Prehospital Emergency Medicine Secrets

Care of the Agitated/Suicidal Patient

Questions and Answers Case: A 911 call comes in for a suicidal patient. The basic life support (BLS) unit is dispatched. They arrive at a residence where police are already on the scene. You learn that the mother called for…

Analgesia

Questions and Answers Case: You are dispatched to a local athletic field for a player down on the field with a leg injury. A 21-year-old male was playing soccer when he was tackled from behind, causing him to have ankle…

Airway Management, Oxygenation, and Ventilation

Questions and Answers 1 What is the point of airway management in the prehospital setting? The point is the same regardless of setting: to ensure adequate oxygenation and ventilation while protecting the patient from aspiration. Oxygenation is the process of…

Poisonings and Toxic Exposures

Questions and Answers Case: EMS responds to a home where an 18-month-old child may have ingested some of his grandmother’s medications. The child is found awake and alert. The child was under the care of the grandparents who were babysitting.…

End-of-Life Issues

Questions and Answers Healthcare Decision Makers at the End of Life Case: EMS receives a call for an 85-year-old female who had an unwitnessed fall at a skilled nursing facility. The patient has a past medical history of lung cancer…

Community Paramedicine

Questions and Answers 1 What is community paramedicine? The healthcare landscape is changing rapidly. Hospitals, health systems, and insurers are increasingly focusing on efforts to expand access to care for a wider population. There is an accelerating shift toward the…

Aeromedical Transport

Questions and Answers 1 What is aeromedical transport? Aeromedical transport was born out of the need to move wounded service members during World War I. Injured soldiers could be transported to more definitive care in a shorter time, increasing survivability.…

Geriatric Emergencies

Questions and Answers 1 Who is considered a “geriatric patient” and why does that matter? Geriatric patients are classified as persons over the age of 65 years. This is the fastest-growing segment of the population in the United States. The US…

Bariatric Emergencies

Questions and Answers 1 How is obesity defined? Body mass index (BMI) is a measure of body fat based on height and weight. BMI = body weight (in kg) ÷ height (in meters) squared Using BMI, obesity is then classified as follows:…