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

Seizure-like presentation in OHCA creates barriers to dispatch recognition of cardiac arrest

Abstract Purpose Early recognition of out-of-hospital cardiac arrest (OHCA) by 9-1-1 dispatchers is a critical first step along the resuscitation pathway. Barriers to recognition may lead to adverse outcomes among patients. This study aims to determine the impact of seizure-like activity among OHCA patients during 9-1-1 calls. Methods We evaluated a retrospective cohort study of all adult, non-traumatic OHCAs that occurred prior to emergency medical … Continue reading Seizure-like presentation in OHCA creates barriers to dispatch recognition of cardiac arrest

Clinical Characteristics of Patients With COVID-19 Receiving EMS

Question  What is the clinical presentation to emergency medical services among persons with coronavirus disease 2019 (COVID-19)? Findings  This cohort study of 124 patients with COVID-19 revealed that most patients with COVID-19 presenting to emergency medical services were older and had multiple chronic health conditions. Initial concern, symptoms, and examination findings were heterogeneous and not consistently characterized as febrile respiratory illness. Meaning  The findings of this study suggest … Continue reading Clinical Characteristics of Patients With COVID-19 Receiving EMS