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Paramedic training is over, you’re in the front seat now. Whether day 1 or day 1,000 you can’t shake the fear you’re underprepared. You were taught to systematically decide if A... do B. But what if “A” wasn’t in the book? The truth is each emergency call is too unique to teach the right response to every situation. We need to go beyond algorithmic thinking and understand deeper principles, the WHY behind the algorithm. When every decision counts you want to rely on a framework that will guide you when things don’t make sense. EMS cast is your resource to build that framework. Through discussions with experts, review of evidence-based best practices, and real-world case studies we teach you one step past what you learned in paramedic school. But all of this advanced education is connected back to the guiding principles that answer the question- “at the end of the day, what actually matters to the patient I have in front of me?” Our mission is to elevate your practice and help you improve patient outcomes in every emergency situation. You may not feel ready, you may not feel like you know enough, but by understanding the guiding principles of emergency medicine you can become an expert EMS clinician. Because what you do matters.
Episodes
Wednesday Nov 15, 2023
Which is Better, Midazolam IV, IM or IN?
Wednesday Nov 15, 2023
Wednesday Nov 15, 2023
In this episode we look at a recent observational study out of the journal of neurology looking at the effectiveness of midazolam when comparing the IV vs IM vs IN routes. We'll discuss the study as well as other studies involving status epilepticus to tease out best practices for your next shift.
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This Episodes Journal article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9930617/
RAMPART trial: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3211107/
American Epilepsy Society Algorithm: https://www.aesnet.org/clinical-care/clinical-guidance/guideline-prolonged-seizures?_gl=1*1lmlmse*_ga*MTIzMDc0MjA2NC4xNzAwMDM0ODUx*_ga_GV192D9FPY*MTcwMDAzNDg1MS4xLjAuMTcwMDAzNDg1MS42MC4wLjA.
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Comments (2)
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Good point. Always follow your local protocols and at the end of the day the most important thing is to get appropriately dosed benzos into the patient in a timely manner.
Monday Nov 11, 2024
Consideration: intermediate level providers, such as Advanced EMTs, may be limited by protocol or state scope of practice to IN only.
Sunday Nov 10, 2024
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