EMS Rotations

Introduction

• Resident EMS Objectives
• Medical Student EMS Objectives
• EMS Online Resources
• Rosen and Tint EMS Chapter Summaries
• EMS Ride-Out Log
• Webinar Guidelines

Contact Information

• SWORBHP Contact Information
• EMS Services Contact Information

Presentations

• Base Hospital Physician Rounds
• Base Hospital Program Patching Webinar

Medical Directives and Standards

• Advanced Life Support Patient Care Standards
• Basic Life Support Patient Care Standards
• Provincial Equipment Standards for Ontario Ambulance Services

Bottom Lines

• Amiodarone for Resuscitation After Out-of-Hospital Cardiac Arrest Due to Ventricular Fibrillation
• Diversion of STEMI Patients for Primary Angioplasty
• OPALS Major Trauma Study: Impact of Advanced Life-Support on Survival and Morbidity
• Validation of a Rule for Termination of Resuscitation in Out-of-Hospital Cardiac Arrest
• Out-of-Hospital CPR with AutoPulse System
• Thrombolysis with Alteplase 3 to 4.5 Hours after Acute Ischemic Stroke
• Amiodarone as Compared with Lidocaine for Shock-Resistant Ventricular Fibrillation
• Advanced Cardiac Life Support in Out-of-Hospital Cardiac Arrest
• Out-of-Hosptial Continuous Positive Airway Pressure Ventilation Versus Usual Care in Acute Respiratory Failure: A Randomized Controlled Trial
• Incidence and predictors of critical events during urgent air-medical transport
• Noninvasive Ventilation in Acute Cardiogenic Pulmonary Edema
• Thrombolysis during Resuscitation for Out-of-Hospital Cardiac Arrest

Guidelines (Note: The following documents are password protected)

CTAS Updates:

• 2005 CAEP / ACMU Scientific Abstracts
• Revisions to the Canadian Emergency Department Triage and Acuity Scale Adult Guidelines
• Revisions to the Canadian Emergency Department Triage and Acuity Scale Implementation Guidelines
• Revisions to the Canadian Emergency Department Triage and Acuity Scale Paediatric Guidelines
• The Reliability of the Canadian Emergency Department Triage and Acuity Scale in the Prehospital Setting

ILCOR - 2010 Circulation Guidelines:

• Part 1 - Executive Summary
• Part 2 - Evidence Evaluation and Management of Potential or Perceived Conflicts of Interest
• Part 3 - Ethics
• Part 4 - CPR Overview
• Part 5 - Adult Basic Life Support
• Part 6 - Electrical Therapies
• Part 7 - CPR Techniques and Devices
• Part 8 - Adult Advanced Cardiovascular Life Support
• Part 9 - Post Cardiac Arrest Care
• Part 10 - Acute Coronary Syndromes
• Part 11 - Adult Stroke
• Part 12 - Cardiac Arrest in Special Situations
• Part 13 - Pediatric Basic Life Support
• Part 14 - Pediatric Advanced Life Support
• Part 15 - Neonatal Resuscitation

Studies (Note: The following documents are password protected)

Amiodarone vs Lidocaine in Cardiac Arrest:

• Amiodarone as Compared with Lidocaine for Shock-Resistant Ventricular Fibrillation
• Amiodarone for Resuscitation After Out-of-Hospital Cardiac Arrest Due to Ventricular Fibrillation

Auto Pulse:

• Out-of-Hospital Cardiopulmonary Resuscitation with the AutoPulse System
• The Impact of a New CPR Assist Device on Rate of ROSC in Out-of-Hospital Cardiac Arrest

Cardiac Arrest:

• Amiodarone as Compared with Lidocaine for Shock-Resistant Ventricular Fibrillation
• Amiodarone for Resuscitation After Out-of-Hospital Cardiac Arrest Due to Ventricular Fibrillation
• Thrombolysis during Resuscitation for Out-of-Hospital Cardiac Arrest
• Validation of a Rule for Termination of Resuscitation in Out-of Hospital Cardiac Arrest
• Vasopressin and Epinephrine versus Epinephrine Alone in CPR
• CPR with Chest Compression Aline or with Rescue Breathing
• Compression-Only CPR or Standard CPR in Out-of-Hospital Cardiac Arrest

CPAP:

• Noninvasive Ventilation in Acute Cardiogenic Pulmonary Edema
• Out-of-Hospital Continuous Positive Airway Pressure Ventilation Versus Usual Care in Acute Respiratory Failure

ECASS 3:

• Thrombolytic Therapy for Acute Stroke - Not a Moment to Lose
• Thrombolysis with Alteplase 3 to 4.5 Hours After Acute Ischemic Stroke

Flight EMS:

• Incidence and Predictors of Critical Events During Urgent Air-Medical Transport

King LT Airway:

• A Comparison of the King-LT to Endotracheal Intubation and Combitube in a Simulated Difficult Airway
• A Comparison of the Laryngeal Tube and Bag-Valve Mask Ventilation by Emergency Medical Technician
• Airway Management in Cardiac Arrest - Comparison of the Laryngeal Tube, Tracheal Intubation and Bag-Valve Mask Ventilation
• Comparison of Airway Management with the Intubating Laryngeal Mask, Laryngeal Tube and CobraPLA by Paramedical Students in Anaesthetized Patients
• King Airway Use by Air Medical Providers
• The Laryngeal Tube Device: A Simple and Timely Adjunct to Airway Management
• Using a LT During Cardiac Arrest Reduces No-Flow Time in a Manikin Study Compared with ETI

OPALS:

• Advanced Cardiac Life Support in Out-of-Hospital Cardiac Arrest
• Advanced Life Support for Out-of-Hospital Respiratory Distress
• Comparison of the Cerebral Performance Category Score and the Health Utilities Index for Survivors of Cardiac Arrest
• Improved Out-of-Hospital Cardiac Arrest Survival through Optimization of Existing Defib Program
• The OPALS Major Trauma Study - Impact of Advanced Life-Support on Survival and Morbidity

Tiered Response:

• All Advanced Life Support vs Tiered-Response Ambulance Systems
• Evolution of a Community-Wide Early Defibrillation Program
• Fire Fighters as Basic Life Support Responders: A Study of Successful Implementation
• Improved Out-of-Hospital Cardiac Arrest Survival through the Inexpensive Optimization of an Existing Defibrillation Program
• Response Interval Comparison between Urban Fire Departments and Ambulance Services