Routine Use of a Bougie Improves First-Attempt Intubation Success in the EMS Setting

Study objective The bougie is typically treated as a rescue device for difficult airways. We evaluate whether first-attempt success rate during paramedic intubation in the out-of-hospital setting changed with routine use of a bougie. Methods A prospective, observational, pre-post study design was used to compare first-attempt success rate during out-of-hospital intubation with direct laryngoscopy for patients intubated 18 months before and 18 months after a … Continue reading Routine Use of a Bougie Improves First-Attempt Intubation Success in the EMS Setting

EMS and DNAR directives among patients with OHCA

Background: Emergency Medical Services (EMS) are often involved in end-of-life circumstances, yet little is known about how EMS interfaces with advance directives to forego unwanted resuscitation (Do Not Attempt Resuscitation (DNAR)). We evaluated the frequency of these directives involved in out-of-hospital cardiac arrest (OHCA) and how they impact care. Methods: We conducted a cohort investigation of adult, EMS-attended OHCA from January 1 to December 31, 2018 in … Continue reading EMS and DNAR directives among patients with OHCA

2017 EMS Trend Report: The forces shaping the future of EMS

Throughout the past nine months I had the opportunity to oversee the data analysis for the 2017 EMS Trend Report.  I worked with industry partners from RedFlash Group, EMS1, and Fitch & Associates. The second year of the EMS Trend Report continues the effort of EMS1, Fitch & Associates and the National EMS Management Association to assess and monitor changes in the EMS profession. We … Continue reading 2017 EMS Trend Report: The forces shaping the future of EMS