The MN Resuscitation Consortium first quarter newsletter is now available! MN currently has a 15% ROSC rate in out of hospital cardiac arrests. 37% of arrests are of presumed cardiac origin (VF or VT). Open the link to learn more! Thanks to the newest members of the CARES database: Oakdale Fire, St. Paul Fire, Burnsville Fire and Maplewood public safety!
How dangerous is it to work as a prehospital medical professional? Listen to the latest Prehospital Care Research Forum to hear a discussion on some of the recent literature relating to this topic!
http://www.fisdap.net/podcasts/pcrf/working_emergency_medical_technician_one_most_dangerous_jobs
Karen Manor RN, CEN, CPEN
Regions Hospital Emergency Medical Services Critical Care Education Specialist gives us an update on the recently released 2012 Braselow tape.
The new Braselow tape has now been released. I have looked it over a bit.
It has the new dosing for defibrillation that go along with the new AHA guidelines. Other changes include some small changes in medications. The biggest I see is the change from 15mg/kg/dose to 20 mg/kg/dose for Fosphenytoin and Phenytoin. I think using it as is for reference is fine.
The sizing and placement of the colors have changed to go along with the increased weight of kids. There is a reccomendation that if you have an obese child to consider going up in size for medications. Equipment is done by ideal weight, so it is reccamended to still use the measured size for the child for equipment selection.
The tape does recommend some changes in equipment. Once the new tape is considered the reference we may want to consider to having the medics change the equipment to make it match the tape. The ones I have noted are:
The new 2011 Braselow tape has now been released. The major changes are with drug dosing and alittle different estimate of weights for our ‘growing’ pediatric population.
Red-BP cuff is now nenonatal #4
Purple-stylet size is now 10 Fr
Yellow-stylet size now 10 Fr
White-Stylet size now 10 Fr
Blue-Stylet size now 10 Fr
Green- Nasopharyngeal airway is now -26 FR
There are now LMA sizes for each color listed.
Karen
The Immediate Trial results have been released and will be published in the next issue of the Journal of the American Medical Association (JAMA). This was a trial looking at the prehospital administration of Glucose, Insulin and Potassium (GIK) for patients with Acute Coronary Syndrome.
http://www.immediatetrial.com/
Dr. Frascone of Regions EMS is one of the authors on this paper. We would especially like to thank the hard work and dedication of Sandi Wewerka and Josh Salzman of the Regions Hospital Critical Care Research Center.
We would also like to recognize our EMS partners:
• Cottage Grove EMS
• Lakeview Hospital EMS
• Mahtomedi Fire Department
• Maplewood Fire Department
• Oakdale Fire Department
• White Bear Lake Fire Department
• HealthEast Medical Transportation
It is only through the commitment of our EMS partners to expanding the science of prehospital medicine that we are able to conduct these trials.
CME is offered for all EMS providers who attend. To obtain CME please sign the sign in sheet and email which lectures you attended to shonette.m.doggett@healthpartners.com. The North Oaks room is located on the second floor of the hospital in the North Section.
| 8:30-10:00 | ***Critical Case | North Oaks 2016 A&B | Taft/Katzung |
This Thursday’s Emergency Medicine conference schedule can be found below. All conferences are located in the auditorium on the 3rd floor of Regions Hospital. EMS providers can earn CME by signing the sign in sheet and sending an e-mail with the specific hours attended to Shonette.M.Doggett@healthpartners.com
| Thurs | 2/16/12 | 7:30-8:30 | Pending | Auditorium | |
| 8:30-10:00 | ***Critical Case | Auditorium | Dahms/Baggenstos |
The Quarterly Toxicology Grand Rounds
****Drug-Induced Nephropathy****
February 15, 2012 at 12 noon – 1:00PM
Regions Hospital – Emergency Medicine Department
Lindell Conference Room
Case based presentation on common and uncommon nephrotoxins and management.
Lunch provided.
Regions EMS will be offering CME for any EMS providers that attend this course. Please sign the sign-in sheet and send an e-mail to Jennifer.k.smith1@healthpartners.com to ensure that your CME is recorded.
