking agents (NMBA) during rapid sequence intubation (RSI) is arguably the cornerstone of the procedure. NMBA paralytics prevent gagging when utilizing a laryngoscope during intubation and allow for a more complete view of the glottis versus sedatives alone (Caro, 2020). NMBAs used in RSI can be categorized into two different types: […]
Ventilator management strategies are all that glitters in the EMS community right now. ???? All the cool podcasters are talking about it; the bloggers are bloggin’ blogs about recruitment maneuvers and pronation of intubated patients. Vent management is the skinny jeans of EMS education. But I’m kinda dorky, and I take great care to not […]
Stay and Play We’ve all had those critical patients: the ones circling the drain when we show up who bring the “pucker factor.” As EMTs and paramedics, our first reaction is to “grab and go” and get that patient to the familiar environment of our ambulance. It makes sense, right? That’s our office, all of […]
By Jaren Jarrell You’re 8 hours into your 24-hour shift. It’s been a grueling day and you have hit your critical thinking max. There it is…the tones drop once again! “EMS base, truck 12 respond to a 3-month-old male, reference patient not breathing.” The initial anxiety of a pediatric call hits you. This is not […]
So, as you all know we have had the opportunity to have Dr. Peter Antevy join us a couple of times and talk about pediatrics. When it comes to kids let’s face it, we all tend to get scared, our nerves shoot through the roof and it becomes the most stressful call of our career. […]
Joshua Fountain, ASN, CFRN, CCRN, TCRN Like Batman, Ketamine is a kick-ass kind of drug that not only is an upscale, suave, pain management drug by day, but also a swift, bat-like induction agent by night. Ketamine also has a boy wonder paralytic sidekick named Rocuronium. Ketamine and Roc are the dynamic duo of rapid […]
By, Jaren Jarrell FP-C, NRP How many times has a physician or respiratory therapist looked at you curiously while clamping an ETT? I can honestly say for myself, every single time. Then on the other hand the respiratory therapist is rushing to swap circuits so fast, theirs is off before I can turn the ventilator […]
After coming home from a long shift, but still having to do a lot of work on the farm, you decide to make a well-earned mojito and luckily, you even have some fresh limes on hand! As you are sipping your well-earned drink and walking to the field, you trip, spilling your drink on your […]
