All tagged MD1

Episode 49: MD1 Physician Response

Dan sits down in a pre-Conference interview with Dr. Mark Merlin, the head of the New Jersey MD1 physician response program, the largest EMS physician program in the USA

Dr. Merlin discusses the idea of physician response, how EMS physicians interact in the prehospital environment with paramedics and EMTs, the technology that they bring to the table, and using whole blood in resuscitation, to mention just a few things!

Physician response can augment your prehospital care and bring life-saving procedures right to the patient. Check it out!

MD1 is a fully-charity funded program, no patient or agency receives a bill; EVER. Check them out at:

www.md1program.org

The New Jersey EMS Fellowship:

https://emsfellowship.com

University of Pittsburgh EMS Fellowship:

https://www.emergencymedicine.pitt.edu/fellowships/ems-fellowship

Paper on the impact of EMS Physicians on OHCA:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4706668/

EMS Physicians on decision making at scenes:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4492931/

A couple items on the use of fresh whole blood in field resuscitation:

https://prolongedfieldcare.org/wp-content/uploads/2015/08/75th-rangers-norsof-tactical-damage-control-resuscitation-july-2015.pdf

https://www.emra.org/emresident/article/group-o-whole-blood/

Here’s evidence that shows interruption of compressions for any reason has a negative impact on patient survival:

https://www.ahajournals.org/doi/full/10.1161/CIRCULATIONAHA.115.014016

SPECIAL EPISODE-RECAP of the EMS/MD1 Fellowship Conference!

Dan recaps the MD1 EMS Conference and shares what he learned from a room full of EM/EMS physicians speaking to EMS clinicians! If you saw the Facebook Live and Instagram streams from this show; you know there was an enormous amount of knowledge being put out!

Check out Dr. Mark Merlin on Twitter at : @ccareanywhere

The NJ EMS and Disaster Medicine Fellowship can be found at: www.emsfellowship.com

The MD1 physician response program: www.md1program.org

Dr. Qasim is on Twitter at: @emeddoc

Dr. Callelo: @DrDianeC, @njpoisoncenter, also at @ToxAndHound

The COMBAT trial for prehospital plasma:

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)31553-8/fulltext

The PAMPHER trial:

https://www.nejm.org/doi/full/10.1056/NEJMoa1802345

BOKUTOH criteria study:

https://www.jem-journal.com/article/S0736-4679(17)30471-7/pdf

PARAMEDIC2 study of Epinephrine in OHCA:

https://www.nejm.org/doi/full/10.1056/NEJMoa1806842

Pediatric airway management in cardiac arrest:

https://www.ncbi.nlm.nih.gov/pubmed/30862528

Heads up CPR in OHCA:

https://www.jems.com/articles/supplements/special-topics/state-of-the-future-of-resuscitation/head-up-cpr-may-improve-neurologically-intact-survival-rates.html

And, why it may NOT be ready for EMS use, yet…..

https://www.ems1.com/ems-products/cpr-resuscitation/articles/393699048-Why-heads-up-CPR-is-NOT-ready-for-out-of-hospital-cardiac-arrest-care/

Ultrasound in Cardiac Arrest:

https://www.cureus.com/articles/18740-does-point-of-care-ultrasound-use-impact-resuscitation-length-rates-of-intervention-and-clinical-outcomes-during-cardiac-arrest-a-study-from-the-sonography-in-hypotension-and-cardiac-arrest-in-the-emergency-department-shoc-ed-investigators