EMS World

AUG 2018

EMS World Magazine is the most authoritative source in the world for clinical and educational material designed to improve the delivery of prehospital emergency medical care.

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EMSWORLD.com | AUGUST 2018 35 For More Information Circle 26 on Reader Service Card Diff erent. Diff erent. BINDER LIFT BINDER LIFT BINDER LIFT BINDER LIFT BINDER LIFT BINDER LIFT TM TM TM BINDER LIFT BINDER LIFT BINDER LIFT TM BINDER LIFT TM BINDER LIFT TM BINDER LIFT BINDER LIFT BINDER LIFT BINDER LIFT TM TM BINDER LIFT TM TM TM TM TM TM Try One FREE. Call, Email, or Visit our Website 855.239.5438 • Info@BinderLi .com • www.BinderLi .com/Free-Trial Made In USA The rapidly decreasing cost of equipment, combined with the increasing availability of quality education and training for pro- viders, makes this far more possible than it was even two years ago. We must also encourage EMS providers to be the skilled clinicians they are and reevaluate long- held practices such as using on-scene duration as a measure of per formance and demanding short scene times to sim- ply improve system throughput. REFERENCES 1. Van Doorn KJ, Verbrugghe W, Wouters K, et al. The duration of hypotension determines the evolution of bacteremia- induced acute kidney injury in the intensive care unit. PLoS One, 2014 Dec; 9(12). 2. Taylor J, McLaughlin K, McRae A, et al. Use of prehospital ultrasound in North America: A survey of emergency medical services directors. BMC Emerg Med, 2014 Mar 1; 14:6. 3. McNeill B. Ultrasound technology can help paramedics save lives in the field. A groundbreaking new class as VCU is training them how. VCU News, 2018 May 2; https://news.vcu.edu/ article/Ultrasound_technology_can_help_paramedics_save_ lives_in_the_field. 4. Dipti A, Soucy Z, Surana A, Chandra S. Role of inferior vena cava diameter in assessment of volume status: A meta-analysis. Am J Emerg Med, 2012 Oct; 30(8): 1,414–9. 5. Nishijima DK, Simel DL, Wisner DH, Holmes JF. Does this adult patient have a blunt intra-abdominal injury? JAMA, 2012 Apr 11; 307(14): 1,517–27. 6. Tayal VS, Graf CD, Gibbs MA. Prospective study of accuracy and outcome of emergency ultrasound for abdominal aortic aneurysm over two years. Acad Emerg Med, 2003 Aug; 10(8): 867–71. 7. Lyon M, Walton P. Bhalla V, Shiver SA. Ultrasound detection of the sliding lung sign by prehospital critical care providers. Am J Emerg Med, 2012 Mar; 30(3): 485–8. 8. Lichtenstein DA, Menu Y. A bedside ultrasound sign ruling out pneumothorax in the critically ill. Lung sliding. Chest, 1995 Nov; 108(5): 1,345–8. ABOUT THE AUTHORS Stephanie Louka, MD, AEMT, is an EMS fellow and completed her emergency medicine residency training at VCU Health in Richmond, Va. She is a life member of the Virginia Beach Volunteer Rescue Squad. Her prehospital interests include POCUS and BLS education. She blogs at TeamLouka.com. Thomas Hudson, NRP, CCP-C, is a paramedic for the VCU Health Department of Emergency Medicine in Richmond, Va. He received both his paramedic and undergraduate science education at VCU and volunteers in his free time with the Richmond Volunteer Rescue Squad. POCUS has the potential to make a greater impact on the diagnosis and treatment of our patients than anything since the introduction of prehospital EKGs.

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