Mel Higgins

Good morning, ALS providers. With an increase in the number of med pyxis discrepancies, I wanted to send a procedural reminder. (and if you ever forget, it is ALWAYS posted above the med pyxis for reference) Simply, never use a patient’s name to remove meds from the pyxis. I know the fields are “last name, […]

ALS providers and EMS supervisors: Effective immediately: Ketamine is on shortage for all concentrations and will not be stocked in the med pyxis for the next 4-6 weeks. For pain management, please utilize fentanyl as your first line analgesic for moderate to severe pain unless it is contraindicated. If you are going to use Ketamine,

Good morning. In the past, EMS has had some encounters with school nurses and school med techs after Epinephrine has been given (sometimes questionably) to a student with a presumed allergic reaction. I wanted to provide you with some (hopefully insighted and helpful) information from the head of the School Nursing Program that is employed

MIEMSS frequently conducts QA/QI reviews at the state level. One of their recent trending research includes the effectiveness of pain management across both BLS and ALS treatment modalities. In their research, they pull very specific data from EMEDS reports – pain scores under the vitals sections. Our county is lacking in the consistent documentation of

TXA is an important therapy that will help increase patient’s survivability in an out of hospital hemorrhagic injury. ALS providers play a key role in knowing when to use TXA and how to properly administer the medication. A few of you have noticed the discrepancy in TXA administration in the protocol versus what we have

Today’s “Did You Know?” moment: There is one contraindication for Medevac Request: EMS/DNR-B or MOLST B patients are NOT candidates for field medevac transport. (page 280 of MD protocol, July 1, 2021 version) With that said, although these patients do not qualify for helicopter utilization, this doesn’t prevent the patient from ground transportation to a

Good Afternoon! Please forward this training opportunity to ALL staff members, BLS and ALS. Trauma surgeon Dr. Schulz will be presenting one of our cases here at DES as a learning opportunity for everyone. Feel free to post the announcement in your stations as well. We have plenty of room – come join us! Simple,

Good afternoon! Today’s educational topic: What ACTUALLY happens when you lose a limb lead during transcutaneous pacing? We place limb leads on patients to determine rate and rhythm. Once we determine that a patient meets the criteria for pacing, we rely on those limb leads to confirm “electrical capture” of the heart, telling us the

Today’s educational topic: Posterior Wall MI Posterior Wall MI tends to be the most overlooked, under-recognized 12 lead interpretation in the pre-hospital setting. Despite the approximate 20% overall incidence of all STEMIs, a posterior wall MI can be associated with significant morbidity. A Posterior STEMI usually involves the Posterior Descending Artery (PDA) which is USUALLY

For all the podcast listeners out there, check this one out! Even if you aren’t…..check this one out! Worth the hour of your time. medicmindset.com/2021/09/11/thinking-pediatric-respiratory/ “After seeing Dr. Joelle Donofrio-Odmann’s talk in Prodigy EMS<www.prodigyems.com/>’ free Refresh 2021, I knew Medic Mindset listeners needed to hear from her. She is an Associate Professor of Pediatrics and