Pediatric Skills in EMS

Here is yet one more excellent example of a paper from Australia that highlights the need for better pediatric Paramedic training. No surprise. Paramedics get scant few hours to either train or work on kids. Its a double whammy.

You don’t get trained to do it, and don’t get much experience doing it. So neither of the two typical learning pathways are available. But when they are needed, that’s when everyone expects you to be an expert.

This article focuses on trauma, which I frankly think should be child’s play (no pun intended)

For a more elaborating user experience here in the States I suggest Dr. Peter Antevy’s class.  Take it Twice.

When I committed to really learning about MCI Management I took AJ Heightman’s MCI class. Then I took it a second time and realized what and how much I missed. Sometimes doing the same thing twice proves well worth the effort, especially when it’s about a skill set you will rarely if ever be called upon to use.

Sometimes the skills we need most are those we use the least.









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Growing Need For Video-Laryngoscopy

I have not blogged in a long time. I wasn’t really free to do so in my most recent position. But as the wise sage Keanu Reeves once said, “Yah, I’m thinking I’m back”.

I’d like to share a few thoughts about a critical new role for video laryngoscopy. With the rapid growth of supraglottic airways as a primary means of securing an airway on cardiac arrests, paramedics are getting fewer opportunities to intubate. This was already a bad situation.

Many parts of the country already have a difficult time maintaining airway skills. In some regions paramedics only get three or four intubations a year. They often have difficulty getting OR training time. These challenges can play in factor in skill deterioration.

Now think about what the impact might be when we move to rescue airways and intubations drop from 3 or 4 to .03 or .04 per year. That does not at all mean the skill is not required anymore. Far from it.

Some specific indications for an advanced airway often occur with breathing patients. One example is airway burns. I want the largest tube I can get in, instantly. Another is frank pulmonary edema with high inspiratory pressures being required to ventilate. A third might be a witnessed asthma arrest. These are all potential walking home saves.

That’s why I think it has become high time everyone had a video laryngoscope. It’s a responsible and cost effective way to prevent DL skill erosion from costing lives that might otherwise be saved.


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Physio-Control and Aircraft Medical Launch Strategic Partnership

Physio-Control and Aircraft Medical have entered a strategic partnership that will include Physio-Control distributing the McGRATH® MAC EMS Video Laryngoscope to Emergency Medical Services (EMS) customers throughout the United States.

The McGRATH® MAC EMS Video Laryngoscope combines direct and indirect view laryngoscopy, offers a bright, clear video image to assist paramedics during difficult intubations and supports traditional Macintosh laryngoscope training and techniques. Full details here

I really like this device and I’ve written about it a few times. It is very compact, rugged and easy to use.

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Blue Wolf Capital Partners LLC acquires a majority stake in North American Rescue, LLC

NEW YORK — Blue Wolf Capital Partners LLC (“Blue Wolf”), the New York-based private equity firm, today announced that, through an affiliate, it has acquired a majority stake in North American Rescue, LLC (“NAR” or “the Company”), a leading supplier of mission-critical tactical medical products, such as tourniquets, chest seals and decompression needles, to the military, law enforcement and EMS first responder markets.

Read more here:

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EMS Today 2015

It was great to reconnect with so many old friends at EMS Today in Baltimore. The exhibit hall was packed and steady for the first evening and Friday morning. Later Friday and Saturday I got around the hall and said hello to everyone.

I saw Jon Politis and we reminisced how we met at the very first EMS Today in 1984. It’s been many years since and is surprising how many of the early EMS pioneers are still around.

There were not that many new EMS products as in years past. I did get to look at Durham County’s new Demers mini-mod on a Sprinter chassis. I really liked it. It has the Mobility-Track seating system and many of the premium features of recent Demers models.

The Ferni iNX stretcher continues to astound. This year they played some amazing videos of it in action. The one I loved was iNX climbing over a cement guardrail effortlessly.

EM Innovations had the new suction holster called SuctionShield. It is a real “why didn’t I think of that” product.

Here I am with my old friend AJ Heightman at the Convention Center. AJ has been a tireless advocate for EMS and is an inspiring leader. I’m sure Jim Page smiles from beyond knowing his legacy is in such steady hands.

Here I am demonstrating i-gel O2 Resus at EMS Today 2015

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Philips redesign prompts another Class I recall

Heart Sync is the 2nd company to face an FDA Class I recall of defibrillator electrodes due to design changes in automated external defibrillators made by Royal Philips.

Royal Philips’ (NYSE:PHG) revamped connector design for 2 of its automatic external defibrillators has left another company facing an FDA Class I recall.

This time, Michigan’s Heart Sync is dealing with the Class I recall, which the FDA assigns when there is risk of serious injury or death. Continue

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Ebola Disinfection for EMS

St. Louis, MO (December 17, 2014) – EA Medical LLC, a specialty medical distributor,
introduces the Lumalier EDU-435 Disinfection Lamp, which uses Ultraviolet Germicidal
Energy (“C” wavelength) to kill Ebola. The EDU-435 was designed to meet the specialized
disinfection needs of Emergency Medical Service (EMS) providers.

Although not everyone is familiar with UV-C, it is a well know fact that it has germicidal
properties. There are no known infectious pathogens that are resistant to a proper “dose”
of UV-C energy, NONE. It does not matter what the pathogen strain is, how it has
mutated, or if it is multiple drug/chemical resistant. The Lumalier EDU-435 is an easy to use portable lamp that kills virtually all known infectious virus, bacteria, mold, protozoa and yeast including Ebola, Enterovirus d68, MRSA, VRE, C.diff, TB, Acinetobacter and Influenza.

Neal Zeid, EMS Manager commented, “The portable design of the lamp allows EMS
agencies to disinfect the inside of their ambulances, helicopters, and the rooms inside
their station houses. The air and all exposed surfaces inside an ambulance can be
disinfected in just 20 minutes. The advanced UV-C Disinfection of the EDU-435
provides powerful germicidal outcomes of 99.999% to 99.999999% disinfection.”

About EA Medical LLC
Founded in 1993 in St. Louis, MO, by Kevin Eddington and Steve Logsdon, EA Medical
specializes in the sale of Surgical and Infection Control products for General, CardioThoracic, Vascular, and Neuro Surgery. In 2008, EA Medical expanded into the prehospital EMS market and sells EMS products for Advanced Life Support, Patient and
EMS Safety, and Infection Control. For more information on EA Medical, contact us at
800.339.9393 or visit

About Lumalier (Evergreen UV LLC)
Founded over 50 years ago in Memphis, TN, Lumalier (now owned by Evergreen UV
LLC) is the recognized industry leader in UV disinfection. The FDA, CDC, Homeland
Security and World Health Organization use Lumalier UV-C systems to kill infectious
diseases. Source: EA Medical LLC

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