Using an Introducer (better known as a Bougie) on every intubation

The following post does an excellent job in articulating some of the benefits to implementing a bougie on each and every ET tube placement.  Will it ultimately be necessary on every intubation to use the bougie? No, it will not, but in using it every time you intubate you will develop proficiency in it's use and be ready for the troublesome intubations that are sure to present themselves. Why I use a bougie on every airway by The Resus Room U.S.       Here is…

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EMS Podcast 9: A Miracle witnessed by EMS

EMS helps people in many different ways. EMT and Paramedic personnel save lives every day. On this podcast we take a look at a miracle witnessed by more than a few people. We talk to the initial EMT on the scene of this possibly once in a lifetime occurrence. As always we encourage you to talk to us and let us know what you think. Any comments, questions, concerns or tips on making our podcast and website better are more than welcome. Thank you for your…

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Good job means different things to a patient than what it means to a health care provider.

We shared this link last Friday but felt it was necessary to elaborate. Cure sometimes, treat often, comfort always We sometimes think we are doing a good job based on technical skills we use, medications we give, good outcomes in general. And while that is commendable, even maybe primary, it shouldn't be the only criteria for a good job. Please take a moment and read the article. Then think on this, we can leave a lasting impression on a patient not only of who we are…

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EMS Links for September 14, 2018

On our weekly podcast in episode 6 we talked about raising EMS pay and a few steps that could be taken in trying to achieve a long lasting and enduring pay increase. One of the steps was to increase public education and put EMS, ambulance services, on par with Police and Fire departments. Our first link of the week comes from Fire Chief and gives some of the dilemmas people usually consider when thinking about EMS. We are not trying to talk bad about this article,…

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Podcast Episode 7: Downtime in EMS

First on this weeks podcast we start with a funny story that highlights the need to always wear BSI, even when we are not expecting anything from our patients. Some of the services and items we talked about during this podcast: Video streaming services: Netflix Some of the pros of Netflix: downloadable content, constantly alternating selection, original content continually being added. Cons: Selection constantly alternating can leave you with limited selection of items you are interested in, not all items can be downloaded for offline use.…

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EMS links for September 7, 2018

This week we are starting it off with three links on paramedics and intubations. The first link is to the studies done by JAMA. Along with that link is a link to a YouTube video showing the difference between correlation and causation. We find the video insightful as we move forward into the debate of what should be acceptable and expected treatments in EMS. 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…

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2 Steps to increase EMS pay, 2 things to stop saying in EMS

How do we improve EMS in one word? Pay. Now before you all begin chanting praise, hear us out, this isn’t a simple catch-all. In today's podcast we go over just two steps that could, in the longer term, increase pay in EMS for the long term. We also go into a few common excuses medics use, excuses we should stop using. I am in no way saying pay should be increased for all in EMS. I think one of the things may people make the…

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Paramedic intubation, why the new mass hysteria?

It has been decades now that I can remember people outside and inside EMS not fully believing Paramedics should intubate in the prehospital setting even in cardiac arrests. A new set of studies, recently published by JAMA, has turned into a feeding frenzy for some. It's like some were waiting for validation that they could attack any sort of advanced airway done in the prehospital setting. We have not finished reviewing the studies, but have always urged caution when a new study, especially on such a…

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