clinical discussion

Clinical Tool Identifies A Pregnant Patient In Danger: Is It Helpful For EMS?

Clinical Tool Identifies A Pregnant Patient In Danger:  Is It Helpful For EMS?

The nation's Emergency Medical System (EMS) infrastructure occupies a vital role in society where public health, public safety and individual patient needs converge.  In light of concerning maternal outcomes the EMS professional can benefit from greater awareness of issues in this special population. In a prior post the rising maternal mortality trend in the USA was explored and though current campaigns at reversing this troublesome trend are not directed at pre-hospital providers there may be a missed opportunity in not doing so.  

A vital tool called the Maternal Early Warning Signs (MEWS) is an evidence-based tool that has been used with success in some states to improve maternal outcomes.  

Do You Feel Ready to Care for a Sick Floppy Infant?

Do You Feel Ready to Care for a Sick Floppy Infant?

Infantile hypotonia presents significant challenges in the pre-hospital setting. As a paramedic or EMT you will likely respond to calls involving both acutely and chronically ill children.  The skill of accurately and rapidly assessing a pediatric patient’s tone is essential in the first moments of an encounter.  Developing an approach to handling severe abnormalities comes with training and experience. In general, preparing for these encounters both in thought and in practice is a must to do your best out there.  This article will explore hypotonia and provide background on the topic, as well as a few cases, that may aide pre-hospital professionals in further improving their preparedness in this arena. 

EMS and Maternal Mortality Trends: Can Pre-Hospital Professionals Make a Difference?

EMS and Maternal Mortality Trends: Can Pre-Hospital Professionals Make a Difference?

Partum and peri-partum calls don’t happen all that often, but as an EMS professional you can expect to respond to the type of case described above at least few times in your career.  

In 1986 the CDC began tracking pregnancy-related deaths and since collecting this data rates have more than doubled.  Although we may not realize it, the United States has the highest maternal mortality rate of any highly developed nation, according to the Alliance for Innovation on Maternal Health (AIM).  Few nations beside the USA have a rising maternal mortality rate, amongst them are Afghanistan and Sudan.  

PerSim: Lives Saved by a Thousand Mistakes

As we were about to deliver a PerSim system to Austin Community College the other day, I was reminded of the possibilities of how this company can transform the landscape of healthcare training.  Last week while we were visiting some fire stations a voice rose from the corner of the room. I could not see his face, but his voice gently boomed across all other noises and sidebar conversations.  It was immediately evident in the body language of the other firefighters in the room that this was the voice of someone respected and well regarded.  The question, “So, you are going to take 15 years of experience and compress it into this medical simulator?”