All tagged Physician Response

Episode 70: Pediatric Cardiac Arrest and Improving Outcomes with Dr. Peter Antevy

For most places in EMS, how we treat cardiac arrests in adults is drastically different than how we do it in pediatric patients. And the results show it.

Ed and Dan sit down with Dr. Peter Antevy and talk about how we can do better with pediatric arrests. Dr. Antevy’s programs in Florida have dramatically improved their pediatric survival from cardiac arrest, by focusing on the basics, staying on scene to resuscitate before moving to the hospital, and by engaging parents with WHY we are doing what we do on scene.

This is a critically important topic that we don't talk about. But we need to prepare for these low-frequency, high-stress events to give out patients every possible chance to survive.

On another note, go to https://www.prodigyems.com/refresh2021 to see the talk that inspired this episode. This is some of the best paramedic level training out there today, and it’s NREMT approved, and FREE!

Check out Dr. Antevy’s stuff at:

https://www.handtevy.com

Early epinephrine administration improving outcomes:

https://www.ahajournals.org/doi/epub/10.1161/JAHA.119.014330

We talk about the AHA PALS guidelines for 2020, here they are:

https://www.ahajournals.org/doi/epub/10.1161/CIR.0000000000000901

The Polk County study on pediatric OHCA:

https://pubmed.ncbi.nlm.nih.gov/30412719/

Time on scene in pediatric arrest matters:

https://www.ahajournals.org/doi/pdf/10.1161/CIRCULATIONAHA.116.023821


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